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Chapter 11 - The Role of Early Pregnancy Loss Care in Ensuring Competence in Uterine Evacuation

from Section II - Integration of Abortion into Graduate Medical Education

Published online by Cambridge University Press:  30 July 2021

By
Sarah Ward Prager  and
Erin McCoy
Edited by
Uta Landy ,
Philip D Darney  and
Jody Steinauer
Uta Landy
Affiliation:
University of California, San Francisco
Philip D Darney
Affiliation:
University of California, San Francisco
Jody Steinauer
Affiliation:
University of California, San Francisco
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Summary

Abortion. The phrase “uterine evacuation” can create tension and line people up on opposite sides of the abortion issue, with no recognition of its safety, commonplace occurrence and health or life-saving capabilities. Due to the dichotomized and politicized nature of abortion, in some places it is difficult to teach health care providers how to empty a uterus, even in a life-threatening situation.Early pregnancy loss (EPL) management can provide an entry point for this education, as well as a way to destigmatize the uterine aspiration procedure and medical treatment because, although management is the same as for “elective abortion” the indication is different; with an abortion, a pregnancy is terminated that would otherwise likely continue, while with EPL, the pregnancy has ceased to be viable. This difference is subtle, yet concrete and profound for many.

Keywords

Early pregancy lossspontaneous abortionmiscarriageuterine aspirationmisoprostolmifepristoneemergency.
Type
Chapter
Information
Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
 , pp. 123 - 129
Publisher: Cambridge University Press
Print publication year: 2021

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