Management of Unintended and Abnormal Pregnancy Comprehensive Abortion Care

by Paul, Maureen; Lichtenberg, Steve; Borgatta, Lynn; Grimes, David A.; Stubblefield, Phillip G.; Creinin, Mitchell D.

• ISBN13: 9781405176965
• ISBN10: 1405176962
• Edition: 1st
• Format: Hardcover
• Copyright: 2009-05-11
• Publisher: Wiley-Blackwell

Summary

Access to high quality abortion care is essential to women's health, as evidenced by the dramatic decrease in pregnancy-related morbidity and mortality since the legalization of abortion in the United States, and by high rates of maternal death and complications in those countries where abortion is still provided under unsafe conditions.The past two decades have brought important advances in abortion care as well as increasing cross-disciplinary use of abortion technologies in women's health care. Abortion is an important option for pregnant women who have serious medical conditions or fetal abnormalities, and fetal reduction techniques are now well-integrated into infertility treatment to reduce the risks of multiple pregnancies resulting from assisted reproductive technologies.Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the textbook of the National Abortion Federation, and serves as the standard, evidence-based reference text in abortion care. This state-of-the-art textbook provides a comprehensive overview of the public health implications of unsafe abortion and reviews the best surgical and medical practices for pregnancy termination, as well as managing ectopic and other abnormal pregnancies.Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the leading source for a comprehensive understanding of issues related to unintended and abnormal pregnancy. This textbook: is authored by internationally-known leaders in women's health care; addresses unintended pregnancy and abortion from historical, legal, public health, clinical, and quality care perspectives; includes chapters on pregnancy loss, ectopic pregnancy, gestational trophoblastic disease, and multifetal pregnancy reduction; covers treatment of pregnancies in the first and second trimester by both medical and surgical techniques; and provides resources for clinical, scientific, and social support for the abortion provider and patient.

Author Biography

Maureen Paul, MD, MPH – Mt. Sinai School of Medicine, Planned Parenthood NYC
E. Steve Lichtenberg, MD, MPH – Northwestern University School of Medicine
Lynn Borgatta, MD, MPH – Boston University School of Medicine
David Grimes, MD, MPH – University of North Carolina School of Medicine
Philip Stubblefield, MD – Boston University School of Medicine
Mitchell Creinin MD – University of Pittsburgh School of Medicine

Table of Contents

Section I Abortion in perspective

Abortion and medicine: A sociopolitical history

Unsafe abortion: The global public health challenge

Unintended pregnancy and abortion in the USA: Epidemiology and public health impact

Abortion law and policy in the USA

Pre-procedure care

Informed consent, patient education, and counseling

Clinical assessment and ultrasound in early pregnancy

Medical evaluation and management

Pain management

Abortion methods and techniques

Medical abortion in early pregnancy

First-trimester aspiration abortion

Dilation and evacuation

Medical methods to induce abortion in the second trimester

The challenging abortion

Post-procedure care

Contraception and surgical abortion aftercare

Surgical complications: Prevention and management

Answering questions about long-term outcomes

Management of abnormal pregnancies

Pregnancy loss

Ectopic pregnancy

Gestational trophoblastic disease

Abortion for fetal abnormalities or maternal conditions

Multifetal pregnancy reduction and selective termination

Abortion service delivery

Providing abortion in low-resource settings

Ensuring quality care in abortion services

Appendix: Resources for abortion providers

Table of Contents provided by Publisher. All Rights Reserved.