The Safety And Quality Of Abortion Care In The United States

Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.

Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.

At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.

The Clinical practice handbook for safe abortion care is intended to facilitate the practical application of the clinical recommendations from the second edition of Safe abortion: technical and policy guidance for health systems (World Health Organization [WHO] 2012). While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in both of these documents aim to enable evidence-based decision-making with respect to safe abortion care.

"Now with a new afterword by the author"--Back cover.

This multidisciplinary review of abortion is invaluable reading for clinicians and other care providers in the area of women's health.

In today's contentious political environment surrounding abortion, clinicians, counselors and social workers need a clear framework for providing skilled, compassionate decision counseling. They need help working with the hard stuff: "What do I do when my patient asks me if God will forgive her?" or "What do I say when a woman says that she feels like she's killing her baby?" These are the questions asked by clinicians and mental health professionals everywhere; these are also the questions for which this book offers answers. The fields of healthcare and counseling psychology have long-awaited a manual for conducting pregnancy decision counseling across the spectrum of patient issues, employee skill levels, and clinic resources. Using case examples, individual and group exercises, guided self-reflection, and values clarification, the reader will develop the necessary skills to provide compassionate and informed pregnancy decision counseling. This book will define the gold standard for decision assessment and counseling for all pregnancy options and will be cited as the definitive guide for learning, teaching, and providing high-quality, compassionate counseling in abortion and family planning clinics nationwide.

Planned and regulated task shifting and task sharing can have a range of benefits. It can ensure a rational optimization of the available health workforce, address health system shortages of specialized health-care professionals, improve equity in access to health care and increase the acceptability of health services for those receiving them. This guideline provides a range of options for expanding of health worker roles in the provision of safe abortion care, the management of complications of abortion (also known as post-abortion care in some settings and provided as part of emergency obstetric care) and for post-abortion contraception provision.