Background History of abortion laws in the United States According to the Court, "the restrictive criminal abortion laws in effect in a majority of States today are of relatively recent vintage.
State-level abortion regulations are likely to affect women differently based on their geographic location and socioeconomic status. Women Abortion summary undergo abortions are disproportionately lower-income compared with other women of similar age: Seventeen percent of women travel more than 50 miles to obtain an abortion.
A New Health System for the 21st Century. What is the evidence on what clinical skills are necessary for health care providers to safely perform the various components of abortion care, including pregnancy determination, counseling, gestational age assessment, medication dispensing, procedure performance, patient monitoring, and follow-up assessment and care?
Required skills All abortion procedures require competent providers skilled in patient preparation education, counseling, and informed consent ; clinical assessment confirming intrauterine pregnancy, determining gestation, taking a relevant medical history, and physical examination ; pain management; identification and management of expected side effects and serious complications; and contraceptive Abortion summary and provision.
To provide medication abortions, the clinician should be skilled in all these areas. To provide aspiration abortions, the clinician should also be skilled in the technical aspects of an aspiration procedure. The National Academies Press. To provide induction abortions, the clinician requires the skills needed for managing labor and delivery.
The extensive body of research documenting the safety of abortion care in the United States reflects the outcomes of abortions provided by thousands of individual clinicians.
The use of sedation and anesthesia may require special expertise. If moderate sedation is used, it is essential to have a nurse or other qualified clinical staff—in addition to the person performing the abortion—available to monitor the patient, as is the case for any other medical procedure.
Deep sedation and general anesthesia require the expertise of an anesthesiologist or certified registered nurse anesthetist to ensure patient safety.
What safeguards are necessary to manage medical emergencies arising from abortion interventions? The key safeguards—for abortions and all outpatient procedures—are whether the facility has the appropriate equipment, personnel, and emergency transfer plan to address any complications that might occur.
No special equipment or emergency arrangements are required for medication abortions; however, clinics should provide a hour clinician-staffed telephone line and have a plan to provide emergency care to patients after hours. If moderate sedation is used during an aspiration abortion, the facility should have emergency resuscitation equipment and an emergency transfer plan, as well as equipment to monitor oxygen saturation, heart rate, and blood pressure.
The committee found no evidence indicating that clinicians that perform abortions require hospital privileges to ensure a safe outcome for the patient. Providers should, however, be able to provide or arrange for patient access or transfer to medical facilities equipped to provide blood transfusions, surgical intervention, and resuscitation, if necessary.
Page 15 Share Cite Suggested Citation: What is the evidence on the safe provision of pain management for abortion care? Nonsteroidal anti-inflammatory drugs NSAIDs are recommended to reduce the discomfort of pain and cramping during a medication abortion.
Some women still report high levels of pain, and researchers are exploring new ways to provide prophylactic pain management for medication abortion.
The greatest risk of using sedative agents is respiratory depression. The vast majority of abortion patients are healthy and medically eligible for all levels of sedation in office-based settings.
As noted above see Questions 4 and 6if sedation is used, the facility should be appropriately equipped and staffed. What are the research gaps associated with the provision of safe, high-quality care from pre- to postabortion?
The committee decided that its findings and conclusions fully respond to this charge. The committee concludes that legal abortions are safe and effective. Safety and quality are optimized when the abortion is performed as early in pregnancy as possible.
Quality requires that care be respectful of individual patient preferences, needs, and values so that patient values guide all clinical decisions.
The committee did not identify gaps in research that raise concerns about these conclusions and does not offer recommendations for specific actions to be taken by policy makers, health care providers, and others.
Limitation of Mifepristone distribution Mifepristone Mifeprex is the only medication approved by the FDA for use in medication abortion. Extensive clinical research has demonstrated its safety and effectiveness using the FDA-recommended regimen. Furthermore, few women have contraindications to medication abortion.
Research is needed on how the limited distribution of mifepristone under the REMS process impacts dimensions of quality, including timeliness, patient-centeredness, Page 16 Share Cite Suggested Citation: In addition, little is known about pharmacist and patient perspectives on pharmacy dispensing of mifepristone and the potential for direct-to-patient models through telemedicine.
Pain management There is insufficient evidence to identify the optimal approach to minimizing the pain women experience during an aspiration procedure without sedation. Paracervical blocks are effective in decreasing procedural pain, but the administration of the block itself is painful, and even with the block, women report experiencing moderate to significant pain.
More research is needed to learn how best to reduce the pain women experience during abortion procedures.The controversy behind this issue is caused by the different views that people and societies have regarding abortion. The social science disciplines of political science and religion will be used in getting a better understanding of the opposing views of abortion.
Abortion Summary. Topics: Abortion, Pregnancy, Birth control Pages: 3 ( words) Published: March 25, Abortion is the termination of a pregnancy by the removal or expulsion of a fetus or embryo from the uterus, resulting in or caused by its death. An abortion can occur spontaneously due tocomplications during pregnancy or can be.
Abortion is a very controversial social issue that has existed for many decades. The controversy behind this issue is caused by the different views that people and societies have regarding abortion. Abortion Summary Essay.
Abortion is a possibility that many women have taken it and thus become a more popular choice; abortion could be used as an escape - Abortion Summary Essay introduction. The women have a right to choose, the pregnancy could be accidental or the women were raped. Abortion summary essay paper Are doing an overworked college marketing papers, 3rd december Learn to their abortion is, in color: marco rubio claims it to find out a pregnancy.
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