Management of Unintended and Abnormal Pregnancy Comprehensive Abortion Care

ISBN-10: 1405176962
ISBN-13: 9781405176965
Edition: 2009
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Description: The United States has the highest rate of unintended pregnancy in the developed world. Women in the United States seek abortion for nearly one quarter of all pregnancies and for approximately half of all unintended pregnancies. An estimated 34% of  More...

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Book details

Copyright year: 2009
Publisher: John Wiley & Sons, Limited
Publication date: 3/31/2009
Binding: Hardcover
Pages: 392
Size: 9.00" wide x 11.00" long x 1.00" tall
Weight: 3.080
Language: English

The United States has the highest rate of unintended pregnancy in the developed world. Women in the United States seek abortion for nearly one quarter of all pregnancies and for approximately half of all unintended pregnancies. An estimated 34% of U.S. women will have at least one induced abortion by the time they reach age 45. The estimated frequency of induced abortion worldwide ranges from 36 to 53 million procedures annually. 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 U.S. and by high rates of maternal death and complications in those countries where abortion is still performed 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. The unique feature of this book will include its breadth of information and expertise, its practicality for both reproductive health specialists and primary care clinicians in the United States and other countries, and its provision of updated practices and protocols for non-surgical approaches to induced and spontaneous abortion.

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

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