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Management of Unintended and Abnormal Pregnancy
Comprehensive Abortion Care

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

9781405176965, Wiley

Hardback, published 31 March 2009

400 pages
28.5 x 22.6 x 2.6 cm, 1.588 kg

"This is a highly informative, well-referenced book, which covers the subject detail in a balanced, humane, sensitive and women centred way. The book is upbeat and positive about the alliance of abortion with sexual and reproductive health and the new prospects for leadership in abortion care resulting from this. This book is an essential read for those providing counselling and assessment for abortion care, as well as those providing abortion procedures." (British Journal of Sexual Medicine, October 2010)

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.

List of Contributors vii

Foreword x
Allan Rosenfield md

Foreword xiii
Malcolm Potts MB BChir PhD FRCOG

Preface xv

Section I Abortion in perspective

1 Abortion and medicine: A sociopolitical history 1
Carole Joffe PhD

2 Unsafe abortion: The global public health challenge 10
Iqbal H. Shah PhD and Elisabeth Åhman MA

3 Unintended pregnancy and abortion in the USA: Epidemiology and public health impact 24
Stanley K. Henshaw PhD

4 Abortion law and policy in the USA 36
Bonnie Scott Jones JD and Jennifer Dalven JD

Section II Pre-procedure care

5 Informed consent patient education and counseling 48
Anne Baker MA and Terry Beresford BA

6 Clinical assessment and ultrasound in early pregnancy 63
Steven R. Goldstein MD and Matthew F. Reeves MD MPH

7 Medical evaluation and management 78
Anne Davis md MPH and Thomas Easterling md

8 Pain management 90
Mark Nichols MD Glenna Halvorson-Boyd PhD RN Robert Goldstein MD Clifford Gevirtz MD MPH and David Healow md

Section III Abortion methods and techniques

9 Medical abortion in early pregnancy 111
Mitchell D. Creinin MD and Kristina Gemzell Danielsson MD PhD

10 First-trimester aspiration abortion 135
Karen Meckstroth MD MPH and Maureen Paul MD MPH

11 Dilation and evacuation 157
Cassing Hammond md and Stephen Chasen md

12 Medical methods to induce abortion in the second trimester 178
Nathalie Kapp MD MPH and Helena von Hertzen MD DDS

13 The challenging abortion 193
Lynn Borgatta md MPH and Phillip G. Stubblefield md

Section IV Post-procedure care

14 Contraception and surgical abortion aftercare 208
Eve Espey MD MPH and Laura MacIsaac MD MPH

15 Surgical complications: Prevention and management 224
E. Steve Lichtenberg md MPH and David A. Grimes md

16 Answering questions about long-term outcomes 252
Carol J. Rowland Hogue PhD MPH Lori A. Boardman MD ScM and Nada Stotland MD MPH

Section V Management of abnormal pregnancies

17 Pregnancy loss 264
Alisa B. Goldberg md MPH Daniela Carusi md MSc and Carolyn Westhoff md

18 Ectopic pregnancy 280
Jennifer L. Kulp MD and Kurt T. Barnhart MD MSCE

19 Gestational trophoblastic disease 293
Neil J. Sebire MD and Michael J. Seckl MD PhD

20 Abortion for fetal abnormalities or maternal conditions 302
Jeffrey S. Dungan md and Lee P. Shulman md

21 Multifetal pregnancy reduction and selective termination 312
Mark I. Evans MD and David W. Britt PhD

Section VI Abortion service delivery

22 Providing abortion in low-resource settings 319
Laura Castleman MD MPH MBA Beverly Winikoff MD MPH and Paul Blumenthal MD MPH

23 Ensuring quality care in abortion services 335
Beth Kruse MS CNM ARNP and Carla Eckhardt CPHQ

Appendix: Resources for abortion providers 352
Melissa Werner MPH MAT

Index 369

Subject Areas: Clinical & internal medicine [MJ]
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