Pub. Date:
National Academies Press


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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.

Product Details

ISBN-13: 9780309468183
Publisher: National Academies Press
Publication date: 06/24/2018
Pages: 222
Sales rank: 1,070,119
Product dimensions: 6.00(w) x 8.90(h) x 0.60(d)

Table of Contents

Summary 1

1 Introduction 17

Abortion Care Today 19

Study Approach 33

Organization of the Report 39

References 39

2 The Safety And Quality Of Current Abortion Methods 45

Preabortion Care 46

Initial Clinical Assessment 50

Safety and Effectiveness of Current Abortion Methods 51

Postabortion Care 68

Use of Analgesia, Sedation, and Anesthesia in Abortion Care 68

Mortality 74

State Regulation of Abortion Care 76

Summary 77

References 80

3 Essential Clinical Competencies For Abortion Providers 95

Required Clinical Competencies 96

Which Providers Have the Clinical Skills to Perform Abortions? 102

Training of Physicians and Advanced Practice Clinicians 105

Availability of Trained Clinicians 114

Summary 118

References 119

4 Long-Term Health Effects 129

Limitations of the Literature 130

Future Childbearing and Pregnancy Outcomes 133

Risk of Breast Cancer 148

Mental Health Disorders 149

Premature Death 152

Summary 152

References 153

5 Conclusions 159


A Biographical Sketches of Committee Members 169

B Acronyms and Glossary 177

C Public Meeting Agenda 185

D Literature Search Strategy 187

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