Management of Postabortion Complications for the Emergency Medicine Clinician - 22/01/21
, William E. Soares, MD, MS b, Kathleen A. Kerrigan, MD b, Matthew L. Zerden, MD, MPH cAbstract |
Although induced abortion is generally a safe outpatient procedure, many patients subsequently present to the emergency department, concerned about a postabortion complication. It is helpful for emergency physicians to understand the medications and procedures used in abortion care in the United States to effectively and efficiently triage and treat women presenting with potential complications from an abortion. Furthermore, because many states are experiencing increased abortion restrictions that limit access to care, emergency medicine physicians may encounter more patients presenting after self-managed abortions, which presents additional challenges. This article reviews the epidemiology and background of abortion care, including the range of symptoms and adverse effects that are within the scope of an uncomplicated procedure. This review also offers a comprehensive overview of management of abortion complications, including algorithms for more common complications and descriptions of less common but more severe adverse events. The article concludes with a recognition of the social stigma and legal regulations unique to abortion care.
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| Supervising editor: Megan L. Ranney, MD, MPH. Specific detailed information about possible conflict of interest for individual editors is available at editors. |
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| Author contributions: MLZ conceived the review topic. MHO performed the initial literature review with assistance from MLZ, KLK, and WES. MO took the lead in writing the manuscript with contributions and critical feedback from MLZ, KLK and WES. All authors contributed to the final form of the manuscript. |
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| Authorship: All authors attest to meeting the four ICMJE.org authorship criteria: (1) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (2) Drafting the work or revising it critically for important intellectual content; AND (3) Final approval of the version to be published; AND (4) Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. |
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| Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist. |
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| Continuing Medical Education exam for this article is available at 51820. |
Vol 77 - N° 2
P. 221-232 - février 2021 Retour au numéro
Article précédent
- Retrospective Review of Pregnant Patients Presenting for Evaluation of Acute Neurologic Complaints
- Leslie A. Bilello, Tatiana Greige, Jennifer M. Singleton, Ryan C. Burke, Jonathan A. Edlow
- Early Pregnancy Loss in the Emergency Department: Lessons Learned as a Spouse, New Father, and Emergency Medicine Resident
- Christopher S. Evans
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