Management of Unintended and Abnormal Pregnancy

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.

Access to high quality abortion care is essential to women'shealth, as evidenced by the dramatic decrease in pregnancy-relatedmorbidity and mortality since the legalization of abortion in theUnited States, and by high rates of maternal death andcomplications in those countries where abortion is still providedunder unsafe conditions.The past two decades have brought important advances in abortioncare as well as increasing cross-disciplinary use of abortiontechnologies in women's health care. Abortion is an importantoption for pregnant women who have serious medical conditions orfetal abnormalities, and fetal reduction techniques are nowwell-integrated into infertility treatment to reduce the risks ofmultiple pregnancies resulting from assisted reproductivetechnologies.name="OLE_LINK1">Management of Unintended and AbnormalPregnancy: Comprehensive Abortion Care is the textbook ofthe National Abortion Federation, and serves as the standardevidence-based reference text in abortion care. Thisstate-of-the-art textbook provides a comprehensive overview of thepublic health implications of unsafe abortion and reviews the bestsurgical and medical practices for pregnancy termination, as wellas managing ectopic and other abnormal pregnancies.Management of Unintended and Abnormal Pregnancy:Comprehensive Abortion Care is the leading source for acomprehensive understanding of issues related to unintended andabnormal pregnancy. This textbook:* is authored by internationally-known leaders in women's healthcare;* addresses unintended pregnancy and abortion from historicallegal, public health, clinical, and quality care perspectives;* includes chapters on pregnancy loss, ectopic pregnancygestational trophoblastic disease, and multifetal pregnancyreduction;* covers treatment of pregnancies in the first and secondtrimester by both medical and surgical techniques; and* provides resources for clinical, scientific, and social supportfor the abortion provider and patient.

Section I Abortion in perspective.1 Abortion and medicine: A sociopolitical history (Carole JoffePhD).2 Unsafe abortion: The global public health challenge (Iqbal H.Shah PhD, and Elisabeth Ahman MA)3 Unintended pregnancy and abortion in the USA: Epidemiology andpublic health impact (Stanley K. Henshaw PhD)4 Abortion law and policy in the USA (Bonnie Scott Jones JD, andJennifer Dalven JD).Section II Pre-procedure care.5 Informed consent, patient education, and counseling (AnneBaker MA, and Terry Beresford BA)6 Clinical assessment and ultrasound in early pregnancy (StevenR. Goldstein MD, and Matthew F. Reeves MD, MPH).7 Medical evaluation and management (Anne Davis MD, MPH, andThomas Easterling MD).8 Pain management (Mark Nichols MD, Glenna Halvorson-Boyd PhDRN, Robert Goldstein MD, Clifford Gevirtz MD, MPH and David HealowMD).Section III Abortion methods and techniques.9 Medical abortion in early pregnancy (Mitchell D. Creinin MDand Kristina Gemzell Danielsson MD, PhD).10 First-trimester aspiration abortion (Karen Meckstroth MDMPH, and Maureen Paul MD, MPH).11 Dilation and evacuation (Cassing Hammond MD, and StephenChasen MD).12 Medical methods to induce abortion in the second trimester(Nathalie Kapp MD, MPH, and Helena von Hertzen MD, DDS).13 The challenging abortion (Lynn Borgatta MD, MPH, and PhillipG. Stubblefield MD).Section IV Post-procedure care.14 Contraception and surgical abortion aftercare (Eve Espey MDMPH, and Laura MacIsaac MD, MPH).15 Surgical complications: Prevention and management (E. SteveLichtenberg MD, MPH, and David A. Grimes MD).16 Answering questions about long-term outcomes (Carol J.Rowland Hogue PhD, MPH, Lori A. Boardman MD, and Nada Stotland MDMSc, MPH).Section V Management of abnormal pregnancies.17 Pregnancy loss (Alisa B. Goldberg MD, MPH, Daniela Carusi MDMSc, and Carolyn Westhoff MD).18 Ectopic pregnancy (Jennifer L. Kulp MD, and Kurt T. BarnhartMD, MSCE).19 Gestational trophoblastic disease (Neil J. Sebire MD, andMichael J. Seckl MD, PhD).20 Abortion for fetal abnormalities or maternal conditions(Jeffrey S. Dungan MD, and Lee P. Shulman MD).21 Multifetal pregnancy reduction and selective termination(Mark I. Evans MD, and David W. Britt PhD).Section VI Abortion service delivery.22 Providing abortion in low-resource settings (Laura CastlemanMD, MPH, MBA, Beverly Winikoff MD, MPH, and Paul Blumenthal MDMPH).23 Ensuring quality care in abortion services (Beth Kruse MSCNM, ARNP, and Carla Eckhardt CPHQ).Appendix: Resources for abortion providers (Melissa Werner MPHMAT).