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