Most providers in the US routinely use medications to prevent bleeding and use several different regimens to treat bleeding during abortion, a recent study found. 336 abortion providers were emailed surveys on their use of medications to prevent and treat bleeding during first- and second-trimester surgical abortion; 116 (50%) providers responded. Among the findings:
- Most were obstetrician-gynecologists (83%) working in an academic practice (66%).
- 63% currently perform abortions up to 22 to 24 weeks gestation.
- 72% routinely used prophylactic medications for bleeding.
- 83% of providers who routinely used medications to prevent bleeding commonly chose vasopressin.
- Methylergonovine was the preferred treatment for excessive bleeding in the second trimester.
Whitehouse K, Fontanilla T, Kim L, et al. Use of medications to decrease bleeding during surgical abortion: A survey of abortion providers’ practices in the United States. [Published online ahead of print February 25, 2018]. Contraception. doi:10.1016/j.contraception.2018.02.015.
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Occult Gynecologic Cancer in Hysterectomy or Myomectomy, Obstet Gynecol; ePub 2018 Mar 8; Desai, et al