Abortion Course: By Week

Lecture can be viewed with subtitles in Spanish or French. French translation was made possible by the Safe Abortion Action Fund and International Planned Parenthood Federation. Click the Closed Captions button on video lectures to access subtitles.

_{Duden B. The women beneath the Skin: A Doctor’s Patient in Eighteenth-century Germany. Cambridge, MA: Harvard UP; 1998.}

_{Ginsburg F, Rapp R. The politics of reproduction. Annu Rev Anthropol 1991;20:311-43.}

_{Institute G. Guttmacher Institute: Home Page. 2015.}

_{Weir L. Pregnancy, Risk and Biopolitics: On the Threshold of the Living Subject. USA and Canada: Taylor & Francis e-library; 2006.}

Abortion and its Multiple Contexts Slide Set

Slide Set from Video Lecture Presented by:

Carolyn Sufrin, MD, PhD

Johns Hopkins School of Medicine

Click to download Abortion and its Multiple Contexts (pdf)

Abortion in the International Context

Video Lecture Presented by:

Teresa DePiñeres, MD, MPH

University of California, San Francisco
Click here to download this video lecture

_{Cleland J, Ali MM. Reproductive consequences of contraceptive failure in 19 developing countries. Obstet Gynecol 2004 Aug;104(2):314-20.}

_{Raymond EG, Grimes DA. The comparative safety of legal induced abortion and childbirth in the United States. Obstet Gynecol 2012 Feb;119(2 Pt 1):215-9.}

_{Sedgh G, Henshaw SK, Singh S, Bankole A, Drescher J. Legal abortion worldwide: incidence and recent trends. Perspect Sex Reprod Health 2007 Dec;39(4):216-25.}

_{www.unpopulation.org. World Abortion Polices 2007. 2007}

_{www.unpopulation.org. World Contraceptive Use 2009. May 2009.}

_{Guttmacher 2008}

_{Center for Reproductive Rights 2013}

_{CDC 1995}

_{Boland 2010}

Abortion in the International Context Slide Set

Slide Set from Video Lecture Presented by:

Teresa DePiñeres, MD, MPH

Senior Technical Advisor Fundacion Orientame and ESAR

Click to download Abortion in the International Context

Global Abortion Overview

Video Lecture Presented by:

WHO Strategies toward ending preventable maternal mortality (EPMM), 2015.

University of California, San Francisco
Click here to download this video lecture

Lecture can be viewed with subtitles in Spanish. Translation was made possible by the Safe Abortion Action Fund and International Planned Parenthood Federation. Click the Closed Captions button on video lectures to access subtitles.

Global Abortion Overview Slide Set

Slide Set from Video Lecture Presented by:

Dan Grossman, MD

University of California, San Francisco

Click to download Global Abortion Overview (pdf)

Preventing Maternal Mortality: The Role of Safe Abortion

IERH acknowledges the importance of inclusive language as a component of patient-centered care and we are working to improve our content. Read more here.

Video Lecture Presented by:

Philip Darney, MD, MSc

University of California San Francisco
Click here to download this video lecture

Resources

Preventing Maternal Mortality: The Role of Safe Abortion Slide Set

Slide Set from Video Lecture Presented by:

Phil Darney, MD, MSc

University of California, San Francisco

Click to download Preventing Maternal Mortality: The Role of Safe Abortion (pdf)

The History of Abortion in the US prior to Legalization

Updated resources about the legal landscape for abortion access after the Dobbs Supreme Court decision are available here.

IERH acknowledges the importance of inclusive language as a component of patient-centered care and we are working to improve our content. Read more here.

Video Lecture Presented by:

Carole Joffe, PhD

University of California, San Francisco
Click here to download this video lecture

_{Contraception and Abortion from the Ancient World to the Renaissance John M. Riddle | Harvard University Press. 2015 [cited; Available from: http://www.hup.harvard.edu/catalog.php?isbn=9780674168763}

_{Carole J. Doctors of Conscience: The Struggle to Provide Abortion Before and After Roe V. Wade. Beacon Press; 1996. p. 250.}

_{Cates W, Grimes DA, Schulz KF. The public health impact of legal abortion: 30 years later. Perspect Sex Reprod Health 2003 2003 Jan-Feb;35(1):25-8}

_{Paul M, Lichtenberg S, Borgatta L, Grimes DA, Stubblefield PG, Creinin MD. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care: Wiley-Blackwell; May 2009.}

_{Devereux, A typological study of abortion in 350 primitive, ancient and preindustrial societies, 1954.}

_{NY Times, Nov. 21, 1996.}

The History of Abortion Slide Set

Slide Set from Video Lecture Presented by:

Carole Joffe, PhD

University of California, San Francisco

Click to download The History of Abortion (pdf)

Representations of Abortion in Film and Television

Video Lecture Presented by:

Carolyn Sufrin, MD, PhD

Johns Hopkins School of Medicine

Representations Television and Film Slide Set

Slide Set from Video Lecture Presented by:

Carolyn Sufrin, MD, PhD

Johns Hopkins School of Medicine

Click to download Abortion Representations Television and Film

Abortion Stigma: What is it and how does it affect sexual and reproductive health?

IERH acknowledges the importance of inclusive language as a component of patient-centered care and we are working to improve our content. Read more here.

Video Lecture Presented by:

Lori Freedman, PhD, MA

University of California, San Francisco
Click here to download this video lecture

_{Kumar A, Hessini L, Mitchell EM. Conceptualising abortion stigma. Cult Health Sex 2009 Aug;11(6):625-39.}

_{Major B, Gramzow RH. Abortion as stigma: cognitive and emotional implications of concealment. J Pers Soc Psychol 1999 Oct;77(4):735-45.}

Abortion Stigma: What is it and how does it affect women’s health? Slide Set

Slide Set from Video Lecture Presented by:

Lori Freedman, PhD

University of California, San Francisco

Click to download Abortion Stigma: What is it and how does it affect women’s health? (pdf)

Week 1 Assessments and Additional Materials

Week 1 Quiz

Week 1 Answer Sheet

Week 1 Works Cited

Week 1 Readings and Resources

Week 2: Abortion, Professionalism, and Patient-centered Counseling

LEARNING OBJECTIVES

After watching these video lectures, learners will be able to:

Describe key stakeholders’ reactions to Roe v. Wade in American culture
Understand the professional responsibilities of health-care providers caring for women seeking abortion
Recognize appropriate and inappropriate applications of “conscience” in the setting of abortion care
Provide objective and compassionate pregnancy options counseling
Practice patient communication skills
Identify steps to take to enhance professionalism in personally challenging clinical encounter

Week 2 Introduction: Abortion, Professionalism, and Patient-Centered Counseling

Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Week 2 Introduction: Abortion, Professionalism, and Patient-centered Counseling Slide Set

Slide Set from Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Click to download Week 2 Introduction: Abortion, Professionalism, and Patient-centered Counseling (pdf)

Abortion in the US from Legalization to the 2010s

Updated resources about the legal landscape for abortion access after the Dobbs Supreme Court decision are available here.

Video Lecture Presented by:

Carole Joffe, PhD

University of California, San Francisco

Additional Resource

New York Times: “A Brief History of Deadly Attacks on Abortion Providers.”

Lecture can be viewed with subtitles in Spanish. Click the Closed Captions button on video lectures to access subtitles.

_{Angell M. Column: Where are the doctors? USA Today News. 2015 5/15/2012}

Abortion in the U.S. after Legalization Slide Set

Slide Set from Video Lecture Presented by:

Carole Joffe, PhD

University of California, San Francisco

Click to download Abortion in the U.S. after Legalization (pdf)

Physicians’ Professional Responsibilities in Abortion Care

Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Revised code of Ethics in 2015

_{Opinion AC. ACOG Committee Opinion No. 385. The Limits of Conscientious Refusal in Reproductive Medicine. American College of Obstetricians and Gynecologists; 2007.}

_{Curlin FA, Lawrence RE, Chin MH, Lantos JD. Religion, conscience, and controversial clinical practices. N Engl J Med 2007 Feb;356(6):593-600.}

_{Johnson BR, Kismödi E, Dragoman MV, Temmerman M. Conscientious objection to provision of legal abortion care. Int J Gynaecol Obstet 2013 Dec;123 Suppl 3:S60-2.}

Physicians’ Professional Responsibilities in Abortion Care Slide Set

Slide Set from Video Lecture Presented by:

Jody Steinauer, MD, MAS
University of California, San Francisco

Click to download Physicians’ Professional Responsibilities in Abortion Care (pdf)

Nursing Roles in Abortion Care

Video Lecture Presented by:

Amy Levi, PhD, CNM, WHNP-BC

University of New Mexico

Additional Resources

The ICN code of Ethics for Nurses

Guttmacher state laws and policy regarding conscientious refusal in the United States

_{Abortion Train. 20 Cavendish Square London: Royal College of Nursing; 2008}

_{Who we are. 2015 [cited; Available from: http://www.icn.ch/who-we-are/who-we-are/}

_{Association AN. Code of Ethics for Nurses. 2015 [cited; Available from: http://www.nursingworld.org/codeofethics}

Nursing Roles in Abortion Care: Clinical Responsibility and Professional Ethics Slide Set

Slide Set from Video Lecture Presented by:

Amy Levi, PhD, CNM, WHNP-BC
Albers Professor of Midwifery
University of New Mexico

Click to download Nursing Roles in Abortion Care: Clinical Responsibility and Professional Ethics (pdf)

Conscientious Provision and Refusal of Abortion Care

Video Lecture Presented by:

Lori Freedman, PhD, MA

University of California, San Francisco

Additional Resources

FIGO guidelines on conscientious objection

Center for Reproductive Rights Law and Policy, Guide on Conscientious Objection (International Perspective)

_{ACLU. MISCARRIAGE OF MEDICINE: THE GROWTH OF CATHOLIC HOSPITALS AND THE THREAT TO REPRODUCTIVE HEALTH CARE. [cited 2015; Available from: https://www.aclu.org/report/miscarriagemedicine-growth-catholic-hospitals-and-threat-reproductive-health-care?redirect=religion-beliefreproductive-freedom/miscarriage-medicine-growth-catholic-hospitals-and-threat}

_{Chavkin W. Conscientious objection to the provision of reproductive healthcare. Int J Gynaecol Obstet 2013 Dec;123 Suppl 3:S39-40.}

_{Freedman LR, Landy U, Steinauer J. When there’s a heartbeat: miscarriage management in Catholicowned hospitals. Am J Public Health 2008 Oct;98(10):1774-8.}

_{Freedman LR, Stulberg DB. Conflicts in Care for Obstetric Complications in Catholic Hospitals. 2012:1- 10.}

_{Institute G. State Policies in a Brief: Refusing to Provide Health Services. 2015 [cited; Available from: http://www.guttmacher.org/statecenter/spibs/spib_RPHS.pdf}

_{Harris LH. Recognizing conscience in abortion provision. N Engl J Med 2012 Sep;367(11):981-3.}

_{Lithwick D. Why Should We Worry About Religious Conscience Clauses? 2013 2013-10-03T10:35:11Z.}

_{Lynch HF. Conflicts of Conscience in Health Care: An Institutional Compromise: MIT Press.}

_{http://www.usccb.org}

_{Dickens, Conscientious Commitment, 2008.}

Conscientious Provision and Refusal of Abortion Care Slide Set

Slide Set from Video Lecture Presented by:

Lori Freedman, PhD

University of California, San Francisco

Click to download Conscientious Provision and Refusal of Abortion Care Slide Set (pdf)

Decision Counseling for Positive Pregnancy Test Results

Video Lecture Presented by:
Alissa Perrucci, PhD, MPH
San Francisco General Hospital, Women’s Options Center
Click here to download this video lecture

_{Backline. 2015 [cited; Available from: http://yourbackline.org/}

_{Rachel Herndon, MSW, Adoption Connection}

Decision Counseling for Positive Pregnancy Test Results

Slide Set from Video Lecture Presented by:

Alissa Perrucci, PhD
University of California, San Francisco

Click to download Decision Counseling for Positive Pregnancy Test Results (pdf)

Informed Consent, Decision Assessment, and Counseling in Abortion Care

Video Lecture Presented by:
Alissa Perrucci, PhD, MPH
San Francisco General Hospital, Women’s Options Center
Click here to download this video lecture

Citations:

_{Cozzarelli C, Sumer N, Major B. Mental models of attachment and coping with abortion. J Pers Soc Psychol 1998 Feb;74(2):453-67.}

_{Major B, Appelbaum M, Beckman L, Dutton MA, Russo NF, West C. Abortion and mental health: Evaluating the evidence. Am Psychol 2009 Dec;64(9):863-90.}

_{Major B, Richards C, Cooper ML, Cozzarelli C, Zubek J. Personal resilience, cognitive appraisals, and coping: an integrative model of adjustment to abortion. J Pers Soc Psychol 1998 Mar;74(3):735-52.}

_{Trybulski J. Women and abortion: the past reaches into the present. J Adv Nurs 2006 Jun;54(6):683- 90.}

Informed Consent, Decision Assessment, and Counseling in Abortion Care Slide Set

Slide Set from Video Lecture Presented by:

Alissa Perrucci, PhD
University of California, San Francisco

Click to download Informed Consent, Decision Assessment, and Counseling in Abortion Care (pdf)

Teaching Professionalism for Abortion Care

Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Citations:

_{MedEdPortal. [cited; Available from: https://www.mededportal.org/}

_{Ipas | Abortion attitude transformation: A values clarification toolkit for global audiences. 2011 [cited; Available from: http://www.ipas.org/en/Resources/Ipas%20Publications/Abortion-attitudetransformation–A-values-clarification-toolkit-for-global-audiences-2.aspx}

_{Innovating Education in Reproductive Health. 2015 [cited; Available from: http://www.innovatingeducation.org/}

_{The Reproductive Health Access Project. 2015 [cited; Available from: http://www.reproductiveaccess.org/}

_{Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med 2011 Aug;86(8):996-1009.}

_{Provide. Bringing a Referrals Training to Your Site – Provide. 2015}

_{Shapiro J. Walking a mile in their patients’ shoes: empathy and othering in medical students’ education. Philos Ethics Humanit Med 2008;3:10.}

_{Adapted from Obtaining Abortion Training: a Guide for Informed Decision-Making. NAF, 1998.}

_{https://prochoice.org/}

_{https://prh.org/}

Teaching Professionalism for Abortion Care Slide Set

Slide Set from Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Click to download Teaching Professionalism for Abortion Care (pdf)

Week 2 Assessments and Additional Materials

Week 2 Quiz

Week 2 Answer Sheet

Week 2 Works Cited

Week 2 Readings and Resources

Week 3: Abortion in the First Trimester

LEARNING OBJECTIVES

After watching these video lectures, learners will be able to:

Describe principles of patient-centered care for first-trimester abortion
Review the provision of abortion available in the first trimester and methods for pain management
Describe post-abortion complications and basics of management of these complications
Understand the legal framework regulating abortion in the United States
Develop a basic understanding of all contraceptive methods and patient-centered contraceptive care

Week 3 Introduction: Abortion in the First Trimester

Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Karen Meckstroth, MD, MPH

Week 3 Introduction: Abortion in the First Trimester Slide Set

Slide Set from Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Click to download Week 3 Introduction: Abortion in the First Trimester (pdf)

Medical Abortion

Video Lecture Presented by:

University of California San Francisco

Karen Meckstroth, MD, MPH

Medical Abortion Slide Set

Slide Set from Video Lecture Presented by:

Karen Meckstroth, MD, MPH

University of California, San Francisco

Click to download Medical Abortion (pdf)

First-Trimester Aspiration Abortion

Video Lecture Presented by:

Andrea Jackson, MD, MAS

University of California, San Francisco
Click here to download this video lecture

First-trimester Aspiration Abortion Slide Set

Slide Set from Video Lecture Presented by:

Andrea Jackson, MD, MAS

University of California, San Francisco

Click to download First-trimester Aspiration Abortion (pdf)

Pain with Uterine Aspiration Abortion

Video Lecture Presented by:

University of California San Francisco
Click here to download this video lecture

Pain with Uterine Aspiration Abortion Slide Set

Slide Set from Video Lecture Presented by:

Karen Meckstroth, MD, MPH

University of California, San Francisco

Click to download Pain with Uterine Aspiration Abortion (pdf)

Global Obstacles to Abortion

IERH acknowledges the importance of inclusive language as a component of patient-centered care and we are working to improve our content. Read more here.

Video Presented by:

The Center for Reproductive Health, Worldwide Abortion Laws.

University of California, San Francisco

Additional Resources

Click to download this video lecture

Citations:

_{Center for Reproductive Rights, 2014}

_{Wulf D, Singh S. An Overview of Clandestine Abortion in Latin America. Guttmacher Institute; 1996.}

_{Mondragon y Kalb M, Ahued Ortega A, Morales Velazquez J, Diaz Olavarrieta C, Valencia Rodriguez J, Becker D, et al. Patient characteristics and service trends following abortion legalization in Mexico City, 2007-10. Stud Fam Plann 2011 Sep;42(3):159-66.}

_{Gynuity Health Projects Â» Research and Technical Assistance Organization. 2015 [cited; Available from: http://gynuity.org/}

Global Obstacles to Abortion Slide Set

Slide Set from Video Lecture Presented by:

Dan Grossman, MD

University of California, San Francisco

Click to download Global Obstacles to Abortion (pdf)

Abortion Rights in the United States Through 2014

Updated resources about the legal landscape for abortion access after the Dobbs Supreme Court decision are available here.

Video Lecture Presented by:

Maya Manin, JD

University of San Francisco

Note: This video lecture was filmed in the summer of 2014. Laws and polices may have shifted since filming.

Additional Resource

Guttmacher, Restrictions by State.

Abortion Rights in the United States Slide Set

Slide Set from Video Lecture Presented by:

Maya Manian, JD

University of San Francisco School of Law

Click to download Abortion Rights in the United States (pdf)

Paying for Abortion: How Cost can be an Obstacle to Care

Video Lecture Presented by:

Mike Policar, MD, MPH

University of California, San Francisco

Paying for Abortion: How Cost can be an Obstacle to Care Slide Set

Slide Set from Video Lecture Presented by:

Mike Policar, MD, MPH

University of California, San Francisco

Click to download Paying for Abortion (pdf)

Global Contraception

Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Contraception Slide Set

Slide Set from Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Click to download Contraception (pdf)

Week 3 Assessments and Additional Materials

Week 3 Quiz

Week 3 Answer Sheet

Week 3 Works Cited

Week 3 Readings and Resources

Week 4: Abortion After the First Trimester and Obstacles to Accessing Safe Abortion in the US and Worldwide

LEARNING OBJECTIVES

After watching these video lectures, learners will be able to:

Recognize common reasons why women have abortions after the first trimester
List and review attributes of high quality, safe abortion care
Discuss unique challenges for women seeking abortion after the first trimester
Identify opportunities to improve global access to abortion care after the first trimester
Discuss complications associated with abortion and common abortion myths

Week 4 Introduction: Abortion After the First Trimester and Obstacles to Accessing Safe Abortion

Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Week 4 Introduction: Abortion after the First-Trimester and Obstacles to Accessing Safe Abortion Slide Set

Slide Set from Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Click to download Week 4 Introduction: Abortion after the First-Trimester (pdf)

Abortion After the First Trimester

Video Lecture Presented by:

Eleanor Drey, MD, EdM

University of California, San Francisco

Abortion After the First Trimester Slide Set

Slide Set from Video Lecture Presented by:

Eleanor Drey, MD, EdM

University of California, San Francisco

Click to download Abortion After the First Trimester (pdf)

Contextualizing Who has Abortions After the First Trimester

Video Lecture Presented by:

Eleanor Drey, MD, EdM and Dan Grossman, MD

University of California, San Francisco

WHO Guidelines on Safe Abortion

Lecture can be viewed with subtitles in Spanish. Click the Closed Captions button on video lectures to access subtitles.

Guidelines for Safe Abortion Care

IERH acknowledges the importance of inclusive language as a component of patient-centered care and we are working to improve our content. Read more here.

Video Lecture Presented by:

Teresa DePiñeres, MD, MPH

University of California, San Francisco

Additional Resource

Guidelines for Safe Abortion Care Slide Set

Slide Set from Video Lecture Presented by:

Teresa DePiñeres, MD, MPH

Fundacion Orientame and ESAR

Click to download Guidelines for Safe Abortion Care (pdf)

High-Quality Abortion Care

Video Lecture Presented by:
Teresa DePiñeres, MD, MPH,
Dan Grossman, MD, and
Jody Steinauer, MD, MAS
University of California, San Francisco

Improving Access to Safe Abortion Care after the First Trimester

Video Lecture Presented by:

University of California, San Francisco
Click here to download this vide lecture

Improving Access to Safe Abortion Care After the First-Trimester Slide Set

Slide Set from Video Lecture Presented by:

Dan Grossman, MD

University of California, San Francisco

Click to download Improving Access to Safe Abortion Care After the First-trimester (pdf)

Patient Decision Making about Abortion after the First Trimester

Video Lecture Presented by:

University of California San Francisco
Click here to download this video lecture

Citations:

_{Newmann S, Dalve-Endres A, Drey EA, Planning SoF. Clinical guidelines. Cervical preparation for surgical abortion from 20 to 24 weeks’ gestation. Contraception 2008 Apr;77(4):308-14}

_{Jones RK, Kooistra K. Abortion Incidence and Access to Services In the United States. Perspectives on Sexual and Reproductive Health: Guttmacher Institute; 2008}

_{Cowett AA, Golub RM, Grobman WA. Cost-effectiveness of dilation and evacuation versus the induction of labor for second-trimester pregnancy termination. Am J Obstet Gynecol 2006 Mar;194(3):768-73.}

_{Schechtman KBP, Gray DLM, Baty JD, Rothman SMM. Decision-Making for Termination of Pregnancies With Fetal An… : Obstetrics & Gynecology. 2015.}

_{Drey EA, Foster DG, Jackson RA, Lee SJ, Cardenas LH, Darney PD. Risk factors associated with presenting for abortion in the second trimester. Obstet Gynecol 2006 Jan;107(1):128-35.}

_{Foster DG, Jackson RA, Cosby K, Weitz TA, Darney PD, Drey EA. Predictors of delay in each step leading to an abortion. Contraception 2008 Apr;77(4):289-93.}

_{Wyldes MP, Tonks AM. Termination of pregnancy for fetal anomaly: a population-based study 1995 to 2004. Bjog 2007 May;114(5):639-42.}

_{Vargas J, Diedrich J. Second-trimester induction of labor. Clin Obstet Gynecol 2009 Jun;52(2):188-97.}

_{Liu S, Joseph KS, Kramer MS, Allen AC, Sauve R, Rusen ID, et al. Relationship of prenatal diagnosis and pregnancy termination to overall infant mortality in Canada. Jama 2002 Mar 27;287(12):1561-7.}

_{Henshaw RC, Naji SA, Russell IT, Templeton AA. Comparison of medical abortion with surgical vacuum aspiration: women’s preferences and acceptability of treatment. Bmj 1993 Sep 18;307(6906):714-7.}

_{Harwood B, Nansel T. Quality of life and acceptability of medical versus surgical management of early pregnancy failure. Bjog 2008 Mar;115(4):501-8.}

_{Creinin MD. Randomized comparison of efficacy, acceptability and cost of medical versus surgical abortion. Contraception 2000 Sep;62(3):117-24.}

_{Bryant AG, Grimes DA, Garrett JM, Stuart GS. Second-trimester abortion for fetal anomalies or fetal death: labor induction compared with dilation and evacuation. Obstet Gynecol 2011 Apr;117(4):788-92.}

_{Kelly T, Suddes J, Howel D, Hewison J, Robson S. Comparing medical versus surgical termination of pregnancy at 13-20 weeks of gestation: a randomised controlled trial. Bjog 2010 Nov;117(12):1512-20}

_{Kaltreider NB, Goldsmith S, Margolis AJ. The impact of midtrimester abortion techniques on patients and staff. Am J Obstet Gynecol 1979 Sep 15;135(2):235-8.}

_{Kerns J, Vanjani R, Freedman L, Meckstroth K, Drey EA, Steinauer J. Women’s decision making regarding choice of second trimester termination method for pregnancy complications. Int J Gynaecol Obstet 2012 Mar;116(3):244-8.}

_{Steinauer J, Landy U, Filippone H, Laube D, Darney PD, Jackson RA.Predictors of abortion provision among practicing obstetrician-gynecologists: a national survey. Am J Obstet Gynecol 2008 Jan;198(1):39.e1-6.}

_{Jones BS, Weitz TA. Legal barriers to second-trimester abortion provision and public health consequences. Am J Public Health 2009 Apr;99(4):623-30.}

_{Finer LB, Frohwirth LF, Dauphinee LA, Singh S, Moore AM. Timing of steps and reasons for delays in obtaining abortions in the United States. Contraception 2006 Oct;74(4):334-44.}

Patient Decision Making About Abortion After the First Trimester Slide Set

Slide Set from Video Lecture Presented by:

Jennifer Kerns, MD, MPH

University of California, San Francisco

Click to download Patient Decision Making About Abortion After the First Trimester (pdf)

Managing Complications of Procedural Abortion, Part 1

Video Lecture Presented by:

University of California San Francisco
Click here to download this video lecture

Managing Complications of Procedural Abortion Slide Set

Slide Set from Video Lecture Presented by:

Jennifer Kerns, MD, MPH

University of California, San Francisco

Click to download Managing Complications of Procedural Abortion (pdf)

Managing Complications of Procedural Abortion, Part 2

Video Lecture Presented by:

University of California San Francisco
Click here to download this video lecture

Managing Complications of Procedural Abortion Slide Set

Slide Set from Video Lecture Presented by:

Jennifer Kerns, MD, MPH

University of California, San Francisco

Click to download Managing Complications of Procedural Abortion (pdf)

Managing Complications of Procedural Abortion, Part 3

Video Lecture Presented by:

University of California San Francisco
Click here to download this video lecture

Managing Complications of Procedural Abortion Slide Set

Slide Set from Video Lecture Presented by:

Jennifer Kerns, MD, MPH

University of California, San Francisco

Click to download Managing Complications of Procedural Abortion (pdf)

Myths about Abortion Complications

IERH acknowledges the importance of inclusive language as a component of patient-centered care and we are working to improve our content. Read more here.

Video Lecture Presented by:
Jen Kerns, MD, MPH
University of California San Francisco
Click here to download this video lecture

Citations:

_{Institute G. Induced Abortion in the United States. July 2014}

_{Institute G. Guttmacher Policy Review 16(2): Table of Contents. 2015}

_{Bazelon E. Is There a Post-Abortion Syndrome? – New York Times. Jan 2007 [cited; Available from:

http://www.nytimes.com/2007/01/21/magazine/21abortion.t.html?pagewanted=all&_r=0}

_{Jagannathan R. Relying on surveys to understand abortion behavior: some cautionary evidence. Am J Public Health 2001 Nov;91(11):1825-31.}

_{Parazzini F, Ricci E, Chiaffarino F, Cipriani S, Tozzi L, Fedele L. Does induced abortion increase the risk of preterm birth? Results from a case-control study. Gynecol Obstet Invest 2010;69(1):40-5.}

_{Henriet L, Kaminski M. Impact of induced abortions on subsequent pregnancy outcome: the 1995 French national perinatal survey. Bjog 2001 Oct;108(10):1036-42.}

_{Moreau C, Kaminski M, Ancel PY, Bouyer J, Escande B, Thiriez G, et al. Previous induced abortions and the risk of very preterm delivery: results of the EPIPAGE study. Bjog 2005 Apr;112(4):430-7.}

_{Martius JA, Steck T, Oehler MK, Wulf KH. Risk factors associated with preterm (<37+0 weeks) and early preterm birth (<32+0 weeks): univariate and multivariate analysis of 106 345 singleton births from the 1994 statewide perinatal survey of Bavaria. Eur J Obstet Gynecol Reprod Biol 1998 Oct;80(2):183-9.}

_{Raatikainen K, Heiskanen N, Heinonen S. Induced abortion: not an independent risk factor for pregnancy outcome, but a challenge for health counseling. Ann Epidemiol 2006 Aug;16(8):587-92.}

_{Kalish 2002}

_{Freak-Poli R, Chan A, Tucker G, Street J. Previous abortion and risk of pre-term birth: a populations study. J Matern Fetal Neonatal Med 2009 Jan;22(1):1-7.}

_{Jackson JE, Grobman WA, Haney E, Casele H. Mid-trimester dilation and evacuation with laminaria does not increase the risk for severe subsequent pregnancy complications. Int J Gynaecol Obstet 2007 Jan;96(1):12-5.}

_{Melbye M, Wohlfahrt J, Olsen JH, et al. Induced Abortion and the Risk of Breast Cancer. New England Journal of Medicine. 1997;336(2):81-85. doi:10.1056/NEJM199701093360201}

_{Lindefors-Harris BM, Eklund G, Adami HO, et al. Response bias in a case-control study: analysis utilizing comparative data concerning legal abortions from two independent Swedish studies. Am J Epidemiol 1991;134:1003-8.}

_{Steinberg JR, Russo NF. Evaluating research on abortion and mental health. Contraception. 2009;80(6):500-503. doi:10.1016/j.contraception.2009.06.003}

_{Santorum R. S.3 – 108th Congress (2003-2004): Partial-Birth Abortion Ban Act of 2003. Published November 5, 2003. Accessed December 9, 2021. https://www.congress.gov/bill/108th-congress/senate-bill/3}

_{Kelly K. The spread of ‘Post Abortion Syndrome’ as social diagnosis. Soc Sci Med 2014 Feb;102:18-25.}

_{Weitz TA, Moore K, Gordon R, Adler N. You say “regret” and I say “relief”: a need to break the polemic about abortion. Contraception. United States; 2008. p. 87-9.}

_{Reframing Regret | Humanities | JAMA | JAMA Network. Accessed December 9, 2021. https://jamanetwork.com/journals/jama/article-abstract/1810383}

_{Stotland NL. Psychosocial aspects of induced abortion. Clin Obstet Gynecol. 1997;40(3):673-686. doi:10.1097/00003081-199709000-00026}

_{Lee SJ, Ralston HJP, Drey EA, Partridge JC, Rosen MA. Fetal PainA Systematic Multidisciplinary Review of the Evidence. JAMA. 2005;294(8):947-954. doi:10.1001/jama.294.8.947}

Myths about Abortion Complications Slide Set

Slide Set from Video Lecture Presented by:

Jennifer Kerns, MD, MPH

University of California, San Francisco

Click to download Myths about Abortion Complications (pdf)

Week 4 Assessments and Additional Materials

Week 4 Quiz

Week 4 Answer Sheet

Week 4 Works Cited

Week 4 Readings and Resources

Week 5: Overcoming Obstacles to Abortion Access

LEARNING OBJECTIVES

After watching these video lectures, learners will be able to:

Describe the health and abortion disparities by race/ethnicity and socioeconomic status that limit access
Identify programs in medical education and describe the importance of integrated abortion training
Describe the mechanisms that can delay women in accessing abortion
Understand the importance of abortion provision in the primary care setting
Identify Advanced Practice Clinicians as key stakeholders in abortion provision

Week 5 Introduction: Overcoming Obstacles to Abortion Access

Video Lecture Presented by:
Jody Steinauer, MD, MAS

University of California, San Francisco

Christine Dehlendorf, MD, MAS

Week 5 Introduction: Overcoming Obstacles to Abortion Access Slide Set

Slide Set from Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Click to download Week 5 Introduction: Overcoming Obstacles to Abortion Access (pdf)

Abortion Disparities, A Public Health Approach

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Video Lecture Presented by:

University of California, San Francisco, Departments

Abortion Disparities, A Public Health Approach Slide Set

Slide Set from Video Lecture Presented by:

Christine Dehlendof, MD, MAS

University of California, San Francisco

Click to download Abortion Disparities: A Public Health Approach (pdf)

Health Disparities in Family Planning

Video Lecture Presented by:

Andrea Jackson, MD, MAS

University of California, San Francisco
Click here to download this video lecture

Health Disparities in Family Planning Slide Set

Slide Set from Video Lecture Presented by:

Andrea Jackson, MD, MAS

University of California, San Francisco

Click to download Health Disparities in Family Planning (pdf)

The Importance of Integrated Abortion Training in Medical and Nursing Education

Video Lecture Presented by:
Jody Steinauer, MD, MAS

University of California, San Francisco

Christine Dehlendorf, MD, MAS

The Importance of Integrated Abortion Training in Medical and Nursing Education Slide Set

Slide Set from Video Lecture Presented by:

Jody Steinauer, MD, MAS

University of California, San Francisco

Click to download The Importance of Integrated Abortion Training in Medical and Nursing Education (pdf)

Abortion in the Primary Care Setting

Video Lecture Presented by:

University of California, San Francisco
Click here to download this video lecture

Citations:

_{Jones RK, Jerman J. Abortion incidence and service availability in the United States, 2011. Perspect Sex Reprod Health 2014 Mar;46(1):3-14.}

_{Robert Graham Center}

_{O’Connell K, Jones HE, Simon M, Saporta V, Paul M, Lichtenberg ES. First-trimester surgical abortion practices: a survey of National Abortion Federation members. Contraception 2009 May;79(5):385-92.}

_{Paul M, Nobel K, Goodman S, Lossy P, Moschella JE, Hammer H. Abortion training in three family medicine programs: resident and patient outcomes. Fam Med 2007 Mar;39(3):184-9.}

_{Westfall JM, Sophocles A, Burggraf H, Ellis S. Manual vacuum aspiration for first-trimester abortion. Arch Fam Med 1998 Nov-Dec;7(6):559-62.}

_{Godfrey EM, Rubin SE, Smith EJ, Khare MM, Gold M. Women’s preference for receiving abortion in primary care settings. J Womens Health (Larchmt) 2010 Mar;19(3):547-53.}

_{Rubin SE, Godfrey E, Gold M. Patient attitudes toward early abortion services in the family medicine clinic. J Am Board Fam Med 2008 Mar-Apr;21(2):162-4.}

_{Shochet T, Trussell J. Determinants of demand: method selection and provider preference among US women seeking abortion services. Contraception 2008 Jun;77(6):397-404.}

_{Herbitter C, Greenberg M, Fletcher J, Query C, Dalby J, Gold M. Family planning training in US family medicine residencies. Fam Med 2011 Sep;43(8):574-81.}

_{Dehlendorf CE, Grumbach K. Medical liability insurance as a barrier to the provision of abortion services in family medicine. Am J Public Health 2008 Oct;98(10):1770-4.}

Abortion in the Primary Care Setting Slide Set

Slide Set from Video Lecture Presented by:

Christine Dehlendof, MD, MAS

University of California, San Francisco

Click to download Abortion in the Primary Care Setting (pdf)

Advanced Practice Clinicians as Abortion Providers

Video Lecture Presented by:

Amy Levi, PhD, CNM, WHNP-BC

University of New Mexico
Click here to download this video lecture

Advanced Practice Clinicians as Abortion Providers Slide Set

Slide Set from Video Lecture Presented by:

Amy Levi, PhD, CNM, WHNP-BC

University of New Mexico

Click to download Advanced Practice Clinicians as Abortion Providers (pdf)

Ob-Gyn Training Story in the US

Video Lecture Presented by:

Philip Darney, MD, MSc and Uta Landy, PhD

University of California, San Fransisco

Discussion about Advanced Practice Clinicians as Abortion Providers

Video Lecture Presented by:

Jody Steinauer, MD, MAS and Diana Taylor, RN, MS, PhD

University of California, San Francisco

Week 5 Assessments and Additional Materials

Week 5 Quiz

Week 5 Answer Sheet

Week 5 Works Cited

Week 5 Readings and Resources

Week 6: Early Pregnancy Loss and Course Conclusions

LEARNING OBJECTIVES

After watching these video lectures, learners will be able to:

Review the similarities between management of early pregnancy loss and early abortion.
Describe patient-centered counseling for EPL.
Review global public health issues related to safe abortion.
Describe the clinical responsibilities of health care providers caring for women with undesired pregnancies.

Early Pregnancy Loss Diagnoses and Counseling

Video Lecture Presented by:
Robin Wallace, MD, MAS
University of Texas Southwestern

Early Pregnancy Loss Diagnosis and Counseling Slide Set

Slide Set from Video Lecture Presented by:

Robin Wallace, MD, MAS

University of Texas Southwestern

Click to download Early Pregnancy Loss: Diagnosis and Counseling (pdf)

Early Pregnancy Loss Management

Video Lecture Presented by:
Robin Wallace, MD, MAS
University of Texas Southwestern
Click here to download this video lecture

Early Pregnancy Loss Management Slide Set

Slide Set from Video Lecture Presented by:

Robin Wallace, MD, MAS

University of Texas Southwestern

Click to download Early Pregnancy Loss: Management (pdf)

Post-Abortion Care

Video Lecture Presented by:
Felicia Lester, MD, MPH and Dan Grossman, MD

University of California, San Francisco

Review of Global Public Health Issues

Video Lecture Presented by:

University of California, San Francisco
Click here to download this video lecture

Review of Global Public Health Issues Slide Set

Slide Set from Video Lecture Presented by:

Dan Grossman, MD

University of California, San Francisco

Click to download Review of Global Public Health Issues (pdf)

Course Conclusions

Video Lecture Presented by:
Jody Steinauer, MD, MAS

University of California, San Francisco