Paper Details 
Original Abstract of the Article :
Hemorrhage after abortion is rare, occurring in fewer than 1% of abortions, but associated morbidity may be significant. Although medication abortion is associated with more bleeding than procedural abortion, overall bleeding for the two methods is minimal and not clinically different. Hemorrhage ca...See full text at original site
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引用元:
https://doi.org/10.1016/j.contraception.2023.110292

データ提供:米国国立医学図書館(NLM)

Managing Hemorrhage After Abortion: A Guide Through a Critical Landscape

Hemorrhage after abortion is a serious concern, requiring prompt and effective interventions to prevent complications. This clinical recommendation from the Society of Family Planning provides guidance for managing hemorrhage during or after abortion, emphasizing the importance of risk assessment, organized treatment approaches, and addressing health inequities.

A Multifaceted Approach to Hemorrhage Management

The recommendation highlights the need for pre-operative identification of individuals at high risk of hemorrhage, including those with uterine scars or placenta previa. It proposes a structured approach to treatment, beginning with assessment and examination, followed by uterine massage and medical therapy. Further interventions, such as reaspiration, balloon tamponade, embolization, or surgery, may be necessary depending on the severity of the hemorrhage.

Navigating the Desert of Hemorrhage: A Safe and Equitable Journey

This clinical recommendation underscores the importance of a comprehensive approach to hemorrhage management, recognizing the unique challenges and potential risks associated with abortion care. It emphasizes the need for continued research to inform best practices, particularly regarding the use of tranexamic acid and misoprostol for prophylaxis and treatment. Furthermore, it acknowledges the role of structural inequities in contributing to bleeding risk, advocating for policies that promote health equity and access to quality care.

Dr.Camel's Conclusion

This clinical recommendation, like a carefully curated trail through a dangerous desert, provides a roadmap for safe and effective management of hemorrhage after abortion. By understanding the risks, implementing structured approaches, and addressing health inequities, we can create a safer and more equitable healthcare system for all.

Date :
  1. Date Completed 2023-12-04
  2. Date Revised 2023-12-04
Further Info :

Pubmed ID

37739302

DOI: Digital Object Identifier

10.1016/j.contraception.2023.110292

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SNS
PICO Info
in preparation
Languages

English

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