Eliminating the routine postoperative surgical abortion visit

Contraception
Mary GatterDeborah Nucatola

Abstract

The objective of this study was to determine whether replacing the "routine" postoperative visit after surgical abortion with an "as indicated" visit is associated with an increase in the rates of either failed abortion (continuing pregnancy) or repeat abortion. We compared the rate of continuing pregnancy in 50,702 first-trimester surgical abortion patients who were offered routine postoperative visits in one time period (1/1/00-4/30/07) to the rate in 20,315 first-trimester surgical abortion patients from a later time period (5/1/07-12/31/09) in which routine postoperative visits had been discontinued. We also compared the rate of repeat abortion within 1 year of the initial procedure for both first- and second-trimester surgical abortion patients for the same time periods. The rate of continuing pregnancy remained stable before and after routine visits were discontinued (39.4 per 100,000 first-trimester surgical abortions for each group).The rate of repeat abortion within 1 year after the initial procedure was lower after routine visits were discontinued (8.2%) than before routine visits were discontinued (8.7%), p=.007. We conclude that elimination of the routine postoperative visit after a surgical abortion and the substit...Continue Reading

References

Mar 31, 2004·Obstetrics and Gynecology·Daniel GrossmanDilys Walker
Mar 21, 2009·Obstetrics and Gynecology·Tessa Madden, Carolyn Westhoff
Apr 10, 2009·The Journal of Family Planning and Reproductive Health Care·Sangeeta DasOlubusola Amu
Nov 10, 2011·Contraception·Rachel StewardMary Gatter

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Citations

Nov 30, 2013·Obstetrics and Gynecology Clinics of North America·Nicole Yonke, Lawrence M Leeman
Aug 5, 2015·Obstetrics and Gynecology·Luu Doan IrelandAngela Y Chen
Jun 11, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Manuel Gonçalves-PinhoAlberto Freitas
Nov 5, 2016·Journal de gynécologie, obstétrique et biologie de la reproduction·T Linet
Aug 18, 2017·Obstetrics and Gynecology·Ushma D UpadhyayJennifer L Kerns

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