Bliss Kaneshiro, MD, MPH, Oregon Health & Science University

In 2002, there were 1.29 million induced abortions in the US. Indeed, induced abortion has been cited as the most common surgical procedure in the US. Because of its commonality, clinicians who provide this service are sometimes faced with the dilemma of performing a surgical procedure on women who are anticoagulated. While first trimester surgical ...Read more >

Daniel Grossman, MD, Ibis Reproductive Health

Reproductive health service providers, community-based organizations and women’s health and rights advocates in the US have become increasingly aware of the use of misoprostol to self-induce abortion outside of the clinic setting. Abortion self-induction has been reported predominantly among immigrant women, particularly those from Latin America and the Caribbean, but anecdotal reports suggest that US-born ...Read more >

Catherine Cansino, MD, MPH, Johns Hopkins University

In the US, the majority of first trimester abortions are performed using vacuum aspiration under local anesthesia, commonly with a paracervical block. Most women are given a pre-operative anti-inflammatory agent such as ibuprofen. We propose that pain management can be optimized using a paracervical block of combined lidocaine and ketorolac, eliminating the need for pre-operative ...Read more >

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