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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