Options Counseling

This presentation covers the basics in options counseling for unintended pregnancy.

Contraceptive Pearl: Providing Contraceptive Care in School-Based Health Centers

Written by Lisa Maldonado, MA, MPH There are more than 2,500 school-based health centers (SBHCs) across the country.1 SBHCs present a vital opportunity to integrate contraceptive care within primary care services for adolescents. These centers are uniquely positioned within the school environment—where students spend a significant portion of their time—to deliver comprehensive primary and preventive…

Protocol Template: Management of Pain for IUD Placement

This template by the Clinical Training Center for Sexual and Reproductive Health is intended to support sexual and reproductive health providers in developing or revising site-specific protocols for pain management during intrauterine device placement. A word document version is available to tailor content to your own organization. Link: https://ctcsrh.org/ctcsrh-resource/protocol-template-management-of-pain-for-iuc-placement/            

Insights: Expanding Access to Medication Abortion: A Sample Protocol for 11.1-12.0 Weeks Estimated Gestational Duration

Written by Robin Wallace MD MAS, Rosa Topp MSN, RN Medication abortion is now more common than procedural abortion in the United States , and a critical access point for many abortion seekers via both in-person and telehealth care since Dobbs. Common practice is to offer medication abortion through 11.0 weeks estimated gestational duration (EGD),…

Contraceptive Pearl: Opioids, Xylazine, and Pregnancy

Written by Meghan Hynes This Pearl is the second part of a three-part String of Pearls series that examines the effects of different substances on fetal development and recommends harm reduction strategies to reduce risks involved with substance use during pregnancy. You can read the first part on our website. Numerous factors over recent years…

Early Pregnancy Loss (Miscarriage) Medication Management Consent

A consent form to be used when providing medical management of early pregnancy loss (miscarriage) using the evidence-based protocols.

Protocol for Medication Management of Early Pregnancy Loss: Misoprostol-Only

Protocols for Medication Management of Early Pregnancy Loss

Insights: Practice Change: Key Considerations for Providing Medication Abortion in Primary Care

Written by Rory Tito, MPH Integrating a new service into your practice is no small undertaking, and medication abortion is no exception. You will need a multi-disciplinary team of people dedicated to the implementation of this service. Think of the various roles involved directly in the provision of care, as well as the roles on…

Reproductive Health Access Project Statement on Access to Mifepristone

Tuesday, April 11, 2023 On Friday, April 7th, decisions were issued in two separate court cases involving mifepristone, one of two medications commonly used for a medication abortion in the United States. In Amarillo, Texas, Judge Matthew Kacsmaryk issued a decision in Alliance for Hippocratic Medicine vs. FDA, attempting to block the FDA’s 2000 approval…

Insights: Misoprostol-only Medication Abortion

Written by Angeline Ti Since mifepristone became available in the US, the regimen for a medication abortion has generally involved a dose of mifepristone followed by one or more doses of misoprostol. Following the decision from the Supreme Court in Dobbs vs Jackson Women’s Health Organization in the summer of 2022, the availability of mifepristone…