This is a protocol to care for patients who have had an ultrasound without visualization of an intrauterine pregnancy and who have an indeterminate last menstrual period. For further guidance, read our Protocol for Ectopic Pregnancy Treatment.
Many clinicians or clinic protocols require a pregnancy test for patients who are starting contraception or receiving contraceptive care. However, a routine pregnancy test is not necessary for everyone starting contraception; it can act as a barrier to telehealth care and a negative test can provide false reassurance in some situations. The US Selected Practice…
There are more and more options for emergency contraception (EC) available for patients. Not only do we have levonorgestrel (LNG) 1.5mg pills, ulipristal acetate 30mg pills, and the copper IUD (Cu-IUD), recent studies have shown that the 52mg progestin IUD can be used for EC up to 5 days after unprotected intercourse. While it’s great…
Effective contraception helps to optimize birth-spacing, thus improving the health of parents and babies. All patients receiving prenatal care should be counseled about available forms of postpartum contraception, their risks, and timing of initiation. For otherwise healthy birthing parents, most hormonal contraception can be safely initiated in the postpartum period. Theoretical concerns exist surrounding the…
This course from Innovating Education, Structures & Self: Advancing Equity and Justice in Sexual and Reproductive Healthcare, is a learner-led, justice-informed curriculum designed to teach clinical learners to consider how systems of power and legacies of structural oppression impact their care for patients.
This brief report describes the provision of early pregnancy loss (EPL) management in New York State Federally Qualified Health Centers (FQHCs) and barriers to providing this care. Office-based early pregnancy loss (EPL) care is safe and suitable to FQHCs, yet the prevalence of provision in FQHCs is unknown. We found that few New York FQHCs…
This publication describes the provision of early pregnancy loss (EPL) management and factors that inhibit or enable providing this care among family physicians trained in early abortion during residency. EPL is a common experience. Treatment options include expectant management, medication, and uterine aspiration. Although family physicians can offer comprehensive EPL treatment in their office-based settings,…