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National LGBTQIA+ Health Education Center

This website, developed by the Fenway Institute, contains an extensive library of learning modules, videos, webinars, and other resources to support health care organizations optimize quality, cost-effective, and dignified care for lesbian, gay, bisexual, transgender, queer, intersex, asexual, and all sexual and gender minority (LGBTQIA+) people.  Link: https://www.lgbtqiahealtheducation.org/resources/  

Structures & Self: Advancing Equity and Justice in SRH

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. Learners will consider how to leverage their privilege to create change on…

Clinicians’ Perspectives on Mifepristone Regulations in Primary Care

This publication details an exploratory study of US primary care clinicians’ perspectives on the effects of mifepristone restrictions, including US Food and Drug Administration (FDA) regulations, on access to medication abortion and early pregnancy loss (EPL) management in primary care. Protocols including mifepristone are the most effective medication regimens for medication abortion and EPL management.…

Barriers and Enablers to Early Pregnancy Loss Care

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,…

Pregnancy of Unknown Location Patient Take-Home Sheet
pdf doc

For patients whose pregnancy was not seen on ultrasound, use this patient handout to help explain the next steps. You can also share our Ectopic Pregnancy Fact Sheet for more information on symptoms, tests, and treatment for ectopic pregnancy.

Early Pregnancy Loss Care in NY Federally Qualified Health Centers

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…

Protocol for Pregnancy of Unknown Location
pdf

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.

Evaluation of the Miscarriage Care Initiative: A Program to Integrate Comprehensive Early Pregnancy Loss Management in Primary Care Settings
pdf

This publication explores an evaluation of RHAP’s Miscarriage Care Initiative. Managing early pregnancy loss (EPL) with expectant, medication, and manual vacuum aspiration (MVA) management in primary care is safe, effective, and acceptable, yet, few family physicians provide all three care options. We implemented the Miscarriage Care Initiative (MCI) to help primary care organizations serving underserved…