Current legal status nationwide[ edit ] Abortion laws in the U. Parental notification or consent not required One parent must be informed beforehand Both parents must be informed beforehand One parent must consent beforehand Both parents must consent beforehand One parent must consent and be informed beforehand Parental notification law currently enjoined Parental consent law currently enjoined Mandatory waiting period laws in the U. No mandatory waiting period Waiting period of less than 24 hours Waiting period of 24 hours or more Waiting period law currently enjoined Abortion counseling laws in the U.
State-level abortion regulations are likely to affect women differently based on their geographic location and socioeconomic status. Women who undergo abortions are disproportionately lower-income compared with other women of similar age: Seventeen percent of women travel more than 50 miles to obtain an abortion.
A New Health System for the 21st Century. What is the evidence on what clinical skills are necessary for health care providers to safely perform the various components of abortion care, including pregnancy determination, counseling, gestational age assessment, medication dispensing, procedure performance, patient monitoring, and follow-up assessment and care?
Required skills All abortion procedures require competent providers skilled in patient preparation education, counseling, and informed consent ; clinical assessment confirming intrauterine pregnancy, determining gestation, taking a relevant medical history, and physical examination ; pain management; identification and management of expected side effects and serious complications; and contraceptive counseling and provision.
To provide medication abortions, the clinician should be skilled in all these areas. To provide aspiration abortions, the clinician should also be skilled in the technical aspects of an aspiration procedure. The National Academies Press.
To provide induction abortions, the clinician requires the skills needed for managing labor and delivery. The extensive body of research documenting the safety of abortion care in the United States reflects the outcomes of abortions provided by thousands of individual clinicians.
The use of sedation and anesthesia may require special expertise. If moderate sedation is used, it is essential to have a nurse or other qualified clinical staff—in addition to the person performing the abortion—available to monitor the patient, as is the case for any other medical procedure.
Deep sedation and general anesthesia require the expertise of an anesthesiologist or certified registered nurse anesthetist to ensure patient safety. What safeguards are necessary to manage medical emergencies arising from abortion interventions?
The key safeguards—for abortions and all outpatient procedures—are whether the facility has the appropriate equipment, personnel, and emergency transfer plan to address any complications that might occur. No special equipment or emergency arrangements are required for medication abortions; however, clinics should provide a hour clinician-staffed telephone line and have a plan to provide emergency care to patients after hours.
If moderate sedation is used during an aspiration abortion, the facility should have emergency resuscitation equipment and an emergency transfer plan, as well as equipment to monitor oxygen saturation, heart rate, and blood pressure.
The committee found no evidence indicating that clinicians that perform abortions require hospital privileges to ensure a safe outcome for the patient. Providers should, however, be able to provide or arrange for patient access or transfer to medical facilities equipped to provide blood transfusions, surgical intervention, and resuscitation, if necessary.
Page 15 Share Cite Suggested Citation: What is the evidence on the safe provision of pain management for abortion care? Nonsteroidal anti-inflammatory drugs NSAIDs are recommended to reduce the discomfort of pain and cramping during a medication abortion.
Some women still report high levels of pain, and researchers are exploring new ways to provide prophylactic pain management for medication abortion. The greatest risk of using sedative agents is respiratory depression. The vast majority of abortion patients are healthy and medically eligible for all levels of sedation in office-based settings.
As noted above see Questions 4 and 6if sedation is used, the facility should be appropriately equipped and staffed. What are the research gaps associated with the provision of safe, high-quality care from pre- to postabortion? The committee decided that its findings and conclusions fully respond to this charge.
The committee concludes that legal abortions are safe and effective. Safety and quality are optimized when the abortion is performed as early in pregnancy as possible. Quality requires that care be respectful of individual patient preferences, needs, and values so that patient values guide all clinical decisions.
The committee did not identify gaps in research that raise concerns about these conclusions and does not offer recommendations for specific actions to be taken by policy makers, health care providers, and others.
Limitation of Mifepristone distribution Mifepristone Mifeprex is the only medication approved by the FDA for use in medication abortion. Extensive clinical research has demonstrated its safety and effectiveness using the FDA-recommended regimen.
Furthermore, few women have contraindications to medication abortion. Research is needed on how the limited distribution of mifepristone under the REMS process impacts dimensions of quality, including timeliness, patient-centeredness, Page 16 Share Cite Suggested Citation: In addition, little is known about pharmacist and patient perspectives on pharmacy dispensing of mifepristone and the potential for direct-to-patient models through telemedicine.
Pain management There is insufficient evidence to identify the optimal approach to minimizing the pain women experience during an aspiration procedure without sedation. Paracervical blocks are effective in decreasing procedural pain, but the administration of the block itself is painful, and even with the block, women report experiencing moderate to significant pain.The debate over whether or not abortion should be a legal option continues to divide Americans long after the US Supreme Court’s decision on Roe v.
Wade declared the procedure a "fundamental right" on Jan. 22, Four legal abortion methods—medication, 3 aspiration, dilation and evacuation (D&E), and induction—are used in the United States.
Today, aspiration is the most common abortion method used in the United States, accounting for almost 68 percent of abortions performed overall in Today marks the 40th anniversary of Roe v.
Wade, the landmark Supreme Court decision that declared abortion legal in the United leslutinsduphoenix.comt for the ruling has grown since polls began tracking.
The legality of abortion in the United States is frequently a major issue in nomination battles for the U.S. Supreme Court. Nominees typically remain silent on the issue during their hearings, as the issue may come before them as judges. Abortion in the United States is legal, via the landmark case of Roe v.
Wade. Specifically, abortion is legal in all U.S. states, and every state has at least one abortion clinic. Jun 23, · Abortion was once simply part of life in the United States.
Then, for about years, it was illegal. How we got there and got to where we are now may surprise you.