Medical News: FPs Can Safely Do Early Abortions - in OB/Gyn, Pregnancy from MedPage Today: "Complications from first trimester abortions performed by family practitioners are rare, and family doctors could help address abortion provider shortages across the U.S., a new study found.
Among more than 2,500 abortions performed by family physicians, abortion was successful without complications in 96.5% of patients using medications (95% CI 95.5% to 97.0%) and 96.5% using aspiration (95% CI 95.5% to 97.1%), according to a study published online Nov. 9 in the Annals of Family Medicine.
Of the women in the study who had an abortion, 1.45% (19 women) remained pregnant after the procedure, 1.22% (16) had an incomplete abortion, 0.69% (9) hemorrhaged, and one patient taking medication requested aspiration.
Doctors missed four cases of ectopic pregnancy -- one in a patient taking medication to induce an abortion and three undergoing the aspiration procedure. All four of these cases required hospitalization.
'We found that rates of complications of first-trimester abortion care in family medicine clinical sites were very low and within the range of outcomes published for obstetrics-gynecology and specialty abortion sites,' Ian M. Bennett, MD, PhD, of the University of Pennsylvania School of Medicine, and colleagues wrote.
'With the exception of missed ectopic pregnancy, expected complications were managed by family physicians within the context of their practice without reliance on emergency services or those of specialists.'"
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