We thank Drs. Lapedis, Ray, and Narayana for their feedback and agree that the recommendation
regarding preference for surgical/procedural abortion over medication abortion in
this population is based on consensus and expert opinion. Our intent with the recommendation
was to provide more clinical direction in these often-difficult patient scenarios.
Our intent was not to restrict options or to create obstacles to making patient-centered
decisions and we feel our wording allows flexibility for the provider to offer other
treatment options. We wholeheartedly agree that providers should individualize care,
utilize shared decision-making, and account for availability of surgical/procedural
abortion, as stated in the recommendation.
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Article info
Publication history
Published online: June 22, 2021
Accepted:
June 16,
2021
Received:
June 16,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Weighing risk and centering patients within clinical guidelinesContraceptionVol. 104Issue 6
- PreviewWe commend Dr. Lee et al. for presenting thorough guidelines regarding abortion care for patients with bleeding disorders or current use of anticoagulation [1]. While the authors provide an excellent summary of the research to date, the paper highlights the need for additional research, as many of the recommendations are based on expert opinion, rather than high quality evidence.
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