We 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.- Lee JK
- Zimrin AB
- Sufrin C.
Society of Family Planning clinical recommendations: Management of individuals with
bleeding or thrombotic disorders undergoing abortion.
Contraception. 2021; (Published online)https://doi.org/10.1016/j.contraception.2021.03.016
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References
- Society of Family Planning clinical recommendations: Management of individuals with bleeding or thrombotic disorders undergoing abortion.Contraception. 2021; (Published online)https://doi.org/10.1016/j.contraception.2021.03.016
- Significant adverse events and outcomes after medical abortion.Obstet Gynecol. 2013; 121: 166-171
- Incidence of Emergency Department Visits and Complications After Abortion.Obstetrics & Gynecology. 2015; 125: 175-183
- Adoption of no-test and telehealth medication abortion care among independent abortion providers in response to COVID-19.Contraception: X. 2020; 2100049
- Heavy menstrual bleeding in women on oral anticoagulants.Thromb Res. 2021; 197: 114-119
Article info
Publication history
Published online: June 22, 2021
Accepted:
June 5,
2021
Received:
May 28,
2021
Identification
Copyright
© 2021 Published by Elsevier Inc.
ScienceDirect
Access this article on ScienceDirectLinked Article
- In reply to LTE: “Weighing risks and centering patients within clinical guidelines”ContraceptionVol. 104Issue 6
- PreviewWe 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.
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