Maureen Paul, MD, MPH – Planned Parenthood of NYC, Mt. Sinai School of Medicine  E. Steve Lichtenberg, MD, MPH – Northwestern University School of MedicineLynn Borgatta, MD, MPH – Boston University School of MedicineDavid A. Grimes, MD, MPH – University of North Carolina School of MedicinePhillip G. Stubblefield, MD – Boston University School of MedicineMitchell D. Creinin MD – University of Pittsburgh School of Medicine

• List of Contributors viiForeword xAllan Rosenfield mdForeword xiiiMalcolm Potts MB BChir PhD FRCOGPreface xvSection I Abortion in perspective1 Abortion and medicine: A sociopolitical history 1Carole Joffe PhD2 Unsafe abortion: The global public health challenge 10Iqbal H. Shah PhD and Elisabeth Åhman MA3 Unintended pregnancy and abortion in the USA: Epidemiology and public health impact 24Stanley K. Henshaw PhD4 Abortion law and policy in the USA 36Bonnie Scott Jones JD and Jennifer Dalven JDSection II Pre-procedure care5 Informed consent patient education and counseling 48Anne Baker MA and Terry Beresford BA6 Clinical assessment and ultrasound in early pregnancy 63Steven R. Goldstein MD and Matthew F. Reeves MD MPH7 Medical evaluation and management 78Anne Davis md MPH and Thomas Easterling md8 Pain management 90Mark Nichols MD Glenna Halvorson-Boyd PhD RN Robert Goldstein MD Clifford Gevirtz MD MPH and David Healow mdSection III Abortion methods and techniques9 Medical abortion in early pregnancy 111Mitchell D. Creinin MD and Kristina Gemzell Danielsson MD PhD10 First-trimester aspiration abortion 135Karen Meckstroth MD MPH and Maureen Paul MD MPH11 Dilation and evacuation 157Cassing Hammond md and Stephen Chasen md12 Medical methods to induce abortion in the second trimester 178Nathalie Kapp MD MPH and Helena von Hertzen MD DDS13 The challenging abortion 193Lynn Borgatta md MPH and Phillip G. Stubblefield mdSection IV Post-procedure care14 Contraception and surgical abortion aftercare 208Eve Espey MD MPH and Laura MacIsaac MD MPH15 Surgical complications: Prevention and management 224E. Steve Lichtenberg md MPH and David A. Grimes md16 Answering questions about long-term outcomes 252Carol J. Rowland Hogue PhD MPH Lori A. Boardman MD ScM and Nada Stotland MD MPHSection V Management of abnormal pregnancies17 Pregnancy loss 264Alisa B. Goldberg md MPH Daniela Carusi md MSc and Carolyn Westhoff md18 Ectopic pregnancy 280Jennifer L. Kulp MD and Kurt T. Barnhart MD MSCE19 Gestational trophoblastic disease 293Neil J. Sebire MD and Michael J. Seckl MD PhD20 Abortion for fetal abnormalities or maternal conditions 302Jeffrey S. Dungan md and Lee P. Shulman md21 Multifetal pregnancy reduction and selective termination 312Mark I. Evans MD and David W. Britt PhDSection VI Abortion service delivery22 Providing abortion in low-resource settings 319Laura Castleman MD MPH MBA Beverly Winikoff MD MPH and Paul Blumenthal MD MPH23 Ensuring quality care in abortion services 335Beth Kruse MS CNM ARNP and Carla Eckhardt CPHQAppendix: Resources for abortion providers 352Melissa Werner MPH MATIndex 369

"This is a highly informative, well-referenced book, which covers the subject detail in a balanced, humane, sensitive and women centred way. The book is upbeat and positive about the alliance of abortion with sexual and reproductive health and the new prospects for leadership in abortion care resulting from this. This book is an essential read for those providing counselling and assessment for abortion care, as well as those providing abortion procedures." (British Journal of Sexual Medicine, October 2010)

Maureen Paul, MD, MPH – Planned Parenthood of NYC, Mt. Sinai School of Medicine  E. Steve Lichtenberg, MD, MPH – Northwestern University School of MedicineLynn Borgatta, MD, MPH – Boston University School of MedicineDavid A. Grimes, MD, MPH – University of North Carolina School of MedicinePhillip G. Stubblefield, MD – Boston University School of MedicineMitchell D. Creinin MD – University of Pittsburgh School of Medicine

• List of Contributors viiForeword xAllan Rosenfield mdForeword xiiiMalcolm Potts MB BChir PhD FRCOGPreface xvSection I Abortion in perspective1 Abortion and medicine: A sociopolitical history 1Carole Joffe PhD2 Unsafe abortion: The global public health challenge 10Iqbal H. Shah PhD and Elisabeth Åhman MA3 Unintended pregnancy and abortion in the USA: Epidemiology and public health impact 24Stanley K. Henshaw PhD4 Abortion law and policy in the USA 36Bonnie Scott Jones JD and Jennifer Dalven JDSection II Pre-procedure care5 Informed consent patient education and counseling 48Anne Baker MA and Terry Beresford BA6 Clinical assessment and ultrasound in early pregnancy 63Steven R. Goldstein MD and Matthew F. Reeves MD MPH7 Medical evaluation and management 78Anne Davis md MPH and Thomas Easterling md8 Pain management 90Mark Nichols MD Glenna Halvorson-Boyd PhD RN Robert Goldstein MD Clifford Gevirtz MD MPH and David Healow mdSection III Abortion methods and techniques9 Medical abortion in early pregnancy 111Mitchell D. Creinin MD and Kristina Gemzell Danielsson MD PhD10 First-trimester aspiration abortion 135Karen Meckstroth MD MPH and Maureen Paul MD MPH11 Dilation and evacuation 157Cassing Hammond md and Stephen Chasen md12 Medical methods to induce abortion in the second trimester 178Nathalie Kapp MD MPH and Helena von Hertzen MD DDS13 The challenging abortion 193Lynn Borgatta md MPH and Phillip G. Stubblefield mdSection IV Post-procedure care14 Contraception and surgical abortion aftercare 208Eve Espey MD MPH and Laura MacIsaac MD MPH15 Surgical complications: Prevention and management 224E. Steve Lichtenberg md MPH and David A. Grimes md16 Answering questions about long-term outcomes 252Carol J. Rowland Hogue PhD MPH Lori A. Boardman MD ScM and Nada Stotland MD MPHSection V Management of abnormal pregnancies17 Pregnancy loss 264Alisa B. Goldberg md MPH Daniela Carusi md MSc and Carolyn Westhoff md18 Ectopic pregnancy 280Jennifer L. Kulp MD and Kurt T. Barnhart MD MSCE19 Gestational trophoblastic disease 293Neil J. Sebire MD and Michael J. Seckl MD PhD20 Abortion for fetal abnormalities or maternal conditions 302Jeffrey S. Dungan md and Lee P. Shulman md21 Multifetal pregnancy reduction and selective termination 312Mark I. Evans MD and David W. Britt PhDSection VI Abortion service delivery22 Providing abortion in low-resource settings 319Laura Castleman MD MPH MBA Beverly Winikoff MD MPH and Paul Blumenthal MD MPH23 Ensuring quality care in abortion services 335Beth Kruse MS CNM ARNP and Carla Eckhardt CPHQAppendix: Resources for abortion providers 352Melissa Werner MPH MATIndex 369

"This is a highly informative, well-referenced book, which covers the subject detail in a balanced, humane, sensitive and women centred way. The book is upbeat and positive about the alliance of abortion with sexual and reproductive health and the new prospects for leadership in abortion care resulting from this. This book is an essential read for those providing counselling and assessment for abortion care, as well as those providing abortion procedures." (British Journal of Sexual Medicine, October 2010)

Maureen Paul, MD, MPH – Planned Parenthood of NYC, Mt. Sinai School of Medicine  E. Steve Lichtenberg, MD, MPH – Northwestern University School of MedicineLynn Borgatta, MD, MPH – Boston University School of MedicineDavid A. Grimes, MD, MPH – University of North Carolina School of MedicinePhillip G. Stubblefield, MD – Boston University School of MedicineMitchell D. Creinin MD – University of Pittsburgh School of Medicine

• List of Contributors viiForeword xAllan Rosenfield mdForeword xiiiMalcolm Potts MB BChir PhD FRCOGPreface xvSection I Abortion in perspective1 Abortion and medicine: A sociopolitical history 1Carole Joffe PhD2 Unsafe abortion: The global public health challenge 10Iqbal H. Shah PhD and Elisabeth Åhman MA3 Unintended pregnancy and abortion in the USA: Epidemiology and public health impact 24Stanley K. Henshaw PhD4 Abortion law and policy in the USA 36Bonnie Scott Jones JD and Jennifer Dalven JDSection II Pre-procedure care5 Informed consent patient education and counseling 48Anne Baker MA and Terry Beresford BA6 Clinical assessment and ultrasound in early pregnancy 63Steven R. Goldstein MD and Matthew F. Reeves MD MPH7 Medical evaluation and management 78Anne Davis md MPH and Thomas Easterling md8 Pain management 90Mark Nichols MD Glenna Halvorson-Boyd PhD RN Robert Goldstein MD Clifford Gevirtz MD MPH and David Healow mdSection III Abortion methods and techniques9 Medical abortion in early pregnancy 111Mitchell D. Creinin MD and Kristina Gemzell Danielsson MD PhD10 First-trimester aspiration abortion 135Karen Meckstroth MD MPH and Maureen Paul MD MPH11 Dilation and evacuation 157Cassing Hammond md and Stephen Chasen md12 Medical methods to induce abortion in the second trimester 178Nathalie Kapp MD MPH and Helena von Hertzen MD DDS13 The challenging abortion 193Lynn Borgatta md MPH and Phillip G. Stubblefield mdSection IV Post-procedure care14 Contraception and surgical abortion aftercare 208Eve Espey MD MPH and Laura MacIsaac MD MPH15 Surgical complications: Prevention and management 224E. Steve Lichtenberg md MPH and David A. Grimes md16 Answering questions about long-term outcomes 252Carol J. Rowland Hogue PhD MPH Lori A. Boardman MD ScM and Nada Stotland MD MPHSection V Management of abnormal pregnancies17 Pregnancy loss 264Alisa B. Goldberg md MPH Daniela Carusi md MSc and Carolyn Westhoff md18 Ectopic pregnancy 280Jennifer L. Kulp MD and Kurt T. Barnhart MD MSCE19 Gestational trophoblastic disease 293Neil J. Sebire MD and Michael J. Seckl MD PhD20 Abortion for fetal abnormalities or maternal conditions 302Jeffrey S. Dungan md and Lee P. Shulman md21 Multifetal pregnancy reduction and selective termination 312Mark I. Evans MD and David W. Britt PhDSection VI Abortion service delivery22 Providing abortion in low-resource settings 319Laura Castleman MD MPH MBA Beverly Winikoff MD MPH and Paul Blumenthal MD MPH23 Ensuring quality care in abortion services 335Beth Kruse MS CNM ARNP and Carla Eckhardt CPHQAppendix: Resources for abortion providers 352Melissa Werner MPH MATIndex 369

"This is a highly informative, well-referenced book, which covers the subject detail in a balanced, humane, sensitive and women centred way. The book is upbeat and positive about the alliance of abortion with sexual and reproductive health and the new prospects for leadership in abortion care resulting from this. This book is an essential read for those providing counselling and assessment for abortion care, as well as those providing abortion procedures." (British Journal of Sexual Medicine, October 2010)