Options for Teens with No Options: A Self-Managed Second Trimester Abortion
Nathalie Duroseau1, Miranda Loh1, Leslie Sanders1
1Mount Sinai Adolescent Health Center, Department of Pediatrics, Kravis Children's Hospital, Mount Sinai Hospital, New York, New York.
Background:
Several states have deemed abortions as nonessential services, effectively calling for a halt to abortion care during the COVID-19 pandemic. In response, women might elect for self-managed abortions by obtaining abortion medications online.
Case:
A 15-year-old girl presented with abdominal cramping and vaginal discharge after taking misoprostol obtained from an online retailer for a self-managed abortion in her second trimester during the COVID-19 pandemic. Her exam showed products of conception protruding from the vagina. The patient was emergently evaluated for an incomplete and possible septic abortion and underwent a dilation and evacuation procedure.
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