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Area of Science:

  • Medical Science
  • Public Health
  • Reproductive Health

Background:

  • Later abortion (beyond 13 weeks' gestation) contributes disproportionately to abortion-related morbidity and mortality.
  • Vulnerable populations, including the poor, young, victims of violence, and those with health issues, are most affected by limited access to safe abortion care.
  • Access to safe abortion services is linked to significant reductions in abortion-related complications.

Purpose of the Study:

  • To review evidence-based practices for induced abortion beyond 13 weeks' gestation.
  • To examine post-abortion care strategies in diverse resource settings.
  • To identify programmatic considerations for expanding abortion service gestational limits.

Main Methods:

  • Systematic literature review of evidence-based practices for later abortion and post-abortion care.
  • Analysis of studies from high- and low-resource settings.
  • Identification of key programmatic factors for service expansion.

Main Results:

  • Safe abortion care significantly reduces abortion-related morbidity and mortality.
  • Evidence-based practices exist for managing later abortions and providing post-abortion care.
  • Programmatic strategies are crucial for expanding gestational age limits for abortion services.

Conclusions:

  • Expanding access to safe, evidence-based abortion care beyond 13 weeks' gestation is vital for reducing severe health outcomes.
  • Post-abortion care is essential for managing complications and improving reproductive health.
  • Addressing programmatic challenges is key to increasing access to comprehensive abortion services.