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Ethical Care for Patients with Self-Managed Abortion After Roe
Laura Manns-James1, Kelly Pfeifer, Mickey Gillmor-Kahn
1Laura Manns-James is an associate professor and Mickey Gillmor-Kahn is course faculty in the Department of Midwifery and Women's Health, Frontier Nursing University, Versailles, KY. Kelly Pfeifer is an abortion provider in Kansas, Arizona, and California, and an abortion policy advocate and consultant. The authors acknowledge Gail Spake for editorial assistance, Kiernan Cobb, BSN, RN, for creating the two featured posters, and Christina Bourne, MD, MPH, Kiernan Cobb, BSN, RN, Jessica Gelsomino, MSN, RN, and Dhalbir Khalsa, MA, PA-C, for providing helpful early reviews of the manuscript. Contact author: Laura Manns-James, laura.manns-james@frontier.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
The 2022 Supreme Court decision leaving the regulation of abortion to the states is sure to result in a complex regulatory environment for patients and nurses. In states where abortion is illegal, patients may self-manage abortions using medications they obtain through the mail or by other means. Nurses may care for these patients in multiple settings and may wonder about their own legal and ethical obligations. This article reviews patient privacy as it relates to self-managed abortion, ethical reporting requirements for nurses, and best practices for treating complications of self-managed abortion using a harm reduction framework, with a focus on protecting patients' rights. Recommendations for ethical patient care are also provided.
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