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Midwives Safeguarding Abortion Access: Establishing Medication Abortion Services
Sharon A Weintraub1, Autumn Versace1, Liza Winston1
1Division of Midwifery, Baystate Medical Center, Springfield, Massachusetts.
Journal of Midwifery & Women'S Health
|September 14, 2023
Summary
Baystate Medical Center established a medication abortion service to improve access to care, especially for out-of-state patients, following the Dobbs decision. This initiative also offers crucial training for student nurse-midwives in providing abortion care.
Area of Science:
- Reproductive Health
- Midwifery Care
- Healthcare Access
Background:
- The US Supreme Court's Dobbs v. Jackson Women's Health Organization decision in June 2022 significantly altered abortion access.
- Midwifery practices are uniquely positioned to address the evolving landscape of reproductive healthcare.
Purpose of the Study:
- To outline the implementation of a medication abortion service at Baystate Medical Center.
- To provide a model for other midwifery practices seeking to adopt similar services.
- To highlight the role of midwives in expanding abortion care access.
Main Methods:
- Establishing a dedicated medication abortion service within a Division of Midwifery.
- Developing strategies to manage clinical, administrative, and logistical challenges.
- Integrating clinical experience for student nurse-midwives.
Main Results:
- Successfully launched a medication abortion service for both local and out-of-state patients.
- Created a framework for other practices to implement medication abortion services.
- Enhanced training opportunities for future abortion providers.
Conclusions:
- Midwives are highly qualified to deliver safe, high-quality medication abortion care.
- Implementing such services is crucial for maintaining and expanding abortion access.
- Midwifery-led care models can effectively address healthcare gaps in reproductive services.
Keywords:
health equityinduced abortionmedical abortionmidwifery educationreproductive justicescope of practiceMore Related Videos
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