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Intrauterine Drug Delivery Systems01:21

Intrauterine Drug Delivery Systems

168
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
168

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Educating Midwives as Abortion Providers: Implementing Innovative Models for Standardized Training in Abortion Care.

Nicole Quinones1, Samantha Auerbach2, Nikki Lanshaw2

  • 1Division of Health Policy and Management, School of Public Health, University of Minnesota and Division of Complex Family Planning, Department of Obstetrics, Gynecology, and Women's Health, University of Minnesota Medical School, Minneapolis, Minnesota.

Journal of Midwifery & Women'S Health
|December 13, 2025
PubMed
Summary
This summary is machine-generated.

Midwifery and advanced practice clinician (APC) programs now offer innovative abortion training to address access crises. This framework promotes standardized, patient-centered education for comprehensive abortion care.

Keywords:
abortionadvanced practice cliniciansmidwifery educationreproductive justicesexual and reproductive health

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Area of Science:

  • Reproductive Health
  • Medical Education
  • Healthcare Policy

Background:

  • The Dobbs decision restricted abortion access, impacting provider availability.
  • Most midwives and APCs lack formal abortion training in their education.
  • 22 states permit non-physician providers for abortion services.

Purpose of the Study:

  • To present a framework for integrating abortion training into midwifery and APC curricula.
  • To address the need for standardized, trauma-informed, and culturally sensitive abortion education.
  • To support the expansion of abortion care providers.

Main Methods:

  • Four accredited midwifery programs incorporated innovative abortion training.
  • The study outlines program specifics, implementation barriers, and facilitators.
  • A framework for standardized education and training was developed.

Main Results:

  • Innovative curricula were implemented in four midwifery programs.
  • Barriers and facilitators to implementing abortion training were identified.
  • A framework for standardized, patient-centered abortion education was created.

Conclusions:

  • Standardized abortion training is crucial for midwives and APCs.
  • Implementing this framework can overcome barriers to abortion care education.
  • This initiative aims to ensure comprehensive and accessible abortion services.