A Tuesday morning Clinical Seminar will cover medical management of spontaneous and elective abortion.
Sarah Ward Prager, MD, MAS, associate professor in the Department of Obstetrics and Gynecology and director of the Family Planning Division and Family Planning Fellowship at the University of Washington School of Medicine, plans to update attendees about the availability of medications and give a full overview of the similarities and differences in the management of the two kinds of abortions, including potential complications. The hour-long session starts at 9:15 am in Room 140 B.
Dr. Prager also will explain the most recent changes to the older FDA-approved regimen and labeling and how those updates align with what the evidence-based regimens indicate are best practices.
“Because this is so politicized as a topic, the difference between evidence-based and FDA-approved regimens was seen as a target for restricting practice, so changing the FDA regimen allows set practices to be performed and not have it be contradictory to the FDA,” she said.
Dr. Prager will emphasize the safety and efficacy of medication management for both spontaneous and elective abortions. She said that patients appreciate providers who offer choices.
“If providers discuss this as an option for patients who either are seeking elective abortion or have a spontaneous abortion, patients often prefer the option of medication management and are very happy to have been given that avenue as an opportunity,” she said.
Today’s session opens with a look at the epidemiology for elective and spontaneous abortion and a historical look at RU-486. Dr. Prager will also address the concerns about clearly diagnosing early pregnancy loss that many providers have if they are unable to offer or are uncomfortable offering elective abortion.
She said that many providers want to make sure of a clear diagnosis before offering management, so she will review an ACOG Practice Bulletin released in May 2015 on the subject. “Anybody who sees pregnant patients is certainly going to see people who have early pregnancy loss or spontaneous abortions, so pretty much anybody is going to need some information on medication management of that if you see pregnant women,” she said.