JULY 2013 © Richard Lord © Richard Clinical Updates in Reproductive Health Please use and share widely: www.ipas.org/clinicalupdates Also available in Spanish: www.ipas.org/actualizacionesclinicas For more information, email
[email protected] Clinical Updates in Reproductive Health July 2013 Clinical Updates in Reproductive Health are designed to provide Ipas staff, trainers, partners and other health-care providers with access to up-to-date, evidence-based recommendations. In general, the recommendations are the same as those in the World Health Organization's 2012 Safe Abortion: Technical and Policy Guidance for Health Systems, Second edition. In rare cases, the recommendations have been modified due to the settings where we work. In addition, if there is more current evidence to inform the recommendations, they will be updated here. Ipas works around the world to increase women's ability to exercise their sexual and reproductive rights, especially the right to safe abortion. You can find more information at www.ipas.org. Revisions: This document is updated twice a year; please see the “last reviewed” date for each topic. The information for each Clinical Update topic is current through the listed “last reviewed” date, meaning all relevant published literature up to that date has been considered and included where appropriate. Clinical Updates in Reproductive Health Acknowledgements Editor: Alice Mark Thanks to the following people for giving their time and expertise to the development of this publication: Dalia Brahmi Laura Castleman Jennifer Colletti Alison Edelman Mary Fjerstad Rodolfo Gomez Ponce de Leon Alice Mark Bill Powell Jessica Reinholz Lisette Silva Thanks also to Ipas staff and consultants who contributed to the development of previous versions of the content in this publication: Rebecca Allen Lynn Borgatta Anne Burke Catherine Casino Talemoh Dah Gillian Dean Bela Ganatra Vinita Goyal Bliss Kaneshiro Radha Lewis Patricia Lohr Lisa Memmel Regina Renner 2 Clinical Updates in Reproductive Health CURH-E13July 2013 © 2013 Ipas.