Maureen Paul & Steve Lichtenberg 
Management of Unintended and Abnormal Pregnancy 
Comprehensive Abortion Care

Access to high quality abortion care is essential to women’s
health, as evidenced by the dramatic decrease in pregnancy-related
morbidity and mortality since the legalization of abortion in the
United States, and by high rates of maternal death and
complications in those countries where abortion is still provided
under unsafe conditions.

The past two decades have brought important advances in abortion
care as well as increasing cross-disciplinary use of abortion
technologies in women’s health care. Abortion is an important
option for pregnant women who have serious medical conditions or
fetal abnormalities, and fetal reduction techniques are now
well-integrated into infertility treatment to reduce the risks of
multiple pregnancies resulting from assisted reproductive
technologies.

name=’OLE_LINK1’>Management of Unintended and Abnormal
Pregnancy: Comprehensive Abortion Care is the textbook of
the National Abortion Federation, and serves as the standard,
evidence-based reference text in abortion care. This
state-of-the-art textbook provides a comprehensive overview of the
public health implications of unsafe abortion and reviews the best
surgical and medical practices for pregnancy termination, as well
as managing ectopic and other abnormal pregnancies.

Management of Unintended and Abnormal Pregnancy:
Comprehensive Abortion Care is the leading source for a
comprehensive understanding of issues related to unintended and
abnormal pregnancy. This textbook:

* is authored by internationally-known leaders in women’s health
care;

* addresses unintended pregnancy and abortion from historical,
legal, public health, clinical, and quality care perspectives;

* includes chapters on pregnancy loss, ectopic pregnancy,
gestational trophoblastic disease, and multifetal pregnancy
reduction;

* covers treatment of pregnancies in the first and second
trimester by both medical and surgical techniques; and

* provides resources for clinical, scientific, and social support
for the abortion provider and patient.

Table of Content

Section I Abortion in perspective.

1 Abortion and medicine: A sociopolitical history (Carole Joffe
Ph D).

2 Unsafe abortion: The global public health challenge (Iqbal H.
Shah Ph D, and Elisabeth Ahman MA)

3 Unintended pregnancy and abortion in the USA: Epidemiology and
public health impact (Stanley K. Henshaw Ph D)

4 Abortion law and policy in the USA (Bonnie Scott Jones JD, and
Jennifer Dalven JD).

Section II Pre-procedure care.

5 Informed consent, patient education, and counseling (Anne
Baker MA, and Terry Beresford BA)

6 Clinical assessment and ultrasound in early pregnancy (Steven
R. Goldstein MD, and Matthew F. Reeves MD, MPH).

7 Medical evaluation and management (Anne Davis MD, MPH, and
Thomas Easterling MD).

8 Pain management (Mark Nichols MD, Glenna Halvorson-Boyd Ph D,
RN, Robert Goldstein MD, Clifford Gevirtz MD, MPH and David Healow
MD).

Section III Abortion methods and techniques.

9 Medical abortion in early pregnancy (Mitchell D. Creinin MD,
and Kristina Gemzell Danielsson MD, Ph D).

10 First-trimester aspiration abortion (Karen Meckstroth MD,
MPH, and Maureen Paul MD, MPH).

11 Dilation and evacuation (Cassing Hammond MD, and Stephen
Chasen MD).

12 Medical methods to induce abortion in the second trimester
(Nathalie Kapp MD, MPH, and Helena von Hertzen MD, DDS).

13 The challenging abortion (Lynn Borgatta MD, MPH, and Phillip
G. Stubblefield MD).

Section IV Post-procedure care.

14 Contraception and surgical abortion aftercare (Eve Espey MD,
MPH, and Laura Mac Isaac MD, MPH).

15 Surgical complications: Prevention and management (E. Steve
Lichtenberg MD, MPH, and David A. Grimes MD).

16 Answering questions about long-term outcomes (Carol J.
Rowland Hogue Ph D, MPH, Lori A. Boardman MD, and Nada Stotland MD,
MSc, MPH).

Section V Management of abnormal pregnancies.

17 Pregnancy loss (Alisa B. Goldberg MD, MPH, Daniela Carusi MD,
MSc, and Carolyn Westhoff MD).

18 Ectopic pregnancy (Jennifer L. Kulp MD, and Kurt T. Barnhart
MD, MSCE).

19 Gestational trophoblastic disease (Neil J. Sebire MD, and
Michael J. Seckl MD, Ph D).

20 Abortion for fetal abnormalities or maternal conditions
(Jeffrey S. Dungan MD, and Lee P. Shulman MD).

21 Multifetal pregnancy reduction and selective termination
(Mark I. Evans MD, and David W. Britt Ph D).

Section VI Abortion service delivery.

22 Providing abortion in low-resource settings (Laura Castleman
MD, MPH, MBA, Beverly Winikoff MD, MPH, and Paul Blumenthal MD,
MPH).

23 Ensuring quality care in abortion services (Beth Kruse MS,
CNM, ARNP, and Carla Eckhardt CPHQ).

Appendix: Resources for abortion providers (Melissa Werner MPH,
MAT).

About the author

Maureen Paul, MD, MPH – Planned Parenthood of NYC, Mt. Sinai
School of Medicine

E. Steve Lichtenberg, MD, MPH – Northwestern University
School of Medicine

Lynn Borgatta, MD, MPH – Boston University School of
Medicine

David A. Grimes, MD, MPH – University of North Carolina
School of Medicine

Phillip G. Stubblefield, MD – Boston University School of
Medicine

Mitchell D. Creinin MD – University of Pittsburgh School of
Medicine