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Mid-Level Providers of Medical Abortion in the United States

Mid-Level Providers of Medical Abortion in the United States. Elizabeth Talmont, MSN, NP. Regimen . Up to 63 days LMP Day 1 Ultrasound required 200 mg mifepristone at clinic Antibiotics X 7 days Day 2 or 3 800 mcg buccal misoprostol, self-administered Day 7-14

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Mid-Level Providers of Medical Abortion in the United States

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  1. Mid-Level Providers of Medical Abortion in the United States Elizabeth Talmont, MSN, NP

  2. Regimen Up to 63 days LMP Day 1 • Ultrasound required • 200 mg mifepristone at clinic • Antibiotics X 7 days Day 2 or 3 • 800 mcg buccal misoprostol, self-administered Day 7-14 • Return to clinic for ultrasound

  3. Growth of Planned Parenthood Health Centers Offering MAB Only Source: CAPS Mifepristone Quarterly Surveyy and Data Analytics Group Medical Center Directory

  4. Abortion Care Team • Health Educator (non-licensed) • Patient Education, laboratory and in some cases ultrasound. • Mid-levels • Ultrasound, physical exam, lab • Prescribe and give out abortion medications • ½ of all medical abortion clinics do not have surgical back up on site. • Physicians – as needed.

  5. Mid-level providers want and can provide medical abortion • Key outcomes: • Safe • Cost effective • Increased early access to abortion • Patients are satisfied when we give them what they want, when they want it!

  6. “Abortion is almost as old as childbirth. There has always been a need for some women to end their pregnancies. In modern times, the law’s attitude toward it has varied.” Jeffery Toobin, The New Yorker (11/23/09)

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