"You can't do that 'round here": a case study of the introduction of medical abortion care at a University Medical Center.
Mifepristone medical abortion was introduced in 2002 into the University of New Mexico Medical Center clinic system through a joint effort of the departments of Family Medicine and Obstetrics and Gynecology. A stepwise approach to the integration of medical abortion, manual vacuum uterine aspiration, and first trimester obstetric ultrasound was successful in overcoming a series of educational, political, economic and logistical challenges. The integration of medial abortion care into resident training in FM and Ob/Gyn may expand access to reproductive services in primary care settings.
Leeman
Lawrence
L
Family and Community Medicine, University of New Mexico School of Medicine, Obstetrics and Gynecology, Albuquerque, NM 87101, USA. lleeman@salud.unm.edu
Espey
Eve
E
D000021:Abortifacient Agents, Steroidal / Q000008:administration & dosage; D000028:Abortion, Induced / Q000193:education* / Q000379:methods / Q000639:trends; D000046:Academic Medical Centers; D005194:Family Practice / Q000193:education; D005260:Female; D005865:Gestational Age; D006176:Gynecology / Q000193:education; D006281:Health Occupations / Q000193:education; D006801:Humans; D015735:Mifepristone / Q000008:administration & dosage*; D009516:New Mexico; D009774:Obstetrics / Q000193:education; D005791:Patient Care; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D016216:Ultrasonography, Prenatal / Q000379:methods
D000021:Abortifacient Agents, Steroidal; D015735:Mifepristone