Editors: Suzan Goodman MD, MPH, Gabriel Flaxman MD
It is valuable to identify and understand the life experiences that have affected your opinions in order to promote a non-judgmental climate for patient care.
When counseling about pregnancy or contraceptive options, use a non-directive approach with active listening, open-ended questions, and accurate information.
Abortion is safe, and access to legal abortion is associated with significant reductions in maternal morbidity and mortality (Upadhyay 2015, White 2015).
Patients who received an abortion were not at risk for mental health problems, and were at no higher risk of PTSD than women denied an abortion (Biggs 2016, Cohen 2013).
Providers face security risks in some settings. Safety may be enhanced by remaining alert and avoiding wearing a white coat or scrubs outside the clinic.
Abortion is common; it is the most common outpatient procedure performed among women. One in 3 U.S. women will have an abortion in her lifetime.
Nearly half of all abortions worldwide are unsafe, and nearly all unsafe abortions (98%) occur in developing countries.
Given high rates of unintended pregnancy, abortion, and early pregnancy loss in the U.S., most health care providers will interact with patients navigating these issues.
Restrictive state laws being implemented at a rapid rate across the country create harmful obstacles to care, increase gestational age at which patients obtain abortions, increase disparity in access, and do not lower abortion rates.
Reproductive health access and training are becoming limited due to hospital mergers, religious restrictions at training sites, and lack of transparency for patients and trainees.
The 89% of U.S. counties without an abortion provider are home to 38% of reproductive-aged women.
By providing high-quality pregnancy options counseling and either family planning services or timely referrals, you improve the access and quality of care patients receive.
If you do not provide abortion services directly, it is important to know how to refer patients and handle follow-up issues in your community.
Goodman S, Flaxman G, and the TEACH Trainers Collaborative Working Group.* TEACH Early Abortion Training Workbook, Fifth Edition. UCSF Bixby Center for Global Reproductive Health: San Francisco, CA (2016).
* Hufbauer E, Amico J, McNeil S, Pau C, Maldonado L, Brahver D, Weber C, Ti A, Wang LF, Wolfe M, Wondolowski L, Rosenstein H, Lazarin M.
TEACH Doc: 2016-001 (07/16)
Based on previous versions:
Goodman S, Wolfe M, and the TEACH Trainers Collaborative Working Group. Early Abortion Training Workbook, Fourth Edition. UCSF Bixby Center for Global Reproductive Health: SF, CA (2012). Bixby Doc: ANSIRH-2012-001 (07/12)
Goodman S, Wolfe M, and the TEACH Trainers Collaborative Working Group. Early Abortion Training Workbook & Trainer’s Workbooks, 3rd & 2nd Editions. UCSF Center for Reproductive Health Research & Policy: SF, CA (2007). CRHRP Docs: ANSIRH-2007-012 & -013 (07/07)
Goodman S, Paul M, Wolfe M, and the TEACH Trainers Collaborative Working Group. Early Abortion Training and Trainer’s Workbooks, 2nd & 1st Editions. UCSF Center for Reproductive Health Research & Policy: San Francisco, CA (2004). CRHRP Docs: FHS-2004-010 & -011 (11/04)
Paul M, Stewart FH, Weitz TA, Wilcox N, Tracey JM. Early Abortion Training Workbook. UCSF Center for Reproductive Health Research & Policy: SF, CA (2003). CRHRP: FHS-2003-009 (9/03)
This publication is designed for use by licensed medical providers. Individuals who wish to provide any of the medical services described herein should obtain appropriate training prior to initiating services. This resource is not intended to provide legal, medical or other professional advice. It is not a substitute for consultation with a healthcare provider or for independent judgment by healthcare providers or other professionals regarding individual conditions and situations. The information and resources included in this guide are provided for information only. Referral to specific programs, resources, or websites does not imply endorsement by the authors of their contents, expressed views, programs, or activities. Further, the authors do not endorse any commercial products referred to in this guide or that may be advertised or available from these programs, resources, or websites. This guide is not meant to be comprehensive; the exclusion of a program, resource, or website is not a reflection on quality. Please note that websites and URLs are subject to change without warnings.
All rights reserved. This workbook is protected by copyright; replication for sale is prohibited. Individuals and groups providing patient care or clinical education in family planning are hereby granted non-exclusive permission to use and reproduce these materials for educational, not-for-profit uses, provided that proper attribution is given to the parties named in the copyright notice as the source of the content. With the exception of those forms explicitly created for modification, these materials may not be modified or changed without contacting the TEACH Program to discuss the intended use and modifications.
The copyright holders named above make no representations and extend no warranties of any kind, either expressed or implied of merchantability or fitness for a particular purpose, or that the use of these materials will not infringe any patent, copyright, trademark, or other rights. By using or reproducing these materials, the user, to the extent allowed by law, agrees to indemnify, defend and hold harmless the copyright holders named above, their officers, agents, and employees from, and against, any and all claims, liabilities, demands, damages, losses, costs and expenses (including costs and reasonable attorneys’ fees) or claims for injury or damages that are caused by, or result from, individual’s use of these materials, including but not limited to, any use of the materials that is not authorized under this agreement.