Bibliographic information
GuidelineAbortion care guideline, 2nd ed
Year of Publication2024
Issuing InstitutionWorld Health Organization
Recommendation
Maintained
For uncomplicated incomplete abortion at < 14 weeks: Recommend medical management with misoprostol by auxiliary nurses/auxiliary nurse midwives (ANMs), nurses, midwives, associate/advanced associate clinicians, generalist medical practitioners and specialist medical practitioners
Recommended in favor
Strong
Notes and Remarks
Implementation considerations
- Restrictions on prescribing authority for some categories of providers may need to be modified or other mechanisms put in place for making the medicines available for these providers within the regulatory framework of the health system.
- The evacuation of retained products is a signal function of basic emergency obstetric care (EmOC); thus training and implementation of these tasks can be integrated with EmOC services.
KEY HUMAN RIGHTS CONSIDERATIONS RELEVANT TO MANAGEMENT OF INCOMPLETE ABORTION
- States must ensure adequate access to essential medicines in an affordable and nondiscriminatory manner.
- Regardless of whether abortion is legal, States are required to ensure access to postabortion care where it is needed.
- Post-abortion care must be available on a confidential basis, including in situations where abortion is illegal.
- Post-abortion care must be available without the threat of criminal prosecution or punitive measures. States must not require health workers to report persons suspected of undertaking unlawful abortion, or require them to provide any potentially incriminating information during or as a prerequisite to receiving post-abortion care. For further information and sources, please refer to Box 1.2 and Web annex A: Key international human rights standards on abortion.
Also Featured In
This recommendation also appears in the following guidelines:
Originally Developed
Guideline
Health worker roles in providing safe abortion care and post-abortion contraception
Year2015
InstitutionWorld Health Organization
Guideline
Abortion care guideline
Year2022
InstitutionWHO