Bibliographic information
GuidelineAbortion care guideline, 2nd ed
Year of Publication2024
Issuing InstitutionWorld Health Organization
Recommendation
Maintained
For intrauterine fetal demise (IUFD) at ≥ 14 to ≤ 28 weeks: Suggest medical management by traditional and complementary medicine professionals, auxiliary nurses/ auxiliary nurse midwives (ANMs), nurses, midwives and associate/advanced associate clinicians.
Recommended in favor
Conditional
Notes and Remarks
- Condition: In contexts where established and easy access to appropriate surgical backup and proper infrastructure is available to address incomplete abortion or other complications.
Implementation consideration
- Any regulation around the management/disposal of pregnancy remains and birth or death certificates should not pose a burden or a breach of confidentiality for women or providers.
KEY HUMAN RIGHTS CONSIDERATIONS RELEVANT TO MANAGEMENT OF IUFD
- Everyone has a right to privacy and confidentiality in sexual and reproductive health (SRH) care.
- Abortion regulation should be human rights and evidence based.
- States must ensure adequate access to essential medicines in an affordable and nondiscriminatory manner.
- Everyone has the right to scientific progress and right to health, which requires the availability and accessibility, acceptability, and quality of medical abortion. This means that States should ensure access to abortion medicines, and that evidence-based standards and guidelines for the provision and delivery of SRH services, are (i) in place and (ii) routinely updated to incorporate medical advancements. 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
Abortion care guideline
Year2022
InstitutionWHO