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Bennett IM et al. – The authors found that rates of complications of first–trimester abortion care in family medicine clinical sites were very low and within the range of outcomes published for obstetrics–gynecology and specialty abortion sites. With the exception of missed ectopic pregnancy, expected complications were managed by family physicians within the context of their practice without reliance on emergency services or those of specialists. Quality improvement systems and clinical protocols that reduce the risk of missed ectopic pregnancy are critical to early abortion care. This study validates the safety and efficacy of early abortion care by family physicians. Family physicians who provide abortion care promote continuity of care and the patient–centered medical home and may help to ameliorate abortion provider shortages across the United States.

   

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