{"title":"Increasing Awareness of Self-managed Abortions: A Clinical Case.","authors":"Alexyss Capestany","doi":"10.1097/TME.0000000000000582","DOIUrl":null,"url":null,"abstract":"<p><p>The political climate after the overturning of Roe V. Wade in 2022 has made abortion care difficult to obtain in some regions, causing concern for a potential uprising of self-managed abortions. Most visits to emergency departments for complications related to induced abortions occurred in southern states where abortion bans are the strictest. Following the overturning of Roe V. Wade internet searches for abortion medications notably increased. To increase access to care, telehealth has expanded to include medication abortion services. This has contributed to an observable trend toward greater utilization of medication abortion. As medication abortions increase in availability, emergency providers should prepare themselves to manage potential complications. A case is presented about an adult female who obtained misoprostol from an online pharmacy to terminate a pregnancy at home.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"241-249"},"PeriodicalIF":1.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advanced Emergency Nursing Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/TME.0000000000000582","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/31 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
The political climate after the overturning of Roe V. Wade in 2022 has made abortion care difficult to obtain in some regions, causing concern for a potential uprising of self-managed abortions. Most visits to emergency departments for complications related to induced abortions occurred in southern states where abortion bans are the strictest. Following the overturning of Roe V. Wade internet searches for abortion medications notably increased. To increase access to care, telehealth has expanded to include medication abortion services. This has contributed to an observable trend toward greater utilization of medication abortion. As medication abortions increase in availability, emergency providers should prepare themselves to manage potential complications. A case is presented about an adult female who obtained misoprostol from an online pharmacy to terminate a pregnancy at home.
2022年罗伊诉韦德案（Roe V. Wade）被推翻后的政治气候，使得一些地区很难获得堕胎护理，这引发了人们对自我管理堕胎可能会兴起的担忧。大多数因人工流产引起的并发症到急诊科就诊的病例发生在堕胎禁令最严格的南部各州。在罗伊诉韦德案被推翻后，互联网上对堕胎药物的搜索明显增加。为了增加获得护理的机会，远程保健已扩大到包括药物流产服务。这促成了一个明显的趋势，即更多地利用药物流产。随着药物流产的增加，急救人员应做好应对潜在并发症的准备。一个案例是关于一个成年女性谁获得米索前列醇从网上药店终止怀孕在家里。
期刊介绍：
Advanced Emergency Nursing Journal is a peer-reviewed journal designed to meet the needs of advanced practice clinicians, clinical nurse specialists, nurse practitioners, healthcare professionals, and clinical and academic educators in emergency nursing. Articles contain evidence-based material that can be applied to daily practice. Continuing Education opportunities are available in each issue. Feature articles focus on in-depth, state of the science content relevant to advanced practice nurses and experienced clinicians in emergency care. Ongoing Departments Include: Cases of Note Radiology Rounds Research to Practice Applied Pharmacology
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