Section Name Description
Folder Course Files

This folder contains the course files that are available for download.  During the course, you will be prompted to access files from this folder.

About Abortion URL About abortion (National Abortion Federation)

  • For more information about abortion, including myths and patient stories, read each section of this site.

URL The Safety and Quality of Abortion Care in the United States (National Academy of Science)

  • Read the full 2018 report “The Safety and Quality of Abortion Care in the United States” from the National Academy of Sciences.

URL Abortion Worldwide 2017 (Guttmacher Institute)

  • For more information about abortion globally, including statistics on abortion access, safety, and law, read this publication from the Guttmacher Institute.

URL Five portraits - How safe abortion saves women’s lives (Ipas)

  • For more insight into patients’ experiences about the importance of safe and accessible abortion services, read “Five Portraits: How safe abortion saves women’s lives” from Ipas, also available as a document in the Documents folder.

URL Preventing Maternal Mortality: The Role of Safe Abortion (Innovating Education)

  • Read about the health benefits of safe abortion.

Abortion Providers and Values Clarification URL Health worker roles in providing safe abortion care and post-abortion contraception (World Health Organization)

  • This document offers guidance on which components of abortion care can be performed by healthcare workers of different training levels.

URL Fact Sheet on Abortion Providers (Clinicians for Choice)

  • This fact sheet offers information about Nurse Practitioners, Certified Nurse Midwives, and Physician Assistant roles as abortion providers.

URL The Abortion Option: A Values Clarification Guide for Health Professionals (National Abortion Federation)

  • This values clarification guide is a helpful workbook for providers.

Lesson 1.1: Options counseling URL Pregnancy Options Counseling Techniques (TEACH)

  • Read the entire chapter on counseling techniques.

URL Counseling Quick Guide (TEACH)

  • Read the entire chapter.

URL Video Lecture: Decision Counseling for Positive Pregnancy Test Results

  • This lecture reviews how to counsel a woman with a positive pregnancy test.  Although the video focuses on vacuum aspiration, not medication abortion, it is a useful model of patient-centered options counseling. You may either watch the video lecture below or, for those unable to watch the video, the slide set can be downloaded here.

from Innovating Education on Vimeo.

URL Patient-Centered Pregnancy Options Counseling (RHEDI)

  • We strongly recommend watching the two videos found in this resource.  These two videos demonstrate options counseling in two patient scenarios (from Reproductive Health Education In Family Medicine).

Lesson 1.2: Abortion options URL Early abortion options (TEACH)

  • Read this chart, which summarizes some of the main differences between aspiration and medication abortion.

URL Clinical Practice for Safe Abortion (World Health Organization)

  • Read pages 10–13 of this document, reviewing the differences between medication and surgical abortion.

URL Early Abortion Options (RHAP)

  • This early abortion options handout is an excellent resource for providers to review with patients, as it covers many of the commonly asked questions in an appropriate literacy level for patients.  Briefly review the handout to consolidate the key points about abortion options from a patient perspective.

Lesson 1.3: Informed consent URL Informed Consent, Decision Assessment, and Counseling in Abortion Care (Innovating Education)

  • Watch this video from Innovating Education in Reproduction Health, UCSF, which reviews the components of informed consent in abortion care.

URL Information and Training Guide for Medical-Abortion Counseling (Ipas)

  • For additional information and guidance on counseling throughout the abortion visit, read the training guide, which is located in the Lesson 1 folder. 

Lesson 1.4: Overview of what patients should expect URL What can I expect after I take the abortion pill? (Planned Parenthood)

  • Read the section “What can I expect if I take the abortion pill?” and the next section, “What can I expect after I take the abortion pill?”.

URL Medical Abortion (UCSF)

  • Read the entire page. 

URL Medication Abortion (Our Bodies, Ourselves)

  • Review the resource from Our Bodies, Ourselves.  It describes the medication abortion to patients.  

URL Frequently asked questions (FAQs) about medication abortion (Medicationabortion.com)

  • Read through the frequently asked questions about medication abortion (from Ibis Reproductive Health and Cambridge Reproductive Health Consultants). 

Lesson 2.1: Obtaining a pertinent history and physical URL Medical Evaluation Prior to Aspiration (TEACH)

  • Read the section “History and Physical” regarding the pre-abortion evaluation (you’ll read the diagnostic testing section later in this lesson).  Although this focuses on the evaluation of patients prior to aspiration abortion, it also applies to medication abortion.

URL Clinical Practice Handbook for Safe Abortion

  • Read pages 14–16 on the components of a relevant history and physical (from the World Health Organization).

Lesson 2.2: Diagnosing and dating pregnancy URL Pregnancy Dating (TEACH)

  • Read this page, which reviews pregnancy dating and provides examples of ultrasounds.

URL Pregnancy Dating Calculator (MedCalc)

  • This online tool for gestational age calculation can be used based either on LMP or date of ultrasound.

URL Mifepristone/Misoprostol Gestational Dating Wheel (Ipas)

  • This pregnancy wheel helps providers identify if a patient is eligible for medication abortion using the 70 days (10 weeks) cutoff.

Lesson 2.3: Screening for ectopic pregnancy URL Ultrasound Findings with Abnormal Pregnancies (TEACH)

  • This page reviews some ultrasound findings associated with abnormal pregnancies.

Lesson 2.4: Ruling out contraindications URL First-trimester abortion in women with medical conditions

  • Read this clinical guideline that reviews first-trimester abortion in the setting of chronic medical conditions and offers evidence supporting some of the contraindications reviewed in the reading above (from Society of Family Planning).

Lesson 2.5: Laboratory testing URL Clinical Practice Handbook for Safe Abortion (WHO)

  • Read the section on laboratory testing on page 18.

URL Diagnostic tests (TEACH)

  • Read the section "Diagnostic Tests" in this document (from TEACH).

Lesson 3.1: Medication abortion using mifepristone and misoprostol URL Mifepristone and misoprostol regimen (Medicationabortion.com)

  • Read this page about the mifepristone/misoprostol regimen (from Ibis Reproductive Health and Cambridge Reproductive Health Consultants).

URL Comparison of Mifepristone Regimens (TEACH)

  • Read the comparison of mifepristone methods (from TEACH).

URL Protocol for Early Abortion with Mifepristone and Misoprostol (NAF)

  • The last page of this document (Appendix 1) outlines the FDA-approved protocol for U.S.-based learners (from NAF).

Lesson 3.2: Medication abortion using misoprostol alone URL Misoprostol alone regimen (Medicationabortion.com)

  • Read this page about the misoprostol-only regimen (from Ibis Reproductive Health and Cambridge Reproductive Health Consultants).

URL Clinical Practice Handbook for Safe Abortion (WHO)

  • Read pages 28–31 about the mifepristone/misoprostol and the misoprostol-only regimens.  Note that this document discusses abortions in both the first trimester and higher gestational age (from WHO).

URL Summary of recommended medical abortion regimens (Ipas)

  • This document also summarizes the different regimens that can be used (from Ipas).

Lesson 3.3: Medication abortion using methotrexate URL Methotrexate and misoprostol regimen (medicationabortion.com)

  • Read this page about the use of methotrexate for medication abortion (from Ibis Reproductive Health and Cambridge Reproductive Health Consultants).

Lesson 4.1: What patients should expect URL Frequently-asked questions (FAQs) about medication abortion (Medicationabortion.com)

  • Read through the frequently asked questions about medication abortion (from Ibis Reproductive Health and Cambridge Reproductive Health Consultants). This was optional reading in Lesson 1, but consider re-reading it to refresh your knowledge.

URL What are the side effects and complications of medication abortion? (medicationabortion.com)

  • Read through the information page on side effects.  Note that complications are discussed at this point but will be discussed additionally in Lesson 5 (from Ibis Reproductive Health and Cambridge Reproductive Health Consultants).

URL What can I expect if I take the abortion pill? (Planned Parenthood)

The following easy-to-read documents are primarily for patients.

  • Read the section “What can I expect if I take the abortion pill?” and the section “What can I expect after I take the abortion pill?” (from Planned Parenthood). These were required readings in Lesson 1, but consider re-reading them to refresh your knowledge.

URL Mifepristone with vaginal misoprostol use: The abortion pill in early pregnancy (Ipas)

  • Download and read the patient card for someone taking mifepristone followed by vaginal administration of misoprostol. Cards for other regimens are also available (from Ipas; see “Download Resource” and “There’s More” on the right-hand side of the page).

URL Abortion Pill Patient Instructions (RHAP)

  • These patient instructions from RHAP are for someone taking mifepristone followed by vaginal administration of misoprostol.

Lesson 4.2: Managing pain URL Pain Management - Clinical Practice Handbook for Safe Abortion (WHO)

  • Read pages 25 and 26 of this document about pain control for medication abortion (from WHO).

Lesson 4.3: The role of antibiotics in medication abortion URL Medical Management of First-Trimester Abortion (ACOG)

  • Review page 8 of this document, the section on antibiotic prophylaxis (from ACOG). 

Lesson 4.5: Contraception URL Contraceptive Counseling (TEACH)

  • Read this brief review of contraception (from TEACH).

URL Family Planning: A Global Handbook for Providers (FPHandbook)

  • Detailed contraception information can be found in the Family Planning handbook (from Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs and the WHO).

URL Contraception Resources (RHAP)

  • Additional patient-centered resources about contraception can be found at this site (from RHAP).

URL Medical Eligibility Criteria for Contraceptive Use (U.S. CDC)

  • The summary medical eligibility criteria chart from the U.S. CDC is a helpful tool for women with medical conditions that may affect contraceptive choice.
  • To view the full report from the World Heath Organization, click here.
  • The Medical Eligibility Criteria can also be downloaded as a smartphone app for iphone or android.

Lesson 5.1: Assessing completion of medication abortion URL Ultrasound with Medication Abortion (TEACH)

  • Read these examples, which show what a post-medication abortion ultrasound may look like.

URL Follow up - Clinical Practice Handbook for Safe Abortion (WHO)

  • Read page 57 about follow-up.  Remember that follow-up will differ by regional standard of care and legal regulation.

Lesson 5.2: Common outcomes and complications after medication abortion URL Managing Complications of Medication Abortion (TEACH)

  • Read this page on managing complications (from TEACH).

URL Complications of Medical Abortion (NAF)

  • Read about each potential complication (from NAF).

URL Complications - Clinical Practice Handbook for Safe Abortion (WHO)

  • Additional reading about complications can be found on pages 61–64 (from WHO).

Lesson 5.3: Abortion myths URL Myths about Abortion Complications (Innovating Education)

  • Watch this video about myths of abortion complications

URL Abortion Facts (NAF)

  • This reading provides additional facts and information about abortion

URL Abortion Myths (NAF)

  • Read about the many myths of abortion.

Lesson 6.1: Barriers to providing medication abortion (and potential solutions) URL Barriers to Misoprostol Use in Developing Countries (The Maternal Health Task Force)

  • Read this summary of a recent article about misoprostol use.  To view the full article (only the abstract is available without subscription), click here.

URL An Overview of Abortion Laws (Guttmacher Institute)

  • Read the entire document to learn about Abortion Laws in the United States.

URL The World's Abortion Laws 2018 (Center for Reproductive Rights)

  • Explore the interactive map to learn about Abortion Laws around the world.

Lesson 6.2: Medication abortion outside the clinic URL Policy Briefs and Commentaries (Ibis)

  • Click on the "download PDF" button in the middle of the page to access and read the Policy Brief and Commentary.

URL Medication Abortion Restrictions Burden Women and Providers—and Threaten U.S. Trend Toward Very Early Abortion (Guttmacher)

  • Scroll down to read the section on telemedicine. 

URL Report Card for Online Abortion Pill Suppliers (Plan C)

  • Examine the report card.

URL Plan C: Self-Induced Abortions Shouldn't Be A Crime, Mass. Medical Society Says (Plan C)

  • The advocacy group Plan C has posted articles they have been involved in, about home abortion in the US.

URL Putting abortion pills into women's hands: realizing the full potential of medical abortion (Pubmed)

(only the abstract is available without subscription)

  • If you would like to read the full article check with your library, either an academic or local public library should be able to help you obtain the full article. 

Contraception. 2018 Feb;97(2):86-89. doi: 10.1016/j.contraception.2017.05.019. Epub 2017 Aug 3.

URL Medication Abortion Through Telemedicine: Implications of a Ruling by the Iowa Supreme Court (Pubmed)
  • For US-based learners, read this published article about the experience in Iowa (full article)

Obstet Gynecol. 2016 Feb; 127(2): 313–316.
URL Self-Managed Medication Abortion: Expanding the Available Options for U.S. Abortion Care (Guttmacher Institute)

  • Read the article about self-managed medication abortion care.

URL Safety of Medical Abortion Provided Through Telemedicine Compared With In Person (Pubmed)

  • The Iowa study by Daniel Grossman and Kate Grindlay.

(only the abstract is available without subscription)

If you would like to read the full article check with your library, either an academic or local public library should be able to help you obtain the full article. 

Obstetrics & Gynecology. 2017 Oct;130(4):778–782, doi: 10.1097/AOG.0000000000002212

URL Reproductive Health Care by Mail (Stanford University)

  • A subscription is required to read the full article.

Stanford Social Innovation Review. Spring 2018; 16(2)

Lesson 6.3: Resources URL Medical Abortion

  • Journal of Obstetrics and Gynaecology Canada (JOGC) – clinical practice guideline

URL Induced Abortion Guideline
  • Journal of Obstetrics and Gynaecology Canada (JOGC) – clinical practice guideline
URL The Care of Women Requesting Induced Abortion - Evidence-based Clinical Guideline Number 7
  • Royal College of Obstetricians and Gynaecologists – clinical guideline
URL Medical Management of First–Trimester Abortion
  • American College of Obstetricians and Gynecologists (ACOG) – practice bulletin
URL 2016 Clinical Policy Guidelines
  • National Abortion Federation (NAF) -  clinical policy guideline
URL Ectopic pregnancy and miscarriage: Ectopic pregnancy and miscarriage: diagnosis and initial management
  • National Institute for Health and Care Excellence (NICE) Clinical guideline
URL Clinical Updates in Reproductive Health
  • IPAS clinical updates
URL Website: Marie Stopes International
  • Marie Stopes International – has international locations
URL Training Sites
  • NAF Training Sites
URL Planned Parenthood Global
  • Planned Parenthood Global – Consider contacting a local affiliate to discuss training opportunities
URL Planned Parenthood: Find a Job Near You
  • Planned parenthood Federation of America – list of affiliates with links to their websites
URL Medical Abortion Study Guide, Second Edition
  • IPAS – summary study guide about medicationabortion
URL Clinical updates in reproductive health
  • IPAS – clinical updates – updated annually
URL Medical Abortion Reference Guide: Induced abortion and postabortion care at or after 13 weeks gestation (‘second trimester’)

  • Ipas:  Additional information about medication abortion in the second trimester can be found on their website, including this guide.

URL Website: Ipas University

  • IPAS University (IpasU) – full courses available, including on medication abortion-related topics.  Portions of these courses were adapted for this course.

URL NAF Protocol for Mifepristone/Misoprostol in Early Abortion

  • National Abortion Federation offers a protocol which can be used as a quick resource

URL Innovating Education in Reproductive Health: Complete course on abortion is available, provides a clinical and nonclinical overview
URL Innovating Education in Reproductive Health: A complete course on Early Pregnancy Loss (EPL, also called miscarriage)
URL Innovating Education in Reproductive Health: An overview of medication abortion can be found here
URL For providers in Canada: Resources and clinical training (CAPS CPCA) provides resources and links to clinical trainings
URL World Health Organization (WHO): Clinical practice handbook for Safe Abortion
URL World Health Organization (WHO): "Clinical management of abortion complications: a practical guide" (advanced)
URL Gynuity Health Projects: Clinical practice guidelines

  • Gynuity Health Projects – clinical practice guidelines

URL Providing Medical Abortion in Low-Resource Settings: An Introductory Guidebook Second Edition

  • Gynuity Health Projects – an introductory guidebook

URL Training in Early Abortion for Comprehensive Healthcare (TEACH): Early Abortion Training Workbook (portions of which are used in this course)
URL medicationabortions.com
  • Put together by Ibis and Cambridge Reproductive Health Consultants
  • International and low resource target audience
  • Some of the information was used as required reading in this course
URL Abortion Care eLectures

  • Royal College of Obstetricians and Gynaecologists – online course in abortion care ($)

URL Special Skills Modules - Ultrasound

  • Royal College of Obstetricians and Gynaecologists – online course on ultrasound skills ($)

URL First-trimester abortion in women with medical conditions

  • Society for Family Planning (SFP) Guideline #20122

URL University of Washington: Online ultrasound course
URL World Health Organization: Sexual and reproductive health Core competencies in primary care
URL Royal College of Obstetricians and Gynaecologists: Online course in abortion care costs money, but the curriculum clinical competencies can be reviewed for free here:
URL Advancing New Standards in Reproductive Health (ANSIRH): Publishes a list of core competencies in early abortion care for primary care physicians:
URL Advancing New Standards in Reproductive Health (ANSIRH): Information on skills evaluation (scroll down)
URL The National Academy of Science: Competencies listed in the report titled “The Safety and Quality of Abortion Care in the United States”
URL Training in Early Abortion for Comprehensive Healthcare (TEACH): List of core competencies
URL Training in Early Abortion for Comprehensive Healthcare (TEACH): Training plan
URL Reproductive Health Access Project: Sample evaluation form for manual vacuum aspiration skills
URL Reproductive Health Access Project: Sample evaluation form for ultrasound skills
URL National Abortion Federation (NAF) – abortion facts
URL Abortion

  • Association of Reproductive Health Professionals (ARHP) – resources

URL Chalk Talk: Is Medication Abortion Right for Me?

  • Association of Reproductive Health Professionals (ARHP) – resource

URL Planned Parenthood
URL Reproductive Health Access Project (RHAP)
URL Talkline

  • All-options (formerly called Backline) – toll free hotline to help women discuss all pregnancy options

URL Exhale: After-abortion support counseling
URL Faith Aloud: A faith-based discussion of options
URL Abortion Clinics Online: Search for abortion providers by state or service
URL Abortion Care Network: Information on how to choose a clinic with a directory
URL National Network of Abortion Funds (NNAF): Can help with financial and logistic barriers
URL National Abortion Federation (NAF): Hotline for financial and logistic support and referrals
URL Reproductive Health Access Project (RHAP):
URL Reproductive Health Access Project (RHAP):
URL National Abortion Federation (NAF):
URL Ipas: Values clarification guide specifically designed for global use
URL Training in Early Abortion for Comprehensive Healthcare (TEACH): Telephone script for FAQ over the phone
URL Training in Early Abortion for Comprehensive Healthcare (TEACH): Guide about starting services in clinic, section on “training staff for new services”
URL Reproductive Health Access Project (RHAP): MedAb FAQ – RHAP
URL Reproductive Health Access Project (RHAP): Role Play Training - RHAP
URL Sample policy and procedures
URL Sample policy and procedures
URL Sample policy and procedures
URL Sample aftercare instructions for patients
URL Sample consent forms
URL Sample documentation template
URL Telephone triage guide (for on-call providers)
URL Danco consent form (in the US)
URL TEACH: Sample template for clinic note
URL Contraception and Abortion Research Team (CART) at University of British Columbia: Checklists made for Canadian prescribers and pharmacists

See the “Documents folder" for a Medical Abortion Prescribers Checklist, Medical Abortion Prescribers Guide, Medical Abortion Pharmacy Checklist, and Medical Abortion Pharmacy Guide

URL Reproductive Health Access Project (RHAP): Ordering mifepristone (in the US)
URL Reproductive Health Access Project (RHAP): Coding guide (in the US)
URL MA Supply Guidance Tool (zip)

  • Ipas – medication abortion supply guidance tool

URL Ipas: Gestational dating wheels (For mife/miso and miso-only MAB)
URL Ipas: Gestational dating wheels (For mife/miso and miso-only MAB)
URL Center for Reproductive Rights: Map and information about legal restrictions internationally
URL Guttmacher Institute: State laws and policies
URL International Consortium for Emergency Contraception (information on EC)
URL Gynuity Health Projects
URL International Consortium for Medical Abortion
URL International Planned Parenthood Federation
URL Marie Stopes International
URL medicalabortions.com (from Ibis Reproductive Health)
URL misoprostol.org - Safe usage guide for Obstetrics and Gynaecology
URL Women on Web
URL Plan C
URL Reproductive Health Access Project (RHAP)
URL RHEDI
URL Ipas
URL IpasU
URL TEACH
URL NAF
URL Innovating Education in Reproductive Health
URL Reproductive Health Matters: An international journal on sexual and reproductive health and rights
URL Contraception (Journal)
URL American College of Obstetricians and Gynecologists
URL Royal College of Obstetricians and Gynaecologists
URL Society of Obstetricians and Gynaecologists of Canada
URL Global Doctors for Choice