Mid-Level Providers of Medical Abortion in the United States Elizabeth Talmont, MSN, NP

Regimen Up to 63 days LMP Day 1 Ultrasound required 200 mg mifepristone at clinic Antibiotics X 7 days Day 2 or mcg buccal misoprostol, self-administered Day 7-14 Return to clinic for ultrasound

Growth of Planned Parenthood Health Centers Offering MAB Only Source: CAPS Mifepristone Quarterly Surveyy and Data Analytics Group Medical Center Directory

Abortion Care Team Health Educator (non-licensed) – Patient Education, laboratory and in some cases ultrasound. Mid-levels – Ultrasound, physical exam, lab – Prescribe and give out abortion medications – ½ of all medical abortion clinics do not have surgical back up on site. Physicians – as needed.

Mid-level providers want and can provide medical abortion Key outcomes: – Safe – Cost effective – Increased early access to abortion – Patients are satisfied when we give them what they want, when they want it!

“Abortion is almost as old as childbirth. There has always been a need for some women to end their pregnancies. In modern times, the law’s attitude toward it has varied.” Jeffery Toobin, The New Yorker (11/23/09) 9