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The clinical management of abortion.


 Unsafe abortion is associated with inadequate provider skills, hazardous techniques, unsanitary facilities, advanced gestational age, and marginal social class status. Abortion legalization leads to better trained personnel, more adequate medical facilities, and lowered gestational age. However, even in countries where abortion remains illegal or restricted, abortion complications can be significantly reduced through the provision of modern medical conditions. Emergency abortion care must be integrated into all levels of the health care system, and accurate initial assessment and prompt management of women suspected of an incomplete abortion diagnosis are essential. Community health workers should be trained to recognize the signs and symptoms of abortion and its complications. Improvements in the clinical management of induced abortion must be supplemented by improved access to contraceptive services and the active involvement of community women in reproductive health campaigns.
