Uterine Evacuation in Crisis Settings Using Medications
- Updated 7/12/2021
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Overview
The Uterine Evacuation in Crisis Settings Using Medications outreach refresher training is designed for clinical facilitators leading an introductory or refresher course for clinicians with reproductive health backgrounds. This includes midwives, nurses, general practice physicians, obstetrician/gynecologists, and others who will provide first-trimester uterine evacuation in crisis settings, but may not be trained in the use of mifepristone and/or misoprostol for uterine evacuation. Participating health care workers will learn the knowledge and skills to provide uterine evacuation with medications.
This course focuses on the use of medications, rather than comprehensive abortion or postabortion care. It does not cover the use of manual vacuum aspiration (MVA) for uterine evacuation unless combined with the Uterine Evacuation in Crisis Settings using Manual Vacuum Aspiration training for a combined course in both technologies. For broader training materials on comprehensive abortion care and comprehensive postabortion care, refer to the Ipas Woman-Centered, Comprehensive Abortion Care Facilitator’s Manual (2nd ed.) and other Ipas curricula on the Ipas website.
Additionally, the training includes discussions and activities that promote the sustainability of services and address ongoing training needs where there is high staff turnover. The course is designed for in-person training workshops in crisis settings with limited resources. The training can take place onsite or offsite in a nearby referral facility.
Course Materials
Components
Course components include:
- Presentation slides
- Case studies
- Interactive activities
- Pre- and post-tests
- Skills checklists and other job-aids
Options to Download Course Materials
You can access the materials for planning and managing the Clinical Management of Sexual Violence Survivors in Crisis Settingsoutreach refresher training using the following links:
- Download all materials in a single zip folder.
- Download the full facilitator’s guide, participant’s workbook, and PowerPoint presentation.
- View all additional references and resources.
- Download the individual materials from their associated units, listed below.
Course Units
The training is divided into seven units.
Unit 1: Course Overview
This unit introduces participants to each other, the course overview, and the course objectives.
Unit 2: Uterine Evacuation in Crisis Settings
This unit explains why uterine evacuation is an essential part of reproductive health services in crisis settings; explores comfort levels in discussing, advocating, and providing uterine evacuation services; and reviews the current abortion law in the setting and how it relates to what and how services are provided.
Unit 3: Uterine Evacuation Methods and Postabortion Contraception
This unit explains the various uterine evacuation options and why manual vacuum aspiration (MVA) and medical methods are especially useful in crisis settings; the safety, effectiveness, and possible complications of MVA and medical methods; medical eligibility for select methods of postabortion contraception; and obtaining informed consent prior to uterine evacuation.
Unit 4: Medications for Medical Abortion and Postabortion Care
This unit explains eligibility requirements and contraindications for medical abortion and postabortion care with mifepristone and/or misoprostol; recommended medication regimens; expected effects, side effects, warning signs, potential complications, and complications management; and post-procedure care and follow-up.
Unit 5: Assessment of Shock and Underlying Causes in Postabortion Care
This unit explains how to identify signs and symptoms of severe abortion-related complications, including shock.
Feedback on the Training Materials
The IAWG Training Partnership Initiative is interested in hearing from you. Please share any questions or feedback to info.iawg@wrcommission.org regarding the training materials and their use in your context.