CONFERENCE PROCEEDING
Clinical midwifery skills for management of early pregnancy loss and induced abortion: A patient-centered and trauma-informed model of care
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University of Illinois Chicago, Human Development Nursing Science, Chicago, United States
 
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Planned Parenthood of Virginia, Ultrasound and Abortion Care, Richmond, United States
 
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Choices Center for Reproductive Health, Chief Clinical Officer, Carbondale, United States
 
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University of Washington, Biobehavioral Nursing & Health Informatics, Seattle, United States
 
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Maine Family Planning's Center for Reproductive Health, Abortion- gender Affirming Care- Sexual and Reproductive Health, Agusta, United States
 
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University of Illinois Chicago, Obstetrics and Gynecology, Chicago, United States
 
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Planned Parenthood of Pasadena and San Gabriel Valley, Director of Medical Services, Pasadena, United States
 
 
Eur J Midwifery 2026;10(Supplement 1):A1094
 
ABSTRACT
THE LEARNING OUTCOMES:
1) Demonstrate values clarification facilitation skills to foster a safe clinical space for abortion care. 2) Demonstrate clinical skills for performing a uterine aspiration, including placing a tenaculum, performing a paracervical block, maintaining sterile technique, dilating the cervix, and manual vacuum aspiration 3) Demonstrate clinical skills for medication management of early pregnancy loss and abortion, including counseling, administration, follow-up, and complications.

THE PROCESS/ACTIVITIES:
1) Values-Clarification Icebreaker: The Comfort Continuum (15min) a. Signs displaying “Very comfortable” to “Very uncomfortable” are placed on walls around the room. b. Presenters read statements about patients seeking abortion. c. Participants move nearest the sign representing their comfort level with each statement. d. Volunteers share reasoning for their positions. e. Presenters demonstrate group facilitation skills, reflecting on participant responses. 2) Medication and Procedural Abortion Didactic Overview (20min) a. Patient-centered counseling b. Trauma-informed clinical management c. Follow-up care d. (Un)Common complications 3) Procedural Abortion Skills Simulation (25min) a. Active demonstration of MVA counseling, procedure, and techniques. b. Participants practice hands-on MVA skills using dragon fruit. c. Participants simulate patient communication during MVA procedure while aspirating dragon fruit. 4) Medication Abortion Skills Simulation (25min) a. Volunteers roleplay clinical scenarios. The presenter roleplays a patient seeking abortion care. b. Each scenario has discrete learning objectives related to medication abortion management, complications, and follow-up. c. Debrief after each scenario, sharing feedback on clinical decision-making and patient-centered communication. 5) Discussion (5min).

AUDIENCE PARTICIPATION:
Interactive hands-on medication abortion clinical simulation. Additional reading Turner KL, et al. Values clarification workshops to improve abortion knowledge, attitudes and intentions: a pre-post assessment in 12 countries. Reprod Health. 2018;15:1-11. Freeman J, Dobbie A. Papaya: a simulation model for training in uterine aspiration. Fam Med. 2005;37(4):242-244. Watts PI, et al. Onward and upward: introducing the healthcare simulation standards of best practice. Clin Simul Nurs. 2021;58.
eISSN:2585-2906
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