Abortion Care beyond 13 Weeks' Gestation: A Global Perspective

Megan A. Cohen, Nathalie Kapp, Alison Edelman

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


The majority of abortions are performed early in pregnancy, but later abortion accounts for a large proportion of abortion-related morbidity and mortality. People who need this care are often the most vulnerable-the poor, the young, those who experience violence, and those with significant health issues. In settings with access to safe care, studies demonstrate significant declines in abortion-related morbidity and mortality. This review focuses on evidence-based practices for induced abortion beyond 13 weeks' gestation and post-abortion care in both high- and low-resource settings. We also highlight key programmatic issues to consider when expanding the gestational age for abortion services.

Original languageEnglish (US)
Pages (from-to)460-474
Number of pages15
JournalClinical obstetrics and gynecology
Issue number3
StatePublished - Sep 2021


  • D&E
  • abortion
  • later abortion
  • low-resource setting
  • medical abortion
  • second trimester abortion

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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