Clinical practice handbook for quality abortion care
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World Health Organization
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xvii, 109 p.
An adapted tool based on this guideline is available as the Comprehensive Abortion Care (CAC) Wheel: https://iris.who.int/handle/10665/385725
This clinical practice handbook provides operational guidance to support the implementation of the World Health Organization’s 2022 Abortion care guideline, translating evidence-based recommendations into practical steps for health workers delivering abortion services. It addresses the full continuum of care, including pre-abortion assessment, counselling and decision-making, provision of medical and surgical abortion, and post-abortion care. The document is intended for trained health-care providers and aims to facilitate consistent, high-quality, and person-centred services across diverse legal and health system contexts. The handbook outlines key clinical considerations such as determining gestational age, infection prevention, pain management, and the selection of appropriate abortion methods based on individual circumstances. It emphasizes informed consent, autonomy, confidentiality, and non-discrimination, while also incorporating options for self-management and community-based care where appropriate. Detailed guidance is provided on managing complications, follow-up care, and post-abortion contraception. Grounded in principles of quality of care and human rights, the handbook supports evidence-based decision-making and aims to strengthen safe, effective and accessible abortion care within health systems.
An adapted tool based on this guideline is available as the Comprehensive Abortion Care (CAC) Wheel: https://iris.who.int/handle/10665/385725
This clinical practice handbook provides operational guidance to support the implementation of the World Health Organization’s 2022 Abortion care guideline, translating evidence-based recommendations into practical steps for health workers delivering abortion services. It addresses the full continuum of care, including pre-abortion assessment, counselling and decision-making, provision of medical and surgical abortion, and post-abortion care. The document is intended for trained health-care providers and aims to facilitate consistent, high-quality, and person-centred services across diverse legal and health system contexts. The handbook outlines key clinical considerations such as determining gestational age, infection prevention, pain management, and the selection of appropriate abortion methods based on individual circumstances. It emphasizes informed consent, autonomy, confidentiality, and non-discrimination, while also incorporating options for self-management and community-based care where appropriate. Detailed guidance is provided on managing complications, follow-up care, and post-abortion contraception. Grounded in principles of quality of care and human rights, the handbook supports evidence-based decision-making and aims to strengthen safe, effective and accessible abortion care within health systems.