National Abortion Federation Risk Management Seminar

This conference held in Mexico city September 10-12 was the first meeting of the National Abortion Federation held in Latin America, attracting approximately 300 abortion providers, researchers and advocates from the U.S., Canada, Mexico and Latin America. Gynuity staff served on the organizing committee and was responsible for developing and coordinating several panel sessions as described below.

MEDICAL ABORTION: SHARE EXPERIENCES & INNOVATION
Moderator: Ilana Dzuba, Gynuity Health Projects

• Innovations and research gaps in medical abortion – Beverly Winikoff, Gynuity Health Projects
• The Canadian experience: Challenges to registering mifepristone and medical abortion regimens in lieu of mifepristone – Dawn Fowler, National Abortion Federation
• United States: Reaching women with low-tech telemedicine – Amy Hagstrom Miller, Whole Women’s Health
• The role of medical abortion in Latin America – Linda Valencia, Planned Parenthood Global

PAIN MANAGEMENT: SURGICAL AND MEDICAL ABORTION
Moderator: Alfonso Carrera, Ipas

• Pain management in first trimester surgical abortion – Alison Edelman, Oregon Health Sciences University and Ipas
• Pain management in first trimester medical abortion – Elizabeth Raymond, Gynuity Health Projects
• Pain management in second trimester surgical abortion – Eleanor Drey, University of California, San Francisco
• Pain management in second trimester medical abortion – Nathalie Kapp, World Health Organization
• Experience with pain management in a Latin American provider network – Laura Gil, Oriéntame/ ESAR

SKILLS BUILDING TRAINING WORKSHOP – SECOND TRIMESTER MEDICAL ABORTION
Moderator: Melanie Peña, Gynuity Health Projects
I. PANEL: Medical Induction for Live Fetuses and Fetal Death: The Science

• Literature review on use of medications for 2nd trimester induced abortion. Nathalie Kapp, World Health Organization
• Medical management of intrauterine fetal death (IUFD. Beverly Winikoff, Gynuity Health Projects
• Practical considerations. Paul Blumenthal, Stanford University

II. ROUND TABLE: Current practice using medical induction methods – regional perspectives

• Rodica Comendant, Gynuity Health Projects (Moldova)
• Kate Worsley, Marie Stopes International (UK)
• Ricardo Cavazos, Secretaría de Salud del Distrito Federal (Mexico)

III. PANEL: Sociocultural and ethical issues related to medical induction

• Patient preferences for surgical abortion vs. medical induction. Eleanor Drey, University of California, San Francisco
• Provider preferences for surgical abortion vs. medical induction. Yari Vale, University of Puerto Rico
• Ethical and psychosocial issues. Lisa Harris, University of Michigan

IV. PANEL: Considerations for expanding medical abortion services into the second trimester.

• Alison Edelman, Oregon Health Sciences University and Ipas
• Laura Gil, Oriéntame/ ESAR