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Review
. 2025 Jun;52(2):277-290.
doi: 10.1016/j.pop.2025.01.002. Epub 2025 Apr 1.

Abortion in Primary Care

Libby Wetterer  1 , Hannah Rosenfield  2 , Hilary Gortler  3 , Martha Simmons  4
Affiliations
Review

Abortion in Primary Care

Libby Wetterer et al. Prim Care. 2025 Jun.

Abstract

Integrating abortion into primary care reduces barriers and increases access. Medication abortion (MAB) using mifepristone and misoprostol, or misoprostol alone, is safe and effective. MAB can be initiated with a clinician, in person, or via telehealth, as well as self-managed. Follow-up should be offered but can also be self-directed. Procedural abortion (PAB) should be trauma-informed and include options for pain control. PAB does not require follow-up. Medication and procedural abortion care is part of full-spectrum reproductive health care and within the scope of the primary care clinician.

Keywords: Abortion; Medication abortion; Mifepristone; Misoprostol; Procedural abortion; Reproductive Justice.

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Conflict of interest statement

Disclosures Dr M. Simmons receives honoraria from Organon for Nexplanon training. The findings and conclusions in this article are those of the authors and do not necessarily represent the views of Planned Parenthood Federation of America, Inc. All other authors report no disclosures.