The World Health Organization states that follow-up is not required following an uncomplicated procedural abortion to expand access.
While medical needs after dilation and evacuation (D&E) are rare due to the safety of this procedure, the circumstances that bring people to care may have substantial emotional impact, including fetal anomalies, maternal health conditions or challenging socioeconomic experiences.
We implemented a quality improvement (QI) initiative at an academic centre to increase post-D&E mental health screening over 8 months. We iteratively designed a new workflow (). Staff conducted post-procedure calls to perform a brief mental health screen, followed by an adapted RGS (“loss” changed to “pregnancy outcome”)…