10. PRACTICE INTEGRATION
Updated 2025 by Nikia Grayson DNP, MPH, CNM, FNP-C; Divya Bhatia MD; Meera MD;
and Jillian MacLeod, Esq.
This chapter is designed to aid clinicians, clinics, and organizations interested in integrating early pregnancy loss (EPL) and abortion care into their own practice. We recognize that our audience comes from different settings, training backgrounds, and political environments, and we have aimed to provide a breadth of tools to reflect these differences. Additional tools and handouts are linked in the chapter and available online at TEACH Office Practice Tools and Reproductive Health Access Project.
Learning Objectives
Following completion of this chapter, you should be better able to:
- Find allies and build buy-in among staff, providers, community, and key stakeholders
- Discuss initial steps for introducing services into a practice, including telehealth medication abortion services
- Learn pertinent aspects of medical documentation and quality assurance
- Know how to find current legal restrictions and reporting requirements for your state or setting
- Ensure the care you provide is accessible to people with disabilities
- Know about common malpractice issues, financial opportunities and funding restrictions for your setting
- Understand clinic security precautions important for abortion provision
- Understand where you can find ongoing support in your region or country
Videos
Readings / Resources
- Access, Delivered: A Toolkit for Providers
- Abortion Clinic Toolkit
- Reproductive Health Access Project: Toolkit for Integrating Medication Abortion into Primary Care
- TEACH Office Practice Tools
- Early Pregnancy Clinic Toolkit
- Access Bridge MAB and EPL clinical workflows
- Reprohealth Hotline (ReproHH): Free, confidential, evidence-based hotline for repro health providers (1-844-REPROHH)
- Varney’s Midwifery – Chapter 22: Early Pregnancy Loss & Abortion Care
- Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care
- Chapter 23: Ensuring quality care in abortion services
- Appendix: Resources for Abortion Providers