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Abigail Liberty, MD MSPH Profile picture
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Dec 3 • 4 tweets • 2 min read
Dr. Henkle: Breast engorgement after 2nd trimester abortion is common, under appreciated and under treated. There is poor evidence for non pharmacologic interventions (cabbage leaves). CABERGOLINE is a safe, well tolerated treatment to prevent this. Downside: COST

#SFP2022
There are several important contraindications to cabergoline including hypertension.

#SFP2022
Dr. Henkel explains that there is evidence for symptomatic lactogenesis as early as 16w, but for the study they restricted to >18w

#SFP2022
Does undesired lactation after an abortion pose a privacy risk for people in restricted states?

#SFP2022

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More from @abbyliberty1

Abigail Liberty, MD MSPH Profile picture
Dec 5
Closing with the session: Collateral Damage: Graduate Medical Education in Post-Dobbs US

#SFP2022
Where you train is where you work. Half of physicians stay in the states where they do their residency, so there is unlikely to be spontaneous sharing of abortion knowledge across communities. Healthcare inequities will continue to rise.

#SFP2022

states.guttmacher.org/policies/
While this panel will focus on medical specialities, including OBGYNS and FM residents who are some of the most diverse subspecialties, there are so many trainees impacted by abortion restrictions including @ACNMmidwives and @GeneticCouns not to mention Pediatric and EM

#SFP2022
Read 38 tweets
Abigail Liberty, MD MSPH Profile picture
Dec 5
Next up: Is less more? A critical appraisal of medication abortion follow up with @VitalaGlobal @uoftobgyn @Stanford @Gynuity @UTAustin and Alamo Women's Health Clinic in Albuquerque

#SFP2022
Mifepristone approval/access has grown in so many ways:
- Globally access improved
- Indications for use expanded
- Methods of delivery expanding (telemedicine, meds by mail)

#SFP2022 Image
In Europe, Germany had the lowest uptake of medication abortion. This might be due to low reimbursement for simple and safe care in Germany and medication abortion is so safe!

#SFP2022
Read 26 tweets
Abigail Liberty, MD MSPH Profile picture
Dec 4
Patient Confidentiality as a Reproductive Justice Issue session by @prhdocs and @ifwhenhow

#SFP2022
Speaker Alejandra Pablos shares her story #KeepAleFree and encourages others to do so too through @AbortionStories. She says her story of fighting deportation, being detained and says that fighting for abortion rights are an intuitive extension of her goals and values.

#SFP2022 Image
Dr. Perritt @Reprorightsdoc encourages the audience to center on their own positionality. We focus on disclosures in medicine, but positionality - where we grew up, who we are, how the world sees us - are probably more important in framing our actions.

#SFP2022
Read 31 tweets
Abigail Liberty, MD MSPH Profile picture
Dec 3
Today's closing session is entitled Hablamos Español: Why Language & Culture Matters in Family Planning

#SFP2022
Speakers are from @PPFA where they lead the strategy and content that aims to to increase inclusivity and culturally appropriate care among Spanish speaking populations

#SFP2022
They recognize that this is a HUGE task because of the immense diversity among Latinx populations. However, they report that language can be unifying across these cultural differences.

#SFP2022
Read 24 tweets
Abigail Liberty, MD MSPH Profile picture
Dec 3
Kyle Latack, MD from @UMichOBGYN_Res speaking about Copper v Hormonal IUD breakage reporting with the @US_FDA Adverse Event Registry

#SFP2022
@UMichOBGYN_Res @US_FDA Reports of IUD breakage is increasingly common in the media.

#SFP2022
They found 170,215 events of which 6,284 represented mechanical breakdown or breakage reports.

These were more frequent among copper IUD with an OR 6.19.

#SFP2022
Read 18 tweets
Abigail Liberty, MD MSPH Profile picture
Dec 3
Now Ci'erra Larsen of @EmoryRollins speaking on Barriers to Abortion Access for Young Southerns: A Qualitative Analysis of @ARC_Southeast

#SFP2022
**TRIGGER WARNING FOR UPCOMING CONTENT**

Young people reported financial barriers and overcame these with:
- Selling possessions
- Formal and informal loans
- Short term employment

#SFP2022
Young people also reported
- Exhausted social networks for support
- Privacy concerns
- Threats to personal safety

They also reported fear of family separation secondary to their pursuit of healthcare triggering ICE involvement.

#SFP2022
Read 6 tweets

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