Management of Individuals with Bleeding or Thrombotic Disorders Undergoing Abortion

For first-trimester abortion, surgical management is generally preferred over medical management for individuals with bleeding disorders or who are on anticoagulation. For second-trimester abortion, surgical management may be recommended to limit bleeding though this has not been studied in these populations. Providers should individualize the mode of abortion with the approach of shared decision making, interdisciplinary collaboration, and accounting for the availability of procedural abortion and resources if complications.