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Position of The College

The American College of Nurse-Midwives is committed to supporting policy solutions that ensure all people have access to a full-range of preventive, reproductive, and sexual health services. The world’s major health and human rights organizations affirm that when individuals have full autonomy over their reproductive health, it elevates level of education and economic growth for themselves and their families, benefitting entire communities.

ACNM is committed to individual patient autonomy across the spectrum of reproductive health, including abortion. This commitment includes advocating to keep abortion access unconditionally safe and legal for all people midwives serve, but especially for vulnerable populations with limited resources and unequal access to quality healthcare.

As we recognize the vital role access to comprehensive reproductive and sexual health plays in reducing health and economic disparities, we will continue to voice our opposition to state and federal legislation and/or regulation that aims to restrict access to the full-range of sexual and reproductive health services, including abortion, or compromise the safety of such care. Below you can access position statements from ACNM reaffirming our stance, clinical guidance, research for evidence-based practice, training opportunities, and legal guidance for midwives and other medical professionals.

Statements on Reproductive Health Limitations

ACNM Statement on AL Supreme Court IVF Ruling - February 2024
ACNM Condemns SCOTUS Decision, Dobbs v. Jackson Women’s Health Organization
ACNM Opposes State Legislative Threats to Abortion Care

ACNM Position Statement on Midwives as Abortion Care Providers 
ACNM Position Statement on Access to Sexual and Reproductive Health Care Service

Amicus Briefs Joined by ACNM

ACNM, NPWH, AAPA, and APAOG SCOTUS Amicus Brief Following 5th Circuit Decision - February 2024

ACNM and NPWH Amicus Brief in Support of a "Stay" in the Alliance for Hippocratic Medicine vs. U.S. Food and Drug Administration - May 2023

ACOG et. al. Amicus Brief in Support of the Application for an Administrative Stay in the Alliance for Hippocratic Medicine vs. U.S. Food and Drug Administration - April 2023

Clinical Guidance & Research

Decision Assessment and Counseling in Abortion Care - Alissa Perrucci, PhD
This book is a manual for conducting pregnancy decision making counseling for all types of providers.

Alissa Perrucci is the Counseling and Administrative Manager at the UCSF Women’s Options Center. Under her vision and leadership, the Women’s Options Center has become a national model for skilled, compassionate abortion counseling. It is also an invaluable resource for clinical researchers and family planning trainees. Additionally, she is the recipient of the National Abortion Federation's C. Lalor Burdick Award, which honors “unsung heroes whose daily commitment to excellence exemplifies the ideals of NAF’s members.”

Access Delivered: A Toolkit for Providers Offering Medication Abortion

This Provider Toolkit offers a step-by-step guide for initiating a modern medication abortion service within your primary care practice. It provides information on setting up the service, patient-centered standards of care, and resources for understanding federal and state regulations on abortion services. This toolkit it provided through the partnership of the University of Washington's School of Medicine and Plan C, an information campaign that seeks to transform access to abortion in the US by normalizing the self-directed option of abortion pills by mail.

Telehealth Equity & Medication Abortion Care: Overview & Advocacy Guide

Download the "Telehealth Equity & Medication Abortion Care: Overview & Advocacy Guide," part of the EMAA (Expanding Medication Abortion Access) Project’s efforts to expand access to medication abortion care using telehealth and strengthen collaboration across communities to advocate for policies which improve equitable access to telehealth.

2022 Clinical Policy Guidelines

The National Abortion Federation (NAF) is the professional association of abortion providers. The mission of the National Abortion Federation is to unite, represent, serve, and support abortion providers in delivering patient-centered, evidence-based care. The Clinical Policy Guidelines are offered in English, Spanish, and French. 

Maximizing Skills in GYN Office Procedures

Provided through the University of California San Francisco 

Pain with Office Gyn Procedures: Tips, Tricks and Evidence
 | Karen R. Meckstroth, MD, MPH
Dr. Karen R. Meckstroth is director of the UCSF Center for Pregnancy Options. She is also a generalist obstetrician and gynecologist in the UCSF faculty division at Zuckerberg San Francisco General Hospital and Trauma Center, and she serves as consulting medical director for the Women's Community Clinic in San Francisco. Meckstroth is a fellow of the American College of Obstetricians and Gynecologists. She is a member of the Society of Family Planning and serves on a regional advisory panel for Physicians for Reproductive Health.

EXPLAINED: So-called "Abortion Reversal"

Dr. Monica McLemore, of the University of California San Francisco, explains what everyone needs to know about so-called “abortion reversal”.

Facts are Important: Medication Abortion "Reversal" Is Not Supported by Science

The American College of Obstetricians and Gynecologists is a professional association of physicians specializing in obstetrics and gynecology. ACOG produces practice guidelines for health care professionals and educational materials for patients, provides practice management and career support, facilitates programs and initiatives to improve women’s health, and advocates for members and patients.

The Safety and Quality of Abortion Care in the United States
from the National Academies of Sciences, Engineering, and Medicine
The National Academy of Sciences, The National Academy of Engineering, and The National Academy of Medicine work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

The Turnaway Study

Advancing New Standards in Reproductive Health (ANSIRH), based at the University of California San Francisco (UCSF), is a leading research program that informs the most pressing debates on reproductive health, rights, and access. The Turnaway Study is ANSIRH’s prospective longitudinal study examining the effects of unwanted pregnancy on women’s lives. The major aim of the study is to describe the mental health, physical health, and socioeconomic consequences of receiving an abortion compared to carrying an unwanted pregnancy to term.

Training & Education 

Early Abortion Training Curriculum | TEACH
Training in Early Abortion for Comprehensive Healthcare (TEACH) trains clinicians in reproductive health, enables them to provide abortion care, and cultivates the next generation of reproductive health champions to ensure everyone has access to comprehensive healthcare. The newly revised 6th edition of the TEACH Early Abortion Training Curriculum is an all-inclusive interactive curriculum with tools to train new reproductive health providers to competence.

Ultrasound in Abortion Care, Ultrasound Training Workbook
from the Affiliates Risk Management Services, Inc.(ARMS) & the Planned Parenthood Consortium of Abortion Providers (CAPS) 

Clinical Abortion Staffing Solutions

CASS was founded with one goal in mind: to support the people and places that make safe, timely, compassionate abortion care possible. We seek to promote equitable abortion access by connecting abortion providing sites to committed healthcare professionals, offering targeted technical assistance to both sites and abortion care job seekers, and supporting abortion providing sites in creating fulfilling and equitable work environments.

Individual Clinical Training
| Midwest Access Project
Midwest Access Project (MAP) seek to improve access to comprehensive reproductive health care by training providers in abortion, miscarriage care, contraception, and pregnancy options counseling. To meet MAP’s mission to expand access to high quality reproductive health training and services, the clinical training program’s strategic direction is to train a diverse array of anti-racist health care professionals who are highly motivated to provide comprehensive reproductive health care in their future practice to under-served patient populations, but who lack access to the clinical training to do so.

The Abortion Course
ANSIRH Simulation Videos | Innovating Education in Reproductive Health
Innovating Education in Reproductive Health is a project of the Bixby Center for Global Reproductive Health. The mission of the project is to generate, curate, and disseminate free curricula and learning tools about sexual and reproductive health, including abortion, in order to transform health professions education.

Abortion Pill CME
TEACH has developed a video-based online training about the use of mifepristone for early abortion or miscarriage management. This CME training is in collaboration with UC Davis, Brown University, Bixby Center for Reproductive Health, & the Society of Family Planning (SFP).

How to Order Mifepristone & Helpful Fact Sheets | RHAP

The Reproductive Health Access Project (RHAP) trains, supports, and mobilizes primary care clinicians to ensure equitable access to sexual and reproductive health care, including abortion. By centering communities most impacted by barriers to care, RHAP fills critical gaps in clinical education and care delivery.

Want to offer medication abortion? Email Christie Pitney at [email protected]

Legal Guidance 

An Overview of Abortion Laws | The Guttmacher Institute 
The Guttmacher Institute is a leading research and policy organization committed to advancing sexual and reproductive health and rights (SRHR) worldwide. The Guttmacher Institute envisions a future in which all people can realize their rights and access the resources they need to achieve sexual and reproductive health. This vision is aligned with a progressive and evidence-based definition of SRHR, grounded in human rights, which holds that sexual and reproductive health is not merely the absence of disease, dysfunction or infirmity but a state of physical, emotional, mental and social well-being in all aspects of sexuality and reproduction.

Medication Abortion by Telehealth: Legal Issues for Providers | RAAP
Regulatory Assistance for Abortion Providers (RAAP), provides free legal compliance advice to eligible abortion providers in all U.S. states and territories. Experts can help with questions about establishing or expanding services, complying with abortion-specific state laws, preparing for or responding to facility inspections, offering medication abortion by telehealth, staff and practitioner scope-of-practice, and more. You can contact RAAP via [email protected].

Moonlighting: Employment Contract Toolkit
 | National Women's Law Center

The National Women’s Law Center fights for gender justice—in the courts, in public policy, and in our society—working across the issues that are central to the lives of women and girls. We use the law in all its forms to change culture and drive solutions to the gender inequity that shapes our society and to break down the barriers that harm all of us—especially women of color, LGBTQ people, and low-income women and families. For nearly 50 years, we have been on the leading edge of every major legal and policy victory for women.

Repro Legal Helpline
: Legal support for patients/people self-managing, and minors trying to access abortion

Repro Legal Helpline is run by If/When/How: Lawyering for Reproductive Justice, a non-profit organization made up of advocates, organizers, and lawyers helping to build a future where everyone is free to make their own decisions about their bodies and reproductive lives. The Repro Legal Helpline is a free, confidential helpline where you can get legal information or advice about self-managed abortion, young people's access to abortion or judicial bypass, and referrals to local resources.

American College of Nurse-Midwives
409 12th St SW, Suite 600, Washington, DC 20024-2188
Phone: 240.485.1800
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