{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:44:04Z","timestamp":1792115044901,"version":"4.4.0"},"reference-count":10,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,8,19]],"date-time":"2027-08-19T00:00:00Z","timestamp":1818633600000},"content-version":"am","delay-in-days":291,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100008091","name":"University of Rochester","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008091","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR002001"],"award-info":[{"award-number":["UL1 TR002001"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","contraceptionjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Contraception"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.contraception.2026.111568","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:42:17Z","timestamp":1785393737000},"page":"111568","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Fetal demise duration and bleeding outcomes at the time of dilation and evacuation"],"prefix":"10.1016","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5607-173X","authenticated-orcid":false,"given":"Elisabeth","family":"Sulger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke A.","family":"Levandowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Fronk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Stuehling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Betstadt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.contraception.2026.111568_bib1","doi-asserted-by":"crossref","first-page":"260","DOI":"10.2307\/2134915","article-title":"Second-trimester abortions in the United States","volume":"16","author":"Grimes","year":"1984","journal-title":"Fam Plann Perspect"},{"issue":"9","key":"10.1016\/j.contraception.2026.111568_bib2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.ss7209a1","article-title":"Abortion Surveillance \u2014 United States, 2021","volume":"72","author":"Kortsmit","year":"2023","journal-title":"MMWR. Surveill Summ"},{"issue":"2 Pt 1","key":"10.1016\/j.contraception.2026.111568_bib3","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1097\/AOG.0b013e3182051519","article-title":"Uterine evacuation for second-trimester fetal death and maternal morbidity","volume":"117","author":"Edlow","year":"2011","journal-title":"Obstet Gynecol"},{"issue":"4","key":"10.1016\/j.contraception.2026.111568_bib4","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1097\/AOG.0000000000003460","article-title":"Disseminated intravascular coagulation and hemorrhage after dilation and evacuation abortion for fetal death","volume":"134","author":"Kerns","year":"2019","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.contraception.2026.111568_bib5","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ijoa.2020.03.001","article-title":"Maternal and procedural factors associated with estimated blood loss in second trimester surgical uterine evacuation: a retrospective cohort analysis","volume":"43","author":"Bridges","year":"2020","journal-title":"Int J Obstet Anesth"},{"issue":"5","key":"10.1016\/j.contraception.2026.111568_bib6","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.contraception.2018.01.008","article-title":"Estimated versus measured blood loss during dilation and evacuation: an observational study","volume":"97","author":"Serapio","year":"2018","journal-title":"Contraception"},{"issue":"5","key":"10.1016\/j.contraception.2026.111568_bib7","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1097\/AOG.0000000000001110","article-title":"Disseminated intravascular coagulation syndromes in obstetrics","volume":"126","author":"Cunningham","year":"2015","journal-title":"Obstet Gynecol"},{"issue":"1","key":"10.1016\/j.contraception.2026.111568_bib8","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1038\/s41572-021-00264-3","article-title":"Trauma-induced coagulopathy","volume":"7","author":"Moore","year":"2021","journal-title":"Nat Rev Dis Primers"},{"key":"10.1016\/j.contraception.2026.111568_bib9","doi-asserted-by":"crossref","DOI":"10.1016\/j.contraception.2023.110118","article-title":"Characteristics and outcomes of patients undergoing second-trimester dilation and evacuation for intrauterine fetal demise vs induced abortion","volume":"126","author":"Potter","year":"2023","journal-title":"Contraception"},{"issue":"5","key":"10.1016\/j.contraception.2026.111568_bib10","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/j.contraception.2016.06.008","article-title":"Risk of hemorrhage during surgical evacuation for second-trimester intrauterine fetal demise","volume":"94","author":"Fontenot Ferriss","year":"2016","journal-title":"Contraception"}],"container-title":["Contraception"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0010782426002052?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0010782426002052?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:47:58Z","timestamp":1792111678000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0010782426002052"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":10,"alternative-id":["S0010782426002052"],"URL":"https:\/\/doi.org\/10.1016\/j.contraception.2026.111568","relation":{},"ISSN":["0010-7824"],"issn-type":[{"value":"0010-7824","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Fetal demise duration and bleeding outcomes at the time of dilation and evacuation","name":"articletitle","label":"Article Title"},{"value":"Contraception","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.contraception.2026.111568","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"111568"}}