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In response, the Division of Midwifery at Baystate Medical Center in Springfield, Massachusetts, began a medication abortion service for both established patients and those who may seek care from out of state. This service increases access to abortion care now while also providing the clinical experience needed for student nurse\u2010midwives to become future abortion providers. This article outlines the steps taken to implement a medication abortion service and ways it can be adopted by other midwifery practices. Strategies to address possible clinical, administrative, and logistical challenges are addressed. Finally, this article is a call to action because midwives are well qualified to provide high quality, safe, and comprehensive medication abortion within the midwifery model of care.<\/jats:p>","DOI":"10.1111\/jmwh.13556","type":"journal-article","created":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T18:04:44Z","timestamp":1694714684000},"page":"764-768","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Midwives Safeguarding Abortion Access: Establishing Medication Abortion Services"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9004-3263","authenticated-orcid":false,"given":"Sharon A.","family":"Weintraub","sequence":"first","affiliation":[{"name":"Division of Midwifery Baystate Medical Center  Springfield Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Autumn","family":"Versace","sequence":"additional","affiliation":[{"name":"Division of Midwifery Baystate Medical Center  Springfield Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liza","family":"Winston","sequence":"additional","affiliation":[{"name":"Division of Midwifery Baystate Medical Center  Springfield Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianna","family":"Graff","sequence":"additional","affiliation":[{"name":"Baystate Medical Education Program  Springfield Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Kattan","sequence":"additional","affiliation":[{"name":"Baystate Medical Center  Springfield Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/10901981221125430"},{"key":"e_1_2_10_3_1","unstructured":"NashE EphrossP.State policy trends 2022: in a devastating year US Supreme Court's decision to overturn Roe leads to bans confusion and chaos. 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