![]() In one study, the earliest ovulation was reported at 25 days after delivery. A systematic review reported that the mean day of first ovulation among postpartum nonlactating women occurred 45–94 days after delivery ( 25). Therefore, the likelihood of ovulation is low ≤7 days after an abortion ( 22 – 24). After a spontaneous or an induced abortion, ovulation can occur within 2–3 weeks and has been found to occur as early as 8–13 days after the end of the pregnancy. In addition, the likelihood of ovulation is low from days 1–7 of the menstrual cycle ( 21). During an average 28-day cycle, ovulation generally occurs during days 9–20 ( 20). Among menstruating women, the timing of ovulation can vary widely. ![]() The criteria for determining whether a woman is pregnant depend on the assurance that she has not ovulated within a certain amount of time after her last menses, spontaneous or induced abortion, or delivery. If a woman has had recent (i.e., within the last 5 days) unprotected sexual intercourse, consider offering emergency contraception (either a Cu-IUD or ECPs), if pregnancy is not desired.Ĭomments and Evidence Summary. Routine pregnancy testing for every woman is not necessary. On the basis of clinical judgment, health care providers might consider the addition of a urine pregnancy test however, they should be aware of the limitations, including accuracy of the test relative to the time of last sexual intercourse, recent delivery, or spontaneous or induced abortion.
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