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https://www.readbyqxmd.com/read/30341065/the-impact-of-northern-ireland-s-abortion-laws-on-women-s-abortion-decision-making-and-experiences
#1
Abigail R A Aiken, Elisa Padron, Kathleen Broussard, Dana Johnson
BACKGROUND: In Northern Ireland, abortion is illegal except in very limited circumstances to preserve a woman's life or to prevent permanent or long-term injury to her physical or mental health. Abortions conducted outside the law are a criminal offence punishable by imprisonment. We assessed the impacts of Northern Ireland's abortion laws on women's decision-making and experiences in accessing abortion. METHODS: Between April 2017 and February 2018 we interviewed 30 women living in Northern Ireland who had sought abortion by travelling to a clinic in Great Britain or by using online telemedicine to self-manage a medication abortion at home...
October 19, 2018: BMJ sexual & reproductive health
https://www.readbyqxmd.com/read/30336220/risk-factors-clinical-course-and-outcomes-of-pregnancy-related-group-a-streptococcal-infections-a-retrospective-13-year-cohort-study
#2
Amihai Rottenstreich, Shmuel Benenson, Gabriel Levin, Geffen Kleinstern, Allon E Moses, Sharon Amit
OBJECTIVES: To investigate the incidence, risk factors, clinical course and outcomes of pregnancy-related group A streptococcus (GAS) infection. METHODS: A retrospective 13-year cohort study of culture-proven pregnancy-related GAS infection was performed at two university hospitals, serving heterogeneous, multicultural, urban and rural populations. RESULTS: Of 124 women diagnosed with pregnancy-related GAS infection, 115 (93%) were in the puerperium, an incidence of 0...
October 15, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/30336087/motherhood-abortion-and-the-medicalization-of-poverty
#3
Michelle Oberman
This article considers the impact of laws and policies that determine who experiences unplanned pregnancy, who has abortions, and how economic status shapes one's response to unplanned pregnancy. There is a well-documented correlation between abortion and poverty: poor women have more abortions than do their richer sisters. Equally well-documented is the correlation between unplanned pregnancy and poverty. Finally, the high cost of motherhood for poor women and their offspring manifests in disproportionately high lifelong rates of poverty, ill-health and mortality for offspring and mothers, alike...
September 2018: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/30336084/the-over-medicalization-and-corrupted-medicalization-of-abortion-and-its-effect-on-women-living-in-poverty
#4
Lois Shepherd, Hilary D Turner
Many current abortion regulations represent an over-medicalization of abortion or a corruption of abortion's true medical nature, with disproportionate consequences to women with lower incomes and lesser means. This article explores the effects of unnecessary and harmful abortion restrictions on women living in poverty. A brief summary of the major abortion rights cases explains how the Constitution, as currently interpreted, vests the government and sometimes the medical profession with the power to protect women's health, rather than granting this power to women themselves...
September 2018: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/30334114/problematic-ethics-public-opinion-surveys-in-medico-legal-disputes
#5
Tom Koch
Public opinion surveys and polls have a long history as tools for the reportage of public sentiment. Born in the "straw polls" of nineteenth century politics, their use expanded in the last century to include a range of commercial and social subjects. In recent decades, these have included issues of medico-legal uncertainty including, in a partial list, abortion, fetal tissue research, and the propriety of medical termination. Because public opinion surveys are assumed to be "scientific," and thus unbiased, there has been little discussion of either their suitability in areas of complex, medico-legal uncertainty or the ethics of their use in these areas...
October 17, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/30327673/factors-associated-with-management-outcome-of-incomplete-abortion-in-yirgalem-general-hospital-sidama-zone-southern-ethiopia
#6
Achamyelesh Gebretsadik
Background: Each year, several millions of women who underwent abortion also bear several consequences, including infection, massive blood loss, chronic pelvic pain, infertility, and death. Poor treatment outcomes also cause disability and death. The aim of this study was to determine factors associated with management outcomes of incomplete abortion in Yirgalem General Hospital. Methods: Health facility-based cross-sectional study design was used. Medical record review of 186 women who received abortion service from July 1st 2015 to June 30 2017 was done...
2018: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/30317059/automated-seizure-prediction
#7
REVIEW
U Rajendra Acharya, Yuki Hagiwara, Hojjat Adeli
In the past two decades, significant advances have been made on automated electroencephalogram (EEG)-based diagnosis of epilepsy and seizure detection. A number of innovative algorithms have been introduced that can aid in epilepsy diagnosis with a high degree of accuracy. In recent years, the frontiers of computational epilepsy research have moved to seizure prediction, a more challenging problem. While antiepileptic medication can result in complete seizure freedom in many patients with epilepsy, up to one-third of patients living with epilepsy will have medically intractable epilepsy, where medications reduce seizure frequency but do not completely control seizures...
October 11, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/30307587/an-invaluable-skill-reflections-on-abortion-training-and-postresidency-practice
#8
Samantha Greenberg, Melissa Nothnagle
BACKGROUND AND OBJECTIVES: The goal of this study was to explore family medicine residents' experiences with abortion training and identify positive and negative influences, and facilitators and barriers to providing abortion care. METHODS: We conducted a qualitative study of recent graduates of an urban family medicine residency in the Northeast United States with an opt-out abortion curriculum. Individual recorded interviews were conducted with two classes of graduated residents until data saturation was reached...
October 2018: Family Medicine
https://www.readbyqxmd.com/read/30305405/comment-on-early-medical-abortion-best-practice-now-lawful-in-scotland-and-wales-but-not-available-to-women-in-england
#9
LETTER
Keith Hindell
No abstract text is available yet for this article.
October 2018: BMJ sexual & reproductive health
https://www.readbyqxmd.com/read/30305400/contraception-after-medication-abortion-should-be-determined-by-convenience-and-choice
#10
EDITORIAL
Kelly Blanchard
No abstract text is available yet for this article.
October 2018: BMJ sexual & reproductive health
https://www.readbyqxmd.com/read/30305079/providers-perspectives-on-denial-of-abortion-care-in-nepal-a-cross-sectional-study
#11
Mahesh C Puri, Sarah Raifman, Biddhya Khanal, Dev Chandra Maharjan, Diana Greene Foster
BACKGROUND: Despite legalization of abortion in Nepal in 2002, many women are still unable to access legal services. This paper examines providers' views, experiences with abortion denial, and knowledge related to abortion provision, and identifies areas for improvement in quality of care. METHODS: We conducted a structured survey with 106 abortion care providers at 55 government-approved safe abortion facilities across five districts of Nepal in 2017. We assessed reasons for denial of abortion care, knowledge about laws, barriers to provision and attitudes towards abortion...
October 11, 2018: Reproductive Health
https://www.readbyqxmd.com/read/30303911/cesarean-scar-pregnancy-incidence-and-recurrence-five-year-experience-at-a-single-tertiary-care-referral-center
#12
Olga Grechukhina, Uma Deshmukh, Linda Fan, Katherine Kohari, Sonya Abdel-Razeq, Mert Ozan Bahtiyar, Anna K Sfakianaki
OBJECTIVE: To describe the treatment and subsequent pregnancy outcomes in patients with cesarean scar pregnancies at a single institution over 5 years. METHODS: This is a case series of all cesarean scar pregnancies diagnosed from May 2013 to March 2018 at Yale-New Haven Hospital. Data were collected on each patient using electronic medical record review and included patient demographics; medical, surgical, and obstetric history; pregnancy characteristics; treatment modalities used; response to therapy; complications; and subsequent pregnancy outcomes...
October 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30303904/nitrous-oxide-compared-with-intravenous-sedation-for-second-trimester-abortion-a-randomized-controlled-trial
#13
Lauren Thaxton, Jennifer Pitotti, Eve Espey, Stephanie Teal, Jeanelle Sheeder, Rameet H Singh
OBJECTIVE: To assess whether inhaled nitrous oxide is noninferior to intravenous (IV) sedation for pain control during outpatient surgical abortion between 12 and 16 weeks of gestation. METHODS: We enrolled women undergoing surgical abortion at 12-16 weeks of gestation into a multisite, double-blind clinical trial. Participants were randomized to sedation with nitrous oxide (70% nitrous/30% oxygen) or IV fentanyl (100 micrograms) and midazolam (2 mg). Paracervical block was administered to both groups...
October 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30291521/unique-populations-with-episodic-migraine-pregnant-and-lactating-women
#14
REVIEW
Simy K Parikh
PURPOSE OF REVIEW: Migraine is a disabling and prevalent neurological disease, commonly affecting women during their reproductive years. It is crucial for providers to be able to adequately counsel women who are pregnant, planning pregnancy, or nursing, regarding preventive and abortive treatment options for episodic migraine. This review will discuss (1) the expected course of migraine during pregnancy and the post-partum period, (2) recommended preventive therapies for migraine during pregnancy and lactation, and (3) recommended abortive medications for migraine during pregnancy and lactation...
October 5, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/30283858/sociodemographic-characteristics-of-women-able-to-obtain-medication-abortion-before-and-after-ohio-s-law-requiring-use-of-the-food-and-drug-administration-protocol
#15
Ushma D Upadhyay, Nicole E Johns, Alice F Cartwright, Tanya E Franklin
Purpose: In 2011, a law went into effect in Ohio that regulates how abortion care providers can offer medication abortion to their patients. We sought to evaluate changes in sociodemographic characteristics of Ohio medication abortion patients before and after the implementation of this law. Methods: We used a retrospective cohort design, comparing characteristics of women obtaining a medication abortion at four abortion facilities before and after the law. We used chart data from January 2010 to January 2011 and February 2011 to October 2014...
2018: Health Equity
https://www.readbyqxmd.com/read/30278829/misoprostol-induced-modification-of-the-notch-signaling-pathway-in-the-human-cervix
#16
Sema Avci, Mehmet Simsek, Hakan Soylu, Ismail Ustunel
The complex and multifactorial mechanisms that initiate and sustain the early labor process in the human uterus and cervix are still not well defined. Cervical maturation or ripening is likely to play a key role in preparing for birth. Prostaglandins have many different functions, including the regulation of uterine contractility and structure during pregnancy. The prostaglandin E1 analogue misoprostol is frequently used as a uterotonic and cervical ripening agent. Notch is a transmembrane receptor family responsible for basic functions such as cell survival, cell-cell communication, and differentiation and decidualization in pregnancy...
October 3, 2018: Reproductive Sciences
https://www.readbyqxmd.com/read/30271625/effects-of-refresher-training-on-the-use-of-manual-vacuum-aspiration-in-the-treatment-of-incomplete-abortions-a-quasi-experimental-study-in-malawi
#17
Maria Lisa Odland, Gladys Membe-Gadama, Ursula Kafulafula, Geir Wenberg Jacobsen, Jon Øyvind Odland, Elisabeth Darj
Introduction: The maternal mortality ratio is decreasing globally, although it remains high in Malawi. Unsafe abortion is a major cause and treatment of complications after abortion is a big burden on the health system. Even though manual vacuum aspiration (MVA) is the recommended surgical treatment of incomplete abortions in the first trimester, many hospitals in Malawi continue to use sharp curettage. It is known to have more complications and is more expensive in the long run. The purpose of this study was to determine the effectiveness of a structured MVA training programme in the treatment of incomplete abortions in Malawi...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/30258633/methods-for-the-assessment-of-selection-bias-in-drug-safety-during-pregnancy-studies-using-electronic-medical-data
#18
Mireille E Schnitzer, Lucie Blais
Electronic health data are routinely used for population drug studies. Due to the ethical dilemma in carrying out experimental drug studies on pregnant women, the effects of medication usage during pregnancy on fetal and maternal outcomes are largely evaluated using this data collection medium. One major limitation in this type of study is the delayed inclusion of pregnancies in the cohort. For example, in the province of Quebec, Canada, a major pregnancy cohort only captured pregnancies after 20 weeks gestation...
October 2018: Pharmacology Research & Perspectives
https://www.readbyqxmd.com/read/30254910/hysteroscopic-removal-of-retained-products-of-conception-following-first-trimester-medical-abortion
#19
Noam Smorgick, Orna Levinsohn-Tavor, Ido Ben-Ami, Ron Maymon, Moty Pansky, Zvi Vaknin
Study Objective: To investigate the use of operative hysteroscopy instead of traditional curettage in women with retained products of conception (RPOC) following first trimester medical abortion, with the aim of reducing post-operative intrauterine adhesions. Design: Retrospective study. Setting: Gynecology department in a University affiliated hospital. Patients: All women treated by hysteroscopy for RPOC following first trimester medical abortion using the mifepristone-misoprostol protocol for pregnancy termination or the misoprostol protocol for early missed abortion from January 2013 to August 2016...
October 2017: Gynecology and minimally invasive therapy
https://www.readbyqxmd.com/read/30253802/use-of-a-qualitative-case-study-to-learn-lessons-from-severe-preeclampsia-causing-a-maternal-near-miss-a-case-report
#20
Moti Tolera, Alula M Teklu, Abdurahman Ahmed, Abdiwahab Hashi, Lemessa Oljira, Zerihun Abebe, Wondimagegn Gezahegn, Kahasse Gebre Kidan
BACKGROUND: Maternal mortality is a critical indicator in assessing the quality of services provided by a health care system. Approximately 99% of all maternal deaths occur in developing countries; where a majority of the causes of these deaths are preventable. CASE PRESENTATION: A 25-year-old, married, multigravida, black woman who has had six live births presented to a health center with the chief compliant of abnormal body swelling of 2 days' duration and loss of consciousness...
September 26, 2018: Journal of Medical Case Reports
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