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Medical abortion

Zafar Nazir, Muhammad Arif Mateen Khan, Javaria Qamar
BACKGROUND: Congenital Prepubic Sinus (CPS) is an uncommon urogenital anomaly characterized by a blind tract between the skin over the pubis to anterior of the urinary bladder, Urethra or umbilicus. We report four such cases to emphasize varied clinical presentation and embryological conundrum. METHODS: Following Ethical Review Committee (ERC) approval, medical records of pediatric patients (<16 years) presenting with CPS (identified through operating room records and Hospital Information Management System (HIMS) between 1994 and 2018 were reviewed for demographics, clinical presentation, investigations including histopathology, management and outcome...
July 25, 2018: Journal of Pediatric Surgery
Tommy Carlsson
AIM: The aim was to assess the methodological quality and describe recommendations for pain management in local clinical practice guidelines about induced second-trimester medical abortions at Swedish university and county hospitals. METHODS: In 2017, Swedish university and county hospitals that provided abortion care in the second trimester of pregnancy were contacted (n = 29), and guidelines from 25 were received (university: n = 6, county: n = 19). Guideline quality was assessed according to two systematic instruments...
August 16, 2018: Scandinavian Journal of Caring Sciences
Christopher P Cifarelli, John A Vargo, Todd Tenenholz, Joshua D Hack, Grenaville Guthrie, Jeffrey S Carpenter
Background Gamma knife radiosurgery (GKRS) remains a critical intervention in the long-term management of arteriovenous malformations (AVMs). For planning a treatment, identification of the nidus is essential, and it is dependent on high-resolution blood flow imaging, usually in the form of a traditional angiogram. The development of dynamic 320-slice computed tomography (CT) angiography has offered a noninvasive alternative to intra-arterial fluoroscopic imaging, and it is capable of providing equivalent temporal resolution...
June 11, 2018: Curēus
Catherine Cansino, E Steve Lichtenberg, Lisa K Perriera, Melody Y Hou, Juliana Melo, Mitchell D Creinin
OBJECTIVE: To investigate if women desire talking to a counselor or physician about contraception when seeking first trimester medical or surgical abortion. STUDY DESIGN: We conducted a cross-sectional study by distributing self-administered anonymous surveys to women at three clinics in Sacramento, California; Chicago, Illinois; and Cleveland, Ohio from October 2014 to February 2015. Participants completed surveys after registration and before any in-office counseling...
August 12, 2018: Contraception
Bente Mertz Nørgård, Bjarne Magnussen, Jens Fedder, Punyanganie S de Silva, Sonja Wehberg, Sonia Friedman
Backgroud: Women with inflammatory bowel disease (IBD) might have an increased tendency to choose an elective abortion due to a fear that their fetus could be harmed by use of medications, disease flares during pregnancy, or for genetic reasons. We examined the risk of elective abortions in women with ulcerative colitis (UC) and Crohn's disease (CD) compared with women without IBD. Methods: This nationwide cohort study, based on Danish health registries, comprises all registered pregnancies from 1996 through 2015...
August 10, 2018: Inflammatory Bowel Diseases
Lakmini Pinnaduwage, Joanne Honeyford, Elyse Lackie, Modupe Tunde-Byass
OBJECTIVE: To compare the total number of patient visits required for the conservative, medical, or surgical management of early pregnancy loss in an early pregnancy assessment clinic (EPAC). METHODS: A retrospective study of the number of patient visits at an EPAC for conservative, medical, or surgical management of early spontaneous abortion from October 2013 to September 2015 was undertaken. Visits counted included initial assessment, follow-up visits, and surgery date, if separate from a clinic visit...
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Rakesh Gupta, Ruby Nimesh, Girdhari Lal Singal, Parveen Bhalla, Shankar Prinja
The Government of India launched a nationwide programme to save and educate the girl child, Beti Bachao Beti Padhao (B3P), by stringent prohibition of sex-selective abortion, enforcement of Preconception and Prenatal Diagnostic Technique (PC-PNDT) and Medical Termination of Pregnancy (MTP) Acts, and social mobilization. We undertook this study to assess the effectiveness of intervention in Haryana state to improve sex ratio at birth (SRB). The monthly data on SRB (represented as girls per 1000 boys) were collected from civil registration system for the entire state of Haryana to evaluate the impact of B3P programme...
August 8, 2018: Health Policy and Planning
Xuelian Yuan, Fang Yi, Can Hou, Hui Lee, Xiaorong Zhong, Ping Tao, Hui Li, Zhuping Xu, Jiayuan Li
BACKGROUND: The association between induced abortion and birth control methods (including oral contraceptives and intrauterine devices) and breast cancer may vary among countries, due to the different usage and frequency of birth control methods and induced abortion among countries. A better understanding of this association may help in determining safer birth control methods for Chinese women. METHODS: A case-control study was conducted with a total of 794 cases and 805 controls...
August 11, 2018: Journal of Epidemiology
Mehmet Ozgur Akkurt, Iltac Akkurt, And Yavuz, Serenat Eris Yalcin, Bora Coskun, Mekin Sezik
AIM: To evaluate the effect of intracardiac potassium chloride feticide procedure (FP) on the induction-to-abortion (I-to-A) interval for various indications in the termination of pregnancy. METHOD: Medically indicated abortions between 17 and 28 weeks' gestation were retrospectively evaluated and allocated into 2 groups: Cases with (group 1, n = 58) or without an FP (group 2, n = 60). I-to-A intervals were compared across the groups, considering different baseline parameters and fetal abnormality categories...
August 10, 2018: Gynecologic and Obstetric Investigation
EmmaKate B Friedlander, Reni Soon, Jennifer Salcedo, James Davis, Mary Tschann, Bliss Kaneshiro
OBJECTIVE: To evaluate whether prophylactic pregabalin reduces pain experienced with medication abortion. METHODS: We conducted a randomized, double-blind, placebo-controlled trial of women initiating medication abortion with mifepristone and buccal misoprostol up to 70 days of gestation. Participants were randomized to 300 mg oral pregabalin or a placebo immediately before misoprostol. The primary outcome was maximum pain on an 11-point numerical rating scale, reported using real-time electronic surveys over 72 hours...
August 6, 2018: Obstetrics and Gynecology
Xiao Ai, Lin Wang, Xiao-Yu Liu, Chao-Qun Cai, Wei Yi
OBJECTIVE: To observe the effectiveness of electroacupuncture (EA) therapy in promoting medicinal abortion. METHODS: Sixty participants with early pregnancy were randomly divided into medication (control) and EA+ medication groups ( n =30 in each). Participants in the control group were treated by regular medication (mifepristone and misoprostol tablets), and those of the EA group were treated by EA stimulation (2 Hz/100 Hz, a tolerable strength) of bilateral Hegu(LI 4) and Sanyinjiao(SP 6) for 25 min, and also by the same medication method mentioned in the control group...
July 25, 2018: Zhen Ci Yan Jiu, Acupuncture Research
Assiya Turgambayeva, Zaituna Khamidullina, Assel Baubekova, Yelena Dudnik, Marina Zhanaliyeva, Lazat Kasaeva, Zhanyl Seidakhmetova, Nazira Kamzaeva
No abstract text is available yet for this article.
June 2018: Iranian Journal of Public Health
Per Damkier, Louise Skov Christensen, Anne Broe
AIMS: To analyze prescribing patterns during pregnancy for antipsychotics (AP), antidepressants (AD) and mood-stabilizing antiepileptics (AEDs) in Denmark from 2000-2016. METHODS: Data were obtained from the Danish Medical Birth Register, the Register for Legally Induced Abortions, the Danish National Patient Register and the Register of Medicinal Product Statistics. Data were linked through a unique personal identifier (CPR) by Statistics Denmark. RESULTS: The use of antipsychotics (AP) increased 2...
August 5, 2018: British Journal of Clinical Pharmacology
B U K Li
Cyclic vomiting syndrome (CVS) in children is characterized by frequent hospitalizations, multiple comorbidities, and poor quality of life. In the absence of robust data, the treatment of CVS remains largely empiric starting with the 2008 NASPGHAN Consensus Statement recommendations of cyproheptadine for children < 5 years of age and amitriptyline for those ≥ 5 years with propranolol serving as the second-line agent. Comprehensive management begins with lifestyle alterations, and extends to medications, supplements, and stress reduction therapies...
August 3, 2018: European Journal of Pediatrics
Ai-Hua Wu, Dong-Yu Yang, Yu-Dong Liu, Xin Chen, Xu-Long Chen, Shan Lu, Shi-Ling Chen
Increasing evidence suggests that epigenetic dysfunction may influence the stability of normal pregnancy. The ten-eleven translocation (TET) family and 5-hydroxymethylcytosine (5-hmC) were found to be linked with epigenetic reprogramming. The present study aimed to examine the expression of the TET family and 5-hmC in the villi of human embryos and compared their expression between normal pregnancy and early pregnancy loss (EPL). Embryonic villi were collected from normal pregnant women (control) experiencing medical abortion and from EPL patients at gestation ages of 6, 7 and 8 weeks...
June 2018: Current medical science
Usman Maqsood, Muhammad Badar Ganaie, Muhammad Imran Hasan, Mohammed Munavvar
We present a case of bilateral haemotympanum (HT) during endobronchial ultrasound-guided transbronchial fine needle aspiration (EBUS-TBNA). A 64 year-old-man underwent EBUS-TBNA for mediastinal lymph nodes (LN) staging. Medical history included emphysema and angina. Medication included aspirin until the day before procedure. Full blood count and clotting screen were normal. He received sedation (5 mg midazolam, 1000 mcg alfentanil) and topical anaesthesia (16 mL 1% lignocaine) but coughed excessively throughout the procedure...
July 30, 2018: BMJ Case Reports
W Ahmed
OBJECTIVES: Social media platforms such as Twitter allow members of the public to raise awareness for issues, causes and events. This study investigated the hashtag #ShoutYourAbortion that was created to combat the stigma that can be associated with the medical procedure of abortion. STUDY DESIGN: A mixed method and case study approach was used. METHODS: Twitter data were retrieved and analysed by social network analysis, a subset of tweets were qualitatively coded and the location of tweets was examined...
July 27, 2018: Public Health
Elizabeth Janiak, Sonya Freeman, Rie Maurer, Lisa F Berkman, Alisa B Goldberg, Deborah Bartz
OBJECTIVE: To describe the role of worksite characteristics, job role, and abortion stigma in clinical abortion workers' occupational stress. STUDY DESIGN: We recruited nurses, medical assistants, and counseling staff who provide abortion care at 5 hospitals and 4 freestanding clinics in Massachusetts. Study instruments assessed individual-level abortion stigma (the perception that others treat abortion as shameful, dirty, and socially taboo) using the Abortion Provider Stigma Scale, job strain through the Job Content Questionnaire, and emotional burnout through the Depersonalization, Emotional Exhaustion, and Personal Accomplishment subscales of the Maslach Burnout Inventory...
July 24, 2018: Contraception
Sarah Jane Holcombe, Sahai Burrowes, Dawit Hailu, Ryan Scott, Aster Berhe
This study assessed the applicability to medical professionals in Ethiopia of an abortion stigma assessment tool developed for community members, and examined the relationship between stigma and willingness to provide safe abortion care (SAC). The Stigmatizing Attitudes, Beliefs and Actions Scale (SABAS) was fielded to a convenience sample of 397 Ethiopian midwives. Scale reliability and validity were assessed, and associations were examined using multivariate linear and logistic regression. Levels of stigma were low compared to those reported elsewhere, and 49% of midwives were willing to provide SAC...
June 2018: African Journal of Reproductive Health
Christina Lang, Zhong Eric Chen, Anne Johnstone, Sharon Cameron
OBJECTIVES: The primary objective of this study was to determine whether intramuscular depot medroxyprogesterone acetate (IM DMPA) given at the time of misoprostol administration, 24-48 hours after mifepristone, affects the rate of continuing pregnancy. In addition, the study explored factors predictive of continuing pregnancy. DESIGN: Case-control study based on database review of women who underwent early medical abortion (EMA) over a 4-year period. SETTING: Single abortion service in Scotland...
July 26, 2018: BMJ sexual & reproductive health
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