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https://www.readbyqxmd.com/read/27899410/-repeat-abortion-a-phrase-to-be-avoided-qualitative-insights-into-labelling-and-stigma
#1
Lesley Hoggart, Victoria Louise Newton, Louise Bury
BACKGROUND: In recent years there has been growing international interest in identifying risk factors associated with 'repeat abortion', and developing public health initiatives that might reduce the rate. This article draws on a research study looking at young women's abortion experience in England and Wales. The study was commissioned with a specific focus on women who had undergone more than one abortion. We examine what may influence women's post-abortion reproductive behaviour, in addition to exploring abortion-related stigma, in the light of participants' own narratives...
November 29, 2016: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/27892820/addressing-adolescents-risk-and-protective-factors-related-to-risky-behaviours-findings-from-a-school-based-peer-education-evaluation-in-the-western-cape
#2
Furzana Timol, Mohammed Yacoob Vawda, Arvin Bhana, Benita Moolman, Mokhantso Makoae, Sharlene Swartz
BACKGROUND: Peer-education programmes aim to bring about attitudinal and behavioural changes in their target audience. In the South African educational context, peer education is a favoured approach in dealing with issues such as HIV and AIDS, sexual decision-making and substance misuse. Given the reliance on peer-education programmes in the educational system, it is important to establish how well they are working. This study aims to assess the effect of an extensive, structured, time-limited, curriculum-based, peer-led educational programme on first-year high school learners in public schools in the Western Cape Province of South Africa...
December 2016: SAHARA J: Journal of Social Aspects of HIV/AIDS Research Alliance
https://www.readbyqxmd.com/read/27885958/articulating-reproductive-justice-through-reparative-justice-case-studies-of-abortion-in-great-britain-and-south-africa
#3
Catriona Ida Macleod, Siân Beynon-Jones, Merran Toerien
Public health and rights-based approaches to abortion advocacy are well established. Feminists are, however, increasingly using a broader framework of 'reproductive justice', which considers the intersecting conditions that serve to enhance or hinder women's reproductive freedoms, including their capacities to decide about the outcome of their pregnancies. Nonetheless, reproductive justice approaches to abortion are, conceptually, relatively under-developed. We introduce a reparative justice approach as a method of further articulating the concept of reproductive justice...
November 25, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27876484/zika-a-missed-opportunity-to-protect-women-s-health-and-prevent-unwanted-pregnancies
#4
Katherine P Theall, Maeve Wallace, Dawn M Wesson
No abstract text is available yet for this article.
November 19, 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/27849266/predictive-factors-of-abortion-among-teenagers-with-obstetric-experience
#5
Thatiana Araújo Maranhão, Keila Rejane Oliveira Gomes, Idna de Carvalho Barros
Objective: To analyze the predictive factors of abortion among teenagers with gestational history. Methods: Cross-sectional study carried out with 464 teenagers aged between 15 and 19 years, from Teresina, Piauí, who completed a pregnancy in the first quarter of 2006 in six city maternity hospitals. Data were collected from May to December 2008, at the teenagers' home, after their identification in the hospital records. For the univariate analysis of data, descriptive statistics was used, and for bivariate analysis, Pearson's χ2-test and Z-test were applied...
July 2016: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/27835639/the-effects-of-ghana-s-national-health-insurance-scheme-on-maternal-and-infant-health-care-utilization
#6
Igna Bonfrer, Lyn Breebaart, Ellen Van de Poel
Increasing equitable access to health care is a main challenge African policy makers are facing. The Ghanaian government implemented the National Health Insurance Scheme in 2004 and the aim of this study is to evaluate its early effects on maternal and infant healthcare use. We exploit data on births before and after the intervention and apply propensity score matching to limit the bias arising from self-selection into the health insurance. About forty percent of children had a mother who is enrolled in this insurance...
2016: PloS One
https://www.readbyqxmd.com/read/27807792/emtonjeni-a-structural-intervention-to-integrate-sexual-and-reproductive-health-into-public-sector-hiv-care-in-cape-town-south-africa-results-of-a-phase-ii-study
#7
J E Mantell, D Cooper, T M Exner, J Moodley, S Hoffman, L Myer, C-S Leu, D Bai, E A Kelvin, K Jennings, Z A Stein, D Constant, V Zweigenthal, N Cishe, N Nywagi
Integration of sexual and reproductive health within HIV care services is a promising strategy for increasing access to family planning and STI services and reducing unwanted pregnancies, perinatal HIV transmission and maternal and infant mortality among people living with HIV and their partners. We conducted a Phase II randomized futility trial of a multi-level intervention to increase adherence to safer sex guidelines among those wishing to avoid pregnancy and adherence to safer conception guidelines among those seeking conception in newly-diagnosed HIV-positive persons in four public-sector HIV clinics in Cape Town...
November 2, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27805547/cost-effectiveness-of-increasing-access-to-contraception-during-the-zika-virus-outbreak-puerto-rico-2016
#8
Rui Li, Katharine B Simmons, Jeanne Bertolli, Brenda Rivera-Garcia, Shanna Cox, Lisa Romero, Lisa M Koonin, Miguel Valencia-Prado, Nabal Bracero, Denise J Jamieson, Wanda Barfield, Cynthia A Moore, Cara T Mai, Lauren C Korhonen, Meghan T Frey, Janice Perez-Padilla, Ricardo Torres-Muñoz, Scott D Grosse
We modeled the potential cost-effectiveness of increasing access to contraception in Puerto Rico during a Zika virus outbreak. The intervention is projected to cost an additional $33.5 million in family planning services and is likely to be cost-saving for the healthcare system overall. It could reduce Zika virus-related costs by $65.2 million ($2.8 million from less Zika virus testing and monitoring and $62.3 million from avoided costs of Zika virus-associated microcephaly [ZAM]). The estimates are influenced by the contraception methods used, the frequency of ZAM, and the lifetime incremental cost of ZAM...
January 15, 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/27800111/understanding-abortion-related-stigma-and-incidence-of-unsafe-abortion-experiences-from-community-members-in-machakos-and-trans-nzoia-counties-kenya
#9
Erick Kiprotich Yegon, Peter Mwaniki Kabanya, Elizabeth Echoka, Joachim Osur
INTRODUCTION: The rate of unsafe abortions in Kenya has increased from 32 per 1000 women of reproductive age in 2002 to 48 per 1000 women in 2012. This is one of the highest in Sub-Saharan Africa. In 2010, Kenya changed its Constitution to include a more enabling provision regarding the provision of abortion services. Abortion-related stigma has been identified as a key driver in silencing women's ability to reproductive choice leading to seeking to unsafe abortion. We sought to explore abortion-related stigma at the community level as a barrier to women realizing their rights to a safe, legal abortion and compare manifestations of abortion stigma at two communities from regions with high and low incidence of unsafe abortion...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27798048/the-prevalence-of-unplanned-pregnancy-ending-in-birth-associated-factors-and-health-outcomes
#10
J Goossens, Y Van Den Branden, L Van der Sluys, I Delbaere, A Van Hecke, S Verhaeghe, D Beeckman
STUDY QUESTION: What are associated factors of unplanned pregnancies ending in birth? SUMMARY ANSWER: Pregnancies that were less planned were associated with women of lower socio-economic status (SES), an unhealthier lifestyle before and during the pregnancy, more stress, and less social support. WHAT IS KNOWN ALREADY: In Europe, the prevalence of unplanned pregnancy leading to birth varies. Unplanned pregnancy is more common among socially disadvantaged women, and associated with adverse pregnancy outcomes...
October 24, 2016: Human Reproduction
https://www.readbyqxmd.com/read/27788415/increasing-possibilities-increasing-dilemmas-a-qualitative-study-of-swedish-midwives-experiences-of-ultrasound-use-in-pregnancy
#11
Kristina Edvardsson, Ann Lalos, Annika Åhman, Rhonda Small, Sophie Graner Md PhD, Ingrid Mogren
OBJECTIVE: to explore Swedish midwives' experiences and views of the use of obstetric ultrasound in clinical management of pregnancy, and in situations where maternal and fetal health interests conflict. DESIGN: an exploratory qualitative study based on focus group discussions (FGDs) was undertaken in 2013 as part of the CROss Country Ultrasound Study (CROCUS). Data were analysed using qualitative content analysis. SETTING AND PARTICIPANTS: midwives (N=25) were recruited from four public hospitals located in the northern and central parts of Sweden...
September 22, 2016: Midwifery
https://www.readbyqxmd.com/read/27771025/no-rush-to-motherhood-the-lived-experience-of-african-american-never-pregnant-sexually-active-female-teens
#12
Monique Jenkins, Carol F Roye, Keville Frederickson
PURPOSE: The aim of this study was to gain a deeper understanding of the lived experiences of underserved minority sexually active teenaged girls' successful avoidance of unwanted pregnancy. DESIGN AND METHOD: Merleau-Ponty's methodology and van Manen's method of doing phenomenological research guided and facilitated the process of the study. 7 participants were eligible and all of them were interviewed for this study. RESULTS: Six main themes were identified: sense of emotional safety; sense of being free from a potential pregnancy; feeling supported by family and friends; connections built on trust and communication; regard for self through self-esteem and self-confidence; and sense of having life goals...
October 19, 2016: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/27766945/factors-associated-with-unintended-pregnancy-in-brazil-cross-sectional-results-from-the-birth-in-brazil-national-survey-2011-2012
#13
Mariza Miranda Theme-Filha, Marcia Leonardi Baldisserotto, Ana Claudia Santos Amaral Fraga, Susan Ayers, Silvana Granado Nogueira da Gama, Maria do Carmo Leal
BACKGROUND: Unintended pregnancy, a pregnancy that have been either unwanted or mistimed, is a serious public health issue in Brazil. It is reported for more than half of women who gave birth in the country, but the characteristics of women who conceive unintentionally are rarely documented. The aim of this study is to analyse the prevalence and the association between unintended pregnancy and a set of sociodemographic characteristics, individual-level variables and history of obstetric outcomes...
October 17, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27760409/incidence-and-recurrence-of-common-mental-disorders-after-abortion-results-from-a-prospective-cohort-study
#14
Jenneke van Ditzhuijzen, Margreet Ten Have, Ron de Graaf, Peter Lugtig, Carolus H C J van Nijnatten, Wilma A M Vollebergh
Research in the field of mental health consequences of abortion is characterized by methodological limitations. We used exact matching on carefully selected confounders in a prospective cohort study of 325 women who had an abortion of an unwanted pregnancy and compared them 1-to-1 to controls who did not have this experience. Outcome measures were incidence and recurrence of common DSM-IV mental disorders (mood, anxiety, substance use disorders, and the aggregate measure 'any mental disorder') as measured with the Composite International Diagnostic Interview (CIDI) version 3...
October 11, 2016: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/27757057/contraceptive-knowledge-sexual-behavior-and-factors-associated-with-contraceptive-use-among-female-undergraduate-university-students-in-kilimanjaro-region-in-tanzania
#15
Mussa N Sweya, Sia E Msuya, Michael J Mahande, Rachel Manongi
BACKGROUND: Previous studies have shown that knowledge of contraceptives, especially among the youth in universities, remains limited, and the rate of premarital sexual activity, unwanted pregnancies, and illegal abortions remains higher among university students. This study aimed to assess contraceptive knowledge, sexual behavior, and factors associated with contraceptive use among female undergraduate university students in Kilimanjaro region in Tanzania. METHODS: A cross-sectional analytical study was conducted from May to June 2015 among undergraduate female students in four universities in Kilimanjaro region...
2016: Adolescent Health, Medicine and Therapeutics
https://www.readbyqxmd.com/read/27753522/are-health-plan-design-and-prior-use-of-long-acting-reversible-contraception-associated-with-pregnancy-intention
#16
Mary Anne Armstrong, Debbie A Postlethwaite, Jeanne A Darbinian, Mark McCoy, Amy Law
BACKGROUND: In 2007, high-deductible plans were added to the primarily nondeductible Kaiser Permanente Northern California (KPNC) integrated health plan, which had covered 100% of device and procedure costs of long-acting reversible contraception (LARC) for members regardless of prescription/visit copay amount. We hypothesized that nondeductible plans and prior LARC use decreased unintended pregnancy. OBJECTIVE: The purpose of this study was to determine if health plan design (nondeductible vs...
October 18, 2016: Journal of Women's Health
https://www.readbyqxmd.com/read/27724904/knowledge-and-utilization-of-sexual-and-reproductive-healthcare-services-among-thai-immigrant-women-in-sweden
#17
Eva Åkerman, Per-Olof Östergren, Birgitta Essén, Cecilia Fernbrant, Ragnar Westerling
BACKGROUND: Migration from Thailand to Sweden has increased threefold over the last 10 years. Today Thailand is one of the most common countries of origin among immigrants in Sweden. Since the year 2000, new HIV cases are also more prevalent among Thai immigrants compared to other immigrant nationalities in Sweden. The purpose of this study was to investigate the association between knowledge and utilization of sexual and reproductive healthcare services, contraceptive knowledge and socio-demographic characteristics and social capital among Thai immigrant women in Sweden...
October 10, 2016: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/27716213/use-of-non-emergency-contraceptive-pills-and-concoctions-as-emergency-contraception-among-nigerian-university-students-results-of-a-qualitative-study
#18
Anthony Idowu Ajayi, Ezebunwa Ethelbert Nwokocha, Wilson Akpan, Oladele Vincent Adeniyi
BACKGROUND: Emergency contraception (EC) can significantly reduce the rate of unintended pregnancies and unsafe abortions especially in sub-Saharan Africa. Despite the increasing awareness of EC among educated young women in Nigeria, the rate of utilisation remains low. This study therefore explores the main barriers to the use of EC among female university students by analysing their knowledge of emergency contraception, methods ever used, perceived efficacy, and its acceptability. METHODS: This paper brings together the findings from several focus groups (N = 5) and in-depth interviews (N = 20) conducted amongst unmarried female undergraduate students in two Nigerian universities...
October 4, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27683524/non-invasive-assessment-of-viability-in-human-embryos-fertilized-in-vitro
#19
Gábor L Kovács, Gergely Montskó, Zita Zrínyi, Nelli Farkas, Ákos Várnagy, József Bódis
Human reproduction is a relatively inefficient process and therefore the number of infertile couples is high. Assisted reproductive technologies (ART) have facilitated the birth of over five million children worldwide. ART, however, superimposes its own relative inefficiency on the preexisting inefficiency of normal reproduction. The efficiency (expressed as pregnancy rate) is generally not more than 30%. Modern reproductive medicine is gradually moving from multiple embryo transfer to the transfer of a single embryo, mainly because of obvious and unwanted side effects of multiple embryo transfer (e...
April 2016: EJIFCC
https://www.readbyqxmd.com/read/27679655/why-m%C3%A3-decins-sans-fronti%C3%A3-res-msf-provides-safe-abortion-care-and-what-that-involves
#20
Catrin Schulte-Hillen, Nelly Staderini, Jean-François Saint-Sauveur
MSF responds to needs for the termination of pregnancy, including on request (TPR); it is part of the organization's work aimed at reducing maternal mortality and suffering; and preventing unsafe abortions in the countries where we work. Following the publication of "Why don't humanitarian organizations provide safe abortion care?" we offer an insight into MSF's experience over the past few years. The article looks at the legal concerns and proposes that the importance of addressing maternal mortality should replace them and the operational set-up and action organized in a way that mitigates risks...
2016: Conflict and Health
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