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https://www.readbyqxmd.com/read/28917139/a-good-abortion-experience-a-qualitative-exploration-of-women-s-needs-and-preferences-in-clinical-care
#1
Anna L Altshuler, Alison Ojanen-Goldsmith, Paul D Blumenthal, Lori R Freedman
What do women ending their pregnancies want and need to have a good clinical abortion experience? Since birth experiences are better studied, birth stories are more readily shared and many women who have had an abortion have also given birth, we sought to compare women's needs and preferences in abortion to those in birth. We conducted semi-structured intensive interviews with women who had both experiences in the United States and analyzed their intrapartum and abortion care narratives using grounded theory, identifying needs and preferences in abortion that were distinct from birth...
September 8, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28915157/abortion-in-the-media
#2
Jennifer A Conti, Erica Cahill
PURPOSE OF REVIEW: To review updates in how abortion care is depicted and analysed though various media outlets: news, television, film, and social media. RECENT FINDINGS: A surge in recent media-related abortion research has recognized several notable and emerging themes: abortion in the news media is often inappropriately sourced and politically motivated; abortion portrayal in US film and television is frequently misrepresented; and social media has a new and significant role in abortion advocacy...
September 14, 2017: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28914178/-you-just-have-to-learn-to-keep-moving-on-young-women-s-experiences-with-unplanned-pregnancy-in-the-cook-islands
#3
Ashley L White, Emily S Mann, Fiona Larkan
The Cook Islands is one of several countries in the Pacific region that has high rates of teenage pregnancy and birth. While the social determinants of pregnancy and early motherhood are well established in the global context, little is known about how Cook Islands young women who become pregnant before age 20 make sense of their experiences. Drawing on individual interviews with a purposive sample of 10 young mothers, this paper examines the phenomenology of early pregnancy from their perspectives. Structural, cultural and individual factors emerged as salient themes in participants' accounts...
September 15, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28914121/evidence-based-recommendations-to-improve-reproductive-healthcare-for-incarcerated-women
#4
Andrea Knittel, Angeline Ti, Sarah Schear, Megan Comfort
Purpose The purpose of this paper is to describe standards for evidence-based reproductive healthcare for incarcerated women. Design/methodology/approach The literature on reproductive healthcare in the US criminal justice system and recommendations from professional organizations were reviewed and critical areas of concern were identified. Within these areas, studies and expert opinion were synthesized and policy recommendations were formulated through an iterative process of group discussion and document revision...
September 11, 2017: International Journal of Prisoner Health
https://www.readbyqxmd.com/read/28911926/severe-ovarian-hyperstimulation-syndrome-modifies-early-maternal-serum-beta-human-chorionic-gonadotropin-kinetics-but-obstetrical-and-neonatal-outcomes-are-not-impacted
#5
Cécile Choux, Julie Barberet, Perrine Ginod, Jonathan Cottenet, Céline Bruno, Eric Benzénine, Paul Sagot, Patricia Fauque
OBJECTIVE: To study the impact of severe ovarian hyperstimulation syndrome (OHSS) on beta-hCG kinetics and obstetrical and neonatal outcomes. DESIGN: Retrospective single-center case-control study. SETTING: University tertiary referral center. PATIENT(S): A total of 77 patients who presented a clinical pregnancy after IVF and had been hospitalized for severe OHSS were included in this study and compared with 231 controls presenting an IVF-induced clinical pregnancy without OHSS and matched for the year of pregnancy and the number of gestational sacs...
September 11, 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28905259/unintended-pregnancy-induced-abortion-and-mental-health
#6
REVIEW
Sarah Horvath, Courtney A Schreiber
PURPOSE OF REVIEW: The early medical literature on mental health outcomes following abortion is fraught with methodological flaws that can improperly influence clinical practice. Our goal is to review the current medical literature on depression and other mental health outcomes for women obtaining abortions. RECENT FINDINGS: The Turnaway Study prospectively enrolled 956 women seeking abortion in the USA and followed their mental health outcomes for 5 years. The control group was comprised of women denied abortions based on gestational age limits, thereby circumventing the major methodological flaw that had plagued earlier studies on the topic...
September 14, 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28902327/anxiety-in-pregnancy-prevalence-and-associated-factors
#7
Mônica Maria de Jesus Silva, Denismar Alves Nogueira, Maria José Clapis, Eliana Peres Rocha Carvalho Leite
OBJECTIVE: Evaluating the occurrence of anxiety in pregnant women and the factors associated with its occurrence; comparing the presence of anxiety in each gestational trimester. METHOD: A descriptive, correlational cross-sectional study. Data were collected from January to May 2013 using the Hospital Anxiety Subscale and a form composed of socioeconomic characterization; gestational anamnesis; life-changing habits and events; preexisting conditions and interpersonal relationships...
August 28, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28901005/delivery-arrangements-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#8
REVIEW
Agustín Ciapponi, Simon Lewin, Cristian A Herrera, Newton Opiyo, Tomas Pantoja, Elizabeth Paulsen, Gabriel Rada, Charles S Wiysonge, Gabriel Bastías, Lilian Dudley, Signe Flottorp, Marie-Pierre Gagnon, Sebastian Garcia Marti, Claire Glenton, Charles I Okwundu, Blanca Peñaloza, Fatima Suleman, Andrew D Oxman
BACKGROUND: Delivery arrangements include changes in who receives care and when, who provides care, the working conditions of those who provide care, coordination of care amongst different providers, where care is provided, the use of information and communication technology to deliver care, and quality and safety systems. How services are delivered can have impacts on the effectiveness, efficiency and equity of health systems. This broad overview of the findings of systematic reviews can help policymakers and other stakeholders identify strategies for addressing problems and improve the delivery of services...
September 13, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28884846/the-responsibility-of-gynecologists-and-obstetricians-in-providing-safe-abortion-services-within-the-limits-of-the-law
#9
Anibal Faúndes
Approximately 47 000 women die each year worldwide as a result of the complications of unsafe abortion, almost exclusively in low- and middle-income countries with restrictive abortion laws. In these countries, very few women who comply with the conditions imposed by the law can access safe abortion services in the public health system. The main obstacle is the unwillingness of gynecologists and obstetricians to provide abortion services by claiming conscientious objection, which is often used to hide their fear of the stigma associated with abortion...
October 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28883771/behavioral-sexual-characteristics-of-female-students-in-bosnia-and-herzegovina
#10
Azra Hadzimehmedovic, Vesna Ferkovic, Mahira Jahic
INTRODUCTION: Characteristics of sexual behaviour of female students, which will affect fertility in adulthood, represent one of the critical parameters of reproductive health. AIM: The aim of this study was assess characteristics of sexual behavior of female students in Bosnia and Herzegovina. MATERIALS AND METHODS: In a prospective study on a representative sample of 2,872 regular girls aged 19-24 years, an anonymous survey on the reproductive health of female students in Bosnia and Herzegovina from 2007 to 2009 was conducted...
June 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/28882551/what-women-want-from-their-health-care-providers-about-pregnancy-options-counseling-a-qualitative-study
#11
Valerie A French, Jody E Steinauer, Katrina Kimport
OBJECTIVES: Unintended pregnancy is common in the United States, yet scant research has evaluated women's preferences on pregnancy options counseling. This study explores pregnant women's preferences for pregnancy options counseling from health care providers. METHODS: We conducted semistructured interviews with pregnant women at a prenatal clinic and an abortion clinic. We asked women about recent discussions-or lack thereof-about pregnancy options (parenting, adoption, and abortion) with a clinician, and what they would want their provider to discuss about pregnancy options...
September 4, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28881071/quantity-over-quality-findings-from-a-systematic-review-and-environmental-scan-of-patient-decision-aids-on-early-abortion-methods
#12
Kyla Z Donnelly, Glyn Elwyn, Rachel Thompson
BACKGROUND: The availability and effectiveness of decision aids (DAs) on early abortion methods remain unknown, despite their potential for supporting women's decision making. OBJECTIVE: To describe the availability, impact and quality of DAs on surgical and medical early abortion methods for women seeking induced abortion. SEARCH STRATEGY: For the systematic review, we searched MEDLINE, Cochrane Library, CINAHL, EMBASE and PsycINFO. For the environmental scan, we searched Google and App Stores and consulted key informants...
September 7, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28880926/determination-of-medical-abortion-eligibility-by-women-and-community-health-volunteers-in-nepal-a-toolkit-evaluation
#13
Kathryn Andersen, Mary Fjerstad, Indira Basnett, Shailes Neupane, Valerie Acre, Sharad Kumar Sharma, Emily Jackson
OBJECTIVE: To determine if pregnant, literate women and female community health volunteers (FCHVs) in Nepal can accurately determine a woman's eligibility for medical abortion (MA) using a toolkit, compared to comprehensive abortion care (CAC) trained providers. STUDY DESIGN: We conducted a prospective diagnostic accuracy study in which women presenting for first trimester abortion, and FCHVs, independently assessed each woman's eligibility for MA using a modified gestational dating wheel to determine gestational age and a nine-point checklist of MA contraindications or cautions...
2017: PloS One
https://www.readbyqxmd.com/read/28876288/heterogeneity-of-herpes-simplex-virus-type-2-seroprevalence-from-a-national-probability-survey-in-mexico-2012
#14
Miguel Angel Sanchez-Aleman, Yamira Georgina Del Villar-Tapia, Juan Pablo Gutierrez, Santa Garcia-Cisneros, Ma Leonidez Olamendi-Portugal, Antonia Herrera-Ortiz, Manuel Velazquez-Meza, Carlos J Conde-Glez
BACKGROUND: Herpes simplex virus type 2 (HSV-2) seroprevalence and associated infection risk factors show differences by regions and countries. The aims of the study were to determine the HSV-2 seroprevalence and to evaluate the risk factors for HSV-2 in a national representative survey among adolescents and adults in Mexico. METHODS: A cross-sectional study was carried out in Mexico on the basis of the National Health and Nutrition Survey 2012, a national representative survey...
August 25, 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28867860/ayurvedic-management-of-recurrent-abortions-due-to-uterine-fibroid
#15
Shailendra Dadarao Katakdound
Uterine fibroids are present in 30-70% of women of reproductive age. Uterine fibroids distort the uterine cavity. Therefore there is consensus of a negative impact on both the clinical pregnancy and delivery rates.[2] In addition, studies have also reported an increased risk of spontaneous miscarriage with submucosal fibroids. In biomedicine, myomectomy is considered the treatment of choice and Assisted Reproductive Technology is advised to overcome infertility. In Hārita Saṃhitā treatment is given for recurrent abortion (Garbhasrāvī)...
January 2017: Ancient Science of Life
https://www.readbyqxmd.com/read/28867442/does-information-about-abortion-safety-affect-texas-voters-opinions-about-restrictive-laws-a-randomized-study
#16
Kari White, Daniel Grossman, Amanda Jean Stevenson, Kristine Hopkins, Joseph E Potter
OBJECTIVE: To assess whether information about abortion safety and awareness of abortion laws affect voters' opinions about medically unnecessary abortion regulations. STUDY DESIGN: Between May and June 2016, we randomized 1200 Texas voters to receive or not receive information describing the safety of office-based abortion care during an online survey about abortion laws using simple random assignment. We compared the association between receiving safety information and awareness of recent restrictions and beliefs that ambulatory surgical center (ASC) requirements for abortion facilities and hospital admitting privileges requirements for physicians would make abortion safer...
August 31, 2017: Contraception
https://www.readbyqxmd.com/read/28867439/mixed-methods-investigation-of-women-s-experiences-with-second-trimester-abortion-care-in-the-midwest-and-northeast-united-states
#17
Kelly Blanchard, Jill L Meadows, Hialy R Gutierrez, Curtiss Ps Hannum, Ella F Douglas-Durham, Amanda J Dennis
OBJECTIVE(S): We studied women's experiences seeking and receiving second-trimester abortion care in two geographically and legislatively different settings to inform ways to improve abortion care access and services. STUDY DESIGN: We conducted in-depth interviews with women who obtained second-trimester abortion care. Themes from the interviews were then used to inform a self-administered survey, which was completed by 108 women who received second-trimester abortion care in the Northeast and Midwest...
August 31, 2017: Contraception
https://www.readbyqxmd.com/read/28864560/delayed-diagnosis-and-management-of-second-trimester-abdominal-pregnancy
#18
Katherine Tucker, Neha Rani Bhardwaj, Elizabeth Clark, Eve Espey
Second trimester abdominal ectopic pregnancies are rare and life threatening. Early diagnosis and treatment are paramount in reducing maternal morbidity and mortality. We describe an unusually late diagnosis of abdominal pregnancy despite multiple ultrasounds beginning in early pregnancy. A 28-year-old G2P1001 sought pregnancy termination at 22 weeks' gestation after fetal anomalies were noted on an 18-week ultrasound during evaluation for elevated maternal serum alfa-fetoprotein. Due to abortion restrictions in her home state, she travelled over 500 miles for abortion care...
September 1, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28852656/preconception-care-in-therapeutic-abortion-applicants
#19
Farzaneh Shirmohammadi, Nafisehsadat Nekuei, Parvin Bahadoran, Gita Montazery
BACKGROUND: Some risk factors that would lead to therapeutic abortion do even exist before pregnancy and could be resolved or corrected through appropriate interventions. The present study was conducted to evaluate the condition of preconception care among therapeutic abortion applicants. MATERIALS AND METHODS: This research was a descriptive, cross-sectional study that was conducted on 200 applicants for therapeutic abortion at the Forensics Medicine Center of Isfahan (Iran) who were selected convenience sampling from October 2014 to March 2015...
2017: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/28834186/pre-operative-effects-of-mifepristone-poem-for-dilation-and-evacuation-after-19-weeks-gestation-a-randomised-controlled-trial
#20
Kate A Shaw, Klaira Lerma, Jonathan G Shaw, Karen J Scrivner, Michele Hugin, Frederick W Hopkins, Paul D Blumenthal
OBJECTIVE: To evaluate mifepristone as an adjunct to, or replacement for, osmotic dilators for cervical preparation in surgical abortion after 19-weeks gestation. DESIGN: Site-stratified, double-blinded randomised controlled trial. SETTING: Two tertiary care teaching hospitals. POPULATION: Women undergoing dilation and evacuation (D&E) at 19-23 plus 6/7 weeks gestation from November 2013 through November 2015. METHODS: Participants were randomised to receive (1) mifepristone alone (n=27), (2) osmotic dilators with mifepristone (n=27), or (3) osmotic dilators with placebo (n=21) with all receiving pre-procedure misoprostol...
August 22, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
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