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Abortion care

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https://www.readbyqxmd.com/read/28805535/if-when-and-how-to-discuss-available-abortion-services-in-the-primary-care-setting
#1
Megan Hatcher, Carie Muntifering Cox, Grace Shih
Many women prefer to receive abortion care with their primary care provider; yet, prior studies have suggested that women do not know or assume that their provider does not offer abortion care. Our objective was to explore if, when, and how women wish to be informed of available abortion services at their primary care clinics. We conducted interviews with 21 women at their primary care site during June-July 2014. Vignettes were used to identify clinic visit types in which information regarding abortion services would be welcome, and appropriate and inappropriate ways for providers to inform patients of these services...
August 14, 2017: Women & Health
https://www.readbyqxmd.com/read/28801054/-without-bodily-autonomy-we-are-not-free-exploring-women-s-concerns-about-future-access-to-contraception-following-the-2016u-s-presidential-election
#2
Colleen P Judge, Tierney E Wolgemuth, Megan E Hamm, Sonya Borrero
OBJECTIVE: Following the 2016U.S. Presidential Election, social media posts and news stories amplified concerns about the potential for reduced access to contraception under the incoming administration, and urged women to seek long-acting reversible contraception (LARC). We aimed to describe women's concerns about future access to contraception, in their own words. STUDY DESIGN: A social-media based, anonymous online survey assessing thoughts and concerns about future access to contraception was distributed to reproductive-aged U...
August 8, 2017: Contraception
https://www.readbyqxmd.com/read/28801052/accompaniment-of-second-trimester-abortions-the-model-of-the-feminist-socorrista-network-of-argentina
#3
Ruth Zurbriggen, Brianna Keefe-Oates, Caitlin Gerdts
OBJECTIVE: Legal restrictions on abortion access impact the safety and timing of abortion. Women affected by these laws face barriers to safe care that often result in abortion being delayed. Second-trimester abortion affects vulnerable groups of women disproportionately, and is often more difficult to access. In Argentina, where abortion is legally restricted except in cases of rape or threat to the health of the woman, the Socorristas en Red, a feminist network, offers a model of accompaniment wherein they provide information and support to women seeking second-trimester abortions...
August 8, 2017: Contraception
https://www.readbyqxmd.com/read/28798930/adverse-pregnancy-outcomes-of-patients-with-history-of-first-trimester-recurrent-spontaneous-abortion
#4
Jing Yang, Yan Wang, Xiao-Ye Wang, Yan-Yu Zhao, Jing Wang, Yang-Yu Zhao
Although a history of first-trimester recurrent spontaneous abortion (FRSA) is regarded as a risk factor in antenatal care, the characteristic of subsequent pregnancy outcome is not clearly elucidated. Here, a retrospective analysis was performed on the clinical data of 492 singleton pregnant women. 164 of them with the history of FRSA were enrolled in study group, compared to 328 deliveries without the history of FRSA. For maternal outcomes, patients in the study group delivered earlier with mean gestational age and the incidences of cesarean section and postpartum hemorrhage were higher compared to the control group...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28797671/pregnancy-after-bariatric-surgery-the-effect-of-time-to-conception-on-pregnancy-outcomes
#5
Patricia O Yau, Manish Parikh, John K Saunders, Patricia Chui, Tara Zablocki, Akuezunkpa Ude Welcome
BACKGROUND: At our medical center, female patients who have undergone bariatric surgery are advised to defer pregnancy for 2 years after surgery to avoid the following complications and their potential consequences for the fetus: inadequate gestational weight gain, inadequate postsurgical weight loss, hyperemesis gravidarum, nutritional deficiencies, gestational diabetes, and gestational hypertension. OBJECTIVES: To examine the effect of time from surgery to conception on pregnancy course and outcomes in bariatric patients...
July 17, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28793091/-maltreatment-and-discrimination-in-induced-abortion-care-perception-of-women-in-teresina-state-of-piau%C3%A3-brazil
#6
Alberto Pereira Madeiro, Andréa Cronemberger Rufino
Treatment of complications resulting from induced abortion may be hampered by discriminatory attitudes manifested by healthcare professionals in hospitals and abortion services. This article retrieved stories of institutional abuse directed at women who had an induced abortion in illegal and unsafe conditions. Seventy-eight women admitted to a public hospital in Teresina for complications after an induced abortion were interviewed. A semi-structured script was used with questions about practices and itineraries of abortion and institutional violence during hospitalization...
August 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28780239/-it-is-just-like-having-a-period-with-back-pain-exploring-women-s-experiences-with-community-based-distribution-of-misoprostol-for-early-abortion-on-the-thailand-burma-border
#7
Ellen Tousaw, Sweet Naw Hser Gay Moo, Grady Arnott, Angel M Foster
INTRODUCTION: The lack of economic development and longstanding conflict in Burma have led to mass population displacement. Unintended pregnancy and unsafe abortion are common and contribute to maternal death and disability. In 2011, stakeholders operating along the Thailand-Burma border established a community-based distribution program of misoprostol for early abortion, with the aim of providing safe and free abortion care in this low-resource and legally-restricted setting. METHODS: We conducted 16 in-depth, in-person interviews with women from Burma residing on both sides of the border who accessed misoprostol through the community-based distribution initiative...
August 3, 2017: Contraception
https://www.readbyqxmd.com/read/28768550/abuse-and-disrespect-in-childbirth-process-and-abortion-situation-in-latin-america-and-the-caribbean-systematic-review-protocol
#8
Sofia Madeira, Vicky Pileggi, João Paulo Souza
BACKGROUND: Studies show that a large number of women around the world have experienced situations of abuse, disrespect, abuse, and neglect during childbirth and/or abortion. This violence is a serious violation of the rights of women, especially because it is a period in which the woman is more physiologically, socially, and psychologically vulnerable. Although this type of violence is known, there is still no international consensus on the definition of such violence and its prevalence is not known...
August 3, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28766989/sixty-years-in-psychiatry
#9
John Bradley
The author, who has spent over 60 years working in a variety of mental health settings, shares his personal perspective of the way psychiatry has evolved. Treatments, both physical and psychological, have come and some have been discarded. There have been radical changes in the delivery of care, from the 2000-bed Victorian asylum to community care, and the on the whole beneficial impact of legislation such as mental health Acts and Acts dealing with suicide, abortion and sexual offences. His experience has warned him of the folly of overenthusiasm for some treatments - such as deep insulin for schizophrenia, psycho surgery, and even classical psychoanalysis which can become as addictive as any drug or a promise of salvation as convincing as a religion...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28761387/abortion-an-increasing-public-health-concern-in-ecuador-a-10-year-population-based-analysis
#10
Esteban Ortiz-Prado, Katherine Simbaña, Lenin Gómez, Anna M Stewart-Ibarra, Lisa Scott, Gabriel Cevallos-Sierra
OBJECTIVES: To describe the epidemiology of abortion in Ecuador from 2004 to 2014 and compare the prevalence between the public and the private health care systems. METHODS: This is a cross-sectional analysis of the overall mortality and morbidity rate due to abortion in Ecuador, based on public health records and other government databases. RESULTS: From 2004 to 2014, a total of 431,614 spontaneous abortions, miscarriage and other types of abortions were registered in Ecuador...
2017: Pragmatic and Observational Research
https://www.readbyqxmd.com/read/28757115/there-is-no-defence-for-conscientious-objection-in-reproductive-health-care
#11
REVIEW
Christian Fiala, Joyce H Arthur
A widespread assumption has taken hold in the field of medicine that we must allow health care professionals the right to refuse treatment under the guise of 'conscientious objection' (CO), in particular for women seeking abortions. At the same time, it is widely recognized that the refusal to treat creates harm and barriers for patients receiving reproductive health care. In response, many recommendations have been put forward as solutions to limit those harms. Further, some researchers make a distinction between true CO and 'obstructionist CO', based on the motivations or actions of various objectors...
July 23, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28756398/freedom-of-conscience-in-europe-an-analysis-of-three-cases-of-midwives-with-conscientious-objection-to-abortion
#12
Valerie Fleming, Beate Ramsayer, Teja Škodič Zakšek
While abortion has been legal in most developed countries for many years, the topic remains controversial. A major area of controversy concerns women's rights vis-a-vis the rights of health professionals to opt out of providing the service on conscience grounds. Although scholars from various disciplines have addressed this issue in the literature, there is a lack of empirical research on the topic. This paper provides a documentary analysis of three examples of conscientious objection on religious grounds to performing abortion-related care by midwives in different Member States of the European Union, two of which have resulted in legal action...
July 29, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28754161/a-cross-sectional-study-of-maternal-near-miss-and-mortality-at-a-rural-tertiary-centre-in-southern-nigeria
#13
Ikechukwu Innocent Mbachu, Chukwuemeka Ezeama, Kelechi Osuagwu, Osita Samuel Umeononihu, Chibuzor Obiannika, Nkeiru Ezeama
BACKGROUND: The study evaluated the pattern of severe maternal outcome, near miss indicators and associated patient and healthcare factors at a private referral hospital in rural Nigeria. METHODS: This was a cross sectional study conducted from September 2014 to August 2015 in Madonna University Teaching Hospital Elele, Rivers State, Nigeria. Pregnant and postpartum women were recruited for the study using Nigeria near miss network proforma which was adopted from the WHO near miss proforma...
July 28, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28748589/the-role-of-medical-abortion-in-the-implementation-of-the-law-on-voluntary-termination-of-pregnancy-in-uruguay
#14
Verónica Fiol, Leticia Rieppi, Rafael Aguirre, María Nozar, Mónica Gorgoroso, Francisco Coppola, Leonel Briozzo
OBJECTIVE: To evaluate the implementation of the law that liberalizes voluntary abortion in Uruguay and enables health services to offer these services to the population. METHODS: The legal and regulatory provisions are described and the national data-provided by the Ministry of Public Health's National Information System (SINADI)-on the number of voluntary terminations of pregnancy, the abortion method (medical or surgical), and whether it was performed as an outpatient or inpatient are analyzed...
August 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28748588/implementation-of-the-risk-and-harm-reduction-strategy-against-unsafe-abortion-in-uruguay-from-a-university-hospital-to-the-entire-country
#15
Ana Labandera, Monica Gorgoroso, Leonel Briozzo
The history of the creation of the risk and harm reduction model applied to unsafe abortion is reviewed, from its initial implementation by a small group of gynecologists at the Pereira Rossell Hospital Center in Uruguay to its spread to the rest of the country. Its ethical rationale, its successful application in the hospital, the decision to disseminate it with the cooperation of the International Federation of Gynecology and Obstetrics (FIGO), and the intervention procedures are explained. It was evaluated from the epidemiological and anthropological viewpoints, from the changes in professionals' and users' perception of the care offered and its impact on complications and maternal deaths...
August 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28748587/from-risk-and-harm-reduction-to-decriminalizing-abortion-the-uruguayan-model-for-women-s-rights
#16
Leonel Briozzo
OBJECTIVE: To describe public policies, social actions, particularly those of obstetricians/gynecologists, and changes in abortion-related legislation in the different historical periods between 1990 and 2015, and to analyze temporal correlations with a reduction in maternal mortality. METHODS: The 1990-2015 period was divided into three different stages to permit evaluation of the legislation, health regulations, healthcare system, and professional practices related to the care provided in cases of unsafe abortion: 1990-2001, characterized by illegality and the healthcare system's denial of abortion; 2001-2012, when the model for reducing the risk and harm of unsafe abortions was developed; and 2012-2015, when abortion was finally decriminalized...
August 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28748584/a-replication-of-the-uruguayan-model-in-the-province-of-buenos-aires-argentina-as-a-public-policy-for-reducing-abortion-related-maternal-mortality
#17
Marisa G Matía, Eugenia C Trumper, Nery Orlando Fures, Jimena Orchuela
OBJECTIVE: To describe the application of the risk and harm reduction model at primary care level to decrease the mortality due to unsafe abortion in the Province of Buenos Aires, Argentina, and evaluate the results. METHODS: The services offered at primary health units to women undergoing abortion are described-first, only risk reduction and later, legal termination of the pregnancy-including their evolution between 2010 and 2015. The changes in abortion-related maternal mortality are also evaluated...
August 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28742186/l%C3%A3-sa-cystor-i-lilla-b%C3%A3-ckenet-%C3%A2-ov%C3%A3-ntat-operationsfynd-vid-buksm%C3%A3-rta
#18
Lovisa Brehmer, Maria Krång Lundekvam, Emelie Sternö, Anna-Maria Iglesias
Loose peritoneal cysts - unexpected finding at laparoscopic surgery for suspected extrauterine pregnancy, a case report A 29 year old woman was admitted to inpatient care in the 7th week of pregnancy due to three previous episodes of abdominal pain. At admission a suspected pseudogestational sac and 2 × 3 centimetres of fluid in the cul-de-sac was noted at vaginal ultrasound examination. After two days she again developed pain and a laparoscopy was performed due to suspected extrauterine pregnancy. Instead, three clusters of thin-walled, clear cysts was found lying loose in the cul-de-sac...
July 19, 2017: Läkartidningen
https://www.readbyqxmd.com/read/28728448/pregnancy-and-child-health-outcomes-in-pediatric-and-young-adult-leukemia-and-lymphoma-survivors-a-systematic-review
#19
Ksenya Shliakhtsitsava, Sally A D Romero, Samantha Rose Dewald, H Irene Su
As long-term survival is high for children and young adults diagnosed with leukemia and lymphoma, delineating maternal, fetal and offspring health risks is important to their family planning. This systematic review examined data comparing these health risks between leukemia and lymphoma survivors and women without a history of cancer. Following a search of Embase, PubMed, CINAHL, Cochrane, and Web of Science, 142 articles were screened and 18 were included in this review. No higher risks of spontaneous abortion, maternal diabetes and anemia, stillbirth, birth defects, or childhood cancer in offspring were observed in survivors compared to controls...
July 21, 2017: Leukemia & Lymphoma
https://www.readbyqxmd.com/read/28727994/retrospective-evaluation-of-the-procedural-sedation-practices-of-expert-nurses-during-abortion-care
#20
Monica R McLemore, E Angel Aztlan
OBJECTIVE: To evaluate the provision of procedural sedation during abortion by expert nurses and to describe the factors that are associated with time to discharge for women who receive this sedation. DESIGN: Retrospective chart review. METHODS: Descriptive statistics were generated to describe a retrospective cohort of women presenting for abortion under procedural sedation. Analysis of variance was used to determine significant characteristics that influenced time to discharge...
July 17, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
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