Noetic Propaedeutic Pedagogy As a Panacea to the Problem of Abortion Peter B
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The Safety and Quality of Abortion Care in the United States (2018)
THE NATIONAL ACADEMIES PRESS This PDF is available at http://nap.edu/24950 SHARE The Safety and Quality of Abortion Care in the United States (2018) DETAILS 222 pages | 6 x 9 | PAPERBACK ISBN 978-0-309-46818-3 | DOI 10.17226/24950 CONTRIBUTORS GET THIS BOOK Committee on Reproductive Health Services: Assessing the Safety and Quality of Abortion Care in the U.S.; Board on Population Health and Public Health Practice; Board on Health Care Services; Health and Medicine Division; National FIND RELATED TITLES Academies of Sciences, Engineering, and Medicine SUGGESTED CITATION National Academies of Sciences, Engineering, and Medicine 2018. The Safety and Quality of Abortion Care in the United States. Washington, DC: The National Academies Press. https://doi.org/10.17226/24950. Visit the National Academies Press at NAP.edu and login or register to get: – Access to free PDF downloads of thousands of scientific reports – 10% off the price of print titles – Email or social media notifications of new titles related to your interests – Special offers and discounts Distribution, posting, or copying of this PDF is strictly prohibited without written permission of the National Academies Press. (Request Permission) Unless otherwise indicated, all materials in this PDF are copyrighted by the National Academy of Sciences. Copyright © National Academy of Sciences. All rights reserved. The Safety and Quality of Abortion Care in the United States THE SAFETY AND QUALITY OF ABORTION CARE IN THE UNITED STATES Committee on Reproductive Health Services: Assessing the Safety and Quality of Abortion Care in the U.S. Board on Population Health and Public Health Practice Board on Health Care Services Health and Medicine Division A Consensus Study Report of Copyright National Academy of Sciences. -
A Reproductive Right, Or a Moral Profligacy?
A REPRODUCTIVE RIGHT, OR A MORAL PROFLIGACY? A POLICY PAPER DISCUSSING THE LEGISLATIVE FUTURE FOR MALTA An Għaqda Studenti Tal-Liġi Policy Paper © Għaqda Studenti tal-Liġi 2020 OPENING REMARKS INTRODUCTION It is with great pleasure that I present A multidisciplinary modus operandi was to you this year’s GħSL policy paper employed to offer a holistic discussion addressing the subject of Abortion, a and this was achieved through a paper which is the culmination of the thorough examination of pertinent comprehensive work of the GħSL Policy areas beyond the legal sphere such as Office. medical research, ethical considerations involved, as well as the psychological GħSL strives to keep law students as aspects, among others. well as society as a whole abreast regarding current legal issues in Malta. Moreover, a comparative exercise was An ongoing area of contention featuring carried out, whereby the laws regulating, across local media centres around the restricting and prohibiting abortion were topic of abortion. Due to the polarised evaluated. This contributed towards a views on this subject, the GħSL comprehensive outcome of this policy Executive Board decided that it would paper and provided a robust reference be opportune to delve into this topic. point for active and potential students alike. As a body representing the interests of law students, throughout this paper our Finally, I would like to thank the main focus was to maintain and uphold colleagues of GħSL, including all those an impartial appreciation of the law who contributed to this paper, namely while taking into account the sensitive Dr Desiree Attard, Andrew Sciberras, nature of this topic. -
Expanding Access to Postabortion Care in Zimbabwe Through the Integration Of
September 2013 Expanding Access to Postabortion Care in Zimbabwe through the Integration of Misoprostol FINAL REPORT Zimbabwe Ministry of Health and Child Care Through the combined efforts of the government, organizations, communities and individuals, the Government of Zimbabwe aims to provide the highest possible level of health and quality of life for all its citizens, and to support their full participation in the socio-economic development of the country. This vision requires that every Zimbabwean have access to comprehensive and effective health services. The mission of the Zimbabwe Ministry of Health and Child Care (ZMoHCC) is to provide, administer, coordinate, promote and advocate for the provision of quality health services and care to Zimbabweans while maximizing the use of available resources. Venture Strategies Innovations (VSI) VSI is a US-based nonprofit organization committed to improving women and girls' health in developing countries by creating access to effective and affordable technologies on a large scale. VSI connects women with life-saving medicines and services by engaging governments and partners to achieve regulatory approval of quality products and integrating them into national policies and practices. Zimbabwe Ministry of Health and Child Care The Permanent Secretary Kaguvi Building, 4th Floor Central Avenue (Between 4th and 5th Street) Harare, Zimbabwe Telephone: +263-4-798537-60 Website: http://www.mohcw.gov.zw Venture Strategies Innovations 19200 Von Karman Avenue, Suite 400 Irvine, California 92612 USA Telephone: +1 949-622-5515 Website: www.vsinnovations.org ii Acknowledgements Zimbabwe Ministry of Health and Child Care: Dr. Bernard Madzima, Director, Maternal and Child Health Ms. Margaret Nyandoro, Deputy Director, Director of Reproductive Health Principal Investigators : Dr. -
Unsafe Abortion in Nigeria in Certain Circumstances Nurses Could Participate
LETTERS TO THE EDITOR J Fam Plann Reprod Health Care: first published as 10.1783/147118907781005038 on 1 July 2007. Downloaded from Nurses and abortion there were plenty of expressions available which Vincent Argent, FRCOG, LLB Vincent Argent and Lin Pavey have concluded, in would have had that effect. Surgical termination Consultant Obstetrician and Gynaecologist an analysis of the House of Lords case Royal using modern methods was not amongst the (Lead in Sexual Health), Addenbrooke’s College of Nursing v DHSS [1981] 1 AC 800 procedures envisaged, and it was certainly not Cambridge University Teaching Hospital, (“the RCN case”), that without any change in the foreseen or foreseeable that it might be Cambridge, UK. E-mail: [email protected] law, nurses can legally perform surgical induced suggested that nurses might be significant abortion.1 Their article contains some dangerous operators in such procedures. Lin Pavey, RGN legal misconceptions. The dissenting views cannot merely be Member of RCN Nurses Working in Termination The RCN case concerned the participation of discounted. They emphasised, very powerfully, of Pregnancy Network nurses in prostaglandin-induced abortions. The the need for great caution in the construction of House of Lords decided by a majority (3:2) that the statute, and in particular the need for judges to Unsafe abortion in Nigeria in certain circumstances nurses could participate. be careful not to usurp the function of Parliament Each minute of every day, nearly 40 women The RCN case decided that for the procedure and engage in judicial legislation. The danger of undergo dangerous, unsafe abortions.1 These that the court was considering: such judicial legislation is particularly acute since unsafe abortions are often performed by unskilled (a) Medical abortion is a process. -
Woman-Centered, Comprehensive Abortion Care Reference Manual
Second Edition Woman-Centered, Comprehensive Abortion Care Reference Manual Disclaimer: The regularly updated Clinical Updates in Reproductive Health (www.ipas.org/clinicalupdates) provides Ipas’s most up-to-date clinical guidance, which supersedes any guidance that may differ in Ipas curricula or other materials. ISBN: 1-882220-87-0 © 2005, 2013 Ipas. Produced in the United States of America. Ipas. (2013). Woman-centered, comprehensive abortion care: Reference manual (second ed.) K. L. Turner & A. Huber (Eds.), Chapel Hill, NC: Ipas. Ipas is a nonprofit organization that works around the world to increase women’s ability to exercise their sexual and reproductive rights, especially the right to safe abortion. We seek to eliminate unsafe abortion and the resulting deaths and injuries and to expand women’s access to comprehensive abortion care, including contraception and related reproductive health information and care. We strive to foster a legal, policy and social environment supportive of women’s rights to make their own sexual and reproductive health decisions freely and safely. Ipas is a registered 501(c)(3) nonprofit organization. All contributions to Ipas are tax deductible to the full extent allowed by law. Cover photo credits: © Richard Lord Illustrations: Stephen C. Edgerton The illustrations and photographs used in this publication are for illustrative purposes only. No similarity to any actual person, living or dead, is intended. For more information or to donate to Ipas: Ipas P.O. Box 9990 Chapel Hill, NC 27515 USA 1-919-967-7052 [email protected] www.ipas.org Printed on recycled paper. Ipas Woman-Centered, Comprehensive Abortion Care: Reference Manual Acknowledgments - Second edition This second edition of Ipas’s Woman-Centered, Comprehensive Abortion Care: Reference Manual was revised by the following Ipas staff and consultants: Katherine L. -
Pattern of Complicated Unsafe Abortions in Niger Delta University Teaching Hospital Okolobiri, Nigeria: a 4 Year Review
Pattern of Complicated Unsafe Abortions in Niger Delta University Teaching Hospital Okolobiri, Nigeria: A 4 Year Review. Type of Article: Original Isa Ayuba Ibrahim, Israel Jeremiah, Isaac J Abasi, Abednego O Addah Department of Obstetrics and Gynaecology, Niger Delta University Teaching Hospital, Okolobiri, Nigeria. INTRODUCTION ABSTRACT Unsafe abortion is a persistent, but preventable pandemic with grave implications on the life of women and their reproductive Background: Abortions performed by persons lacking career1,2. It is defined by the World Health Organization the requisite skills or in environments lacking minimal (W.H.O) as a procedure for terminating an unwanted medical standards or both are considered unsafe. It is pregnancy, either by a person lacking the necessary skill or in an estimated that over 20 million unsafe abortions are environment lacking the minimum standard or both2. It is one performed annually and about 70,000 women die of the five leading causes of maternal mortality world wide. globally as a result, with majority occurring in the Out of the over half a million maternal deaths that occur each developing world. This study aims to determine the year globally2,3, it is estimated that one quarter to one third may pattern of complicated unsafe abortions in Niger delta be a consequence of complications arising from unsafe University Teaching Hospital (NDUTH) Okolobiri. abortion.1,4,5 Methods: The study is a four-year retrospective analysis It is estimated that about 210 million pregnancies occur each of cases of complicated unsafe abortion managed at the year, nearly half of these pregnancies are unplanned and a 2,3,6 Niger Delta University Teaching Hospital Okolobiri, greater definitely unwanted . -
Fact Sheet Abortion in Nigeria
Fact Sheet October 2015 Abortion in Nigeria • In Nigeria, abortion is legal only DESPITE LEGAL RESTRICTIONS, REGIONAL VARIATION when performed to save a woman’s life. ABORTION IS COMMON IN ABORTION RATES Still, abortions are common, and most are • In spite of Nigeria’s highly restrictive • Within Nigeria, rates of abortion vary: unsafe because they are done clandes- abortion law, an estimated 1.25 million In 2012, there were 27 abortions per tinely, by unskilled providers or both. induced abortions occurred in 2012. 1,000 women aged 15–49 in the South The number doubled from an estimated West and North Central zones; 31 per • Unsafe abortion is a major contributor 610,000 in 1996 because of both popula- 1,000 in the North West and South to the country’s high levels of maternal tion growth and an increase in the rate East zones; and 41 and 44 per 1,000 death, ill health and disability. Nigeria in the North East and South South of abortion. has one of the highest maternal mortality zones, respectively. ratios in the world, and little improve- • The estimated abortion rate was 33 • The proportion of pregnancies ending in ment has occurred in recent years. abortions per 1,000 women aged 15–49 induced abortion was lowest in the South in 2012. Although this rate is greater • Contraceptive use remains low in West (11%), and highest in the North Nigeria. In 2013, only 16% of all women than the 1996 rate (23 per 1,000) East (16%) and South South (17%). of reproductive age (15–49) were using estimated in a previous study, the most any contraceptive method, and only 11% prudent conclusion may be that the • The higher rates of abortion in the were using a modern method—levels that abortion rate has increased only slightly, North East and South South zones can be remain virtually unchanged since 2008. -
The Association Between Education and Induced Abortion
Heini Väisänen Department of Social Policy London school of Economics and Political Science Houghton Street London WC2A 2AE [email protected] The association between education and induced abortion for three cohorts of adults in Finland (Short title: Education and induced abortion in Finland) Heini Väisänen London School of Economics and Political Science To cite this article, please refer to: Heini Väisänen (2015): The association between education and induced abortion for three cohorts of adults in Finland, Population Studies, DOI: 10.1080/00324728.2015.1083608 To link to this article: http://dx.doi.org/10.1080/00324728.2015.1083608 This paper explores whether the likelihood of abortion by education changed over time in Finland, where comprehensive family planning services and sexuality education have been available since the early 1970s. This subject has not previously been studied longitudinally with comprehensive and reliable data. A unique longitudinal set of register data of more than 250,000 women aged 20–49 born in 1955–59, 1965–69, and 1975–79 was analysed, using descriptive statistics, concentration curves, and discrete-time event-history models. Women with basic education had a higher likelihood of abortion than others and the association grew stronger for later cohorts. Selection into education may explain this phenomenon: although it was fairly common to have only basic education in the 1955–59 cohort, it became increasingly unusual over time. Thus, even though family planning services were easily available, socio-economic differences in the likelihood of abortion remained. Keywords: induced abortion; register data; Finland; reproductive health; event-history analysis Introduction In many countries women in less advantaged socioeconomic positions have more abortions than other women (Jones et al. -
Reported Experiences Using Misoprostol Obtained from Drug Sellers: a Prospective Cohort Study in Lagos State, Nigeria
Open access Original research BMJ Open: first published as 10.1136/bmjopen-2019-034670 on 5 May 2020. Downloaded from Women’s self- reported experiences using misoprostol obtained from drug sellers: a prospective cohort study in Lagos State, Nigeria Melissa Stillman ,1 Onikepe Owolabi ,1 Adesegun O Fatusi ,1,2 Akanni I Akinyemi ,3,4 Amanda L Berry ,1 Temitope P Erinfolami ,4,5 Olalekan S Olagunju ,4,5 Heini Väisänen ,6 Akinrinola Bankole 1 To cite: Stillman M, Owolabi O, ABSTRACT Strengths and limitations of this study Fatusi AO, et al. Women’s self- Objectives This study aimed to assess the safety and reported experiences using effectiveness of self- managed misoprostol abortions ► Data from this study are the first prospectively col- misoprostol obtained from obtained outside of the formal health system in Lagos drug sellers: a prospective lected data that capture people’s experiences with, State, Nigeria. cohort study in Lagos and the self- reported effectiveness of, self- managed Design This was a prospective cohort study among State, Nigeria. BMJ Open misoprostol abortion in a legally restrictive setting in women using misoprostol- containing medications 2020;10:e034670. doi:10.1136/ sub- Saharan Africa. bmjopen-2019-034670 purchased from drug sellers. Three telephone- ► This study used novel recruitment and retention administered surveys were conducted over 1 month. approaches: drug sellers were the source of re- ► Prepublication history and Setting Data were collected in 2018 in six local additional material for this cruitment, which leveraged existing client–provid- government areas in Lagos State. paper are available online. To er relationships; unregistered mobile phones were Participants Drug sellers attempted to recruit all women view these files, please visit distributed to participants to mitigate fears around who purchased misoprostol- containing medication. -
Preventing Unsafe Abortion and Its Consequences Priorities for Research and Action
Priorities for Action Research and Abortion Preventing and Unsafe its Consequences nsafe abortion is a significant yet preventable cause of maternal mortality and morbidity. The Ugravity and global incidence of unsafe abortion Preventing call for a better understanding of the factors behind the persistence of unsafe abortion and of the barriers to preventing unsafe abortion and managing its conse- Unsafe Abortion quences. This volume brings together the proceedings from an inter-disciplinary consultation to assess the and its global and regional status of unsafe abortion and to identify a research and action agenda to reduce unsafe abortion and its burden on women, their families, and Consequences public health systems. The volume addresses a compre- hensive range of issues related to research on prevent- ing unsafe abortion, outlines regional priorities, and Priorities for identifies critical topics for future research and action on preventing unsafe abortion. Research and Action Iqbal H. Iqbal Shah H. Warriner Ina K. Editors Ina K. Warriner Iqbal H. Shah cover 4.indd 1 31/01/2006 13:34:26 Preventing Unsafe Abortion and its Consequences Priorities for Research and Action Editors Ina K. Warriner Iqbal H. Shah A-Intro.indd 1 09/02/2006 10:44:45 Suggested citation: Warriner IK and Shah IH, eds., Preventing Unsafe Abortion and its Consequences: Priorities for Research and Action, New York: Guttmacher Institute, 2006. 1. Abortion, Induced - adverse effects 2. Abortion, Induced - epidemiology 3. Women’s health services 4. Health priorities -
Unsafe Abortion and Development: a Strategic Approach
Unsafe Abortion and Development: A Strategic Approach Isaac F. Adewole, Nnenna C. Orji and B.A. Oye-Adeniran* 1 Introduction: unsafe abortion as a and young people are likely to become – a situation development issue that is exacerbated by women’s subordinate status in Unsafe abortion is one of the most pressing issues many societies. Additionally, within each national affecting humanity today (Abouzahr 1994; Gomperts context, unsafe abortion is more prevalent among 2002). Worldwide, it kills about 80,000 women people of lower social and economic status – for every year, and this figure only represents the tip of example, people living in poverty, or adolescents the iceberg, since an estimated 25 times that who are either in or out of school (Okonofua 2004; number of women suffer various ill-health effects as Grimes et al. 2006). Thus, a strong link exists not only a result of unsafe procedures (Ciment 1999; Ahman between unsafe abortion and individual lack of access and Shah 2002). In Nigeria, where abortion is legal to resources, but also as part of a wider lack of only to save the life of a woman, restrictive functional democracy and good governance, with legislation and pervasive stigma conspire to drive significant implications for those working to expand abortion underground. The vast majority of the women’s access to safe services. estimated 760,000 abortions that occur every year in Nigeria are clandestine (Bankole et al. 2006), and Despite the clear links between unsafe abortion, the majority of these fatalities go unreported. There poverty and social inequity, the issue of abortion is is no doubt that the primary casualties of unsafe still largely discussed and addressed as an issue of procedures are poor women (Braam and Hessini women’s reproductive health and rights alone 2004), and based on this reality, we can safely (Gasman et al. -
Predictors of Pregnancy Termination Among Young Women in Ghana: Empirical Evidence from the 2014 Demographic and Health Survey Data
healthcare Article Predictors of Pregnancy Termination among Young Women in Ghana: Empirical Evidence from the 2014 Demographic and Health Survey Data Bright Opoku Ahinkorah 1 , Abdul-Aziz Seidu 2,3 , John Elvis Hagan Jr. 4,5,* , Anita Gracious Archer 6, Eugene Budu 2, Faustina Adoboi 7 and Thomas Schack 5 1 School of Public Health, Faculty of Health, University of Technology Sydney, Sydney 2007, Australia; [email protected] 2 Department of Population and Health, University of Cape Coast, Cape Coast 0494, Ghana; [email protected] (A.-A.S.); [email protected] (E.B.) 3 College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville 4811, Australia 4 Department of Health, Physical Education, and Recreation, University of Cape Coast, Cape Coast 0494, Ghana 5 Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Postfach 1001 31, 33501 Bielefeld, Germany; [email protected] 6 School of Nursing and Midwifery, University of Health and Allied Sciences, Sokode-Lokoe PMB 31, Ho 342-0041, Ghana; [email protected] 7 Cape Coast Nursing and Midwifery Training College, Cape Coast 729, Ghana; [email protected] * Correspondence: [email protected] Citation: Ahinkorah, B.O.; Seidu, Abstract: Pregnancy termination remains a delicate and contentious reproductive health issue A.-A.; Hagan, J.E., Jr.; Archer, A.G.; because of a variety of political, economic, religious, and social reasons. The present study examined Budu, E.; Adoboi, F.; Schack, T. the associations between demographic and socio-economic factors and pregnancy termination among Predictors of Pregnancy Termination young Ghanaian women.