Sample records for abortion induced

  1. Induced Abortion

    ... Education & Events Advocacy For Patients About ACOG Induced Abortion Home For Patients Search FAQs Induced Abortion Page ... Induced Abortion FAQ043, May 2015 PDF Format Induced Abortion Special Procedures What is an induced abortion? What ...

  2. Induced abortion in Indonesia.

    Hull, T H; Sarwono, S W; Widyantoro, N


    Induced abortion is one of the most difficult sociomedical problems facing the Indonesian government. While well-known in traditional society, the practice was discouraged by all Indonesian religious groups, and forbidden by the Dutch colonial authorities. Although abortion was technically illegal under the criminal code, a judicial interpretation in the early 1970s permitted medical professionals to offer the procedure so long as they were discreet and careful. The numbers of medical abortions carried out in Indonesia rose dramatically, and there was evidence of matching declines in the incidence of morbidity and mortality caused by dangerous illegal procedures. Medical and community groups campaigned for a more liberal abortion law to protect legal practitioners and stamp out illegal traditional practices. Their efforts appeared to bear fruit in the draft Health Law, but when the law was passed by the legislature in late 1992, the issue was again clouded by contradictions and inconsistencies. PMID:8212094

  3. Sociocultural determinants of induced abortion

    Objective: To determine the frequency of induced abortion and identity the role of sociocultural factors contributing to termination of pregnancy and associated morbidity and mortality in hospital setting. Subjects and Methods: The patients who were admitted for induced abortion were interviewed in privacy. On condition of anonymity they were asked about the age, parity, family setup and relationships, with particular emphasis on sociocultural reasons and factors contributing to induction of abortion. Details of status of abortionist and methods used for termination of pregnancy, the resulting complications and their severity were recorded. Results: Out of total admissions, 57(2.35%) gave history of induced abortion. All women belonged to low socioeconomic class and 59.6% of them were illiterate. Forty-three (75.5%) of these women had never practiced concentration. Twenty-four (42%) were grandmultiparae and did not want more children. In 29 women (50.9%) the decision for abortion had been supported by the husband. In 25 (43.8%) abortion was carried out by Daiyan (traditional midwives). Serious complications like uterine perforation with or without bowel injury were encouraged in 25 (43.8%) of these women. During the study period illegally induced abortion accounted for 6 (10.5%) maternal deaths. Conclusion: Prevalence of poverty, illiteracy, grand multiparity and non-practice of contraception are strong determinants of induced abortion. (author)

  4. [Readers' position against induced abortion].


    Replies to the request by the Journal of Nursing on readers' positions against induced abortion indicate there is a definite personal position against induced abortion and the assistance in this procedure. Some writers expressed an emotional "no" against induced abortion. Many quoted arguments from the literature, such as a medical dictionary definition as "a premeditated criminally induced abortion." The largest group of writers quoted from the Bible, the tenor always being: "God made man, he made us with his hands; we have no right to make the decision." People with other philosophies also objected. Theosophical viewpoint considers reincarnation and the law of cause and effect (karma). This philosophy holds that induced abortion impedes the appearance of a reincarnated being. The fundamental question in the abortion problem is, "can the fetus be considered a human life?" The German anatomist Professor E. Bleckschmidt points out that from conception there is human life, hence the fertilized cell can only develop into a human being and is not merely a piece of tissue. Professional nursing interpretation is that nursing action directed towards killing of a human being (unborn child) is against the nature and the essence of the nursing profession. A different opinion states that a nurse cares for patients who have decided for the operation. The nurse doesn't judge but respects the individual's decision. Some proabortion viewpoints considered the endangering of the mother's life by the unborn child, and the case of rape. With the arguments against abortion the question arises how to help the woman with unwanted pregnancy. Psychological counseling is emphasized as well as responsible and careful assistance. Referral to the Society for Protection of the Unborn Child (VBOK) is considered as well as other agencies. Further reader comments on this subject are solicited. PMID:6913282

  5. Abortion - medical

    ... womb (uterus). There are different types of medical abortions: Therapeutic medical abortion is done because the woman has ... Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion




    Full Text Available In India medical abortion has become acceptable to the masses. As per the MTP Act 2003 medical abortion can be provided by certified providers at approved places or centres which have referral linkages even though the Centre is not approved for MTP. Despit e this in India a large number of abortions are still illegal. People are resorting to abortion without any pre - abortion checkup or counseling which is contrary to the MTP Act. This study was carried out to determine the reasons for resorting to self - induc ed abortion, assess the associated complications and acceptance of contraception after abortion. 77.7% of women in this study included those who reported to hospital following self - administered abortion so did not have any checkup, investigation or counsel ing. 23% women got the prescriptions from RMP, 42.85% from chemists and 30% from friend even though 55% of them were not residing far from the hospital. Following self - administered abortion, women reported with pain abdomen, retained products, pelvic infla mmatory disease and heavy bleeding requiring emergency suction evacuation. These women were not aware about the need for contraception and mistook self - induced abortion as a method for family planning. They resorted to self - induced abortions because they b elieved it to be safe, and presumed that a visit to the hospital is avoidable. 45 % of these women had undergone abortions in the past without any side effect. It is feared that if self - induced medical abortions continues unheeded the health system will get overburdened with resultant complications besides losing an opportunity for contraceptive counseling . It is recommended that the private practitioners may be brought into the system besides ensuring that regulations regarding prescription of drugs and the MTP Act are followed. Besides this masses should be made aware of the legality of medical abortion by using handouts and posters.

  7. Uterine contraction induced by Tanzanian plants used to induce abortion

    Nikolajsen, Tine; Nielsen, Frank; Rasch, Vibeke;


    Women in Tanzania use plants to induce abortion. It is not known whether the plants have an effect.......Women in Tanzania use plants to induce abortion. It is not known whether the plants have an effect....

  8. Induced Abortion: An Ethical Conundrum for Counselors.

    Millner, Vaughn S.; Hanks, Robert B.


    Induced abortion is one of the most controversial moral issues in American culture, but counselor value struggles regarding abortion are seldom addressed in counseling literature. This article considers the conflictual nature of the ethical principles of autonomy, fidelity, justice, beneficence, and nonmaleficence as they can occur within the…

  9. [Induced abortion: a vulnerable public health problem].

    Requena, M


    Induced abortion is an urgent public health problem that can be controlled if it is approached in its true complexity and with a social and humanist perspective. Induced abortion has been discussed in Chile since the last century, but not always openly. Abortion is not just an individual and collective medical problem, it is also an ethical, religious, legal, demographic, political, and psychological problem. Above all it is a problem of human rights. In the past 60 years, more than 50 countries representing 76% of the world population have liberalized their abortion legislation. Around 980 million women have some degrees of access of legal abortion. The magnitude of illegal abortion is difficult to determine because of the desire of women to hide their experiences. Estimates of the incidence of abortion in Chile made some 25 years ago are no longer valid because of the numerous social changes in the intervening years. The number of abortions in Chile in 1987 was estimated using an indirect residual method at 195,441, of which 90%, or 175,897, were induced. By this estimate, 38.8% of pregnancies in Chile end in abortion. Data on hospitalizations for complications of induced abortion show an increase from 13.9/1000 fertile aged women in 1940 to 29.1 in 1965. By 1987, with increased contraceptive usage, the rate declined to 10.5 abortions per 1000 fertile aged women. The cost of hospitalization for abortion complications in 1987, despite the decline, was still estimated at US $4.3 million, a large sum in an era of declining health resources. The problem of induced abortion can be analyzed by placing it in the context of elements affecting the desire to control fertility. 4 complexes of variables are involved: those affecting the supply of contraceptive, the demand for contraceptives, the various costs of fertility control measure, and alternatives to fertility control for satisfying various needs. The analysis is further complicated when efforts are made to

  10. Induced abortion and subsequent pregnancy duration

    Zhou, Wei Jin; Sørensen, Henrik Toft; Olsen, Jørn


    OBJECTIVE: To examine whether induced abortion influences subsequent pregnancy duration. METHODS: Women who had their first pregnancies during 1980, 1981, and 1982 were identified in three Danish national registries. A total of 15,727 women whose pregnancies were terminated by first-trimester ind......OBJECTIVE: To examine whether induced abortion influences subsequent pregnancy duration. METHODS: Women who had their first pregnancies during 1980, 1981, and 1982 were identified in three Danish national registries. A total of 15,727 women whose pregnancies were terminated by first......-trimester induced abortions were compared with 46,026 whose pregnancies were not terminated by induced abortions. All subsequent pregnancies until 1994 were identified by register linkage. RESULTS: Preterm and post-term singleton live births were more frequent in women with one, two, or more previous induced...... abortions. After adjusting for potential confounders and stratifying by gravidity, the odds ratios of preterm singleton live births in women with one, two, or more previous induced abortions were 1.89 (95% confidence interval [CI] 1.70, 2.11), 2.66 (95% CI 2.09, 3.37), and 2.03 (95% CI 1.29, 3...

  11. Induced abortion among Brazilian female sex workers: a qualitative study

    Alberto Pereira Madeiro; Debora Diniz


    Prostitutes are vulnerable to unplanned pregnancies and abortions. In Brazil, abortion is a crime and there is no data about unsafe abortions for this population. The study describes how prostitutes perform illegal abortions and the health consequences thereof. Semi-structured interviews with 39 prostitutes from three cities in Brazil with previous induced abortion experience were conducted. Sixty-six abortions, with between one and eight occurrences per woman, were recorded. The majority of ...

  12. Induced abortion in China and the advances of post abortion family planning service

    Li Ying; Cheng Yi-ming; Huang Na; Guo Xin; Wang Xian-mi


    This is a review of current situation of induced abortion and post abortion family planning service in China. Induced abortion is an important issue in reproductive health. This article reviewed the distribution of induced abortion in various time, areas, and population in China, and explored the character, reason, and harm to reproductive health of induced abortion.Furthermore, this article introduces the concept of Quality of Care Program in Family Planning,and discusses how important and necessary it is to introduce Quality of Care Program in Family Planning to China.

  13. Induced abortion and placenta complications in the subsequent pregnancy

    Zhou, Wei Jin; Nielsen, Gunnar Lauge; Larsen, Helle; Olsen, Jørn


    Background. To study the risk of placenta complications following an induced abortion as a function of the interpregnancy interval. Methods. This study is based on three Danish national registries; the Medical Birth Registry, the Hospital Discharge Registry, and the Induced Abortion Registry. All...... primigravida women from 1980 to 1982 were identified in these three registries. A total of 15,727 women who terminated the pregnancy with a first trimester induced abortion were selected to the abortion cohort, and 46,026 women who did not terminate the pregnancy with an induced abortion constituted the...... Medical Birth Registry records. Results. A slightly higher risk of placenta complications following an abortion was found. Retained placenta occurred more frequently in women with one, two or more previous abortions, compared with women without any previous abortion of similar gravidity. Adjusting for...

  14. Herbal infusions used for induced abortion.

    Ciganda, Carmen; Laborde, Amalia


    Plants and herbs have been used to induce abortions but there is very little published information describing the commonly used ones. The purpose of this report is to describe the herbal products used to induce abortions, and to enhance awareness and understanding of their toxic effects. A descriptive retrospective survey was conducted on the calls received by the Montevideo Poison Centre between 1986 and 1999 concerning the ingestion of herbal infusions with abortive intent. A total of 86 cases involving 30 different plant species were identified. The species most frequently involved were ruda (Ruta chalepensis/graveolens), cola de quirquincho (Lycopodium saururus), parsley (Petroselinum hortense), and an over-the-counter herbal product named Carachipita. The components of Carachipita are pennyroyal (Mentha pulegium), yerba de la perdiz (Margiricarpus pinnatus), oregano (Origanum vulgare), and guaycuri (Statice brasiliensis). Abortion occurred in 23 cases after the ingestion of parsley, ruda, Carachipita, celery, Cedron, francisco alvarez, floripon, espina colorada. Out of the 23 cases, 15 involved the only the ingestion of plants, 4 cases used injected drugs (presumably hormones), and in 4 cases there was associated self-inflicted instrumental manipulation. Multiple organ system failure occurred in those patients who had ingested ruda (alone or in combination with parsley or fennel), Carachipita, arnica, or bardana. Deaths occurred in one case of Carachipita ingestion and in 4 cases of ruda ingestion (2 cases of ruda alone, 2 cases of ruda with parsley and fennel). Self-inflicted instrumental manipulations were found in 4 of the patients with multiple organ system failure and in one of those who died. The results of this report are not conclusive, but it appears that the ingestion of plants to induce abortion involves the risk of severe morbidity and mortality. PMID:12807304

  15. Abortion - medical

    Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last ...




    In the present study, the effect of electroecupuncture (EA) of acupoints of Ren, Spleen and Stomach Meridians on artificial abortion-induced side effects was observed in 100 artificial abortion women. In comparison with 45 artificial abortion women in the control group (who had not accepted EA treatment), EA possessed significant effects in relieving abdominal pain, reducing vaginal bleeding duration, lowering infection rate and infertility rate after artificial abortion operation.

  17. Endogenous Candida endophthalmitis after induced abortion.

    Chen, S J; Chung, Y M; Liu, J H


    Reported, in this article, are the cases of two young women who developed endogenous Candida endophthalmitis after induced abortion. Both women experienced transient fever, chills, and abdominal pain after the abortion and were given antibiotics. The diagnosis of endophthalmitis was established on the basis of typical fundus appearance, positive vaginal culture, and (in one case) positive vitreous culture. In the first woman, who received vitrectomy and intravitreal amphotericin B injection, the affected eye had a best corrected visual acuity of 20/200. In the second woman, who was given systemic corticosteroid treatment before the correct diagnosis was reached, recurrent retinal detachment developed and the best corrected visual acuity was counting fingers. It appears that Candida organisms harbored in the genital tract are directly inoculated into the venous system during induced abortion. Once in the blood, if sufficient fungal load is present, Candida albicans tends to localize in the choroid and to spread toward the retina and vitreous cavity. The immunosuppressive effect of corticosteroids further increases the risk of endophthalmitis. PMID:9645729

  18. [Induced abortions in the Third Reich. Legal basis and provision].

    Link, G


    This article analyses, after introductory comments on the legal situation in the German Empire and the Weimar Republic, the legal basis for induced abortions during National Socialist rule in Germany. During this period the first legal definition for eugenically and medically indicated abortions was established. At the same time the prohibition of induced abortions outside these criteria was controlled more strictly and violations were punished more severely. This concerned abortions mainly for social reasons. The intention was to legalize abortion for those deemed "less worthy" while, at the same time, to minimise the number of abortions of those considered as "more valuable" to society. The main thrust of this policy was to increase the birth rate of "valuable" citizens. The second part of this paper focuses on eugenic and medical abortions at the University of Freiburg's Maternity Hospital. PMID:11050762

  19. Abortion

    An abortion is a procedure to end a pregnancy. It uses medicine or surgery to remove the embryo or ... personal. If you are thinking of having an abortion, most healthcare providers advise counseling.

  20. Abortion.


    Vacuum aspiration, dilatation and curettage, hysterotomy, and, in some cases, hysterectomy comprise surgical methods of abortion. Oral administration of RU-486, epostane, prostaglandins E and F2 and vaginal suppositories of prostaglandins E and F2 are medical abortion methods. The traditional or clandestine methods are usually performed by unqualified persons and pregnant women themselves. These methods tend to be inefficient and harmful. They include oral preparations of herbs and drugs (e.g., quinine and ergot), introduction of fluids (e.g., household disinfectants) into the vagina, introduction of foreign bodies (e.g., twigs, stems, hollow tubes, needles, wire) into the uterus. Hospital records, death certificates, and community-based surveys are common sources of data on abortion. Worldwide, 40-70/1000 women of childbearing age undergo an abortion. 20-33% of all pregnancies are terminated. Abortion is always legal when it is performed to save a pregnant woman's life. In most countries, it is legal to protect the woman's physical or mental health against serious danger. The risk of death from a legal abortion is rare. On the other hand, when an abortion is performed by an unqualified, unskilled abortionist and/or under unhygienic conditions (all of which are common in countries who have a law against abortion) the risk of death is much higher. In fact, abortion is one of the leading causes of maternal death in many countries (25% and 86% of maternal deaths in Bangladesh and Romania, respectively). Common complications of abortion are incomplete abortion, trauma to pelvic organs (e.g., uterine perforation), tetanus, and infertility. In some developing countries, the cost of treating abortion complications account for up to 50% of maternity hospital budgets. Ways to reduce mortality from unsafe abortion include promoting contraceptive use, legalizing abortion, allowing trained practitioners to perform abortions for health reasons, and improving clinical management

  1. Abortion.

    Savage, A


    I refer for termination anyone who requests it for--pace Mr V Tunkel, (28 July, p 253)--the law is generally regarded as being one of "abortion on demand." I have some misgivings as I do not believe that women in early pregnancy are always in a fit state to make a considered decision, and they cannot in the nature of things be given time. I have, however, become increasingly worried about the morbidity arising from the procedure, and it is interesting that letters on the subject (25 August, pp 495 and 496) should be followed by one reporting rupture of the uterus during prostaglandin-induced abortion--yet another complication to add to those of cervical incompetence, pelvic sepsis, and permanent neurological damage. In so far as these tragedies usually follow late terminations Mr John Corrie's Bill is to be welcomed. A few further points. I am not so cynical as to think that every impregnation is the result of a thoughtless act of male lust. Unlike Professor Peter Huntingford (25 August, p 496), I listen to men as well as women, and many of them are deeply involved emotionally in the pregnancy they have helped to produce. Certainly I think a man should have the right to be consulted if his wife is to undergo a procedure that might damage her health. It is unfair contemptuously to dismiss as "whims" opinions that differ from ones own. These may result from genuine conscientious doubts or inability to cope from overwork and understaffing. Abortion is quite the most expensive form of contraception, and perhaps in these days of financial stringency this should be taken into account. "Bigotry" is defined in my dictionary as "blind zeal." This could be said of those who enthusiastically promote a course of action without regard to circumstances, safety, or cost. PMID:497770

  2. Induced abortion among Brazilian female sex workers: a qualitative study

    Alberto Pereira Madeiro


    Full Text Available Prostitutes are vulnerable to unplanned pregnancies and abortions. In Brazil, abortion is a crime and there is no data about unsafe abortions for this population. The study describes how prostitutes perform illegal abortions and the health consequences thereof. Semi-structured interviews with 39 prostitutes from three cities in Brazil with previous induced abortion experience were conducted. Sixty-six abortions, with between one and eight occurrences per woman, were recorded. The majority of the cases resulted from sexual activity with clients. The inconsistent use of condoms with regular clients and the consumption of alcohol during work were indicated as the main causes of unplanned pregnancies. The main method to perform abortion was the intravaginal and oral use of misoprostol, acquired in pharmacies or on the black market. Invasive measures were less frequently reported, however with more serious health complications. The fear of complaint to the police meant that most women do not inform the health team regarding induced abortion. The majority of prostitutes aborted with the use of illegally-acquired misoprostol, ending abortion in a public hospital with infection and hemorrhagic complications. The data indicate the need for a public policy focusing on the reproductive health of prostitutes.

  3. Induced abortion among Brazilian female sex workers: a qualitative study.

    Madeiro, Alberto Pereira; Diniz, Debora


    Prostitutes are vulnerable to unplanned pregnancies and abortions. In Brazil, abortion is a crime and there is no data about unsafe abortions for this population. The study describes how prostitutes perform illegal abortions and the health consequences thereof. Semi-structured interviews with 39 prostitutes from three cities in Brazil with previous induced abortion experience were conducted. Sixty-six abortions, with between one and eight occurrences per woman, were recorded. The majority of the cases resulted from sexual activity with clients. The inconsistent use of condoms with regular clients and the consumption of alcohol during work were indicated as the main causes of unplanned pregnancies. The main method to perform abortion was the intravaginal and oral use of misoprostol, acquired in pharmacies or on the black market. Invasive measures were less frequently reported, however with more serious health complications. The fear of complaint to the police meant that most women do not inform the health team regarding induced abortion. The majority of prostitutes aborted with the use of illegally-acquired misoprostol, ending abortion in a public hospital with infection and hemorrhagic complications. The data indicate the need for a public policy focusing on the reproductive health of prostitutes. PMID:25715152

  4. Characteristics of Induced Abortion in China in the 1990s

    Xiao-chun QIAO


    Objective To understand the characteristics of induced abortion in China in the 1990s,and to find out the influential factors.Methods The overall number of induced abortions, calculate cohort induced abortion frequency, explore the impact of a child's sex and the number of previous children on induced abortions were estimated by using the data from the "National Population and Reproductive Health Survey" conducted by the National Family Planning Commission in November 1997.Results Induced abortions in China had their own characteristics, which were far different from other countries. The main difference was led by the fact that the country was driven by an implemented family planning program and nationwide population policies. The key cause of induced abortions was due to an inconsistency with the requirements of the family planning policy. However, as a result of effective and prevalent contraception, the rates of induced abortions were not quite high in the 1990s,when compared with other countries. Even though, in the early 1990s, the government had reinforced the family planning program through administration and legislation,unlike during the early 1980s when the one-child policy was implemented, the induced abortion rate and the number of induce abortions did not increase as the fertility rate substantially decreased.Concltsion This finding implies that the fertility declines in the 1990s were not caused by the number of induced abortions. The transition of the fertility ideology of the people has played an important role in the fertility decline, as institutional reform and socioeconomic development are implemented.

  5. Do Induced Abortions Affect the First Birth Probability?

    Hansen, Marie-Louise H; Stage, Louise; Knudsen, Lisbeth B.;

    Objective: The focus of this paper is to study, on a national basis, how the event of an induced abortion modifies the transition to first birth for Danish women aged 20-39 years in the period 1982-2001, taking into account also educational level, family situation, and urbanisation. Data and...... abortion is examined by cumulative first birth probabilities, derived from a life table analysis. Main findings and conclusion: Previous abortions increased the first birth probability, though this effect was almost entirely confined to single women. For cohabiting and married women, previous abortions had...

  6. Contraception and Induced Abortion in the West Indies: A Review

    Boersma, A.A.; Bruijn, de J.G.M.


    Abstract BACKGROUND: Most islands in the West Indies do not have liberal laws on abortion, nor laws on pregnancy prevention programmes (contraception). We present results of a literature review about the attitude of healthcare providers and women toward (emergency) contraception and induced abortion

  7. Commercial availability of misoprostol and induced abortion in Brazil.

    Costa, S H


    In Brazil, abortion is only permitted to save the woman's life or in cases of rape. The principal effect of legal restrictions is not to make induced abortion practice less prevalent but to force poor women to resort to abortions performed under unhygienic conditions or attempt self-induced abortion. Within this context, misoprostol, a synthetic analogue of prostaglandin E1, was introduced in the country in 1986. Purchased over the counter in pharmacies, misoprostol has became a popular abortifacient method among Brazilian women. By 1990, about 70% of women hospitalized with abortion-related diagnoses reported use of the drug. In 1991, the Ministry of Health restricted the sale of misoprostol, and in some states its use was totally banned. While the proportion of abortions induced with misoprostol has decreased, the drug continues to be sold on the black market at an inflated value. Research indicates that women have acquired more experience with the drug over time, resulting in lower doses and more effective administration. Several studies show that the rate and severity of complications are significantly less among women who used misoprostol compared with women who used invasive methods. Research also suggests that about half of the women have complete abortion with misoprostol, but seek medical care as soon as they have vaginal bleeding. The experience of Brazilian women with misoprostol is an example of how women when faced with unwanted pregnancy will resort to illegal abortion whatever the costs are to their health. PMID:10075223

  8. Abortion


    The Canadian Medical Association (CMA) recognizes that there is justification for abortion on medical and nonmedical socioeconomic grounds and that such an elective surgical procedure should be decided upon by the patient and the physician(s) concerned. Ideally, the service should be available to all women on an equitable basis across Canada. CMA has recommended the removal of all references to hospital therapeutic abortion committees as outlined in the Criminal Code of Canada. The Criminal C...

  9. Child-bearing after induced abortion: reassessment of risk.

    Seidman, D S; Ever-Hadani, P.; Slater, P E; Harlap, S; Stevenson, D K; Gale, R.


    We reviewed 1791 singleton pregnancies of women with a history of previous induced abortion and compared them with 14,857 pregnancies in mothers with no previous induced abortions. Therapeutic termination of pregnancy was associated with a statistically significant increase in the incidence of low birth weight infants and bleeding in the first trimester of pregnancy. When other variables were examined, no significant differences were found between the two groups, except for a significantly hi...

  10. Induced first-trimester abortion and risk of mental disorder

    Munk-Olsen, Trine; Laursen, Thomas Munk; Pedersen, Carsten B;


    Background Concern has been expressed about potential harm to women's mental health in association with having an induced abortion, but it remains unclear whether induced abortion is associated with an increased risk of subsequent psychiatric problems. Methods We conducted a population-based cohort...... study that involved linking information from the Danish Civil Registration system to the Danish Psychiatric Central Register and the Danish National Register of Patients. The information consisted of data for girls and women with no record of mental disorders during the 1995–2007 period who had a first......-trimester induced abortion or a first childbirth during that period. We estimated the rates of first-time psychiatric contact (an inpatient admission or outpatient visit) for any type of mental disorder within the 12 months after the abortion or childbirth as compared with the 9-month period preceding the event...

  11. Research on lidocaine in the application of induced abortion

    Hai-Tao Tong


    Objective:To observe the effect of lidocaine in the application of induced abortion.Methods:A total of 120 pregnant women with 6-10 week gestational age and ASA I-II level who were volunteered to receive induced abortions from January, 2010 to January, 2013 were included in the study, among which 60 cases were given lidocaine during the operation and served as the observation group, while 60 cases were not given lidocaine during the operation and served as the control group. The heart rate, blood pressure, the change of oxygen saturation, pain, and the occurrence of abortion syndrome before and after operation between the two groups were compared.Results:The fineness rates of analgesia and anesthesia evaluation in the observation group were significantly higher than those in the control group (P0.05). The postoperative heart rate and blood pressure in the control group were significantly lower than those before operation and in the observation group with a slow recovery (P0.05). The occurrence rate of abortion syndrome in the observation group was significantly lower than that in the control group (P<0.05). Conclusions:Application of lidocaine in the induced abortion can relieve the pain and reduce the occurrence rate of abortion syndrome with a simple and safe operation; therefore, it deserves to be widely recommended.

  12. Contextual determinants of induced abortion: a panel analysis

    Llorente-Marrón, Mar; Díaz-Fernández, Montserrat; Méndez-Rodríguez, Paz


    ABSTRACT OBJECTIVE Analyze the contextual and individual characteristics that explain the differences in the induced abortion rate, temporally and territorially. METHODS We conducted an econometric analysis with panel data of the influence of public investment in health and per capita income on induced abortion as well as a measurement of the effect of social and economic factors related to the labor market and reproduction: female employment, immigration, adolescent fertility and marriage rate. The empirical exercise was conducted with a sample of 22 countries in Europe for the 2001-2009 period. RESULTS The great territorial variability of induced abortion was the result of contextual and individual socioeconomic factors. Higher levels of national income and investments in public health reduce its incidence. The following sociodemographic characteristics were also significant regressors of induced abortion: female employment, civil status, migration, and adolescent fertility. CONCLUSIONS Induced abortion responds to sociodemographic patterns, in which the characteristics of each country are essential. The individual and contextual socioeconomic inequalities impact significantly on its incidence. Further research on the relationship between economic growth, labor market, institutions and social norms is required to better understand its transnational variability and to reduce its incidence. PMID:27007684

  13. Domestic violence against women seeking induced abortion in China.

    Wu, Jiuling; Guo, Sufang; Qu, Chuanyan


    A cross-sectional study was conducted to investigate the prevalence, type and severity of domestic violence (DV), and determine the factors related to DV among women seeking induced abortion in China. A total of 1215 women seeking induced abortion were interviewed. The results show that the prevalence of DV among participants was 22.6%. The violence included 18.1% sexual abuse, 7.8% physical abuse and 3.0% emotional abuse. Among abused women, 46 (16.8%) experienced violence frequently; 4.4% experienced three types of violence (sexual, physical and emotional violence). The number of times of having induced abortion in the abused group was significantly higher than that in the nonabused group (p<.001). There is statistically significant association between the occurrence of DV and relevant factors including fear of partner, quarreling with partner, partner's economic control, receiving the cold shoulder from partner (p<.001, OR 1.8-2.5). PMID:16022850

  14. Bowel injuries secondary to induced abortion: a dilemma

    To study the pattern of bowel injuries incurred by induced abortion, and the morbidity and mortality associated with them. All patients with bowel injuries due to induced abortion. Detailed data of all the patients was collected and analyzed. A total of 22 patients, mostly young with an average age of 26.86 years, presented with bowel injuries following induced abortion. Severe hemorrhage occurred in 8(36.4%) patients while 11(50%) had ileal perforation; 9(40.9%) underwent primary repair and 2(9.1%) ileostomy formation. Two (9.1%) patients with jejunal perforation had primary repair, whereas two with both jejunal and ileal perforations underwent resections with anastomosis in one and ileostomy in another. Seven (31.8%) with large gut involvement had colostomy formation. Septicemia and wound infection occurred in 7(31.8%) patients each, faecal fistula and abdominal wound dehiscence in 3(13.6%), and pelvic abscess in 1(4.6%) patient. The total mortality in this series was 6(27.3%) patients. Iatrogenic injuries during induced abortion, most commonly caused by quacks, can be minimized substantially if the procedure is performed by qualified medical personnel in proper health care facilities. There is a need for radical overhauling of the mind set in our society together with legislation. (author)

  15. [Full-term pregnancy following failed induced abortion].

    Pirhonen, J; Hulkko, S


    This study introduces a case of an 18 year old student who developed a full-term pregnancy following failed induced abortion. The abortion was performed during the 7th week of pregnancy by dilating the cervix and suctioning with the tip of a number 8 aspirator. A regular amount of pregnancy material was obtained, and the uterus was checked with a normal curette. After 3 months, when the patient's period did not recommence, a diagnosis of normal pregnancy was made. Delivery was performed by section after 2 inductions because of weak contractions, maternal exhaustion and threatening fetal asphyxia. The baby was normal and satisfactorily developed on follow-up. In conclusion, it is rare for pregnancy to continue after an abortion by aspiration. In a previous study by Fielding (1978), only 3 cases similar to this were followed. 2 of them miscarried and 1 delivered a defective baby. Among the causes of failed abortion are severely retrograded uterus, growth and developmental problems of the uterus and defective cervix. The risks are greater in the earlier weeks of pregnancy. Inexperience and technical difficulties are also reported as factors in failed abortion, as well as aspiration on only 1 fetus in cases of twin pregnancy. The authors recommend consideration of the mentioned risk factors, using sonography in suspicious cases, examining the amount of pregnancy material an always performing a follow-up examination. PMID:3757838

  16. Living conditions, contraceptive use and the choice of induced abortion among pregnant women in Denmark

    Rasch, Vibeke; Wielandt, Hanne; Knudsen, Lisbeth B


    AIMS: This study describes women with induced abortion and thereby elucidates how living conditions and contraceptive failure are associated with the choice of induced abortion in a population of Danish pregnant women. METHODS: The study population consisted of pregnant women attending Odense...... University Hospital. They were categorized in two groups: women with induced abortion (n = 373) and a reference group consisting of women with spontaneous abortion and antenatal care attendees (n = 2,176). The two groups were compared by use of a case-referent design. The variables studied comprise age...... choice of induced abortion. Among married/cohabiting women aged 20-39 with fewer than two children, being under education, unemployed, on leave, or willing to invest effort in obtaining a more satisfying job influenced the choice of induced abortion. CONCLUSIONS: To reduce the number of induced abortions...

  17. Induced Abortion and the Risk of Tubal Infertility


    Objective To explore the association between induced abortion and tubal infertility in Chengdu, China.Methods A 1 :2 case-control study was designed. Infertile women with bilateral tubal occlusion in the case group compared with two control groups: infertile control group with bilateral tubal patency and pregnant control group with currently pregnancy. Data were collected using questionnaires through face-to-face interviews, covering the subjects' demographic details and histories of gynecology and obstetrics. Adjusted odds ratio was calculated as a measure of the association using stepwise multiple logistic regression analysis.Results Induced abortion was not found to be associated with tubal infertility in the analysis including either the infertile controls or the pregnant controls, but other risk factors were found, such as history of acute pelvic inflammatory disease (PID), lower abdominal surgeries, dysmenorrhea and pregnancy.Conclusion It is contended that facing an increasing trend of infertile cases with tubal occlusion in China, it is emphasized that special attention should paid to the long term impact of reproductive tract infection, especially, asymptomatic ones, rather than induced abortion.

  18. Risk of miscarriage after previously induced abortion

    Sithiravel, Cindhya


    Abstract Background: The risk of miscarriage is approximately 15 % of clinically recognized pregnancies, most of them appearing in first trimester. Miscarriage is known to be a distressing event in a woman s life. Hence, it would be in the patients favor to find any association which reduces the risk of miscarriage. On the other hand, it is estimated that 30 – 50 % of all women undergo at least one induced pregnancy termination in their lifetime, making any link between miscarriage and induc...

  19. [Toward constructing a research agenda: the threat posed by induced abortion in Latin America].

    Mundigo, A


    This work calls attention to the need for constructing a research agenda on induced abortion, which constitutes a serious pubic health problem in Latin America because of its illegality, clandestine practice, and ramifications for women's health, their families, and the health services. The incidence of abortion in Latin America is estimated, in the absence of reliable statistics, at 4-6 million annually. Over half the women in some countries are believed to resort to abortion during their reproductive lives. The concept of reproductive health emerged in the past decade from two distinct sources, the field of health and the feminist movement, as contraception became an increasingly accepted component of primary care. Reproductive aspects acquired a central role in the expanded concept of women's health, and reproductive health was converted into a new objective of service programs. The World Health Organization in 1988 for the first time unofficially defined reproductive health, and in 1994 an official definition was proposed. The definition did not mention abortion directly. Abortion is increasingly a topic of political debate in Latin America, where it is legal only in Cuba. The resolute opposition of the Catholic Church undoubtedly affects health policies. The feminist movement is perhaps alone in raising the issue and seeking means of legalizing abortion, based on human rights and public health considerations. The new definition of reproductive health challenges researchers from many disciplines to provide reliable information on poorly known aspects of abortion. The ultimate goal of the research is to reduce the frequency of abortion and eliminate morbidity and mortality caused by illegal abortions. Recommended topics for research include the incidence of abortion, undesired adolescent pregnancy and abortion, abortion and working women, the influence of cultural and social patterns on abortion, the role of men in reproductive decisions and abortion, the

  20. Investigation of risk factors for acute stress reaction following induced abortion

    Vukelić Jelka


    Full Text Available Introduction. Termination of pregnancy - induced abortion is inevitable in family planning as the final solution in resolving unwanted pregnancies. It can be the cause of major physical and phychological concequences on women’s health. Diverse opinions on psychological consequences of induced abortion can be found in literature. Material and methods. A prospective study was performed in order to predict acute stress disorder (ASD after the induced abortion and the possibility of post-traumatic stress disorder (PTSD. Seven days after the induced abortion, 40 women had to fill in: 1. a special questionnaire made for this investigation, with questions linked to some risk factors inducing stress, 2. Likert’s emotional scale and 3. Bryant’s acute stress reaction scale. Results. After an induced abortion 52.5% women had ASD and 32.5% women had PTSD. Women with ASD after the abortion developed more sense of guilt, irritability, shame, self-judgement, fear from God and self-hatred. They were less educated, had lower income, they were more religious, did not approve of abortion and had worse relationship with their partners after the abortion in comparison to women without ASD. Age, number of previous abortions and decision to abort did not differ between the two groups. Discussion and conclusion. Induced abortion represents a predisposing factor for ASD and PTSD in women. Some psychosocial factors contribute to the development of stress after abortion. Serbia has a task to reduce the number of abortions which is very high, in order, to preserve reproductive and phychological health of women.

  1. Legally-induced abortions in Denmark after Chernobyl

    During the months following the accident in Chernobyl, Denmark experienced an increasing rate of induced abortion, especially in regions with the largest measured increase in radiation. As the increase in radiation in Denmark was so low that almost no increased risk of birth defects was expected, the public debate and anxiety among the pregnant women and their husbands caused more fetal deaths in Denmark than the accident. This underlines the importance of public debate, the role of the mass media and of the way in which National Health authorities participate in this debate

  2. Induced abortion in the Republic of Srpska: Characteristics and impact on mental health

    Niškanović Jelena


    Induced abortion is an important aspect of sexual and reproductive health, with potentially negative impact on physical and emotional health of women. The aim of this paper is to investigate the presence of abortion in our society, characteristics of women who had induced abortion and its impact on mental health. The results presented in this paper are part of the bigger study "Health Status, Health Needs and Utilization of Health Services", which was carri...

  3. "These things are dangerous": Understanding induced abortion trajectories in urban Zambia.

    Coast, Ernestina; Murray, Susan F


    Unsafe abortion is a significant but preventable cause of global maternal mortality and morbidity. Zambia has among the most liberal abortion laws in sub-Saharan Africa, however this alone does not guarantee access to safe abortion, and 30% of maternal mortality is attributable to unsafe procedures. Too little is known about the pathways women take to reach abortion services in such resource-poor settings, or what informs care-seeking behaviours, barriers and delays. In-depth qualitative interviews were conducted in 2013 with 112 women who accessed abortion-related care in a Lusaka tertiary government hospital at some point in their pathway. The sample included women seeking safe abortion and also those receiving hospital care following unsafe abortion. We identified a typology of three care-seeking trajectories that ended in the use of hospital services: clinical abortion induced in hospital; clinical abortion initiated elsewhere, with post-abortion care in hospital; and non-clinical abortion initiated elsewhere, with post-abortion care in hospital. Framework analyses of 70 transcripts showed that trajectories to a termination of an unwanted pregnancy can be complex and iterative. Individuals may navigate private and public formal healthcare systems and consult unqualified providers, often trying multiple strategies. We found four major influences on which trajectory a woman followed, as well as the complexity and timing of her trajectory: i) the advice of trusted others ii) perceptions of risk iii) delays in care-seeking and receipt of services and iv) economic cost. Even though abortion is legal in Zambia, girls and women still take significant risks to terminate unwanted pregnancies. Levels of awareness about the legality of abortion and its provision remain low even in urban Zambia, especially among adolescents. Unofficial payments required by some providers can be a major barrier to safe care. Timely access to safe abortion services depends on chance rather

  4. Induced abortion in the Republic of Srpska: Characteristics and impact on mental health

    Niškanović Jelena


    Full Text Available Induced abortion is an important aspect of sexual and reproductive health, with potentially negative impact on physical and emotional health of women. The aim of this paper is to investigate the presence of abortion in our society, characteristics of women who had induced abortion and its impact on mental health. The results presented in this paper are part of the bigger study "Health Status, Health Needs and Utilization of Health Services", which was carried out in Republic of Srpska during 2010. Survey covered 1042 women age from 18 to 49. A standardized set of instruments in the field of sexual-reproductive and mental health (NHS, EUROHIS, ECHIM was applied. Results indicate that 28.8 % of women had induced abortion, while nearly half of them (48.2% had more than one abortion in their life. Induced abortion is more common among women over 38 years who already have children (97.1% and live in rural parts of country (61.7%. Abortion is mostly preferred method of birth control among married woman (88.6%, woman with secondary school (64.5%, but is equally present among employed or unemployed woman and housewife's (around 1/3. There was a statistically significant but low correlation between current life satisfaction, mental health and induced abortion (F=8.0, p=0.000; Wilks' lambda =0.97; partial Eta-squared=0.03. More precisely, women who have had abortions have expressed higher levels of stress, lower levels of vitality, and were less satisfied with present life compared to those who did not have an abortion. High rates of induced abortion are present in Balkans countries for a long time (Rašević, 1994: 86; Rašević, 2011: 3. Higher rates of abortion, compared to the European Union and western neighbors, raises the question of presence of "abortion culture" (Rasevic and Sedlecki, 2011: 4. Abortion culture is the conse-quence of frequent use of traditional method of contraception (coitus interruptus in combination with low availability of

  5. [State of the autonomic nervous system after induced abortion in the lst trimester].

    Bakuleva, L P; Gatina, G A; Kuz'mina, T I; Solov'eva, A D


    The autonomic nervous system has been examined in 271 patients with a history of first-trimester induced abortion. It was ascertained that induced abortion affected the autonomic nervous system, thus impairing adaptive potentials and entailing the onset or aggravation of preexisting autonomic vascular dystonia. PMID:2378404

  6. Victims and/or active social agents? A study of adolescent girls with induced abortion in urban Tanzania

    Silberschmidt, Margrethe


    High-risk sexual behaviour, adolescent girls, induced abortion, sugar-daddies, Dar Es Salaam, Tanzania......High-risk sexual behaviour, adolescent girls, induced abortion, sugar-daddies, Dar Es Salaam, Tanzania...

  7. The Effect of Socioeconomic and Demographic Factors on Contraceptive Use and Induced Abortion in Turkey

    Ozlem Alpu


    Full Text Available The aim of the study was to estimate the parameters of the heteroscedastic bivariate Probit model established for the induced abortion and the contraceptive use by using socioeconomic and demographic factors and their effects by eliminating the observed heteroscedasticity. Using a heteroscedastic bivariate Probit model and Turkish Demographic and Health Survey (1998 data on married women aged 15 through 49 years, we estimated the probabilities of their having an induced abortion, if induced abortion have, of their using contraceptive methods. The results of the research show that induced abortion is perceived and used as a contraceptive method among the women in Turkey. This shows that it is the correct way to examine those two variables, induced abortion and contraceptive use, together.

  8. Induced Abortion and Women’s Reproductive Health in India

    Sutapa Agrawal


    Full Text Available Despite the intensive national campaign for safe motherhood and legalization of induced abortion (IA, morbidity from abortion has remained a serious problem for Indian women. This study examined the consequences of IA on women’s reproductive health. Analysis used data of 90,303 ever-married women age 15-49 years, included in India’s second National Family Health Survey (NFHS-2, 1998-99. Binary logistic regression methods were used to examine the consequences of IA on women’s reproductive health. Independent of other factors, the likelihood of experiencing any reproductive health problems was 1.5 times higher (OR,1.46;95%CI,1.33-1.60;P<0.001 among women who had one IA and 1.9 times higher (OR,1.85;95%CI,1.52-2.27;P<0.001 among women who had two or more IA compared to women with no history of IA. Study suggests that IA may have negative consequences for women’s reproductive health.

  9. Preventing and managing complications of induced abortion in Third World countries.

    Ladipo, O A


    In societies with restrictive abortion laws, clandestine induced abortion by unskilled personnel results in needless and very high mortality and morbidity, tremendous strain on limited health resources, and inexcusable human suffering. Sepsis, hemorrhage, genital tract trauma, and related ill health and sterility, could be prevented by legalizing abortion, making appropriate sex education and contraceptive services available and training physicians and nonphysicians in uterine vacuum aspiration. PMID:2686704

  10. Existential Experiences and Strategies in Relation to Induced Abortion : an Interview Study With 24 Swedish Women

    Liljas Stålhandske, Maria; Ekstrand, Maria; Tydén, Tanja


    Induced abortion is as common in religious as secular cultures, but interpretations and ways to handle abortion differ. This study focuses existential aspects of abortion, in relation to a secularized context, through in-depth interviews with 24 Swedish women. Existential questions belonging to four areas were found: Life and Death, Meaning of Life, Morality and Self Image. Furthermore, four different existential strategies were found: (1) Detaching Strategies (creating distance to the pregna...

  11. Induced Abortion Practices in an Urban Indian Slum: Exploring Reasons, Pathways and Experiences

    Deepanjali Behera


    Full Text Available Objective:To explore the context, experiences and pathways of seeking abortion care among married women in a minority dominated urban slum community in Mumbai city of India.Materials and methods:A mixed-method study was conducted using a systematic random sampling method to select 282 respondents from the slum community. One fifth of these womenreported undergoing at least one induced abortion over past five years. A quantitative survey was conducted among these women (n=57 using structured face-to-face interviews. Additionally, in-depths interviews involving 11 respondents, 2 community health workers and 2 key informants from the community were conducted for further exploration of qualitative data.Results:The rate of induced abortion was 115.6 per 1000 pregnancies in the study area with an abortion ratio of 162.79 per 1000 live births. Frequent pregnancies with low birth spacing and abortions were reported among the women due to restricted contraception use based on religious beliefs. Limited supportfrom husband and family compelled the women to seek abortion services, mostly secretly, from private, unskilled providers and unregistered health facilities. Friends and neighbors were main sources of advice and link to abortion services. Lack of safe abortion facilities within accessible distance furtherintensifies the risk of unsafe abortions.Conclusion:Low contraception usage based on rigid cultural beliefs and scarcely accessible abortion services were the root causes of extensive unsafe abortions.Contraception awareness and counseling with involvement of influential community leaders as well as safe abortion services need to be strengthened to protect these deprived women from risks of unwanted pregnancies and unsafe abortions.

  12. Recourse to induced abortion among native and foreign women in Denmark

    Knudsen, Lisbeth B.; Rasch, Vibeke; Gammeltoft, Tine

    A register-based study in Denmark covering 1994-1998 revealed higher rates of legally induced abortion among groups of immigrant/descendant women than among Danish women. To elucidate the development of induced abortion among Danes and non-Danes, the National Board of Health initiated studies on...... abortion. We conducted a study using a triangle of methods: register-based quantitative analyses, hospital-based questionnaires and in-depth qualitative interviews with a number of women (40). This paper presents primarily results from the register-based part of the study, analysing the rates of induced...... abortion 1980-2001 for women born since 1960 in relation to age, country of origein and fertility pattern. The main findings showed a stronger decrease in the rate of induced abortion among some immigrant groups of women than among Danes. However, in both Danish and other etnic groups social vulnerability...

  13. Self-reports of induced abortion: an empathetic setting can improve the quality of data

    Rasch, V; Muhammad, H; Urassa, E;


    OBJECTIVES: This study estimated the proportion of incomplete abortions that are induced in hospital-based settings in Tanzania. METHODS: A cross-sectional questionnaire study was conducted in 2 phases at 3 hospitals in Tanzania. Phase 1 included 302 patients with a diagnosis of incomplete aborti...... previously used clinical criteria were omitted, 30.9% to 60.0% of the cases were classified as induced abortion. CONCLUSIONS: An empathetic dialogue improves the quality of data collected among women with induced abortion.......OBJECTIVES: This study estimated the proportion of incomplete abortions that are induced in hospital-based settings in Tanzania. METHODS: A cross-sectional questionnaire study was conducted in 2 phases at 3 hospitals in Tanzania. Phase 1 included 302 patients with a diagnosis of incomplete abortion...

  14. Hospital admission following induced abortion in Eastern Highlands Province, Papua New Guinea--a descriptive study.

    Lisa M Vallely

    Full Text Available In Papua New Guinea abortion is restricted under the Criminal Code Act. While safe abortions should available in certain situations, frequently they are not available to the majority of women. Sepsis from unsafe abortion is a leading cause of maternal mortality. Our findings form part of a wider, mixed methods study designed to identify complications requiring hospital treatment for post abortion care and to explore the circumstances surrounding unsafe abortion.Through a six month prospective study we identified all women presenting to the Eastern Highlands Provincial Hospital following spontaneous and induced abortions. We undertook semi-structured interviews with women and reviewed individual case notes, extracting demographic and clinical information.Case notes were reviewed for 56% (67/119 of women presenting for post abortion care. At least 24% (28/119 of these admissions were due to induced abortion. Women presenting following induced abortions were significantly more likely to be younger, single, in education at the time of the abortion and report that the baby was unplanned and unwanted, compared to those reporting spontaneous abortion. Obtained illegally, misoprostol was the method most frequently used to end the pregnancy. Physical and mechanical means and traditional herbs were also widely reported.In a country with a low contraceptive prevalence rate and high unmet need for family planning, all reproductive age women need access to contraceptive information and services to avoid, postpone or space pregnancies. In the absence of this, women are resorting to unsafe means to end an unwanted pregnancy, putting their lives at risk and putting an increased strain on an already struggling health system. Women in this setting need access to safe, effective means of abortion.

  15. [The discussion on induced abortion in the Brazilian Congress: the role of the women's movement

    Hardy; Rebello


    Induced abortion has been discussed in Brazil for many years without producing changes in the Penal Code in force since 1940 and according to which it is illegal and a crime against life. There are only two circumstances in which induced abortion is allowed: when there is no other recourse for saving the pregnant woman' life, and when the pregnancy resulted from rape and the abortion is preceded by the woman's informed consent. The purpose of this article is to show how the abortion problem has been dealt with under executive and legislative policies, focusing especially on discussion in Congress considering the role of organized women's groups. The study focuses on the legislative debate on induced abortion and how it was preceded, accompanied, and followed by actions by the women's groups. Other political and social actors involved in the debate, such as the Catholic Church, sectors of the medical community, and protestant religions are mentioned. PMID:10904328

  16. Decision-Making for Induced Abortion in the Accra Metropolis, Ghana.

    Gbagbo, Fred Yao; Amo-Adjei, Joshua; Laar, Amos


    Decision-making for induced abortion can be influenced by various circumstances including those surrounding onset of a pregnancy. There are various dimensions to induced abortion decision-making among women who had an elective induced abortion in a cosmopolitan urban setting in Ghana, which this paper examined. A cross-sectional mixed method study was conducted between January and December 2011 with 401 women who had undergone an abortion procedure in the preceding 12 months. Whereas the quantitative data were analysed with descriptive statistics, thematic analysis was applied to the qualitative data. The study found that women of various profiles have different reasons for undergoing abortion. Women considered the circumstances surrounding onset of pregnancy, person responsible for the pregnancy, gestational age at decision to terminate, and social, economic and medical considerations. Pressures from partners, career progression and reproductive intentions of women reinforced these reasons. First time pregnancies were mostly aborted regardless of gestational ages and partners' consent. Policies and programmes targeted at safe abortion care are needed to guide informed decisions on induced abortions. PMID:26506656

  17. The Effect of Socioeconomic and Demographic Factors on Contraceptive Use and Induced Abortion in Turkey

    Ozlem Alpu; Gunseli Kurt


    The aim of the study was to estimate the parameters of the heteroscedastic bivariate Probit model established for the induced abortion and the contraceptive use by using socioeconomic and demographic factors and their effects by eliminating the observed heteroscedasticity. Using a heteroscedastic bivariate Probit model and Turkish Demographic and Health Survey (1998) data on married women aged 15 through 49 years, we estimated the probabilities of their having an induced abortion, if induced ...

  18. [Personal experiences with induced abortions in private clinics in Northeast Brazil].

    Silveira, Paloma; McCallum, Cecilia; Menezes, Greice


    Based on a qualitative study conducted in 2012, the article analyzes middle-class individuals' experiences with induced abortions performed in private clinics. Thirty-four stories of induced abortions were narrated by 19 women and five men living in two state capitals in Northeast Brazil. Thematic analysis revealed differences in types of clinics and care provided by the physicians. The article shows that abortion in private clinics fails to guarantee safe or humane care. The narratives furnish descriptions of diverse situations and practices, ranging from flaws such as lack of information on medicines to others involving severe abuses like procedures performed without anesthesia. The article concludes that criminalization of abortion in Brazil allows clinics to operate with no state regulation; it does not prevent women from having abortions, but exposes them to total vulnerability and violation of human rights. PMID:26958817

  19. [Determinants of induced abortion among poor women admitted to hospitals in a locality of northeastern Brazil].

    Fonseca, W; Misago, C; Correia, L L; Parente, J A; Oliveira, F C


    In Brazil, abortion is legally allowed only when it is necessary to save a woman's life or when pregnancy has occurred following rape. Despite this law, induced abortion is widely carried out. This study presents the findings as to the determinants of 2,084 abortions admitted to two major obstetric hospitals in Fortaleza, Brazil, between October 1992 and September 1993. Most of these women (2,074) have admitted an attempt to terminate pregnancy and 10 women were classified as induced abortion cases based on the findings of signs of intervention such as cervical laceration, perforation or foreign bodies in the vagina or uterus. The study findings indicate that self-administration of medicines plays an important role in terminating pregnancy. Among the 2,074 women who admitted to terminating the pregnancy 66% reported using misoprostol to induce abortion. Misoprostol, a prostaglandin E1 analogue indicated for ulcer treatment, has been widely used as an abortifacient by women in Brazil. Misoprostol has some uterine effects but it is not effective in inducing abortion. Among women who were hospitalized for complications resulting from abortion about 59.7% were 20 to 29 years old and 22.6% were aged less than 20. The majority of the women (91.6%) were Catholic and only 4.3% were illiterate. About 62% of the abortion cases lived alone or did not have a stable partner. Most of the women (59.2%) reported less than 2 live births and 11.8% had experienced a previous abortion; 61.1% of the women were not using a contraceptive method at the time of conception. The main reasons for this were "fear of side effects", "did not expect to have sexual intercourse" and "did not expect to get pregnant". The authors suggest that the situation of a high rate of self-inflicted abortion may be changed by the application of an appropriate contraceptive and reproductive health programme. PMID:9008918

  20. 无痛人工流产和传统人工流产术式选择对重复流产的影响%Influence of Painless Induced Abortion and Traditional Induced Abortion on Repeat Abortion



    目的:研究无痛人工流产和传统人工流产术式选择对重复流产的影响。方法:选择2011年6-12月在本院妇产科要求行人工流产术妇女共180例(无痛人工流产100例、传统人工流产80例)进行跟踪调查一年。调查内容涉及是否有重复流产,前后两次流产心理状态等。结果:前次行无痛人工流产者重复流产率明显高于传统人工流产组(P<0.05),两组半年内重复流产及前后两次流产的心理状态差异均有统计学意义(P<0.05)。结论:无痛人工流产术虽然解决了术中妇女疼痛问题,但术后存在重复流产率较高的问题,在强调优质流产后计划生育服务时应着重于对无痛人工流产者的术后主动宣教,进行面对面咨询并提供辅助资料、免费药具,以及要求男伴参与,必要时转诊等。%Objective:To study the influence of painless artificial abortion and the traditional artificial abortion on repeat abortion. Method:From June to December 2011,a total of 180 cases of induced abortion women(100 cases of painless artificial abortion and 80 cases of traditional abortion)in the hospital maternity line were selected and followed up one year. The investigation related to whether there was a repeat abortion,both before and after the abortion mental state. Result:Repeat abortion rate of previous painless artificial abortion group was significantly higher than that of the traditional artificial abortion group(P<0.05),significant difference existed before and after six months of repeated abortion and two abortion mental state. Conclusion:Although induced abortion surgery pain problems for women,but duplicate after the higher abortion rate,the emphasis on quality abortion family planning services should focus on postoperative induced abortion initiative education,face-to-face consultation,and provide supporting information,free contraceptives,and the requirements of the male partner to

  1. The moral significance of spontaneous abortion.

    Murphy, T F


    Spontaneous abortion is rarely addressed in moral evaluations of abortion. Indeed, 'abortion' is virtually always taken to mean only induced abortion. After a brief review of medical aspects of spontaneous abortion, I attempt to articulate the moral implications of spontaneous abortion for the two poles of the abortion debate, the strong pro-abortion and the strong anti-abortion positions. I claim that spontaneous abortion has no moral relevance for strict pro-abortion positions but that the ...

  2. Induced abortion and duration of third stage labour in a subsequent pregnancy

    Zhou, Wei Jin; Gao, E; Che, Y; Olsen, Jørn


    We set out to evaluate the impact of first trimester induced abortion on the duration of third stage labour and related complications in a subsequent pregnancy. The study was conducted in Shanghai city at 15 general hospitals (or maternity and infant health institutes) from November 1993 to March...... history of one or more first trimester induced abortions was related to an increased risk of prolonged third stage labour in the following pregnancy, particularly if the induced abortion was performed after 49 days of gestation.......We set out to evaluate the impact of first trimester induced abortion on the duration of third stage labour and related complications in a subsequent pregnancy. The study was conducted in Shanghai city at 15 general hospitals (or maternity and infant health institutes) from November 1993 to March...... stage labour in minutes was longer in women with one or more previous induced abortions (mean=7.32 minutes) compared with primigravid women (mean=6.79 minutes). Prolonged third stage labour (>30 minutes) following one or more induced abortions was seen for 3.4% versus 1.0% in primigravid women. After...

  3. Urinary estrogen excretion and concentration of serum human placental lactogen in pregnancies following legally induced abortion

    Obel, E B; Madsen, Mette


    Feto-placental function was assessed by 24-hour excretion of estrogen in urine and by the concentration of human Placental Lactogen (hPL) in serum in pregnant women whose previous pregnancy was terminated by legally induced abortion. The mean 24-hour excretion of estrogens in urine and the mean...... increased frequency of dysfunction of the feto-placental unit during the last part of pregnancy in women with previous legally induced abortion. These findings indicate that legal abortion does not seem to increase the frequency of retarded intrauterine growth in a subsequent pregnancy....... concentration of hPL in serum were no lower in this group than in women without previous induced abortion. Neither was the frequency of a low 24-hour excretion of estrogens in urine or low concentration of hPL in serum (values less than mean - 1.96 s) found to be increased. This study could not demonstrate an...

  4. Factors associated with induced abortion at selected hospitals in the Volta Region, Ghana

    Klutsey EE


    Full Text Available Ellen Eyi Klutsey,1 Augustine Ankomah2 1School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Volta Region, 2Department of Population, Family and Reproductive Health School of Public Health, University of Ghana, Legon, Accra, Ghana Background: Induced abortion rates remained persistently high in the Volta Region of Ghana in the 5 years from 2006 to 2011. Some hospitals, both rural and urban, report induced abortion-related complications as one of the top ten conditions in hospital admissions. This study explored demographic and other factors associated with induced abortion, and also assessed awareness of abortion-related complications among women of reproductive age in the Volta Region. Methods: A quantitative, hospital-based, unmatched case-control study was performed. The Volta Region was stratified into two health administration zones, ie, north and south. For each zone, hospitals were stratified into government and private hospitals. Employing simple random sampling, one private and three government hospitals were selected from each zone. This study is therefore based on eight hospitals, ie, six government hospitals and two private hospitals. Results: Marital status, employment status, number of total pregnancies, and knowledge about contraception were found to be associated with induced abortion. Multiple logistic regression showed a 4% reduction in the odds of induced abortion in married women compared with women who were single (odds ratio [OR] 0.11, 95% confidence interval [CI] 0.07–0.22. Unemployed women of reproductive age were found to be 0.35 times less likely to seek induced abortion compared with their employed counterparts (OR 0.35, CI 0.19–0.65. It was also observed that women with their second pregnancies were 3.8 times more likely to seek induced abortion and women with more than two pregnancies were 6.6 times more likely to do so (OR 3.81, CI 1.94–7.49 and OR 6.58, CI 2.58–16.79, respectively

  5. Reasons and meanings attributed by women who experienced induced abortion: an integrative review

    Sandra Elisa Sell


    Full Text Available OBJECTIVE Identifying the contribution of developed research on what motivates women to induce an abortion and the meaning attributed to these experiences in their lives. METHOD An integrative review conducted in MEDLINE/PubMed, LILACS, BDENF, CINAHL and SciELO databases, covering the periods from 2001 to 2011. RESULTS We selected and analyzed 11 studies with selection criteria being reasons given by women for inducing abortion and/or the meaning attributed to this experience in their lives, including social, religious, ethical and moral aspects related to this practice, as well as the suffering experienced from the experience. The illegality of abortion is identified as a risk factor for unsafe abortions, reaffirming this issue as a public health and social justice problem. CONCLUSION Results evidence aspects that can contribute to improving health quality and ratify the importance of research to support nursing practices.

  6. Unintended pregnancy and induced abortion among unmarried women in China: a systematic review

    Garner Paul; Tang Shenglan; Qian Xu


    Abstract Background Until recently, premarital examination for both men and women was a legal requirement before marriage in China. Researchers have carried out surveys of attendees' sexual activity, pregnancy and abortion before their marriages, trying to map out reproductive health needs in China, according to this unique population-based data. To systematically identify, appraise and summarise all available studies documenting pregnancy and induced abortion among unmarried Chinese women at...

  7. Unintended pregnancy and induced abortion among unmarried women in China: a systematic review

    Garner Paul


    Full Text Available Abstract Background Until recently, premarital examination for both men and women was a legal requirement before marriage in China. Researchers have carried out surveys of attendees' sexual activity, pregnancy and abortion before their marriages, trying to map out reproductive health needs in China, according to this unique population-based data. To systematically identify, appraise and summarise all available studies documenting pregnancy and induced abortion among unmarried Chinese women attending premarital examinations. Methods We searched the Chinese Biomedical Literature Index from 1978 to 2002; PUBMED; and EMBASE. Trials were assessed and data extracted by two people independently. Results Nine studies, of which seven were conducted in the urban areas, one in the rural areas, and one in both urban and rural areas, met the inclusion criteria. In the seven studies in urban areas, the majority of unmarried women had experienced sexual intercourse, with estimates ranging from 54% to 82% in five studies. Estimates of a previous pregnancy ranged from 12% to 32%. Abortion rates were high, ranging between 11 to 55% in 8 studies reporting this, which exclude the one rural study. In the three studies reporting both pregnancy and abortion, most women who had become pregnant had an induced abortion (range 86% to 96%. One large rural study documented a lower low pregnancy rate (20% and induced abortion rate (0.8%. Conclusions There is a large unmet need for temporary methods of contraception in urban areas of China.

  8. A prospective self-controlled study of fertility after second-trimester prostaglandin-induced abortion.

    MacKenzie, I Z; Fry, A


    One hundred forty women whose pregnancies were terminated in the second trimester with prostaglandins because of suspected fetal disease have been prospectively followed to assess their subsequent fertility. In six instances difficulties had been experienced in conceiving the pregnancy that was terminated. Since abortion 104 women have conceived, 97% within 24 months of abortion but in five instances after some delay. Only one woman had not succeeded in conceiving a wished-for pregnancy. There were no apparent differences in abortion management between those women readily conceiving and those in whom there was some delay, although termination because of chromosomal reasons or anatomic abnormalities was less commonly followed by another pregnancy as compared with those terminated for rubella or other viral infections. Reduced fertility after a late prostaglandin-induced abortion thus appears to be very infrequent. PMID:3369497

  9. Induced abortion among HIV-positive women in Quang Ninh and Hai Phong, Vietnam

    Chi, Bùi Kim; Gammeltoft, Tine; Nam, Nguyen Thi Thu;


    cross-sectional study was conducted in two provinces of Northern Vietnam. In all 707 HIV-positive women were recruited through collaboration with commune health centres and peer groups. Information was obtained on women's socioeconomic characteristics and pregnancy outcomes before and after HIV......Summary Objectives To explore the decision of induced abortion among HIV-positive women and examine how the decision is associated with socioeconomic characteristics and the availability of comprehensive programmes aiming at preventing mother to child transmission of HIV. Methods A descriptive...... diagnosis. Odds ratios (ORs) with 95% confidence intervals (CI) were calculated to measure the association between socioeconomic characteristics and induced abortion. Results Among women who had been pregnant while being aware of their HIV-positive status, 68% stated having had an induced abortion, whereas...

  10. Induced abortion, pregnancy loss and intimate partner violence in Tanzania: a population based study

    Stöckl Heidi


    Full Text Available Abstract Background Violence by an intimate partner is increasingly recognized as an important public and reproductive health issue. The aim of this study is to investigate the extent to which physical and/or sexual intimate partner violence is associated with induced abortion and pregnancy loss from other causes and to compare this with other, more commonly recognized explanatory factors. Methods This study analyzes the data of the Tanzania section of the WHO Multi-Country Study on Women's Health and Domestic Violence, a large population-based cross-sectional survey of women of reproductive age in Dar es Salaam and Mbeya, Tanzania, conducted from 2001 to 2002. All women who answered positively to at least one of the questions about specific acts of physical or sexual violence committed by a partner towards her at any point in her life were considered to have experienced intimate partner violence. Associations between self reported induced abortion and pregnancy loss with intimate partner violence were analysed using multiple regression models. Results Lifetime physical and/or sexual intimate partner violence was reported by 41% and 56% of ever partnered, ever pregnant women in Dar es Salaam and Mbeya respectively. Among the ever pregnant, ever partnered women, 23% experienced involuntary pregnancy loss, while 7% reported induced abortion. Even after adjusting for other explanatory factors, women who experienced intimate partner violence were 1.6 (95%CI: 1.06,1.60 times more likely to report an pregnancy loss and 1.9 (95%CI: 1.30,2.89 times more likely to report an induced abortion. Intimate partner violence had a stronger influence on induced abortion and pregnancy loss than women's age, socio-economic status, and number of live born children. Conclusions Intimate partner violence is likely to be an important influence on levels of induced abortion and pregnancy loss in Tanzania. Preventing intimate partner violence may therefore be beneficial

  11. The relation of son preference and religion to induced abortion: the case of South Korea.

    Chung, Woojin


    This paper explores the factors that influence the practice of induced abortion in a very low fertility society, with particular emphasis on son preference and three distinct religions: Confucianism, Buddhism and Christianity. Using multivariate logistic regression models fitted by the generalized estimating equation (GEE) method, this paper analysed the data collected by the 2000 Korea National Fertility and Family Health Survey of 6348 married women aged 15-49 years with a total of 1217 pregnancy outcomes. The results showed that the likelihood of induced abortions in women with two or more children, compared with those with one child, was significantly influenced by the sex composition of the previous children: odds ratio (OR)=12.71 (95% CI=5.49, 29.42) for women with only son(s), and OR=3.91 (95% CI=1.67, 9.14) for women with only daughter(s). At parity two, women with two sons were much more likely to have induced abortions than women with two daughters (OR=5.88, 95% CI=2.70, 12.85). Although Buddhist women were not significantly different from Confucian women in induced abortion practice, Christian women were much less likely than Confucian women to have an induced abortion (OR=0.39, 95% CI=0.18, 0.88 for women with only sons and OR=0.44, 95% CI=0.24, 0.81 for women with two children). This suggests that even in this very low fertility society, son preference and religious affiliation are significant predictors of women's practice of induced abortion. PMID:17381891

  12. The determinants of induced abortion among women in Ukraine, results of 2007 survey

    Baranovska, Anastasia


    Full Text Available BACKGROUND. In Ukraine, an estimated 8.5 million induced abortions have been performed during the years of independence. To examine the reproductive health of Ukrainians, the National Health Survey was conducted in 2007 as a nationally representative cross-sectional survey involving 6841 women and 3178 men aged 15-49. Based on the survey data we aimed to identify the determinants of induced abortion. METHODS. The sample for analysis included 4953 women that have ever been pregnant. As an outcome measure we took induced abortion as the result of the last pregnancy versus all other pregnancy outcomes (live births, miscarriages, and stillbirths. Independent variables included age at the time of pregnancy, region, type of place of residence, religion, time since the end of pregnancy, age at first intercourse, whether first intercourse was at first marriage, and number of previous pregnancies. The first step of the analysis was conducted using the bivariate analysis (crosstabulation and chi-square test. The multivariate analysis was done using the binary logistic regression (backward conditional methods. RESULTS. In multivariate analysis, only five variables were associated at the 0.05 level: region, type of place of residence, religion, age at the time of pregnancy, and number of previous pregnancies. Women from the Western regions and those who live in large cities were less likely to have an induced abortion at the last pregnancy. With the increasing of age and number of previous pregnancies the risk of having an induced abortion at the last pregnancy increases as well. CONCLUSIONS. Women of older age groups, who already have children, those living in smaller settlements and in non-Western regions, are at increased risk of induced abortion. These groups are to be considered while developing programs to facilitate access to effective contraception.

  13. Abortion - surgical

    Suction curettage; Surgical abortion; Elective abortion - surgical; Therapeutic abortion - surgical ... problem. Your pregnancy is harmful to your health (therapeutic abortion). The pregnancy resulted after a traumatic event such ...

  14. Domestic violence during pregnancy in Uganda : The social biomedical consequenses and the relationship with induced abortion

    Kaye, Dan K


    Objectives: The specific objectives were to 1) determine the prevalence and predictors of domestic violence during pregnancy, 2) explore community perceptions of factors associated with domestic violence in Wakiso district of Uganda; 3) explore pregnant adolescents experiences and coping strategies regarding violence;4) investigate the association between domestic violence, pregnancy intention and induced abortion; and 5) investigate whether domestic violence during pregnan...

  15. Investigation on Knowledge of and Attitude to Emergency Contraception among Induced--Abortion Women

    楼超华; 赵双玲; 高尔生


    Based on the data from the survey of 606 women who went to three MCHs of Shanghai for induced abortion, women's knowledge of and attitude to emergency contraception (EC) were analyzed. The results showed that 28.5% of the subjects were aware of EC.

  16. Self-reports of induced abortion: an empathetic setting can improve the quality of data

    Rasch, V; Muhammad, H; Urassa, E; Bergström, S


    , and phase 2 included 823 such patients. RESULTS: In phase 1, in which cases were classified by clinical criteria and information from the patient, 3.9% to 16.1% of the cases were classified as induced abortion. In phase 2, in which the structured interview was changed to an empathetic dialogue and...

  17. An attempt for clarifying some complications due to induced abortion by means of radioisotopes

    The possibility and degree of tissue and plasmic elements invasion and deportation during induced abortion depending on the operative method used are studied comparatively. To this end before the operation a lavage of the uterine cavity with technecium was performed. Ten minutes later blood radionuclide concentration was measured. A greater radionuclide blood concentration was observed after abortion made after the aspiration method than after abortion by the classical abrasive method. This indicates a greater invasion and deportation of tissue and plasmic elements from the embryo in the mother's blood circulation and is a substantial failure of the aspiration method which accounts for the more frequently occurring protracted menstruation disorders in such cases. (A.B.)

  18. Key determinants of induced abortion in women seeking postabortion care in hospital facilities in Ouagadougou, Burkina Faso

    Ilboudo PGC


    Full Text Available Patrick GC Ilboudo,1–3 Serge MA Somda,4 Johanne Sundby3 1Département de Santé Publique, Unité de Recherche sur les Politiques et Systèmes de Santé, Centre Muraz, Bobo-Dioulasso, Burkina Faso; 2Agence de Formation, de Recherche et d'Expertise en Santé pour l'Afrique (AFRICSanté, Bobo-Dioulasso, Burkina Faso; 3Department of Community Medicine, University of Oslo, Oslo, Norway; 4Département des Maladies Non Transmissibles, Unité de Formation et d'Appui Méthodologique, Centre Muraz, Bobo-Dioulasso, Burkina Faso Introduction: Despite the universal recognition of unsafe abortion as a major public health problem, very little research has been conducted to document its precipitating factors in Burkina Faso. Our aim was to investigate the key determinants of induced abortion in a sample of women who sought postabortion care. Materials and methods: A cross-sectional household survey was carried out from February to September 2012 in Ouagadougou, Burkina Faso. Data of 37 women who had had an induced abortion and 267 women who had had a spontaneous abortion were prospectively collected on sociodemographic characteristics, pregnancy and birth history, abortion experience, including previous abortion experience, and selected clinical information, including the type of abortion. A two-step regression analysis consisting of a univariate and a multivariate logistic regression was run on Stata version 11.2 in order to identify the key determinants of induced abortion. Results: The findings indicated that 12% of all abortions were certainly induced. Three key factors were significantly and positively associated with the probability of having an induced abortion: whether the woman reported that her pregnancy was unwanted (odds ratio [OR] 10.45, 95% confidence interval [CI] 3.59–30.41; whether the woman reported was living in a household headed by her parents (OR 6.83, 95% CI 2.42–19.24; and if the woman reported was divorced or widowed (OR 3.47, 95

  19. Induced abortion among HIV-positive women in Northern Vietnam

    Chi, Bui Kim; Hanh, Nguye Thi Thuy; Rasch, Vibeke;


    to become mothers, women in this study opted to terminate their pregnancies out of fear that they could not care adequately for the child they expected. These results indicate that when providing reproductive health counselling and support for HIV-positive women and their families, it is essential to......Across the world, childbearing among HIV-positive women is a socially controversial issue. This paper derives from a larger research project that investigated reproductive decisions among HIV-positive women in Quang Ninh, a northern province of Vietnam. The paper focuses on 13 women who had an...... abortion after being diagnosed as HIV-positive, exploring their reflections, concerns and dilemmas. The results show that the HIV-positive pregnant women sought to balance their desires for a child with their worries of being unable to fulfill their responsibilities as mothers. Even while strongly desiring...

  20. Underreporting of induced and spontaneous abortion in the United States: an analysis of the 2002 National Survey of Family Growth.

    Jones, Rachel K; Kost, Kathryn


    Underreporting of induced abortions in surveys is widespread, both in countries where the procedure is illegal or highly restricted and in those where it is legal. In this study, we find that fewer than one half of induced abortions performed in the United States in 1997-2001 (47 percent) were reported by women during face-to-face interviews in the 2002 National Survey of Family Growth (NSFG). Hispanic and black women and those with low income were among the least likely to report their experience of abortion. Women were also less likely to report abortions that occurred when they were in their 20s. Second-trimester abortions were more likely to be reported than first-trimester terminations. The levels of recent spontaneous abortion reported in the 2002 NSFG were consistent with the accumulated body of clinical research, although substantially more lifetime pregnancy losses were reported on self-administered surveys than in face-to-face interviews. Subsequent research should explore strategies to improve information collected on abortion, and, in the interim, research involving pregnancy outcomes should be adjusted for unreported induced abortions. PMID:17933292

  1. Prevention and Treatment of Vaginal Bleeding after Drug-induced Abortion by Yaoliuan Capsule and Its Effects on Menses Recovery

    JIN Zhichun; HUANG Guangying


    Summary: In order to explore the effect of Yaoliuan capsule in the prevention and treatment of vaginal bleeding after drug-induced abortion and menses recovery after drug-induced abortion, 323 cases of gestation period ≤ 49 days and without contraindication, were divided randomly into study group (168 cases, taking Yaoliuan capsule) and control group (155 cases, taking placebo capsule). The results showed that in the study group, there were 161 cases (95.8 %) of complete abortion, 7 cases (4.2 %) of incomplete abortion; In the control group, there were 146 cases (94.2 %) of complete abortion, 6 cases (3.9 %) of incomplete abortion, 3 cases (1.9 %) of abortion failure. The vaginal bleeding time was 5-25 days (mean 10.8 days) in study group, while that was 6-62 days (mean 19.1 days) in control group. The menstrual cycle was 30.5±5.2 days and 33.8 d±8.6 days respectively in study and control groups. The menstrual period was 6.1±3.5 days and 9.9±5.1 days respectively in study and control groups. Yaoliuan capsule is an effective drug to prevent and treat vaginal bleeding following drug-induced abortion, promote menstruation recovery and prevent pelvic infection.

  2. The effects of the Chernobyl explosion on induced abortion in Italy

    Four regression models have been fitted to data of the monthly number of induced abortions in Italy between January 1984 and April 1986, in order to predict the number which would have occurred in the 5 months following the Chernobyl explosion. In model I the average number of abortions per day in each month was the dependent variable and calendar months, a linear time trend and previous month's value were the independent variables. Model II included a quadratic time trend term in addition to the independent variables used in model I. Models III and IV were like models I and II except that the dependent variable was the average number of abortions per working day in each month and the effect of the previous month's value was omitted. The 4 models all implied that an excess number of abortions were performed in the 5 months following the Chernobyl accident. The mean daily excess was estimated to be 28 and 52 per day for models I and II and the mean excess per working day was estimated to be 20 and 30 by models III and IV, respectively. Clearly the estimated magnitude of the excess depends on whether the quadratic time trend is included among the explanatory variables, but these results imply that the excess is unlikely to be merely due to chance

  3. Induced abortion during youth: social inequalities in the outcome of the first pregnancy

    Menezes Greice M. S.


    Full Text Available This study aimed to identify the factors associated with induced abortion in the first pregnancy in young women and in the first time young men got their partners pregnant. The methodology was a household survey with face-to-face interviews in a probabilistic sample in three stages with 4,634 subjects, aged 18 to 24 years of age residing in the cities of Salvador, Rio de Janeiro, and Porto Alegre, Brazil. Logistic regression analysis was used with a hierarchical strategy for entering variables into the model. Abortion was the reported outcome of the first pregnancy for 16.7% of the women and 45.9% of the men (in relation to their partners. Key factors associated with abortion included higher schooling and the occasional nature of the relationship with the male or female partner in the respective pregnancy. Inclusion of males in the study provided new elements for understanding the abortion phenomenon, including in the gender issues in discussion of the theme. The authors recommend greater public investment to warrant access to information and means for young people to achieve their reproductive plans in a security and healthy way, respecting their sexual and reproductive rights.

  4. Report: a study of morbidity of induced abortion data from women belonging to Karachi, Pakistan.

    Aslam, Farah; Aslam, Muhammad


    The purpose of this study was to evaluate the morbidity of induced abortion in relation to facilities, service providers and social responses of general population of women, from Karachi, Pakistan. Cross-sectional survey, conducted from February to December 2010, through a researcher-administered questionnaire from 61 randomly selected women, who underwent for Induced Abortion, aged 18-50 years. The questionnaire included open and closed ended questions, regarding demography, facilities, service providers and various complications observed. Overall, 98 immediate health problems were reported by 40 (65.5%) of the respondents, 153 late adverse effects or chronic by 46 (75.4%); while 101 mental complications had been reported by 45 (73.8%) of the 61 aborting women; respectively. Private clinics surfaced as the most frequently adopted source as reported by 40.7% of the respondents. Two third majorities had the procedure in satisfactory, good hygienic conditions by skilled professionals. Around 59% of the aborting women were aware of the religious perspective of the subject. Marked incidence of complications had been registered, regardless of type of method adopted, hygienic condition of the procedure or skill of the provider. Although, awareness of religious perspective of the subject was there, still quite a lot opted for abortion. This suggests that strong socioeconomic factors influence women to take peril of such an attempt. It also reveals the existence of a big gap for the awareness services for educating the risks involved to the women's health. Study revealed that services are easily accessible; without any legal, religious or social barriers. Semi or un-educated women, mostly from low socioeconomic sector are opting the procedure in majority, being less aware and stalwartly influenced by environmental factors; hence excessive availability of abortion services should be revisited. Lack of deep awareness of the consequences also contributes for deteriorating

  5. Induced abortion, pregnancy loss and intimate partner violence in Tanzania: a population based study

    Stöckl Heidi; Filippi Veronique; Watts Charlotte; Mbwambo Jessie KK


    Abstract Background Violence by an intimate partner is increasingly recognized as an important public and reproductive health issue. The aim of this study is to investigate the extent to which physical and/or sexual intimate partner violence is associated with induced abortion and pregnancy loss from other causes and to compare this with other, more commonly recognized explanatory factors. Methods This study analyzes the data of the Tanzania section of the WHO Multi-Country Study on Women's H...

  6. Effect of Wujia Shenghua capsule on uterine bleeding following medically-induced incomplete abortion in rats during early pregnancy

    Liu, Haiyang; Ma, Wei; Liu, Qi; Wang, Fashan; Cao, Ling; Li, TieNan; Zhang, Ning; Geng, Fang


    The Wujia Shenghua capsule (WSC) is derived from Sheng-Hua-Tang, a well-known traditional Chinese medicine compound prescription that has been widely applied during the postpartum period in Chinese communities for a number of years. The aim of the present study was to investigate the effect of WSC on uterine bleeding following medically-induced incomplete abortion in rats during early pregnancy. Incomplete abortions were induced in Wistar rats during early pregnancy using mifepristone combine...

  7. The problem of illegally induced abortion: results from a hospital-based study conducted at district level in Dar es Salaam

    Rasch, V; Muhammad, H; Urassa, E; Bergström, S


    Illegal abortion is known to be a major contributor to maternal mortality. The objective of the study was firstly to identify women with illegally induced abortion, (IA) and to compare them with women admitted with a spontaneous abortion (SA) or receiving antenatal care (AC), and secondly to desc...

  8. Prevalence and sociodemographic characteristics of women with induced abortion in a population sample of São Paulo, Brazil

    Milena Goulart Souza


    Full Text Available Objectives: This study aims at estimating the prevalence of women with induced abortion among women of childbearing age (15-49 years who had any previous pregnancy, in the city of Sao Paulo, Brazil, in the last quarter of 2008, and identifying the sociodemographic characteristics (SC associated with it. Methods: A cross-sectional survey was carried out. The dependent variable was dichotomized as: no abortion and induced abortion. The independent variables were: age, paid work/activity, familial monthly income, schooling, marital status, contraceptive use and number of live births. Statistical analysis was performed using log-binomial regression models with approximation of Poisson to estimate the prevalance ratios (PR. Results: Of all women with any previous pregnancy (n = 683, 4.5% (n = 31 reported induced abortion. The final multivariate model showed that having now between 40 and 44 years (PR = 2.76, p = 0.0043, being single (PR = 2.79, p = 0.0159, having 5 or more live births (PR = 3.97, p = 0.0013, current oral contraception or IUD use (PR = 2.70, p = 0.454 and using a "non effective" (or of low efficacy contraceptive method (PR = 4.18, p = 0.0009 were sociodemographic characteristics associated with induced abortion in this population. Conclusions: Induced abortion seems to be used to limit fertility, more precisely after having reached the desired number of children. The inadequate use or non-use of effective contraceptive methods, and / or the use of contraceptives " non effective", exposed also the women to the risk of unintended pregnancies and, therefore, induced abortions. In addition, when faced with a pregnancy, single women were more likely to have an abortion than married women.

  9. Abortion - surgical

    Suction curettage; Surgical abortion; Elective abortion - surgical; Therapeutic abortion - surgical ... Surgical abortion involves dilating the opening to the uterus (cervix) and placing a small suction tube into the uterus. ...

  10. Nursing Care in Painless Induced Abortion%浅谈无痛人流术护理方法



    目的:探讨无痛人工流产术中的护理方法。方法对110例行人工流产术的患者进行术前、术中及术后护理。结果无痛人工流产手术需要时间短。结论无痛人工流产术前、术中及术后均需要很好的护理。%Objective To explore methods of nursing care in painless induced abortion. Methods 110 cases of induced abortion patients for nursing and postoperative before and during the operation. Results The operation of painless artificial abortion needs short time. Conclusion Painless artificial abortion preoperative, intraoperative and postoperative care needs good.

  11. Bowel perforation secondary to illegally induced abortion: a tertiary hospital experience in Tanzania

    Mabula Joseph B


    Full Text Available Abstract Background Bowel perforation though rarely reported is a serious complication of induced abortion, which is often performed illegally by persons without any medical training in developing countries. A sudden increase in the number of patients in our centre in recent years prompted the authors to analyze this problem. The study was conducted to describe our own experiences in the surgical management of these patients. Methods This was a retrospective study involving patients who were jointly managed by the surgical and gynecological teams at Bugando Medical Centre (BMC for bowel perforation secondary to illegally induced abortion from January 2002 to December 2011. The statistical analysis was performed using SPSS version 17.0. Results A total of 68 patients (representing 4.2% of cases were enrolled in the study. Their ages ranged from 14 to 45 years with a median age of 21 years. Majority of patients were, secondary school students/leavers (70.6%, unmarried (88.2%, nulliparous (80.9%, unemployed (82.4% and most of them were dependent member of the family. Previous history of contraceptive use was reported in only 14.7% of cases. The majority of patients (79.4% had procured the abortion in the 2nd trimester. Dilatation and curettage (82.4% was the most common reported method used in procuring abortion. The interval from termination of pregnancy to presentation in hospital ranged from 1 to 14 days (median 6 days . The ileum (51.5% and sigmoid colon (22.1% was the most common portions of the bowel affected. Resection and anastomosis with uterine repair was the most common (86.8% surgical procedure performed. Complication and mortality rates were 47.1% and 10.3% respectively. According to multivariate logistic regression analysis, gestational age at termination of pregnancy, delayed presentation, delayed surgical treatment and presence of complications were significantly associated with mortality (P Conclusion Bowel perforation following

  12. Expression of the Inducible Nitric Oxide Synthase Isoform in Chorionic Villi in the Early Spontaneous Abortion


    To investigate the relationship between inducible nitric oxide synthase (iNOS) and the early spontaneous abortion. , in situ hybridization and immunohistochemistry were used to detect the expression of iNOS in trophoblasts in the early pregnancy with and without spontaneous abortion (group Ⅰ and group Ⅱ ). By light microscopy and computer color magic image analysis system (CMIAS), light density (D) and the positive cell number per statistic square (N/S) in situ hybridization were used to analyze the positive cell index, while total positive cells (N) and the positive unit (Pu) were used in immunohistochemistry. By in situ hybridization, D and N/S in trophoblasts were 0. 35±0. 028, 0. 07±0. 011 respectively in group Ⅰ and 0. 18±0. 016,0. 015±0. 003 in group Ⅱ . In terms of immunohistochemical staining, N and Pu were 0. 058±±0. 007, 11. 94±2. 01 in group Ⅰ and 0. 013±0. 009, 1. 08±0. 35 in group Ⅱ in trophoblasts. Significant differences existed between two groups. It is concluded that the higher nitric oxide produced by the higher expression of iNOS in trophoblasts might play an important role in the early spontaneous abortion.

  13. Abortion; 1 : 2 000 000

    The cartogram represents the crude rate of abortions (number of abortions per 1,000 inhabitants) in the individual districts, crude abortion rate in Slovakia: 0.54 %, number of all abortions (average of 1996 - 1998) is presented. The complicated mosaics reveals two main spatial cores of the highest abortion rate. The first is in the south-west of Slovakia, from Malacky to Komarno, and the second, the largest, is from Ziar nad Hronom and Velky Krtis as far as Michalovce. In contrary, the rate of abortions is registered in the northern districts of the eastern Slovakia, almost the whole region Presov and in the northern districts of the region of Zilina. The size of the sign expresses the absolute number of abortions and simultaneously the structure of abortions: spontaneous and induced abortions. The higher share of the spontaneous abortions (more than a quarter) generally occurs in the districts with the lowest abortion rate. (authors)

  14. Late-term abortion.

    Epner, J E; Jonas, H S; Seckinger, D L


    Recent proposed federal legislation banning certain abortion procedures, particularly intact dilatation and extraction, would modify the US Criminal Code such that physicians performing these procedures would be liable for monetary and statutory damages. Clarification of medical procedures is important because some of the procedures used to induce abortion prior to viability are identical or similar to postviability procedures. This article reviews the scientific and medical information on late-term abortion and late-term abortion techniques and includes data on the prevalence of late-term abortion, abortion-related mortality and morbidity rates, and legal issues regarding fetal viability and the balance of maternal and fetal interests. According to enacted American Medical Association (AMA) policy, the use of appropriate medical terminology is critical in defining late-term abortion procedures, particularly intact dilatation and extraction, which is a variant of but distinct from dilatation and evacuation. The AMA recommends that the intact dilatation and extraction procedure not be used unless alternative procedures pose materially greater risk to the woman and that abortions not be performed in the third trimester except in cases of serious fetal anomalies incompatible with life. Major medical societies are urged to collaborate on clinical guidelines on late-term abortion techniques and circumstances that conform to standards of good medical practice. More research on the advantages and disadvantages of specific abortion procedures would help physicians make informed choices about specific abortion procedures. Expanded ongoing data surveillance systems estimating the prevalence of abortion are also needed. PMID:9728645

  15. Use of Emergency Contraception could Halve Induced Abortion Rate in Shanghai,China

    Chao-hua LOU; Shuang-ling ZHAO; Er-sheng GAO


    Objective To investigate and estimate the proportion of the induced abortion that could have been prevented by using emergency contraception in Shanghai Method Structured interviews were conducted in 606 women (413 married and 193unmarried) aged 18-49 years, who were attending three health care centers in Shanghai for termination of first trimester pregnancy.Results A total of 98.2% of the pregnancies were unwanted, and 63.7% of the women recognized that they were at risk of pregnancy soon after the intercourse. It is estimated that 52.2% of the induced abortion could have been prevented if the women had used levonorgestrel-only emergency contraception. Only 28.5% of the respondents were aware of emergency contraception. The most important sources of information about emergency contraception identified by respondents were books/newspapers/periodicals (38.2%), and relatives/friends (30.6%). Family planning health education on emergency contraception was noted by 28.9% of married women but only by 5.8% of unmarried women. A portion of 85.5% of all respondents reported they would be willing to use emergency contraception when needed. Those more willing to use emergency contraception included younger, better educated, and unmarried women experiencing their first pregnancy. Women preferred drugstores (60.1%) than hospitals (30.2%)for obtaining emergency contraception.Conclusion Women's needs for emergency contraception were enormous. Promotion of emergency contraception by providing information and improving service could have a substantial impact on reducing the rate of induced abortion in Shanghai.

  16. Perspectiva masculina acerca do aborto provocado Male perspective on induced abortion

    Graciana Alves Duarte


    Full Text Available OBJETIVO: Analisar a perspectiva de homens de uma comunidade universitária que viviam em união legal ou consensual acerca do aborto provocado. MÉTODOS: Estudo descritivo de corte transversal em que se analisaram informações de 361 entrevistados, pertencentes a diferentes categorias de uma universidade. Utilizou-se o teste de qui-quadrado para avaliar a associação das variáveis dependentes com as independentes. RESULTADOS: Dos entrevistados, 53% afirmaram que as mulheres têm direito a interromper a gestação; as situações de maior aceitação foram: risco de vida da gestante (85%, gravidez resultante de estupro (80% e anomalia fetal (75%. As variáveis associadas à opinião masculina favorável ao aborto foram: maior escolaridade dos homens e das parceiras e o grupo (docente/aluno a que pertencia o entrevistado. CONCLUSÕES: Os entrevistados tenderam a ser mais favoráveis ao aborto nas situações já legitimadas legal e/ou socialmente. O maior grau de escolaridade, tanto deles quanto das parceiras, apareceu como relevante para determinar a postura em relação ao aborto.OBJECTIVE: To analyze the perspective on induced abortion of men of a university community living in legal or consensual wedlock. METHODS: A descriptive cross-sectional study was carried out and 361 members of different categories of an university were interviewed. Chi-square test was used to assess the association between dependent and independent variables. RESULTS: Fifth-three percent of the participants acknowledged that women have the right to end pregnancy. Men were more favorable to abortion when there is a risk to woman's life (85%; rape-related pregnancy (80%; and fetal anomalies (75%. Higher schooling of both men and their partners and the interviewees' position (teacher/student were associated to a positive attitude towards abortion. CONCLUSIONS: Men tended to be more prone to abortion in legally and/or socially accepted instances. Better education of

  17. The underrated benefits of oral contraception: consequences of pregnancy and induced abortion in teenagers.

    Dreyfus, R


    If complications occur within a pregnancy planned and brought to term, they often can be dealt with and accepted. They are even more traumatic when they occur in an unwanted pregnancy that could have been prevented through contraception. Teenagers, because of their physical and psychological immaturity and also because of their social environment, seem to suffer with undue frequency from the complications of induced abortion. Its result, for the teenager, is a handicapped future in comparison to other women. Hence, access to contraception is important for all women, and especially for teenagers, in order to avoid such prejudicial situations. It is important, then, to prescribe oral contraception for its efficacy and its short- and long-term innocuousness. Because of her immaturity, the pregnant teenager is at risk: of spontaneous abortion, pre-eclampsia, anemia, hemorrhage, and prematurity. She is also at risk because of the social difficulties she will be facing. This is particularly true in families from developing countries. From birth, the child is also at risk: of low birth weight for the term, mortality in the first year of life, and all risks linked to abandonment, or education by a third party. In a proportion of 13 to 30% in western countries and in a proportion of 3% in East Asia or in Northwest Africa (Maghreb), induced abortions are a reflection of the following: early sexual activity without contraception even if fertility is still low in very young teenagers, absence of social protection or social independence, refusal of forced marriage, and presence or absence of liberal legislation.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1362187

  18. Dynamically observing the value of the changes of serum sex hormone levels of early pregnancy after drug-induced abortion

    Objective: To observe the value of the changes of serum β-human chorionic gonadotropin (β-HCG), estradiol (E), progesterone (P) Levels of early pregnancy after drug-induced abortion dynamically. Methods: Assessing 55 women proved pregnant by urine or blood HCG retrospecticly, who had terminated their pregnancy by mifepristonr and misoprostol. Meanwhile the serum levels of β-HCG, E, P were monitored dynamically. Results: Among the 55 patients, the levels of β-HCG, E and P had significant decreased (tβ-HCG=4.845, tE=7.655, tP=11.390, PE=9.089, PP=2.910, P<0.05). Conclusion: Detectint the serum hormone's levels after drug-induced abortion by chemiluminescent immunoassay, we can assess indirectly the value of administration of mifepristone and misoprostol, predict the prolonged vaginal bleeding after drug-induced abortion, and the outcome of the treatment, which determine wether need another curestage. (authors)

  19. Abortion, Miscarriage, and Breast Cancer Risk

    ... of Breast & Gynecologic Cancers Breast Cancer Screening Research Abortion, Miscarriage, and Breast Cancer Risk A woman’s hormone ... be conducted to determine whether having an induced abortion, or a miscarriage (also known as spontaneous abortion), ...

  20. The discourses on induced abortion in Ugandan daily newspapers: a discourse analysis

    Larsson, Sofia; Eliasson, Miriam; Klingberg Allvin, Marie; Faxelid, Elisabeth; Atuyambe, Lynn; Fritzell, Sara


    Background: Ugandan law prohibits abortion under all circumstances except where there is a risk for the woman's life. However, it has been estimated that over 250 000 illegal abortions are being performed in the country yearly. Many of these abortions are carried out under unsafe conditions, being one of the most common reasons behind the nearly 5000 maternal deaths per year in Uganda. Little research has been conducted in relation to societal views on abortion within the Ugandan society. Thi...

  1. Application of a New TherApeutic Protocol Against Neospora Caninum-Induced Abortion in Cattle: A Field Study

    G.Traldi; D. Lulla; Guerra, C; A. R. Attili; Preziuso, S.; L. Nisoli; Cuteri, V


    A field evaluation of a new therapeutic protocol based on Toltrazuril and/or Sulphadiazine and Trimethoprim was carried out for treatment of Neospora caninum-induced abortion in dairy cattle. 936 randomly chosen Friesian bovine belonging to 18 dairy herds of Central and South Italy with history of high number of abortions per year were considered. Since the high N. caninum seroprevalence, Sulphadiazine 200 mg/ml and Trimethoprim 40 mg/ml was given to the cattle at a dosage of 20 mg/kg bw, fol...

  2. Influence of Radix scutellariae on Th1/Th2 cytokine balance in RU486-induced abortion in mice

    ZHONG Xiuhui; SHI Wanyu; MA Aituan; WANG Xiaodan; ZHANG Jianlou; LI Xuezhong


    The aim of this study is to investigate the significance of Th1/Th2 cytokine balance in the uterus in the early embryo loss(or resorption),and to elucidate immunological modulation at the maternal-fetal interface with Chinese herbal medicine Radix scutellariae(Huang Qin)and its constituents(Baicalin and Baicalein).Mifepristone(RU486)was given via subcutaneous injection in the scapular area to induce abortion in mice at day 7 of gestation.The levels of uterine Thl cytokines(IFN-β,IL-2)and Th2 cytokines(IL-4,IL-10)were analyzed by enzyme-linked immunosorbent assay(ELISA),respectively.The mean values of Thl cytokines in the uterus of RU486-treated abortion mice were significantly higher(P<0.05)than that of the control mice,but no significant difference was observed regarding to the contents of Th2 cytokines of different groups(P>0.05).However,when the Radix scutellariae and its constituents were used to prevent RU486-induced abortion,the levels of IFN-γ and IL-2 decreased while that of IL-4 and IL-10 increased.The embryo loss induced by RU486 was closely related to the Th1/Th2 immune balance at the maternal-fetal interface.Radix scutellariae and its constituents have an anti-abortive effect through restoring the Th1/Th2 balance at the maternal-fetal interface.

  3. Emotional distress among couples involved in first-trimester induced abortions.

    Lauzon, P.; Roger-Achim, D.; Achim, A.; Boyer, R.


    OBJECTIVE: To establish the prevalence of clinically significant psychological distress in women and men involved in first-trimester abortions and to identify related risk factors. DESIGN: Prospective cohort study. SETTING: A downtown Montreal public abortion clinic and the Montreal metropolitan area. PARTICIPANTS: We recruited 197 women and 113 men involved in first-trimester abortions and compared them with control groups composed of 728 women and 630 men 15 to 35 years old who had taken pa...

  4. The Question of Abortion in Serbia

    Rasevic, Mirjana


    Induced abortion has for a long time been a predominant method of birth control in Serbia. With spreading of contraception, significance of induced abortion became to a decrease. Besides this positive trend, estimated number of induced abortions about 200000 abortions per a year shows that a significant number of women mostly, and a certain number of women exclusively, relies on this method of birth control.Research findings discovered a complex array of factors of abortion problem, including...

  5. Investigation of suppression of lactation with vit B6 after induced abortion in the second trimester of pregnancy

    Objective: To investigate the action of suppressing lactation with Vit B6 after induced abortion in second trimester of pregnancy and its clinical application. Methods: 60 Subjects in the second trimester of pregnancy were induced abortion with intra-amniotic injection of 100 mg rivanol. 30 subjects were not given any drug after the procedure (serving as controls) and the another 30 subjects started Vit B6 2h after operation. With a dose of 60 mg tid x 5 days P.o. Serum levels of PRL, E2, P Were determines with RIA before and on the 4 th day post-abortion. Presence or absence of lactation after abortion was observed by squeezing the breast in all subjects. Results: In both groups the post-operative serum levels of the three tested hormones were significantly lower than those before operation. The decrease of PRL was especially marked in the Vit B6 group (P 6 group (6.66%, 2/30); while it was present in 9 controls (30%, 9/30). Conclusion: Starting Vit B6 treatment with in 2h after terminal of pregnancy would very effectively suppress milk secretion (93.3%) and could satisfactorily replace the conventional stilbestrol treatment. Marked decrease in serum PRL level (42.85%) reflected a solid laboratory evidence

  6. Induced abortion in Denmark: effect of socio-economic situation and country of birth

    Rasch, Vibeke; Gammeltoft, Tine; Knudsen, Lisbeth B.;


    .11-2.46). When evaluating the effect of social exposure on abortion among Danish-born and foreign-born women, the higher rate of abortion among non-Westerners was found to be caused by the composition of non-Westerners more often being unemployed, having a low income and having two or more children rather than...

  7. Determinantes del retraso de la interrupción voluntaria del embarazo Determinants of induced abortion delay

    Laia Font-Ribera


    Full Text Available Antecedentes: El momento de la gestación en que se induce una interrupción voluntaria del embarazo (IVE determina el método, el riesgo de complicaciones y el coste económico de la intervención. El objetivo de nuestro estudio fue describir los determinantes del retraso de la IVE hasta el segundo trimestre de gestación en Barcelona. Métodos: Estudio transversal de las IVE por motivos de salud física o mental de la mujer (Barcelona, 2004-2005; N=9.175. El registro de IVE de la ciudad proporcionó el tiempo de gestación (variable dependiente, el nivel de estudios, la edad, la convivencia en pareja, el número de hijos, IVE anteriores y tipo de centro. Se calcularon razones de prevalencia ajustadas (RPa mediante modelos de regresión log-binomial. Resultados: El 7,7% de las IVE fueron de segundo trimestre y el 99,3% se realizaron en centros privados. En comparación con las mujeres con estudios universitarios, las que tienen educación primaria o menos tienen una RPa de 1,8 (intervalo de confianza del 95% [IC95%]: 1,4-2,2 de IVE de segundo trimestre. También se registran más IVE de segundo trimestre en las menores de 18 años (RPa=2,6; IC95%: 2,0-3,4, las que no conviven en pareja (RPa=1,4; IC95%: 1,2-1,6 y en los centros públicos (RPa=2,8; IC95%: 2,2-3,7. No hay diferencias en el retraso de la IVE entre las mujeres que han tenido IVE anteriores y las que no. Conclusión: El retraso de la IVE hasta el segundo trimestre se asoció a niveles educativos más bajos, edades jóvenes, no convivencia en pareja y centros públicos, y se demuestra la existencia de desigualdades socioeconómicas en las condiciones de acceso a la IVE.Background: In induced abortion, the method, the risk of complications and the economic cost of the abortion are determined by gestational age. The aim of this study was to describe the determinants of induced abortion delay until the second trimester of pregnancy in Barcelona. Methods: We performed a cross

  8. Initial loss of productive days and income among women seeking induced abortion in Cambodia.

    Potdar, Rukmini; Fetters, Tamara; Phirun, Lam


    The study describes the loss of productive time and income related to abortion care and care-seeking among 110 women presenting at public and private sector abortion providers in Cambodia. Data were collected through women's exit interviews, and descriptive analysis was used to examine lost time and income against a number of explanatory variables, such as gestational age of pregnancy, type of abortion provider and facility, type of uterine evacuation procedure, number of health visits, and the woman's occupation. Results indicate that lost time and earnings increase with the number of visits to obtain the termination, gestational age, and selection of a private physician or non-governmental organization clinic. Lost time and earnings also vary by the woman's type of employment. The study underscores the need for safer, accessible, and more affordable abortion services in order to ensure that these services are available for all women. Even in the Cambodian context, where abortion is unrestricted during the first trimester of pregnancy, the study findings show that the process of searching for and obtaining high-quality abortion care was unnecessarily complicated and costly to women and their household members. PMID:18308261

  9. Reproductive rights: Current issues of late abortion

    Mujović-Zornić Hajrija


    This article considers the legal issues surrounding induced late abortion in cases when severe medical, therapeutic or ethical reasons have not been in dispute. Generally discussing the essential question about abortion today, it means not anymore legality of abortion but, in the first place, safety of abortion. From the aspect of woman health the most important aim is to detect and avoid possible risks of medical intervention, such as late abortion present. This is the matter of medical law ...

  10. Fertilidade de novilhas após aborto induzido com cloprostenol Fertility of heifers after abortion induced by cloprostenol

    C.A.C. Fernandes


    Full Text Available O efeito da interrupção da gestação sobre a fertilidade foi avaliada em 50 novilhas da raça Holandesa, gestantes de fetos do sexo masculino entre 55 e 90 dias de idade. O aborto foi induzido pela administração de cloprostenol sódico, após o diagnóstico do sexo fetal. Os animais foram inseminados no segundo estro normal após o aborto. A interrupção da gestação ocorreu em 86% dos animais tratados e a via de administração, intramuscular ou intravulvar, não afetou a taxa de aborto. Os intervalos do aborto à primeira inseminação e do aborto à concepção foram de 38,94± 4,96 e 47,32± 15,89 dias, respectivamente. Não houve diferença no número médio de serviços por concepção pré e pós-interrupção da gestação (1,22 vs. 1,34; P>0,05. Conclui-se que a indução do aborto no terço inicial da gestação em novilhas não compromete a fertilidade dos animais.The effect of interruption of pregnancy on fertility was evaluated in 50 Holstein heifers, carrying male fetuses ranging from 55 to 90 days post conception. Abortion was induced by administration of sodic cloprostenol after fetal gender diagnosis. Heifers were inseminated on the second normal estrus after abortion. The interruption of gestation was 86% in treated animals, and route of administration, IM ou IV (intra-vulvar, did not affect the rate of abortion. The abortion to first insemination and abortion to conception intervals were 38.94± 4.96 and 47.32± 15.89 days, respectively. No difference on the number of inseminations per conception before or after the interruption of pregnancy (1.22 vs. 1.34; P>0.05 was observed. It was conclude that abortion induction in the first third of pregnancy did not affect heifer fertility.

  11. Abortion in the U.S.: Utilization, Financing, and Access

    Abortion in the U.S.: Utilization, Financing, and Access June 2008 Approximately one-fifth (19%) of the 6. ... occurring annually in the U.S. end in induced abortion. 1 While abortion is one of the most ...

  12. Abortamento induzido: vivência de mulheres baianas Induced abortion: the experience of women from the Brazilian state of Bahia

    Vanessa do Nascimento Pereira


    study was conducted in a public maternity hospital in the city of Salvador (Northeastern Brazil, and the subjects were nine women hospitalized due to induced abortion. To collect data, we used the interview accompanied by a semi-structured form. Ethical aspects were considered based on Resolution 196/96 of the National Health Council. For the analysis of the discourses, we used Bardin's content analysis technique. The sample was characterized by predominantly black adult women, married or in a stable union, financially dependent on the partner. In the analysis, two themes emerged: motivation and feelings. Among the reasons leading to abortion, there are financial difficulties, the number of children, the experience of domestic violence and the loss of their autonomy. The process of aborting generates fear of death, sadness and relief. Women experiencing induced abortion revealed a very painful process from the moment they discover the pregnancy until the difficult decision to interrupt it. When they are not helped, these women perpetuate the pain, living days of anguish and guilt. The exercise of listening and welcoming these women must be present in the lives of health professionals, regardless of their views on abortion, so that the women can express their feelings, and then get appropriate help and referral.

  13. Investigations of hormones during early abortion induced by prostaglandin Fsub(2α) and 15(S)-methyl-PGFsub(2α)

    In early pregnancy up the 7th week of pregnancy PGFsub(2α) was infused and 15(S)-methyl-PGFsub(2α) was applied i.m. to induce menstruation in 20 or 19 cases, respectively. In the tested form of application 15(S)-methyl-PGFsub(2α) is effective in 89 per cent of the cases and in 74 per cent complete abortion was achieved. PGFsub(2α) produced bleeding in 80 per cent only and complete abortion in 55 per cent. The differences in these two groups were not statistically significant. The steroid hormones estradiol and progesterone decrease in a successful application of PGs for induction of abortion and reach a value of 75 per cent at the onset of bleeding. The LH concentration in plasma becomes smaller too. In some cases there is a temporary increase in hormones shortly after starting treatment. The results could indicate that the considerable decrease in hormones before the onset of bleeding might be caused by an alteration of the corpus luteum, which is effective during early pregnangy. (author)

  14. Abortion: the hidden plague.

    Tuckwell, S


    Abortion is called the invisible plague of all countries and cultures in the twentieth century. It is by far the most important method of birth control in the world today. For every 200 babies born there are at least 100 abortions. In the rich world, a woman who wants to end her pregnancy goes to an abortionist, but for millions of poor women, abortion happens spontaneously in their own homes induced by poor nutrition, sheer physical weakness, and too many pregnancies too close together. In countries where abortion is illegal, millions of women die each year as a result of severe illness or the botched handiwork of backyard operators. The most common complications are massive hemorrhaging, perforation of the uterus, laceration, sepsis, and renal failure. The experience of a great many countries shows that simply legalizing abortion can lead to a dramatic drop in death and illness. Relaxation of abortion laws can save lives, money, and misery for mothers and children. Illegal abortion has become a major problem in Africa there are 3 main types of women who enter hospitals with complications after abortions: 1) the teenager who is away from home; 2) the young woman, often educated, working, and with financial responsibilities, who is ambitious for herself, her husband, or her family; and 3) the woman in her thirties, illiterate, a rural worker, married most of her reproductive life, and pregnant most years. The third type of woman may abort because her system is utterly depleted. Such women must be shown that there is a good chance of survival for her children so that she will not have so many. PMID:12307249

  15. Determinants of first and second trimester induced abortion - results from a cross-sectional study taken place 7 years after abortion law revisions in Ethiopia

    Bonnen, K. I.; Tuijje, D. N.; Rasch, V.


    Background: In 2005 Ethiopia took the important step to protect women's reproductive health by liberalizing the abortion law. As a result women were given access to safe pregnancy termination in first and second trimester. This study aims to describe socio-economic characteristics and contraceptive......: age <19 years, being single, widowed or divorced, attending school, being unemployment, being nullipara or para 3+, and having low education. The contraceptive prevalence rate varied across age groups and was particularly low among young girls and young women experiencing second trimester abortion...

  16. Abortion: taking the debate seriously.

    Kottow Lang, Miguel Hugo


    Voluntarily induced abortion has been under permanent dispute and legal regulations, because societies invariably condemn extramarital pregnancies. In recent decades, a measure of societal tolerance has led to decriminalize and legalize abortion in accordance with one of two models: a more restricted and conservative model known as therapeutic abortion, and the model that accepts voluntary abortion within the first trimester of pregnancy. Liberalization of abortion aims at ending clandestine abortions and decriminalizes the practice in order to increase reproductive education and accessibility of contraceptive methods, dissuade women from interrupting their pregnancy and, ultimately, make abortion a medically safe procedure within the boundaries of the law, inspired by efforts to reduce the incidence of this practice. The current legal initiative to decriminalize abortion in Chile proposes a notably rigid set of indications which would not resolve the three main objectives that need to be considered: 1) Establish the legal framework of abortion; 2) Contribute to reduce social unrest; 3) Solve the public health issue of clandestine, illegal abortions. Debate must urgently be opened to include alternatives in line with the general tendency to respect women's decision within the first trimester of pregnancy. PMID:26057783

  17. [The logic of the desire. A new look at induced abortion].

    Thomas, F


    A Colombian woman reflects on the desirability of legalizing abortion from her perspective as a psychologist and feminist. Abortion has always been a difficult topic for women because of the way they have been manipulated and made to feel guilt over their maternal roles. The free choice between motherhood or voluntary interruption of pregnancy should be available for women because every infant born has a right to be wanted, loved, and nurtured by the parents. The concept of life that informs support for the choice of abortion goes beyond the merely biological. An infant, to become fully human, requires language, culture, and affection. An infant should represent a human life that is planned, desired, and hoped for, whose arrival is an occasion for joy rather than despair, and that gives motherhood its true character of privilege. If the minimal conditions of caring for an infant are absent, the greater crime is in allowing him to be born to a life of privation and misery. PMID:12287888

  18. Genetically induced oxidative stress in mice causes thrombocytosis, splenomegaly and placental angiodysplasia that leads to recurrent abortion

    Takamasa Ishii


    Full Text Available Historical data in the 1950s suggests that 7%, 11%, 33%, and 87% of couples were infertile by ages 30, 35, 40 and 45, respectively. Up to 22.3% of infertile couples have unexplained infertility. Oxidative stress is associated with male and female infertility. However, there is insufficient evidence relating to the influence of oxidative stress on the maintenance of a viable pregnancy, including pregnancy complications and fetal development. Recently, we have established Tet-mev-1 conditional transgenic mice, which can express the doxycycline-induced mutant SDHCV69E transgene and experience mitochondrial respiratory chain dysfunction leading to intracellular oxidative stress. In this report, we demonstrate that this kind of abnormal mitochondrial respiratory chain-induced chronic oxidative stress affects fertility, pregnancy and delivery rates as well as causes recurrent abortions, occasionally resulting in maternal death. Despite this, spermatogenesis and early embryogenesis are completely normal, indicating the mutation's effects to be rather subtle. Female Tet-mev-1 mice exhibit thrombocytosis and splenomegaly in both non-pregnant and pregnant mice as well as placental angiodysplasia with reduced Flt-1 protein leading to hypoxic conditions, which could contribute to placental inflammation and fetal abnormal angiogenesis. Collectively these data strongly suggest that chronic oxidative stress caused by mitochondrial mutations provokes spontaneous abortions and recurrent miscarriage resulting in age-related female infertility.

  19. Intranasal infection with Chlamydia abortus induces dose-dependent latency and abortion in sheep.

    David Longbottom

    Full Text Available BACKGROUND: Latency is a key feature of the animal pathogen Chlamydia abortus, where infection remains inapparent in the non-pregnant animal and only becomes evident during a subsequent pregnancy. Often the first sign that an animal is infected is abortion occurring late in gestation. Despite this, little is understood of the underlying mechanisms that control latency or the recrudescence of infection that occurs during subsequent pregnancy. The aim of this study was to develop an experimental model of latency by mimicking the natural route of infection through the intranasal inoculation of non-pregnant sheep with C. abortus. METHODOLOGY/PRINCIPAL FINDINGS: Three groups of sheep (groups 1, 2 and 3 were experimentally infected with different doses of C. abortus (5×10(3, 5×10(5 and 5×10(7 inclusion forming units (IFU, respectively prior to mating and monitored over 2 breeding cycles for clinical, microbiological, pathological, immunological and serological outcomes. Two further groups received either negative control inoculum (group 4a,b or were inoculated subcutaneously on day 70 of gestation with 2×10(6 IFU C. abortus (group 5. Animals in groups 1, 2 and 5 experienced an abortion rate of 50-67%, while only one animal aborted in group 3 and none in group 4a,b. Pathological, microbiological, immunological and serological analyses support the view that the maternal protective immune response is influenced by initial exposure to the bacterium. CONCLUSIONS/SIGNIFICANCE: The results show that intranasal administration of non-pregnant sheep with a low/medium dose of C. abortus results in a latent infection that leads in a subsequent pregnancy to infection of the placenta and abortion. In contrast a high dose stimulates protective immunity, resulting in a much lower abortion rate. This model will be useful in understanding the mechanisms of infection underlying latency and onset of disease, as well as in the development of novel therapeutics and

  20. Abortion and Mental Health: Evaluating the Evidence

    Major, Brenda; Appelbaum, Mark; Beckman, Linda; Dutton, Mary Ann; Russo, Nancy Felipe; West, Carolyn


    The authors evaluated empirical research addressing the relationship between induced abortion and women's mental health. Two issues were addressed: (a) the relative risks associated with abortion compared with the risks associated with its alternatives and (b) sources of variability in women's responses following abortion. This article reflects…

  1. Reproductive outcomes in adolescents who had a previous birth or an induced abortion compared to adolescents' first pregnancies

    Wenzlaff Paul


    Full Text Available Abstract Background Recently, attention has been focused on subsequent pregnancies among teenage mothers. Previous studies that compared the reproductive outcomes of teenage nulliparae and multiparae often did not consider the adolescents' reproductive histories. Thus, the authors compared the risks for adverse reproductive outcomes of adolescent nulliparae to teenagers who either have had an induced abortion or a previous birth. Methods In this retrospective cohort study we used perinatal data prospectively collected by obstetricians and midwives from 1990–1999 (participation rate 87–98% of all hospitals in Lower Saxony, Germany. From the 9742 eligible births among adolescents, women with multiple births, >1 previous pregnancies, or a previous spontaneous miscarriage were deleted and 8857 women Results In bivariate logistic regression analyses, compared to nulliparous teenagers, adolescents with a previous birth had higher risks for perinatal [OR = 2.08, CI = 1.11,3.89] and neonatal [OR = 4.31, CI = 1.77,10.52] mortality and adolescents with a previous abortion had higher risks for stillbirths [OR = 3.31, CI = 1.01,10.88] and preterm births [OR = 2.21, CI = 1.07,4.58]. After adjusting for maternal nationality, partner status, smoking, prenatal care and pre-pregnancy BMI, adolescents with a previous birth were at higher risk for perinatal [OR = 2.35, CI = 1.14,4.86] and neonatal mortality [OR = 4.70, CI = 1.60,13.81] and adolescents with a previous abortion had a higher risk for very low birthweight infants [OR = 2.74, CI = 1.06,7.09] than nulliparous teenagers. Conclusion The results suggest that teenagers who give birth twice as adolescents have worse outcomes in their second pregnancy compared to those teenagers who are giving birth for the first time. The prevention of the second pregnancy during adolescence is an important public health objective and should be addressed by health care providers who attend the first birth or the abortion

  2. [Patient admission and induced abortion. A different mode: homeopathy and sophrology].

    Tregan, D; Cailleux-Kreitmann, J; Nègre-Garnier, C


    Unlike classic allopathic medicine in which specific drugs are given for specific symptoms, homeopathic prescriptions take into account the specificity of each patient. Different patients have different reactions to the same illness. Homeopathic practitioners sometimes prescribe different remedies for each patient suffering a particular illness. Two nurses and a midwife at the abortion service of the Center for Social Gynecology in Marseilles received training in homeopathic medicine which they applied to their work with abortion patients. A very complete and detailed questioning is necessary to identify the prescription that will be best adapted to the overall psychological, somatic, and etiological circumstances of the patient. Changes noted since the beginning of the pregnancy are especially noted. During the medical consultation, homeopathy may be proposed by the physician for patients who are particularly stressed. The anxiety and fear experienced by the referred patients can have physical consequences. The opportunity given to the patient to express herself and the individualized remedies prescribed enable the procedure to be completed under better conditions. Sophrology is the study of consciousness, its modifications, and the physical, psychological, and physiological means that can modify it for therapeutic or prophylactic purposes. A psychiatrist in Barcelona developed sophrology and began to teach it in 1960. The goal of sophrology is to achieve mental relaxation through muscular relaxation. Application of the principles of sophrology in an abortion service must be adapted to the structure and function of the service. Most patients have no knowledge of the method. Explanations must be rapid, clear, and simplified if patients are to obtain benefit. The practitioner instructs the patient in a calm voice to be aware of and maintain breathing, and uses positive words to suggest that the patient relax. Personnel with adequate training in sophrology can assist

  3. Clinical Effects of Lithospermum Ruderale Dosage and Using-time on Medicinal Abortion Induced by Mifepris tone and Misoprostol


    The clinical effects of dosage during the period of treatment of Lithospermum Ruderale extract-a kind of Chinese traditional herbal medicine-on medicinal abor tion induced by mifepristone and misoprostol were studied. Lithospermum Ruderale extract was administrated 3 d before, 3 d after or 3 d before plus 3 d after the admin istration of misoprostol respectively. The dose of Lithospermum Ruderale extract was 50 g, 75 g or 100g respectively. Thus 1 350 women of early pregnancy were grouped into 9 groups and observed. The results showed that the effects of Lithospermum Rud erale used 3 d before, and 3 d before plus 3 d after (6 days misoprostol were signifi cantly better than those only used 3 d after misoprostol both for complete abortion and bleeding (P<0.05). The dosage between 50 g and l00 g made no significant differ ence in clinical effects. Therefore it is reasonable to use 50 g Lithospermum Ruderale before misoprostol to improve medicinal abortion.

  4. High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India : need to emphasize dual method use?

    Darak, Shrinivas; Hutter, Inge; Kulkarni, Vinay; Kulkarni, Sanjeevani; Janssen, Fanny


    This study examines the prevalence, reasons, and predictors of unwanted pregnancies and induced abortions among ever married HIV-infected women attending a care facility in Maharashtra, Western India, and discusses its programmatic and policy implications. Retrospectively collected data of pregnanci

  5. Improving Sexual and Contraceptive Behaviours of Unmarried Female Youth with First Trimester Induced Abortion in Sichuan, China

    Lin LUO; Shi-zhong WU; Lun ZHANG; Wei-dong CAI; Su-mei JIANG; Qi-fu FAN; Zhi-qun ZHAO; Liu-zhi ZHOU


    Objectives To understand the changes on sexual and contraceptive behaviours of unmarried induced abortion(IA) youth by intervention in Sichuan, China; and to find a way to improve sexual and contraceptive behaviours of unmarried IA youth. Methods Intervention epidemiological surveys (baseline and evaluation) plus qualitative interview were used. During July 2002 and July 2003, 2 484 unmarried female volunteers who aged 15-29 years and come to clinics seeking abortion were recruited by cluster random sampling from the four selected regions of Sichuan, 48 volunteers were interviewed for 8 focusgroup discussions (FGDs) and 16 in-depth interviews equally for each survey. Information, education anol communication(IEC) materials, education sessions, trainings and counseling were given to subjects and service providers during the project implementation. Questionnaires for surveys and guidelines for qualitative interviews were used.Results Comparison of the after with the before intervention: 1) the proportion of respondents having knowledge about sexuality was increased by 13%. Among them,the proportion of respondents got part and most of the knowledge was increased by 43%. Maximum number of sex partners the respondents have decreased from 9 to 4. Respondents' partnerships have gradually changed from more acquaintances/school mates/boy friends to fiancés mainly; 2) respondents' contraceptive use rate was in creased by 20%. Among them, the condom use rate increased rapidly to 80%.Purposes of condom use were changed from only for contraception to for prevention of HIV/AIDS/STDs and pregnancy. And most of respondents stabilised their method use - condoms. Most of respondents suggested condoms was the method most suitable for unmarried IA youth, this proportion was increased by 44%; 3) proportion of respon dents knowing more about consequences of induced abortion was increased by 24%; and 4) proportions of respondents having depression and anxiety symptoms were decreased

  6. Development of Autoimmune Overt Hypothyroidism Is Highly Associated With Live Births and Induced Abortions but Only in Premenopausal Women

    Carle, Allan; Pedersen, Inge Buelow; Knudsen, Nils;


    . Design, Setting, and Subjects: In a population study, we included Danish women with new autoimmune overt hypothyroidism not diagnosed within the first year after a pregnancy (n = 117; median age 53.0 y) and age-andregion-matched euthyroid controls from the same population (n = 468). Main Outcome Measures......: In conditional multivariate logistic regression models, we analyzed the associations between the development of autoimmune hypothyroidism and age at menarche/menopause, years of menstruations, pregnancies, spontaneous and induced abortions, live births, and years on oral contraceptives and...... postmenopausal hormone replacement therapy, also taking various possible confounders into account. Results: In multivariate regression models with no event as reference, the odds ratios (ORs) for hypothyroidism [95% confidence interval (CI)] after one/two/three or more live births were 1.72 (0.56-5.32)/3.12 (1...

  7. 21 CFR 884.5050 - Metreurynter-balloon abortion system.


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Metreurynter-balloon abortion system. 884.5050... Devices § 884.5050 Metreurynter-balloon abortion system. (a) Identification. A metreurynter-balloon abortion system is a device used to induce abortion. The device is inserted into the uterine...

  8. Abortamento espontâneo e provocado: ansiedade, depressão e culpa Spountaneous and induced abortion: anxiety, depression and guilty

    Gláucia Rosana Guerra Benute


    Full Text Available OBJETIVOS: Caracterizar a população que sofreu abortamento; investigar a existência de ansiedade e depressão; verificar se existe ou não sentimento de culpa após o abortamento e comparar os resultados entre mulheres que sofreram abortamento espontâneo e as que provocaram-no. MÉTODOS: 50 mulheres com abortamento espontâneo e 50 com provocado foram entrevistadas 30 dias após o abortamento. Foi realizada entrevista com questões abertas e fechadas e aplicada a escala Hospital Anxiety and depression. RESULTADOS: As mulheres que viveram o abortamento espontâneo encontram-se mais culpadas (30% que as que provocaram-no (18%. No entanto, as mulheres que provocaram o abortamento encontraram-se mais ansiosas (média de 11 e mais deprimidas (média de 8,3 que as mulheres que viveram abortamento espontâneo (médias de 8,7 e 6,1; respectivamente, pBACKGROUND: Pregnancy has a symbolic meaning for each woman. It varies according to personality structure and is related to women's previous life experiences. OBJECTIVES: the aim was to characterize the women that suffered abortion, asking about anxiety and depression, looking for guilty feelings after abortion, and to compare results between women who suffered spontaneous abortion and those who had intentional abortion. METHODS: fifty women with spontaneous and fifty with induced abortion were interviewed 30 days after the procedure. A semistructured questionnaire with open and closed-end questions and Hospital Anxiety and Depression Scale were administered. RESULTS: woman who induced abortion revealed to be more anxious (mean 11 and depressed (mean 8.3 than woman with spontaneous abortion (means 8.7 and 6.1 respectively, p<0.05. CONCLUSIONS: women who presented induced abortion were more anxious and depressed, as shown by later life events, full of problematic feelings and the need fort sychological support.

  9. Seventeen years of legalized abortion in Singapore.

    Saw, S


    "In this paper we first discuss the two-stage process of legalizing induced abortion in Singapore, the initial legalization to make it available on a restrictive basis in 1970 and the complete liberalization to make it available on demand from 1975 onwards. The incidence of abortions registered in the last seventeen years and the major characteristics of aborters are analysed. The impact of abortion on the rapid decline of fertility to below-replacement level is highlighted, and the need to reduce abortion by amending the more liberal aspects of the law are considered at the end of the paper." PMID:12341971

  10. SUPPRESSOR OF APICAL DOMINANCE1 of Sporisorium reilianum changes inflorescence branching at early stages in di- and monocot plants and induces fruit abortion in Arabidopsis thaliana.

    Drechsler, Frank; Schwinges, Patrick; Schirawski, Jan


    sporisorium reilianum f. sp. zeae is a biotrophic smut fungus that infects maize (Zea mays). Among others, the fungus-plant interaction is governed by secreted fungal effector proteins. The effector SUPPRESSOR OF APICAL DOMINANCE1 (SAD1) changes the development of female inflorescences and induces outgrowth of subapical ears in S. reilianum-infected maize. When stably expressed in Arabidopsis thaliana as a GFP-SAD1 fusion protein, SAD1 induces earlier inflorescence branching and abortion of siliques. Absence of typical hormone-dependent phenotypes in other parts of the transgenic A. thaliana plants expressing GFP-SAD1 hint to a hormone-independent induction of bud outgrowth by SAD1. Silique abortion and bud outgrowth are also known to be controlled by carbon source concentration and by stress-induced molecules, making these factors interesting potential SAD1 targets. PMID:27058118

  11. 影响米非司酮药物流产效果的因素%Influencing factors of effect on mifepristone induced abortion



    Objective:To discuss the influencing factors of mifepristone induced abortion.Methods:1 366 voluntary termination of pregnancy women were selected,the clinical data were recorded and analyzed.Results:The factors of influence of mifepristone induced abortion were menopausal days,embryo bud,the position of the uterus,uterine incision delivery history,labor history,pelvic inflammatory disease.Conclusion:Mifepristone has been widely used in clinical application of early pregnancy,but it still has the failure of abortion.It is better to master the indications of drug abortion and improve the success rate of drug abortion,and reduce the occurrence of complications.%目的:探讨影响米非司酮药物流产效果的因素。方法:收治自愿要求终止妊娠的妇女1366例,记录患者的临床资料并进行分析。结果:影响米非司酮药物流产的因素主要为停经天数、是否有胎芽、子宫位置、剖宫产史、分娩史、是否有盆腔炎性疾病。结论:米非司酮终止早期妊娠在临床已广泛应用,但仍存在流产失败,在临床应用中更好地掌握药物流产的适应证,提高药物流产的成功率,减少并发症的发生。

  12. T-cell activation. V. Anti-major histocompatibility complex class I antibody-induced activation and clonal abortion in Jurkat T-leukaemic cells

    Claesson, M H; Dissing, S; Tscherning, T;


    We have studied activation-induced changes in intracellular calcium [Ca2+]i, interleukin-2 (IL-2) secretion, and clonal abortion of the human leukaemic T-cell line Jurkat and three T-cell receptor (TcR)/CD3 receptor negative clones deficient for the TcR alpha, TcR beta and CD3 gamma chains...... an increased IL-2 secretion was preceded by a rise in [Ca2+]i and was relatively dependent on the expression of the a TcR/CD3 complex. In contrast, anti-MHC class I mAb-induced clonal abortion in Jurkat T cells may occur without previous fluctuations in [Ca2+]i and appeared to be independent of Tc......R/CD3 expression. The present observation suggest the existence of different secondary messenger systems operating in Jurkat cells following activation via the TcR/CD3, CD2 and the MHC class I pathways, respectively....

  13. Adolescent girls with illegally induced abortion in Dar es Salaam: the discrepancy between sexual behaviour and lack of access to contraception

    Rasch, V; Silberschmidt, Margrethe; Mchumvu, Y;


    This article reports on a study of induced abortion among adolescent girls in Dar es Salaam, Tanzania, who were admitted to a district hospital in Dar es Salaam because of an illegally induced abortion in 1997. In the quantitative part of the study, 197 teenage girls (aged 14-19) were asked...... for socio-economic details, contraceptive knowledge/use, age at first intercourse and number of sexual partners. In the qualitative part, 51 teenage girls were interviewed in-depth about their relationships with their partners, sexual behaviour, contraceptive use and reasons for non-use, and why they became...... pregnant. The girls were sexually active at an early age and having sex mainly with men older than themselves. Although most of the girls were in love with and enjoyed sex with their partners, they also entered these relationships to obtain money or gifts in exchange for sex. Most were not using...

  14. Effect of Chinese Herbs Bu-shen on PRLR, PR, ER mRNA of Decidue in Bromocriptine-induced Hypoprolactin Rat Abortion Model

    Kun-ming LI; Sui-qi GUI; Li-hui JIANG; Li-min LU


    Objective To explore the effect of Chinese herbs on PRLR, PR, ER mRNA of decidue in Bromocriptine-induced hypoprolactin abortion rat model from gene transcription level, and observe the changes of blood PRL, P, E2.Methods RT-PCR method was taken to analyses the differences of PRLR, PR, ER mRNA in decidue between model group (A group) and model + herbs group (A + H group); RIA was taken to measure the serum levels of PRL, P, E2.Results PRLR, PR mRNA expression in decidue of Group A was significantly lower than the A+H group (P0.05); the abortion rate of Group A was 67%, Group A+H was 17%, the difference was significant; as for the PRL and P level of day 7~10, the A group was significantly lower than the A+H group (P<0.05).Conclusion Bromocriptine could induce abortion by declining the blood PRL, P level and downregulating PRLR, PR mRNA expression in decidue. Chinese herbs might maintain pregnancy by promoting PRL, P secretion and upregulating PRLR, PR mRNA expression in decidue.

  15. 人工流产对妇女长期心理健康的影响%The influence of induced abortion in women's long-term mental health

    史春; 姜芬; 郭洪花


    Objective To discuss the influence of induced abortion in women 's long -term mental health. Methods 251 women experienced induced abortion ( induced abortion group ) and 250 healthy women of childbearing age ( control group ) were randomly selected from 3 tertiary hospitals from June 2012 to October 2012 in Haikou. Using the post traumatic stress disorder( PTSD) Checklist-Civilian Version ( PCL -C) Scale, cases in induced abortion group 10 days post -operation and control group in the corresponding period, cases in induced abortion group 3, 6, 12, 24 months post-operation were surveyed. Results The total scores of PCL-C and the scores of subscales re-experience, avoidance and hyper-arousal in induced abortion group were higher than that in control group(P0. 05), and then the downward trend was emerged after 6,12,24 months post-operation. The trend of re-experience and hyper-arousal scores declined. The avoidance scores rose at the beginning at the third month, then declined. Conclusion Induced abortion causes the long-term influence on women's mental health as a kind of traumatic stressors.%目的 探讨人工流产对妇女长期心理健康的影响. 方法 采用随机数字表法随机抽取2012年6~10月海口市3所三级医院的251名人工流产妇女(人工流产组)及250名健康育龄期妇女(对照组),运用创伤后应激障碍(post traumatic stress disorder,PTSD)自评量表(PCL-C),对人工流产组术后第10天及同期对照组,人工流产组术后第3、6、12、24个月进行调查,并进行对比分析. 结果 人工流产组妇女术后第10天PCL-C的总分、再体验、回避及警觉得分均显著高于对照组(P0. 05),第6、12、24个月呈现显著下降趋势;再体验和警觉维度呈下降趋势;回避维度变化最初为上升趋势,第3个月达高峰,之后呈明显下降趋势. 结论 人工流产作为一种创伤应激源对术后妇女的心理健康具有长期影响.

  16. cook球囊与缩宫素用于促宫颈成熟及引产的疗效及安全性评估%Effect and Safety Evaluation of Cook Balloonand Oxytocin in Ccervical Ripening and Induced Abortion



    Objective To study the effect and safety of Cook balloonand oxytocin in cervical ripening and induced abortion. Methods Pregnant women received induced abortion were col ected and divided into observation group Cook bal oon induced abortion and control group given oxytocin induced abortion. Then cervicalBishop score, induced abortion results and adverse reaction were observed. Results CervicalBishop scor of observation group were higher than control group; successful cases of induced abortion were more than control group, time from medicine to labor and adverse reaction during induced abortion were less than control group.Conclusion Cook bal oonis a ef ective and safe method of induced abortion for it can promote cervical ripening, reduce induced abortion time, improve successful rate of induced abortion and control adverse reaction.%目的研究cook球囊与缩宫素用于促宫颈成熟及引产的疗效及安全性。方法将在我院接受引产的产妇纳入研究,根据引产方法不同分为接受Cook球囊引产的观察组和缩宫素引产的对照组,比较两组患者的宫颈Bishop评分、引产结局、引产过程中的不良反应。结果观察组患者的宫颈Bishop评分高于对照组,引产成功例数均多于对照组,用药到临产的时间以及不良反应例数均低于对照组。结论cook球囊能够促进宫颈成熟、缩短引产时间、提高引产成功率,同时减少不良反应的发生,是安全有效的引产方式。

  17. cook球囊与缩宫素用于促宫颈成熟及引产的疗效及安全性评估%Effect and Safety Evaluation of Cook Balloonand Oxytocin in Ccervical Ripening and Induced Abortion



    目的研究cook球囊与缩宫素用于促宫颈成熟及引产的疗效及安全性。方法将在我院接受引产的产妇纳入研究,根据引产方法不同分为接受Cook球囊引产的观察组和缩宫素引产的对照组,比较两组患者的宫颈Bishop评分、引产结局、引产过程中的不良反应。结果观察组患者的宫颈Bishop评分高于对照组,引产成功例数均多于对照组,用药到临产的时间以及不良反应例数均低于对照组。结论cook球囊能够促进宫颈成熟、缩短引产时间、提高引产成功率,同时减少不良反应的发生,是安全有效的引产方式。%Objective To study the effect and safety of Cook balloonand oxytocin in cervical ripening and induced abortion. Methods Pregnant women received induced abortion were col ected and divided into observation group Cook bal oon induced abortion and control group given oxytocin induced abortion. Then cervicalBishop score, induced abortion results and adverse reaction were observed. Results CervicalBishop scor of observation group were higher than control group; successful cases of induced abortion were more than control group, time from medicine to labor and adverse reaction during induced abortion were less than control group.Conclusion Cook bal oonis a ef ective and safe method of induced abortion for it can promote cervical ripening, reduce induced abortion time, improve successful rate of induced abortion and control adverse reaction.

  18. Impact of painless induced abortion on reproductive health%传统和无痛人工流产术式选择对重复流产的影响



    目的:研究无痛人工流产和传统人工流产术式选择对重复流产的影响.方法:选择2009年1~6月在计划生育研究所门诊部要求行人工流产术妇女共324例(无痛人工流产218例、传统人工流产106例)进行跟踪调查一年.调查内容涉及是否有重复流产,重复流产者前次流产后避孕情况及术后恢复性生活时间、两次人工流产间隔、前后两次流产心理状态等.结果:前次行无痛人工流产者重复流产率明显高于传统人工流产组(P<0.05),两组在前次人工流产后避孕情况、术后不足1个月恢复性生活、半年内重复流产及前后两次流产的心理状态上均存在统计学差异.结论:无痛人工流产术虽然解决了术中妇女疼痛问题,但术后存在重复流产率较高的问题,在强调优质流产后计划生育服务时应着重于对无痛人工流产者的术后主动宣教,进行面对面咨询并提供辅助资料、免费药具,以及要求男伴参与,必要时转诊等.%Objective; To explore the relationship between repeated abortion and painless induced abortion. Methods; A total of 324 women seeking for induced abortion in Tianjin Research Institute for Family Planning Clinic between Jan. , 2009 and June 2009 were followed up for one year, 218 women in the painless induced abortion group and 106 in the conventional surgical abortion group. The contraceptive use and the time of the first sexual intercourses after the previous abortion, interval and difference of psychological states when seeking for abortions were evaluated. Results; The repeated abortion rate was much higher in the painless induced abortion group than that in the conventional surgical abortion group ( P < 0. 05). There were significant differences in contraceptive use and the time of the first sexual intercourses after the previous abortion, incidence of repeated abortion, and psychological states when seeking for abortions between the two groups

  19. Participation of nurses in abortions.

    Neustatter, P L


    Doctors for a Woman's Choice on Abortion would agree with 1 point in Lord Denning's ruling on the role of nurses in abortions induced by (PGS) prostaglandins (November 15, p. 1091). The nurse should not be doing a doctor's job, as Lord Denning indicated, and we sympathize with any nurse who is doing so (though the 1967 Abortion Act allows any nurse to abstain, on grounds of conscience). However, the ruling that nurses are not legally covered to participate in any way with the "procuring of a miscarriage" (using terminology of the 1861 Offenses against the Persons Act upon which the ruling is based) does not require a radical change in the practice of late abortions (constituting only 7% of the terminations) or any change in the law. PG abortion can be done without a nurse. With the extraamniotic technique, a very cheap pump can be used to give subsequent doses of the PG (a function normally performed by a nurse) through the catheter left inserted through the cervix after the 1st dose has been given by the doctor. Alternatively, the intraamniotic method can be used, where PG is instilled into the amniotic sac via a needle passed through the abdominal wall. This normally requires only 1 dose, given by the doctor. Rarely are subsequent doses needed; however they could be given by the doctor with very little addition to his or her workload. While the fact that PG abortion can be done without nurses is not realized, late abortion will be restricted, a situation which is entirely deplorable. Also deplorable are the comments of an antiabortion nature made by Lord Denning, over and above the legal ruling in his jurisdiction to make. His ruling, furthermore, seems to have been sufficiently confused for the Department of Health to withdraw its circular on abortion and await an interpretation before issuing another. PMID:6107800

  20. Unsafe abortion and postabortion care-An overview

    Rasch, Vibeke


    Forty percent of the world's women are living in countries with restrictive abortion laws, which prohibit abortion or only allow abortion to protect a woman's life or her physical or mental health. In countries where abortion is restricted, women have to resort to clandestine interventions to have...... an unwanted pregnancy terminated. As a consequence, high rates of unsafe abortion are seen, such as in sub-Saharan Africa where unsafe abortion occurs at rates of 18-39/1 000 women. The circumstances under which women obtain unsafe abortion vary and depend on traditional methods known and type of...... providers present. Health professionals are prone to use instrumental procedures to induce the abortion, whereas traditional providers often make a brew of herbs to be drunk in one or more doses. In countries with restrictive abortion laws, high rates of maternal death must be expected and globally an...

  1. Conceptualising abortion stigma

    A. Kumar; L. Hessini; E.M.H. Mitchell


    Abortion stigma is widely acknowledged in many countries, but poorly theorised. Although media accounts often evoke abortion stigma as a universal social fact, we suggest that the social production of abortion stigma is profoundly local. Abortion stigma is neither natural nor 'essential' and relies

  2. Space Shuttle ascent aborts

    Schmidgall, Richard A.


    Specific guidance functions and trajectory design of return to launch site (RTLS) and transoceanic abort landing (TAL) intact abort profiles, as well as the increasing emphasis on contingency aborts, are presented. Various systems failures including Space Shuttle main engine failures and detailed technical analyses, including the design of powered flight abort trajectories, are considered. The most critical of flight abort situations is the RTLS, while TAL is the preferred abort when uphill capability is no longer available. It is concluded that one principle must remain to ensure continuing success of Space Shuttle flights: namely that intact and contingency aborts necessitate development to ensure safe return of the vehicle, payload, and crew whenever possible.

  3. A qualitative exploration of contraceptive practice and decision making of Malaysian women who had induced abortion: a case study.

    Tong, Wen Ting; Low, Wah Yun; Wong, Yut Lin; Choong, Sim Poey; Jegasothy, Ravindran


    This study explores contraceptive practice and decision making of women who have experienced abortion in Malaysia. In-depth interviews were carried out with 31 women who had abortions. Women in this study did adopt some method of modern contraception prior their abortion episodes. However, challenges to use a method consistently were experiences and fear of side effects, contraceptive failure, partner's influence, lack of confidence, and cost. The decision to adopt contraception was theirs but the types of contraceptive methods to adopt were influenced by their spouses/partners. The women wanted to use modern contraception but were faced with challenges that hampered its use. More proactive contraceptive promotion is needed to educate people on the array of contraceptive methods available and made accessible to them, to correct misconceptions on safety of modern contraception, to increase men's involvement in contraceptive choices, and to encourage consistent contraceptive use to prevent unintended pregnancies. PMID:24368749

  4. Should abortion be legalized?

    Sodhy, L S


    Abortion is an important means of family planning, especially when contraception is unavailable or when it fails. Morbidity associated with legal abortion is low, though illegal abortion is a common cause of maternal mortality. The Union of Soviet Socialist Republic, Hungary, Yugoslavia, Czechoslovakia, Romania, Poland, and the German Demogratic Republic all have laws legalizing abortion. Legalized abortion is the surest method of population control and should be promoted if the moral and religious objections can be overcome. PMID:12255647

  5. Patient experience of sexual hallucinations after propofol-induced painless abortion may lead to violence against medical personnel.

    Yang, Zhiyong; Yi, Bin


    Painless abortion is an outpatient surgical procedure performed under general anesthesia, which requires an appropriate anesthetic reagent that must be safe, comfortable for the patient, and highly controllable. At present, fentanyl and propofol are first-choice anesthetic reagents in clinical applications. However, both have various side effects, including the inhibition of respiration and circulation and the occurrence of postoperative sexual fantasies and amorous behavior. In this report, we will demonstrate three cases of allegations of assault and violence caused by sexual hallucinations in patients who were anesthetized with propofol and fentanyl during painless abortion surgery. PMID:27017209

  6. Effectiveness of Family Planning Policies: The Abortion Paradox

    Nathalie Bajos; Mireille Le Guen; Aline Bohet; Henri Panjo; Caroline Moreau


    Objective The relation between levels of contraceptive use and the incidence of induced abortion remains a topic of heated debate. Many of the contradictions are likely due to the fact that abortion is the end point of a process that starts with sexual activity, contraceptive use (or non-use), followed by unwanted pregnancy, a decision to terminate, and access to abortion. Trends in abortion rates reflect changes in each step of this process, and opposing trends may cancel each other out. Thi...

  7. Abortion Before & After Roe

    Joyce, Ted; Tan, Ruoding; Zhang, Yuxiu


    We use unique data on abortions performed in New York State from 1971–1975 to demonstrate that women travelled hundreds of miles for a legal abortion before Roe. A100- mile increase in distance for women who live approximately 183 miles from New York was associated with a decline in abortion rates of 12.2 percent whereas the same change for women who lived 830 miles from New York lowered abortion rates by 3.3 percent. The abortion rates of nonwhites were more sensitive to distance than those of whites. We found a positive and robust association between distance to the nearest abortion provider and teen birth rates but less consistent estimates for other ages. Our results suggest that even if some states lost all abortion providers due to legislative policies, the impact on population measures of birth and abortion rates would be small as most women would travel to states with abortion services. PMID:23811233

  8. Meta-analysis on relationship between induced abortion and breast cancer%人工流产与乳腺癌关系的Meta分析

    李妮娜; 陈磊; 李峥; 吉峰


    Objective To assess the association between induced abortion and breast cancer quantitatively. Methods Literatures published in English and Chinese reporting about the case-control study of the relationship between induced abortion and breast cancer from 1991 to 2011 were searched in this study. Revman version 5. 0 was used for meta-analysis to calculate the odds ratios (OR) and 95% confidence interval (95% CI). Possible publication bias was tested and a sensitivity test was conducted. Results Seventeen high-quality case-control studies involving 20 421 patients and 34 261 health controls were included. The literatures had significant heterogeneity,so random effect model was used in the study. The overall OR (95% CI) was 1.28 (1.06,1.54). Subgroup analysis indicated that there was no significance association of once induced abortion with breast cancer, OR=1. 05 ,95 % CI (0.92, 1. 19) ,but two and more times of induced abortion was significantly associated with breast cancer, OR=1.34,95% CI (1. 03 ,1. 75) . Conclusion Induced abortion is a possible risk factor for breast cancer, especially multiple abortion may increase the risk of breast cancer.%目的 定量综合评价人工流产与乳腺癌的相关性.方法 通过电子资源数据库搜索1991年1月-2011年1月期间发表的人工流产和乳腺癌关系为主要内容的病例对照研究.经严格筛选后,采用RevMan 5.0软件对纳入文献进行异质性检验,计算合并的比值比(OR)及95%置信区间(95% CI),对结果进行敏感度分析和发表偏倚分析.结果 共纳入17篇文献,包括20 421例乳腺癌患者和34 261例对照.Meta分析结果显示,所纳入的资料间存在显著的异质性,故采用随机效应模型得出合并的比值比OR值及95%CI为1.28( 1.06,1.54).分层分析显示,女性人工流产1次与乳腺癌关系并无统计学意义,OR=1.05,95% CI(0.92,1.19);而≥2次人工流产可使乳腺癌发病的危险性增加,差异有统计学意义,OR=1

  9. 人工流产的未婚女性避孕现状调查%Birth control of unmarried womenhaving experienced induced abortions

    韦玲; 张华; 邵扬琴; 乐华


    目的:了解未婚先孕女性对婚前性行为的看法,分析流产原因,为制定相应的干预措施提供依据,以降低未婚女性的人工流产率。方法:采用自行设计的调查表格,以统一匿名调查表,统计2013年10月至2014年10月于扬州市妇幼保健院进行人工流产的460位未婚女性流产情况。内容包括:一般个人情况、避孕失败原因、采取避孕措施现状、生殖健康知识了解状况及对性和生殖健康的态度等。结果:未婚先孕女性中,流产年龄多在20~30岁之间,学历是大专及本科以上的所占比例较多;206人有既往流产史,占44.78%;避孕套是被调查者使用率最高的避孕方法;她们近半数人对生殖健康知识并不清楚,虽然多数人想了解生殖健康知识,但其避孕知识主要来自单一媒体;存侥幸心理未避孕、避孕方法低效、避孕药具使用不当是造成人工流产的主要原因。结论:揭示未婚女性人工流产与不安全性生活的密切相关性,针对目前婚前性行为难以避免的情况,加强对未婚女性的生殖健康服务,针对性提供避孕指导,让她们清楚人流对健康的危害,从而降低流产率,最终减少术后并发症的发生。%Objectives:To understand the perspectives of unmarried pregnant women on premarital sexual behavior,to analyze the causes for induced abortion,and to provide basis for relevant precautions so as to reduce the abortion rate of unmarried women.Methods:A specifically -designed questionnaire was adopted to collect a-bortion -related data of 460 anonymous female participants who were both unmarried and had abortion experience from October 201 3 to October 201 4 at the Yangzhou Maternal and Child Health Hospital.The contents of the ques-tionnaire included general information,reasons for birth -control failures,current contraceptive measures,knowl-edge of reproductive health and attitudes towards

  10. A cross-sectional study on related risk factors of repeated induced abortion%重复人工流产相关危险因素的横向研究

    朱勤芳; 陆新妹; 杨美芳; 沈芳荣; 冯亚红


    目的:探讨首次人工流产女性与重复人工流产女性之间不同的个体行为和社会经济差异,确定重复流产的相关危险因素.方法:调查2009年8月~2010年7月接受人工流产治疗服务女性1 132名,年龄20 ~49岁,采用回归分析方法研究重复流产的相关危险因素.结果:接受问卷调查女性的重复流产率为48.45%,调查一年间重复流产率为15.85%;重复流产的危险因素,包括生育史(OR =2.45),未婚或缺乏感情基础(OR=2.14),无业或失业(OR=1.66),吸烟或成瘾性药物使用(OR=1.43),低学历教育水平(OR=1.5).其中部分女性(n=135)认为在经济条件允许或者建立婚姻关系后愿意继续妊娠.还有部分女性认为流产后未能获得相关避孕咨询,或采取不恰当的避孕方法,是重复流产的重要原因.结论:较高的女性重复流产比例,使开展流产后计划生育服务成为提高女性健康和生育质量的重要手段.虽然可以确定一些重复流产的相关危险因素,但是女性受到身心侵害的几率较高,所以预防非意愿妊娠需要全社会关心和努力.%Objective: To explore individual behavioral differences and socio - economic differences between the women of induced abortion for the first time and the women of repeated induced abortion, and confirm the related risk factors of repeated induced abortion. Methods; A total of 1 132 women aged 20 -49 years old receiving induced abortion from August 2009 to July 2010 were investigated , then regression analysis was conducted to research the related risk factors of repeated induced abortion. Results: The incidence of repeated induced abortion among the investigated women was 48.45% , and the incidence of repeated induced abortion during one year was 15. 85%. The risk factors of repeated induced abortion included reproductive history ( OR = 2. 45) , unmarried or lacking emotional foundation (OR=2.14), unemployment (OR = 1.66), smoking or abuse of addictive drugs

  11. The influence of nursing measures on patients' satisfaction in induced abortion%护理措施对人流术者满意度的影响

    潘春芳; 徐锦玲


    Objective:To explore the influence of nursing measures on patients' satisfaction in induced abortion.Methods:100 pregnant women with the same condition(including the gestational age,age,gravidity and parity history) were selected from January to March 2013.They were divided into the observation group and the control group.In the observation group,1 nurse used the nursing intervention measures in the whole process of artificial abortion operation.The control group did not receive nursing intervention. Results:There was significant difference between the two groups of patients' satisfaction in induced abortion(P<0.01).Conclusion:Application of nursing for operation of stream of people can reduce medical disputes,improve patients satisfaction and complaint rate.%目的:探讨应用护理措施对人流术者满意度的影响。方法:2013年1-3月选择相同条件(包括孕龄、年龄、孕产次)的孕妇100例,分两组,观察组由1名护理人员应用护理干预措施参与人流手术的全过程,对照组无护理干预措施。结果:两组人流术者满意度比较,差异有统计学意义(P<0.01)。结论:应用护理干预对人流手术者进行护理,对减少医疗纠纷,提高术者满意度及投诉率有一定的效果。

  12. Abortion and psychiatric practice.

    Stotland, Nada L


    The subject of abortion is fraught with politics, emotions, and misinformation. A widespread practice reaching far back in history, abortion is again in the news. Psychiatry sits at the intersection of the religious, ethical, psychological, sociological, medical, and legal facets of the abortion issue. Although the religions that forbid abortion are more prominent in the media, many religions have more liberal approaches. While the basic right to abortion has been upheld by the U.S. Supreme Court, several limitations have been permitted, including parental notification or consent (with the possibility of judicial bypass) for minors, waiting periods, and mandatory provision of certain, sometimes biased, information. Before the Roe v. Wade decision legalizing abortion in 1973, many women were maimed or killed by illegal abortions, and psychiatrists were sometimes asked to certify that abortions were justified on psychiatric grounds. Currently, there are active attempts to convince the public and women considering abortion that abortion frequently has negative psychiatric consequences. This assertion is not borne out by the literature: the vast majority of women tolerate abortion without psychiatric sequelae. The psychiatric outcome of abortion is best when patients are able to make autonomous, supported decisions. Psychiatrists need to know the medical and psychiatric facts about abortion. Psychiatrists can then help patients prevent unwanted pregnancies, make informed decisions consonant with their own values and circumstances when they become pregnant, and find appropriate social and medical resources whatever their decisions may be. PMID:15985924

  13. 探讨无痛人工流产用于终止早期妊娠的临床应用价值%The Clinical Value of the Induced Abortion in the Termination Early Pregnancy



    Objective:To observe the application value of the induced abortion used to the early pregnancy for clinical make guidance.Method:One hundred and four healthy pregnant women admitted to our hospital from March 2010 to March 2013 were selected,they were divided into the abortion group and the medical abortion group,52 cases in each group.The abortion group was given induced abortion,the medical abortion group was given Mifepristone Tablets and Misoprostol Tablets,The indexes(the amount of vaginal bleeding,vaginal bleeding time,menstrual recovery time,duration of abdominal pain),the rate of complete abortion and the incidence of adverse reactions were compared between the two groups after treatment.Result:The abortion group was significantly better than the medical abortion group after treatment,the difference was statistically significant(P<0.05);The abortion rate of the abortion group was 98.08%,it was significantly higher than the medical abortion group(80.77%),the difference was statistically significant (P<0.05);the adverse reaction rate of the abortion group was 11.54%,it was significantly lower than the medical abortion group(36.54%),the difference was statistically significant(P<0.05).Conclusion:Painless artificial abortion for termination of early pregnancy clinical effect significantly, has the characteristics of simple operation,less bleeding,complete abortion rate is high,less adverse reaction,and it is worthy of wide application.%目的:分析总结无痛人工流产用于终止早期妊娠的临床应用价值,为临床推广做出指导。方法:选取本站2010年3月-2013年3月收治的104例自愿终止妊娠的健康孕妇,按照随机数字表法将其分为人工流产组和药物流产组各52例,人工流产组给予无痛人工流产,药物流产组给予米非司酮联合米索前列醇口服,观察比较两组患者治疗后各项指标(阴道出血量、阴道出血时间、月经恢复时间、腹痛持续时间)、治

  14. Clinical efficacv and safety of mifepristone in the treatment of abortive remnants of induced abortion%米非司酮治疗人工流产术后残留的临床观察

    诸葛听; 李斌; 黄紫蓉


    Objective To evaluate the efficacy and safety of treating abortive remnants of induced abortion with different doses of mifepristone.Methods A total of 101 women undergoing post-abortion treatment at our family planning clinic from October 2009 to February 2011 were recruited and divided randomly into 4 groups.They were diagnosed as abortive remnants by ultrasound and blood level of β-HCG (human chorionic gonadotrophin).Three test groups received different doses of mifepristone and one group as control. The efficacy and safety of four groups were evaluated by clinical observations,ultrasonic examinations and blood level of β-HCG.Results The effective rates of mifepristone test and control groups were 61.60% and 21.40% respectively.And there were statistical significances between two groups ( P < 0.01 ).After a 2-week treatment,the changes of blood level of β-HCG and reduction of residual size tested by ultrasound were better than those of the control group.And there were significant statistical differences (P <0.01 ). The group with high dose in short term achieved the best outcomes. After four weeks of treatment,blood level of β-HCG of test groups had no statistical significance ( P > 0.05 ).There was statistical significance in pairwise comparison on reduction of residual size tested by ultrasound among test groups ( P < 0.05 ). The high-dose group with achieved the largest short-term reduction. Statistical significances existed in the hemostatic time of vaginal hemorrhage and menstrual recovery between three test groups and the control group ( P < 0.05 ). No statistical significance was found in healing time and the occurrence of adverse events among these 3 test groups ( both P > 0.05 ).Conclusion Mifepristone is effective in the treatment of induced incomplete abortion.And a short-term large dose offers a better efficacy.%目的 探讨不同用药方案的米非司酮治疗人工流产术后残留的有效性及安全性.方法

  15. Legalized abortion in Czechoslovakia.

    Zidovsky, J; Zwinger, A


    A law legalizing abortion was passed nearly 20 years ago in Czechosl ovakia. The law aimed to give women the freedom to decide for themselves whether they want to be pregnant and to decrease the dangers of illegal abortion. The law resulted in a decreased number of abortions and of complications and deaths associated with abortion. Fertility in the country also declined. In 1968 there were more abortions than live births in the country. Since 1957, the law has been modified. The law still aims to prevent the birth of defective children and to protect the life and health of mothers. Each application for abortion is now examined on its own merits. Favorable economic circumstances, prolife social policies adopted by the government, and the new stricter interpretation of the abortion law have resulted in a r ising birthrate since 1969. Contraception is still stressed as preferab le to abortion. PMID:12256872

  16. Abortion - surgical - aftercare

    ... this page: // Abortion - surgical - aftercare To use the sharing features on ... please enable JavaScript. You have had a surgical abortion. This is a procedure that ends pregnancy by ...

  17. First-time first-trimester induced abortion and risk of readmission to a psychiatric hospital in women with a history of treated mental disorder

    Munk-Olsen, Trine; Laursen, Thomas Munk; Pedersen, Carsten B;


    Mental health problems are associated with women's reproductive decisions and predict poor mental health outcomes after abortion and childbirth.......Mental health problems are associated with women's reproductive decisions and predict poor mental health outcomes after abortion and childbirth....

  18. Abortion among Adolescents.

    Adler, Nancy E.; Ozer, Emily J.; Tschann, Jeanne


    Reviews the current status of abortion laws pertaining to adolescents worldwide, examining questions raised by parental consent laws in the United States and by the relevant psychological research (risk of harm from abortion, informed consent, consequences of parental involvement in the abortion decision, and current debate). Discusses issues…

  19. Eliminating the phrase "elective abortion": why language matters.

    Janiak, Elizabeth; Goldberg, Alisa B


    The phrase "elective abortion" is often used to describe induced abortions performed for reasons other than a direct, immediate threat to maternal physical health. We argue that the term "elective abortion" is variably defined, misrepresents the complexity and multiplicity of indications for abortion and perpetuates stigma. In practice, restricting access to abortion at the legal, regulatory or institutional level based on subjective perceptions of patient need constrains health care providers' ability to act according to their best clinical judgments and limits patient access to care. The phrase "elective abortion" should be eliminated from scientific and medical discourse to prevent further damage to the public understanding of the variety of indications for which women require expeditious and equitable access to induced abortion. PMID:26480889

  20. Uso de 600 mg de Misoprostol para inducir el aborto temprano Use of 600 mg of Misoprostol to induce early abortion

    Antonio Rodríguez Cárdenas


    Full Text Available El objetivo de este estudio, fue evaluar la eficacia y seguridad de la autoadministración vaginal de 600 mg de Misoprostol hasta un máximo de tres dosis en un período de 24 h, una cada 8 h para provocar el aborto hasta las 9 semanas de gestación. Un grupo de 90 pacientes voluntarias con embarazos entre 35 y 63 días participaron en este estudio. Todas las pacientes que abortaron recibieron una dosis adicional de 600 mg de Misoprostol. Una paciente abandonó el estudio después de la primera entrevista pero sus datos se incluyeron en las características generales de la muestra. El método se consideró eficaz cuando provocó el aborto completo sin requerir procedimientos quirúrgicos, ni producir efectos secundarios. El aborto completo ocurrió en 57 pacientes (64,0 %. El tiempo de expulsión fue 7,4 ± 3,8 h (mediana 7,2 h, rango 3-20 h para todas las pacientes que abortaron en las primeras 24 h de la administración del Misoprostol. Treinta y dos casos fallaron, 28 de ellos fue por problemas del método después de administrada la tercera dosis, y en 4 por decisión médica. Los resultados obtenidos en este estudio nos permitieron concluir que la dosis de 600 mg de Misoprostol no es adecuada para producir una alta o aceptable eficacia abortiva.The objective of this study was to evaluate the efficacy and safety of the self-administration of 600mg of Misoprostol by the vaginal route up to three doses every 8 hours in a period of 24 hours so as to induce abortion in up to 9-week pregnancy. A group of pregnant volunteers with gestation times ranging from 35 to 63 days participated in the study. All the patients who had abortion received an additional dose of 600mg of Misoprostol. A patient decided not to continue in the study after the first interview but her data were included in the general characteristics of the sample. The method was considered to be efficient when it caused complete abortion without requiring further surgical or causing

  1. Abortion in Ireland.

    Francome, C


    Substantial legal barriers to abortion persist in both the Irish Republic and Northern Ireland, despite growing popular support for abortion under certain conditions. A 1983 amendment to the republic's constitution guarantees the fetus the same right to life s the mother and bans the provision of information on abortion. Although a recent well publicized case of a pregnant, suicidal 14-year-old who travelled to England for an abortion resulted in an Irish Supreme Court ruling that abortion was acceptable in cases of "real and substantial risk" to a woman's life, uncertainty still surrounds the right to travel to England for the procedure. In Northern Ireland, the 1967 Abortion Act does not apply and abortions are denied even in cases of rape and incest. A total of 1766 women from Northern Ireland and 4158 from the republic travelled to England for abortions in 1991. Public opinion seems to have shifted toward support for less restrictive abortion laws, however. Whereas 80% of those surveyed in a 1980 Irish poll supported to ban on abortion in all cases, this statistic had dropped to 30% by 1990. Similarly, a 1991 poll taken in Northern Ireland found 80% of respondents to be a favor of abortion in cases where the procedure is necessary to maintain a woman's physical or mental health. PMID:1392954

  2. Analysis on induced abortion among adolescents (Report of 167 cases)%167例青少年人工流产分析

    张晓菊; 卢志茹


    目的:通过对167例青少年人工流产的情况进行分析,有针对性地进行干预措施,保护青少年的身心健康。方法2009年1月至2013年12月在涞源县妇幼保健院门诊就诊自愿要求流产的人数共计3013例,分析167例19岁以下的青少年人工流产的情况。结果(1)近5年青少年人工流产数逐年上升,且2013年较2009年增长2倍。而青少年人工流产以药物流产为主,占58.08%。(2)19岁的青少年所占比例最高(41.23%);职业以服务员比例最高(36.53%);学历以初中学历所占比例居首(35.33%);复发性人工流产所占比例接近半数(48.50%)。(3)167名要求人工流产青少年的自尊平均(28.84±3.24)分,其中81名复发性人工流产青少年自尊平均(27.91±3.28)分,低于86例首次人工流产的青少年平均(29.21±3.17)分,差异有统计学意义(P<0.01)。结论加强对青少年的性知识及避孕知识的普及,提高她们的自尊程度。做好人工流产后的性知识教育和心理辅导,避免复发性人工流产的发生。从而保护青少年的身心健康。%Objective To study the current situations of 167 teenagers induced abortion and try to find out effective intervention measures to protect the physical and mental health of teenagers. Methods From January 2009 to December 2013 in the Outpatient Department of Laiyuan Maternal and Child Health-Care Hospital, 3 013 cases voluntarily required abortion, off those 167 cases under the age of 19 were analyzed. Results (1) Adolescent abortion number increased year by year during the past five years, compared with 2009, the numbers in 2013 had doubled, in which drug induced abortion accounted for 58.08%. (2) 19 year olds accounted for the highest proportion (41.23%), hospitality workers accounted for(36.53%). Junior High School graduates(35.33%). Recurrent abortions nearly halved(48.50%). (3) 167 adolescents who had abortions

  3. 167例青少年人工流产分析%Analysis on induced abortion among adolescents (Report of 167 cases)

    张晓菊; 卢志茹


    目的:通过对167例青少年人工流产的情况进行分析,有针对性地进行干预措施,保护青少年的身心健康。方法2009年1月至2013年12月在涞源县妇幼保健院门诊就诊自愿要求流产的人数共计3013例,分析167例19岁以下的青少年人工流产的情况。结果(1)近5年青少年人工流产数逐年上升,且2013年较2009年增长2倍。而青少年人工流产以药物流产为主,占58.08%。(2)19岁的青少年所占比例最高(41.23%);职业以服务员比例最高(36.53%);学历以初中学历所占比例居首(35.33%);复发性人工流产所占比例接近半数(48.50%)。(3)167名要求人工流产青少年的自尊平均(28.84±3.24)分,其中81名复发性人工流产青少年自尊平均(27.91±3.28)分,低于86例首次人工流产的青少年平均(29.21±3.17)分,差异有统计学意义(P<0.01)。结论加强对青少年的性知识及避孕知识的普及,提高她们的自尊程度。做好人工流产后的性知识教育和心理辅导,避免复发性人工流产的发生。从而保护青少年的身心健康。%Objective To study the current situations of 167 teenagers induced abortion and try to find out effective intervention measures to protect the physical and mental health of teenagers. Methods From January 2009 to December 2013 in the Outpatient Department of Laiyuan Maternal and Child Health-Care Hospital, 3 013 cases voluntarily required abortion, off those 167 cases under the age of 19 were analyzed. Results (1) Adolescent abortion number increased year by year during the past five years, compared with 2009, the numbers in 2013 had doubled, in which drug induced abortion accounted for 58.08%. (2) 19 year olds accounted for the highest proportion (41.23%), hospitality workers accounted for(36.53%). Junior High School graduates(35.33%). Recurrent abortions nearly halved(48.50%). (3) 167 adolescents who had abortions

  4. Signal functions for measuring the ability of health facilities to provide abortion services: an illustrative analysis using a health facility census in Zambia

    Campbell, Oona M. R.; Aquino, Estela M. L.; Vwalika, Bellington; Gabrysch, Sabine


    Background Annually, around 44 million abortions are induced worldwide. Safe termination of pregnancy (TOP) services can reduce maternal mortality, but induced abortion is illegal or severely restricted in many countries. All abortions, particularly unsafe induced abortions, may require post-abortion care (PAC) services to treat complications and prevent future unwanted pregnancy. We used a signal-function approach to look at abortion care services and illustrated its utility with secondary d...

  5. Reproductive rights: Current issues of late abortion

    Mujović-Zornić Hajrija


    Full Text Available This article considers the legal issues surrounding induced late abortion in cases when severe medical, therapeutic or ethical reasons have not been in dispute. Generally discussing the essential question about abortion today, it means not anymore legality of abortion but, in the first place, safety of abortion. From the aspect of woman health the most important aim is to detect and avoid possible risks of medical intervention, such as late abortion present. This is the matter of medical law context and also the matter of the woman's reproductive rights, here observed through legislation and court practice. The gynecologist has an obligation to obtain the informed consent of each patient. Information's should be presented in reasonably understandable terms and include alternative modes of treatment, objectives, risks, benefits, possible complications, and anticipated results of such treatment. Pregnant woman should receive supportive counseling before and particularly after the procedure. The method chosen for all terminations should ensure that the fetus is born dead. This should be undertaken by an appropriately trained practitioner. Reform in abortion law, making it legally accessible to woman, is not necessarily the product of a belief in woman's rights, but can be a means of bringing the practice of abortion back under better control. Counseling and good medical practice in performing late abortion are the instruments to drive this point even further home. It does not undermine the woman who wants to make a positive decision about her life and its purpose is not to produce feelings of insecurity and guilt. It concludes that existing law should not be changed but that clear rules should be devised and board created to review late term abortion. In Serbia, this leads to creation and set up guidelines for reconciling medical justification for late abortion with existing law, especially with solutions which brings comparative law. .

  6. Status and influencing factors of repeated induced abortion among unmarried women in Chengdu city%成都市未婚女性重复人工流产情况及影响因素

    陈颖; 崔念; 田爱平


    目的:了解成都市未婚女性重复人工流产情况及影响因素,探讨降低未婚人工流产率的措施.方法:在成都市3类不同等级医院选择人工流产的18 ~ 24岁未婚女性进行匿名问卷调查.结果:调查合格对象416人,其中有重复人工流产史者158人,占38.00%;重复人工流产对象中,有3次及以上者高达37.40%.38.00%的对象在20岁前做了首次人工流产;调查对象的妊娠与避孕知识得分低(55.77分);重复人工流产组与非重复人工流产组比较有较高比例的多性伴(57.00%,30.20%,P<0.001)和与异性同居(60.80%,48.10%,P<0.05).最近半年及本次妊娠前调查对象使用避孕措施情况差,且较多使用低效避孕措施.结论:多性伴、与异性同居、不使用或不当使用避孕措施是发生重复人工流产的危险因素.加强对未婚青年的教育,提高安全性行为意识,正确和坚持使用避孕措施,对于降低未婚人工流产率十分重要.%Objective: To understand the status and influencing factors of repeated induced abortion among unmarried women in Chengdu city, and explore appropriate measures to reduce repeated induced abortion rate. Methods: Anonymous questionnaire survey was used to collect data among unmarried women aged 18—24 years old who underwent induced abortion in hospitals at three different levels in Chengdu city. Results: A total of 416 eligible subjects were interviewed, including 158 women with repeated induced abortion history, accounting for 38. 00% ; among the women with repeated induced abortion, 37. 40% of them had three times or more than three times induced abortions. Among the unmarried women, 38.00% of them had the first induced abortion before 20 years. The scores of knowledge about pregnancy and contraception were poor (55. 77 on average) . Compared with non — repeated abortion group, the unmarried women in repeated abortion group had higher proportions of having multiple sexual

  7. High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India: need to emphasize dual method use?

    Darak, Shrinivas; Hutter, Inge; Kulkarni, Vinay; Kulkarni, Sanjeevani; Janssen, Fanny


    This study examines the prevalence, reasons, and predictors of unwanted pregnancies and induced abortions among ever married HIV-infected women attending a care facility in Maharashtra, Western India, and discusses its programmatic and policy implications. Retrospectively collected data of pregnancies conceived after the diagnosis of HIV were analyzed using descriptive and logistic regression techniques. Among the 622 women interviewed, 113 women had 158 pregnancies with known outcomes after HIV diagnosis. Among these pregnancies, 80 (51%) were unwanted and 79 (50%) were voluntarily terminated. Fear of transmitting HIV to the child was a frequently mentioned reason for an unwanted pregnancy (71.8%) and induced abortion (59.5%). Women from urban areas [OR 2.43 (95% CI 1.23-4.79)] and with two or more live births before HIV diagnosis [OR 3.33 (95% CI 1.36-8.20)] were significantly more likely to report an unwanted pregnancy. Women with two or more live births before HIV diagnosis [OR 3.16 (95% CI 1.20-8.35)], who did not know that HIV transmission to the baby can be prevented [OR 3.29 (95% CI 1.48-7.34)] and with an unwanted pregnancy [OR 4.82 (95% CI 2.33-10.00)], were significantly more likely to terminate the pregnancy. Despite increased coverage of antiretroviral treatment, effective provision of reproductive healthcare services to HIV-infected women remains challenging. A high prevalence of unwanted pregnancies and induced abortions and a low level of knowledge about prevention of mother to child transmission (PMTCT) underscore the need for preconception counseling and provision of comprehensive family planning services to HIV-infected women. Enrolling all HIV-infected pregnant women, irrespective of their decision to continue with their pregnancy, in the PMTCT program and discussing with HIV-infected women and their partners at HIV diagnosis a full array of contraceptive methods and not just consistent use of condoms might be helpful in reducing unwanted

  8. Attitude toward contraception and abortion among Curacao women : Ineffective contraception due to limited sexual education?

    van den Brink, Marian; Boersma, Adriana A.; Meyboom-de Jong, Betty; de Bruijn, Jeanne G. M.


    Background: In Curacao is a high incidence of unintended pregnancies and induced abortions. Most of the induced abortions in Curacao are on request of the woman and performed by general practitioners. In Curacao, induced abortion is strictly prohibited, but since 1999 there has been a policy of conn

  9. [Abortion in Brazil: a household survey using the ballot box technique].

    Diniz, Debora; Medeiros, Marcelo


    This study presents the first results of the National Abortion Survey (PNA, Pesquisa Nacional de Aborto), a household random sample survey fielded in 2010 covering urban women in Brazil aged 18 to 39 years. The PNA combined two techniques, interviewer-administered questionnaires and self-administered ballot box questionnaires. The results of PNA show that at the end of their reproductive health one in five women has performed an abortion, with abortions being more frequent in the main reproductive ages, that is, from 18 to 29 years old. No relevant differentiation was observed in the practice of abortion among religious groups, but abortion was found to be more common among people with lower education. The use of medical drugs to induce abortion occurred in half of the abortions, and post-abortion hospitalization was observed among approximately half of the women who aborted. Such results lead to conclude that abortion is a priority in the Brazilian public health agenda. PMID:20640252

  10. Kinetics of Infection and Effects on Placental Cell Populations in a Murine Model of Chlamydia psittaci-Induced Abortion

    Buendía, Antonio J.; Sánchez, Joaquín; Martínez, María C.; Cámara, Paulina; Navarro, Jose A.; Rodolakis, Annie; Salinas, Jesus


    The anatomical progression of chlamydial infection was studied in different areas of the placenta, using a mouse model and two inoculation times: early pregnancy (day 7, group A) and midpregnancy (day 11, group B). The first population cells affected were decidual cells and neutrophils located just at the limits of the maternal and fetal placenta. The following invaded area was the layer of giant cells. Complete colonization of the maternal placenta occurred after day 15 of pregnancy independently of the inoculation time, the metrial gland being the last area to be invaded; numerous granulated metrial gland (GMG) cells were infected. Finally, chlamydial inclusions were observed in labyrinthine trophoblastic cells from day 18 of pregnancy onward. Since no fetal damage was observed, it seems that an indirect mechanism involving the lysis of GMG cells and neutrophil infiltration of the decidua and metrial gland may be the pathogenic mechanism that leads to abortion. PMID:9573099

  11. [Abortion law in Italy].

    Havránek, F


    On May 28, 1978, the Italian senate passed a law legalizing abortions. The law, passed against the will of the Christian Democrat party and the Vatican, is the most liberal in Western Europe. Any woman 18 or older is free to seek an abortion at a private or public institution during the first 90 days of pregnancy. Abortions can be sought on health, economic, social, family, or psychological grounds. A woman requests an abortion at a hospital or clinic, or from a physician. If termination is deemed urgent, the procedure may be performed immediately. If a request is denied, a woman may make another request 7 days later. Second trimester abortions are permitted only if grave danger to the woman or deformation of the fetus is suspected. Women under 18 meed the permission of their parents or legal guardians; a court may also grant permission. Passage of the law has facilitated open debate on the legal and medical aspects of abortion. It has also guaranteed women access to abortions. Physicians, who on grounds of conscience feel they can't perform abortions, may register to be exempt from having to perform them. They may not, however, deny a woman care before and after her abortion, and if they perform the procedure even once, their name is removed from the exempt register. Additionally, all physicians are bound to attempt to preserve the life of all women as well as any fetus which shows life outside the womb. PMID:445601

  12. Medical abortion: Modern method for termination of pregnancy

    Kapamadžija Aleksandra


    Full Text Available Introduction. Modern methods of medically induced abortions are being used in many countries all over the world. These methods are safe and effective when used in an appropriate way. Drugs used for medical abortion. The most widely used regimens for drug induced abortions include antiprogestogen mifepriston followed by administration of a synthetic prostaglandin analogue - gemeprost vaginally or misoprostol orally or vaginally. When used for abortions up to 9 and 7 weeks of pregnancy, this method has efficacy up to 98%. The regimen between 9 and 12 completed weeks is still under investigation. Methods for medical abortion after 12 completed weeks since last menstrual period include several regimens and medications - combination of mifepriston and repeated doses of misoprostol, misoprostol or gemeprost alone, methotrexate, synthetic prostaglandin analogues, oxytocin and some others. Medical abortions at our Department of Obstetrics and Gynecology, Novi Sad, Clinical Center Vojvodine, Serbia. Medical abortions in the second trimester were introduced at our Department of Obstetrics and Gynecology Novi Sad, Serbia, in early 1980s using prostaglandin analogues. This method was improved in year 2000 introducing two dinoprostone gels intracervically/extraamnially instead of just one, for cervical preparation before intramuscular application of carboprost thrometamine, which led to significantly shorter abortion interval. During the years 2003/2004 we took part successfully in one of the multicentric WHO projects for investigating new regimens on early medical abortions with mifepriston and misoprostol. Conclusions. Modern methods of medical abortions are safe and effective for termination of unwanted pregnancies in the first and second trimester.

  13. Physician provision of abortion before Roe v. Wade.

    Joffe, C


    With the possibility of the Supreme Court overturning the landmark Roe v. Wade (1973) case legalizing abortion, a review of abortion practices pre-Roe is instructive. Abortion became criminalized in the US around 1870, yet many abortions were performed. While estimates for the yearly number of pre-Roe illegal abortions roughly resemble today's number of legal abortions, the difference between legal and illegal abortion rests in the difference between the large number of women who died or were injured then, and the very few women who now die from illegal abortions. Along with the self-induced abortion, different categories of providers performed illegal abortions: physicians, nonphysicians, nurses, midwives, and lay people; all with varying skill, experience, and motives. While there were "butchers" and sexual exploiters, there were also competent, beloved physicians. There were the financially motivated physicians providing abortions full time, and the occasional providers acting with a sense of conscience, risking successful practices and jail. Within this "conscience" group of 44 interviewees gathered through personal networks, ads, etc., abortions were: performed outside of hospitals, reducing the risk of discovery, but creating greater medical risks; begun outside of a hospital with the intrusion into the uterus of an object, provoking a "spontaneous abortion" (miscarriage) needing completion by D and C (dilation and curettage) within a hospital, but only a limited number of such patients could be referred before arousing suspicion; and in a hospital under disguised circumstances, a very tricky undertaking with severe limitations, available only a few times before risking detection. Avoidance and lack of training by today's physicians and the well organized antiabortion groups will undoubtedly make illegal abortions even more difficult to engage in than the pre-Roe days. PMID:12317573

  14. "Conservative" views of abortion.

    Devine, P E


    The introduction to this essay, which presents and defends the "conservative" position on abortion, explains that this position holds that 1) abortion is wrong because it destroys the fetus; 2) the fetus has full personhood from conception (or very near conception); 3) abortion is only justified under special circumstances, such as when the pregnancy poses a threat to the woman's life; and 4) these conclusions should be reflected in law and public policy. Part 2 sets forth the moral foundations for this position. The third part considers the status of the fetus and reviews the various arguments that have been forwarded to resolve the question, such as the species principle, the potentiality principle, the sentience principle, and the conventionalist principle. Part 4 applies the conservative position to problems posed by hard cases, determines that abortion is a form of homicide from two weeks after fertilization (at the latest), reviews circumstances in which various legal definitions of homicide are applicable, argues for the denial of abortion funding by the state, and notes that violent militancy is not the appropriate response to a belief that abortion should be illegal. Section 5 refutes objections to the conservative position based on the fact that some opponents of abortion also oppose contraception, based on feminist ideals, and based on calls for religious freedom in a pluralistic society. In conclusion, the labels applied to the abortion debate are examined, and it is suggested that "communitarian" is the best term for the conservative position. PMID:12348327

  15. Abortion in Adolescence.

    Campbell, Nancy B.; And Others


    Explored differences between 35 women who had abortions as teenagers and 36 women who had abortions as adults. Respondents reported on their premorbid psychiatric histories, the decision-making process itself, and postabortion distress symptoms. Antisocial and paranoid personality disorders, drug abuse, and psychotic delusions were significantly…

  16. Abortion in Zambia

    Coast, Ernestina; Freeman, Emily


    The poster, based on 112 in-depth interviews conducted in 2014 with women in Zambia who had recently had an abortion, shows the complex pathways that some women take despite safe abortion being legal under a wide range of circumstances in Zambia.

  17. Abortion: the new debate.

    Callahan, D


    The course of the debate on abortion following the 1973 Supreme Court decision legalizing abortion has been marked by a variety of medical and scientific developments. Many of these new developments have important legal, psychologic, social, moral, and political implications. The cumulative impact of all these developments may pose a significant challenge to the social and legal foundations of Roe v. Wade. PMID:3523563

  18. Access to legal abortion.


    Countries are grouped by the nature and extent of access to legal abortion. The categories include abortion on demand, for social reasons, for health reasons, for rape or incest or to save a mother's life, and only to save a mother's life. Abortion on demand is available for about 40% of the world's population and may have restrictions, such as parental consent or approval of state committees or physicians. There are 22 countries in Europe, 12 in the former Soviet Union, four in Asia, four in the Americas, one in the Middle East (Turkey), and one in Africa (Tunisia) which provide access to early abortion on demand. Abortion for social and economic reasons is available to 21% of the world's population in five countries in Asia, three in Europe (Great Britain, Finland, and Hungary), and one in Africa (Zambia). Abortion for health reasons is available to 16% of the world's population located in 21 countries in Africa, eight in the Americas, seven in Asia, five in Europe, and four in the Middle East. Laws governing about 5% of the world's population permit abortion only in the case of rape, incest, or when a mother's life is in danger (Brazil, Mexico, and Sudan). 18% of the world's population is covered by laws which permit an abortion only when a mother's life is in danger; this includes 19 countries in Africa, 11 in the Americas, nine in Asia, seven in the Middle East, and one in Europe (Ireland). PMID:12287145

  19. [Status of the gonadotropic function of the pituitary gland in the late periods after induced abortion in the first trimester of pregnancy].

    Bakuleva, L P; Gatina, G A; Kuz'mina, T I; Ametov, A S


    Follicle-stimulating, luteinizing hormone and prolactin secretion has been evaluated with a radioimmunoassay at less than or equal to 5 years following a first-trimester abortion. Pituitary prolactin secretion was found to be most affected by abortion (96% of observations). PMID:2122760

  20. Interferon-γ promotes abortion due to Brucella infection in pregnant mice

    Suzuki Hiroshi; Furuoka Hidefumi; Watanabe Kenta; Lee Dong; Kim Suk; Watarai Masahisa


    Abstract Background The mechanisms of abortion induced by bacterial infection are largely unknown. In the present study, we investigated abortion induced by Brucella abortus, a causative agent of brucellosis and facultative intracellular pathogen, in a mouse model. Results High rates of abortion were observed for bacterial infection on day 4.5 of gestation, but not for other days. Regardless of whether fetuses were aborted or stayed alive, the transmission of bacteria into the fetus and bacte...

  1. Catholicism and abortion since Roe v. Wade.

    Hisel, L M


    This document summarizes a sample of significant activities and events undertaken by Roman Catholics in response to the US Supreme Court's Roe vs. Wade decision legalizing induced abortion. The summaries begin with the 1966 creation of the National Right to Life Committee and cover opposition of Catholic bishops to the Roe decision, the organization of the National Committee for a Human Life Amendment (NCHLA), the mock investiture of a female pope by Catholics for a Free Choice, dismissal of a pro-life priest from the Jesuits, excommunication of various women because of their work with pro-choice agencies or ones that provided abortion services, meetings of the National Conference of Catholic Bishops (NCCB) with presidential candidates, NCHLA lobbying for the Hyde Amendment, open letters and advertisements published by CFC, the effort of Abortion Rights Mobilization to strip the Catholic church of its tax-exempt status, the Vatican order for all priests to leave political office, actions taken by nuns to support the pro-choice position, the proposal of the "seamless garment" argument under the principle of the "consistent ethic of life," initiation of the post-abortion reconciliation project, the actions of Catholic politicians, the filing of amicus curiae briefs, support of bishops for Operation Rescue, forums on abortion conducted by an Archbishop, the Catholic Statement on Pluralism and Abortion, targeting by bishops of pro-choice candidates for sanctions and excommunication, testimony and lobbying in opposition of the Freedom of Choice Act, false accusations about the 1994 International Conference on Population and Development leveled by bishops, lobbying by bishops in support of a ban on late-term abortions, lobbying to increase the access of low-income women to abortion, and consideration by the bishops of reinstituting "meatless Fridays" to express Catholic opposition to "attacks on human life and dignity." PMID:12178893

  2. Legalized Abortion in Japan

    Hart, Thomas M.


    The enactment of the Eugenic Protection Act in Japan was followed by many changes. The population explosion was stemmed, the birth rate was halved, and while the marriage rate remained steady the divorce rate declined. The annual total of abortions increased until 1955 and then slowly declined. The highest incidence of abortions in families is in the 30 to 34 age group when there are four children in the family. As elsewhere abortion in advanced stages of pregnancy is associated with high morbidity and mortality. There is little consensus as to the number of criminal abortions. Reasons for criminal abortions can be found in the legal restrictions concerning abortion: Licensing of the abortionist, certification of hospitals, taxation of operations and the requirement that abortion be reported. Other factors are price competition and the patient's desire for secrecy. Contraception is relatively ineffective as a birth control method in Japan. Oral contraceptives are not yet government approved. In 1958 alone 1.1 per cent of married women were sterilized and the incidence of sterilization was increasing. PMID:6062283

  3. Legalized abortion in Japan.

    Hart, T M


    The enactment of the Eugenic Protection Act in Japan was followed by many changes. The population explosion was stemmed, the birth rate was halved, and while the marriage rate remained steady the divorce rate declined. The annual total of abortions increased until 1955 and then slowly declined. The highest incidence of abortions in families is in the 30 to 34 age group when there are four children in the family. As elsewhere abortion in advanced stages of pregnancy is associated with high morbidity and mortality. There is little consensus as to the number of criminal abortions. Reasons for criminal abortions can be found in the legal restrictions concerning abortion: Licensing of the abortionist, certification of hospitals, taxation of operations and the requirement that abortion be reported. Other factors are price competition and the patient's desire for secrecy. Contraception is relatively ineffective as a birth control method in Japan. Oral contraceptives are not yet government approved. In 1958 alone 1.1 per cent of married women were sterilized and the incidence of sterilization was increasing. PMID:6062283

  4. Unintended Pregnancies, Restrictive Abortion Laws, and Abortion Demand

    Medoff, Marshall H.


    This study examines the effect restrictive state abortion laws have on the pregnancy resolution decisions of women with unintended pregnancies. The empirical results find that the abortion ratio and the abortion rate of unintended pregnancies are more sensitive to increases in the abortion price than previous estimates that analyzed total pregnancies (unintended and intended). A Medicaid funding restriction has very little effect on a state's abortion rate of unintended pregnancies, but cause...

  5. Attitude toward contraception and abortion among Curaçao women. Ineffective contraception due to limited sexual education?

    Brink, M.J.; Boersma, A.A.; Meyboom-deJong, B; Bruijn, de J.G.M.


    Background In Curaçao is a high incidence of unintended pregnancies and induced abortions. Most of the induced abortions in Curaçao are on request of the woman and performed by general practitioners. In Curaçao, induced abortion is strictly prohibited, but since 1999 there has been a policy of conni

  6. [Interregional project concerning abortion].

    Jourdain, A; Pierotti, D; Vinclair, M


    The law legalizing abortion in France was passed in 1975. To group information of a social and medical nature and to publish reports on their activities, a questionnaire was designed to be filled by physicians and nurses working in centers and hospitals performing abortion. There were 19,000 abortions performed in 1976, and 30,000 are expected to be performed in 1979. The questionnaire contains 80 questions gathering information on socieconomic data, on medical history, on the procedure of the intervention, and on the follow-up visit. A study done on 5700 questionnaires filled between 1976 and 1977 show that most abortion seekers belong to the middle class, and that pregnancy was due in 20% of cases to pill failure, and in 34% of cases to failure of behavioral methods, or to lack of contraception. 88% of patients declared themselves satisfied with the procedure. PMID:12309432

  7. Abortion and Selection

    Elizabeth Oltmans Ananat; Jonathan Gruber; Phillip B. Levine; Douglas Staiger


    The introduction of legalized abortion in the early 1970s led to dramatic changes in fertility behavior. Some research has suggested as well that there were important impacts on cohort outcomes, but this literature has been limited and controversial. In this paper, we provide a framework for understanding the mechanisms through which abortion access affects cohort outcomes, and use that framework to both address inconsistent past methodological approaches, and provide evidence on the long-run...

  8. Effect of Chinese Herbs Bu-shen on Expression of Pituitary PRL-R and PrRP-R in the Bromocriptine-induced Hypoprolactin Rat Abortion Model

    Hai-yan WANG; Sui-qi GUI; Fang-xian LU; Li-min LU; Lin CAO


    Objective To study the effect of Chinese herbs preparation Bu-shen on pituitary prolactin-releasing peptide receptor(PrRP-R) and prolactin receptor(PRL-R) expression in the bromocriptine-induced rat abortion modelMaterials & Methods Female SD rats were divided into five groups randomly. Group A,B,C and D were injected with bromocriptine [0.3 mg/(kg*d)] during the pregnant day 6~8, respectively. Group B was given powder of Bu-shen herbs [3 g/(kg*d)]. Group C was injected with prolactin (8 IU) twice a day and Group D with progesterone [(8 mg/kg*d) in the pregnant day 1~11. The rats in Group E were normal pregnant rats. All these rats were killed at the pregnant day 12 to observe the expression of PrRP-R, PRL-R from the pituitary using RT-PCR.Results The pregnant rate and total number of litters in Group A were significantly lower than those in Group B, C, D and E (P<0.01) and the expression of PrRP-R and PRL-R in the pituitary of Group A was higher than that of any other group.Conclusion Preparation Bu-shen plays a regulatory role in the secretion of prolactin possibly via modulating rats' hypothalamus and pituitary.

  9. Single and repeated elective abortions in Japan: a psychosocial study.

    Kitamura, T; Toda, M A; Shima, S; Sugawara, M


    Despite its social, legal and medical importance, termination of pregnancy (TOP) (induced abortion) has rarely been the focus of psychosocial research. Of a total of 1329 women who consecutively attended the antenatal clinic of a general hospital in Japan, 635 were expecting their first baby. Of these 635 women, 103 (16.2%) had experienced TOP once previously (first aborters), while 47 (7.4%) had experienced TOP two or more times (repeated aborters). Discriminant function analysis was performed using psychosocial variables found to be significantly associated with either first abortion or repeated abortion in bivariate analyses. This revealed that both first and repeated aborters could be predicted by smoking habits and an unwanted current pregnancy while the repeated aborters appear to differ from first aborters in having a longer pre-marital dating period, non-arranged marriages, smoking habits, early maternal loss experience or a low level of maternal care during childhood. These findings suggest that both the frequency of abortion and its repetition have psychosocial origins. PMID:9844843

  10. [Glimpses from the history of abortion].

    Holmdahl, B


    For a long time in human history, global population growth was checked by infant mortality, which ranged from 30-50% and did not start sinking until the beginning of the 1800s in the west. Child murder in the west was prohibited by law around the 1100-1200s, but it continued secretly. Among private people, induced abortion was allowed. In the holy scripts of Hinduism and Brahminism, abortion was prohibited. Hippocrates wrote that doctors should not give women abortifacient. The church father Augustinus stated that it was not within human power to discern when the soul entered the body, a circumstance that forbid abortion. A church meeting in 305 A.D. distanced itself from abortion, and this has been the stand of the Catholic Church ever since. In Sweden, exposing a child to the elements was practiced until the end of the 1200s, when it became prohibited. Protestants punished child murder by death. During 1759-78, 217 women were executed for child-killing. From the 1400s, church law punished abortion, and later, capital and punishment was meted out for it, but a distinction was made if the fetus was alive or stillborn. The law in 1734 punished abortion by the death of all concerned. The death penalty was abolished in 1864. In 1896, Anna Linholm reported to the policy in Uppsala that a midwife had been practicing clandestine abortions. Some of her patients were admitted to hospital for hemorrhaging. She was sentenced to hard labor. During 1851-1903, a total of 1408 abortions were reported to the health service. 90% of these became known because of death caused by obduction. Phosphorus was used for abortion in 1271 cases, arsenic in 62, and mechanical aids in 8 cases. About 1//2 of all female suicides at the end of the 1800s was performed by pregnant women who ate phosphorus. Almost all were unmarried, and 56% carried it out after the 5th month of pregnancy. In 1901, phosphorus was prohibited in Swedish homes. In 1875, free abortions became available. However, the

  11. Abortion in Present day Vietnam

    Nguyen Thanh Binh


    Full Text Available In recent years, the abortion rate in Vietnam has been likely rising. In rural area, this rate is a bit higher than in urban one. Young age groups’ abortion rate is relatively high and ofter higher than older age groups. The main reason is due to their limited awareness of contraceptive methods. Low education level also affects the abortion. The abortion of people at low education level is relatively high, but people with elementary school graduation has the lowest rate of abortion. The Northwest had the highest abortion rate, the lowest rate belonged to the South Central Coast. The abortion rate depends on each couple’s number of alive children. The highest abortion rate is of couples with 1 or 2 alive children. The majority of couples only have one time of abortion for 12 months before research timepoint.

  12. Misoprostol and illegal abortion in Fortaleza, Brazil.

    Coêlho, H L; Teixeira, A C; Santos, A P; Forte, E B; Morais, S M; La Vecchia, C; Tognoni, G; Herxheimer, A


    Misoprostol, a prostaglandin E1 analogue indicated for ulcer treatment, has been widely used as an abortifacient by women in Brazil, where abortion is legal only in cases of rape or incest, or to save the woman's life. Because misoprostol is an inefficient abortifacient, many women who use it have incomplete abortions and need uterine evacuation. We reviewed the records of women admitted to the main obstetric hospital of Fortaleza, capital of Ceará state, Brazil, between January, 1990, and July, 1992, for uterine evacuation after induced abortion. The number of incomplete abortions induced by misoprostol increased substantially during the first half of 1990, and declined thereafter. Of the 593 cases in 1991, 75% were related to misoprostol, 10% to the use of other specified drugs, and 6% to unspecified drugs. For the remaining 9% the procedure used was not recorded; these included 3% in whom abortion had been induced by a clandestine abortionist. The number of uterine evacuations per month fell from 89 in August, 1990, to 62 in July, 1991, when sales of misoprostol in Ceará state were suspended. The fall continued after the sale of misoprostol ceased, to about 20 cases in December, 1991; numbers remained around this level until June, 1992, sustained by clandestine sales. The lack of access to contraception is the main reason for the large numbers of unplanned pregnancies and is a major public health issue for Brazilian women. The prohibition of abortion creates a void in which misuse of medicines is one extra complication, mainly because of the poor control of drug marketing. PMID:8098403

  13. Acute pancreatitis following medical abortion: Case report

    Amini Hashem


    Full Text Available Abstract Background Acute pancreatitis rarely complicates pregnancy. Although most pregnant women with acute pancreatitis have associated gallstones, less common causes such as drugs have been reported. Case presentation We report the case of a 34-year-old woman who underwent medical abortion with mifepristone and gemeprost and received codeine as pain-relief during the induction of abortion. She developed a severe acute necrotizing pancreatitis which required 14 days of intensive care. Other possible etiological factors, i.e. gallstone, alcohol intake and hyperlipidemia, were excluded. Conclusions The reported case of acute pancreatitis was most likely drug-induced.

  14. The Response of Abortion Demand to Changes in Abortion Costs

    Medoff, Marshall H.


    This study uses pooled cross-section time-series data, over the years 1982, 1992 and 2000, to estimate the impact of various restrictive abortion laws on the demand for abortion. This study complements and extends prior research by explicitly including the price of obtaining an abortion in the estimation. The empirical results show that the real…

  15. Abortion: sin or crime?

    Kulpys, Žydrūnas


    Abortą nagrinėja ir moralinė teologija, ir kanonų teisė. Moralinė teologija gvildeną abortą kaip didelį moralinį blogį ir sunkią nuodėmę. Kanonų teisė nagrinėja abortą ir kaip teisinį nusikaltimą, už kurį automatiškai skiriama griežta sankcija - ekskomunikavimas. Kokiomis aplinkybėmis abortas yra nuodėmė ir kada jis tampa ir teisiniu nusikaltimu, automatiškai užtraukiančiu atskyrimą nuo Bažnyčios - ekskomunikavimą? Vien tik aborto nuodėmė neužtraukia ekskomunikos. Nors abortas yra sunki nuodė...

  16. Unsafe abortion in rural Tanzania

    Rasch, Vibeke; Sørensen, Pernille H; Wang, Anna R;


    BackgroundThe circumstances under which women obtain unsafe abortion vary and depend on the traditional methods known and the type of providers present. In rural Tanzania women often resort to traditional providers who use plant species as abortion remedies. Little is known about how these plants...... are used and their potential effect.MethodsData were obtained among women admitted with incomplete abortion at Kagera Regional Hospital during the period January - June, 2006. The women underwent an empathetic interview to determine if they had experienced an unsafe abortion prior to their admission....... In all 125/187 women revealed having had an unsafe abortion. The women identified as having had an unsafe abortion underwent a questionnaire interview where information about abortion provider and abortion method used was obtained through open-ended questions. To get more detailed information about...

  17. [Spontaneous abortion. Etiologic survey. Results].

    Baaklini, N; Anguenot, J L; Boulanger, J C; Vitse, M


    The definition of repeated spontaneous abortions is subject to caution. For some, it corresponds to at least three repeated spontaneous abortions with no normal previous pregnancy; for others, it comprises the repeated spontaneous abortions occurring after a normal pregnancy. It is a frequent problem, especially if one tries to give a wider definition. The authors studied the frequency of repeated spontaneous abortions in a continuous series of 14,857 pregnancies which took place between January 1982 and December 1988. In the study of the aetiology of the repeated spontaneous abortions in the various groups of women defined according to the number of previous pregnancies and abortions, they find the classical causes of repeated spontaneous abortions in all the categories: therefore, it seems legitimate to them that a wider definition be given for repeated spontaneous abortions. PMID:2291048

  18. Healthcare for women in process of induced abortion: statements of nursing professionals Asistencia a la mujer en proceso de aborto provocado: discurso de profesionales de enfermería Assistência à mulher em processo de abortamento provocado: discurso de profissionais de enfermagem

    Solange Maria dos Anjos Gesteira; Normélia Maria Freire Diniz; Eleonora Menicucci de Oliveira


    OBJECTIVE: To analyze the statements of nursing professionals regarding healthcare provided to women in process of induced abortion. METHODS: Case study with qualitative approach, performed at a public maternity hospital in Salvador BA; data were obtained with the focus group technique, using content analysis. RESULTS: The nursing team professionals perceive abortion as a crime, a sin, and healthcare as discriminatory. The woman's right to speech is denied, with silence being observed along t...

  19. La discusión sobre el aborto provocado en el Congreso Nacional Brasileño: el papel del movimiento de mujeres The discussion on induced abortion in the Brazilian Congress: the role of the women's movement

    Ellen Hardy


    Full Text Available El aborto provocado es un tema que ha sido muy discutido en Brasil desde hace mucho años, sin que se haya conseguido cambiar el texto del Código Penal vigente desde 1940. El Código considera que el aborto es ilegal y un crimen contra la vida. Solamente es permitido em dos casos: si no hay otra forma de salvar la vida de la embarazada o si el embarazo resulta de una violación y el aborto es precedido por el consentimiento de la embarazada. El objetivo de este artículo es mostrar como se ha enfrentado el problema del aborto a nível de políticas gubernamentales y legislativas, especificamente la discusión en el Congreso Nacional considerando la actuación del movimiento de mujeres. En este ensayo es enfocado el debate sobre el aborto provocado en el poder legislativo y como éste fue precedido, acompañado y seguido por acciones del movimiento organizado de mujeres. Otros actores políticos y sociales involucrados en el debate, tal como la Iglesia Católica, sectores de la categoria médica y las religiones evangélicas, son mencionadas.Induced abortion has been discussed in Brazil for many years without producing changes in the Penal Code in force since 1940 and according to which it is illegal and a crime against life. There are only two circumstances in which induced abortion is allowed: when there is no other recourse for saving the pregnant woman' life, and when the pregnancy resulted from rape and the abortion is preceded by the woman's informed consent. The purpose of this article is to show how the abortion problem has been dealt with under executive and legislative policies, focusing especially on discussion in Congress considering the role of organized women's groups. The study focuses on the legislative debate on induced abortion and how it was preceded, accompanied, and followed by actions by the women's groups. Other political and social actors involved in the debate, such as the Catholic Church, sectors of the medical

  20. Rewriting abortion: deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal.

    Suh, Siri


    Boundary work refers to the strategies deployed by professionals in the arenas of the public, the law and the workplace to define and defend jurisdictional authority. Little attention has been directed to the role of documents in negotiating professional claims. While boundary work over induced abortion has been extensively documented, few studies have examined jurisdictional disputes over the treatment of abortion complications, or post-abortion care (PAC). This study explores how medical providers deploy medical records in boundary work over the treatment of complications of spontaneous and induced abortion in Senegal, where induced abortion is prohibited under any circumstance. Findings are based on an institutional ethnography of Senegal's national PAC program over a period of 13 months between 2010 and 2011. Data collection methods included in-depth interviews with 36 health care professionals, observation of PAC services at three hospitals, a review of abortion records at each hospital, and a case review of illegal abortions prosecuted by the state. Findings show that health providers produce a particular account of the type of abortion treated through a series of practices such as the patient interview and the clinical exam. Providers obscure induced abortion in medical documents in three ways: the use of terminology that does not differentiate between induced and spontaneous abortion in PAC registers, the omission of data on the type of abortion altogether in PAC registers, and reporting the total number but not the type of abortions treated in hospital data transmitted to state health authorities. The obscuration of suspected induced abortion in the record permits providers to circumvent police inquiry at the hospital. PAC has been implemented in approximately 50 countries worldwide. This study demonstrates the need for additional research on how medical professionals negotiate conflicting medical and legal obligations in the daily practice of treating

  1. Effects of Abortion Legalization in Nepal, 2001–2010

    Henderson, Jillian T.; Puri, Mahesh; Blum, Maya; Harper, Cynthia C.; Rana, Ashma; Gurung, Geeta; Pradhan, Neelam; Regmi, Kiran; Malla, Kasturi; Sharma, Sudha; Grossman, Daniel; Bajracharya, Lata; Satyal, Indira; Acharya, Shridhar; Lamichhane, Prabhat; Darney, Philip D.


    Background Abortion was legalized in Nepal in 2002, following advocacy efforts highlighting high maternal mortality from unsafe abortion. We sought to assess whether legalization led to reductions in the most serious maternal health consequences of unsafe abortion. Methods We conducted retrospective medical chart review of all gynecological cases presenting at four large public referral hospitals in Nepal. For the years 2001–2010, all cases of spontaneous and induced abortion complications were identified, abstracted, and coded to classify cases of serious infection, injury, and systemic complications. We used segmented Poisson and ordinary logistic regression to test for trend and risks of serious complications for three time periods: before implementation (2001–2003), early implementation (2004–2006), and later implementation (2007–2010). Results 23,493 cases of abortion complications were identified. A significant downward trend in the proportion of serious infection, injury, and systemic complications was observed for the later implementation period, along with a decline in the risk of serious complications (OR 0.7, 95% CI 0.64, 0.85). Reductions in sepsis occurred sooner, during early implementation (OR 0.6, 95% CI 0.47, 0.75). Conclusion Over the study period, health care use and the population of reproductive aged women increased. Total fertility also declined by nearly half, despite relatively low contraceptive prevalence. Greater numbers of women likely obtained abortions and sought hospital care for complications following legalization, yet we observed a significant decline in the rate of serious abortion morbidity. The liberalization of abortion policy in Nepal has benefited women’s health, and likely contributes to falling maternal mortality in the country. The steepest decline was observed after expansion of the safe abortion program to include midlevel providers, second trimester training, and medication abortion, highlighting the importance

  2. Did Legalized Abortion Lower Crime?


    This paper examines the relationship between the legalization of abortion and subsequent decreases in crime. In a current study, researchers estimate that the legalization of abortion explains over half of the recent decline in national crime rates. The association is identified by correlating changes in crime with changes in the abortion ratio weighted by the proportion of the criminal population exposed to legalized abortion. In this paper, I use an alternative identification strategy. I an...

  3. A Shiite perspective toward abortion

    Kiarash Aramesh


    All schools of Islamic jurisprudence regard abortion as wrong and forbidden and allow abortion only before the stage of ensoulment, if the continuation of pregnancy would endanger the mother's life or put her into intolerable difficulties. In this article we describe and assess the viewpoint of Shiite jurisprudence toward abortion. "nUsing a selected collection of related references, and discussion describes with experts, this article the abortion in Shiite jurisprudence."nIn t...

  4. CMA abortion survey.


    Responses to the question as to whether abortions should be performed at the woman's request during the first trimester of pregnancy were evenly divided. There was support for abortion on socioeconomic grounds, during the first trimester, from 61.5% of the respondents. Termination of pregnancy beyond the first trimester was supported by a majority of the respondents only in cases in which the woman's life is in danger (73.9%) or in which there is evidence of a severe physical abnormality in t...

  5. Acquired Immune Deficiency Syndrome, Risky Sexual Behavior and Abortion

    Marshall H. Medoff


    Full Text Available Problem statement: incidence of abortion in the United States has steadily declined since 1990. The question is why? Approach: This study, using multiple linear regression, examines whether women’s unprotected sexual activity is deterred by the risk of contracting AIDS as reflected in decreased abortion rates. Results: The empirical evidence consistently finds that the prevalence of AIDS reduces the risky (unprotected sexual activity of women of childbearing ages 15-44 as reflected in their abortion rates. The empirical results remain robust for the abortion rates of teens ages 15-17 and for teens ages 15-19. Conclusion: The empirical results suggest that the behavioral modification induced by the prevalence of AIDS accounted for 21% of the decrease in abortion rates over the time period 1992-2005.

  6. Effect of conservative treatments for incomplete induced abortion and the factors related to successful removal of the remnants%保守治疗人工流产术后残留效果及相关因素探讨

    诸葛听; 黄紫蓉; 李斌


    Objective: To study the effect of conservative treatments for abortive remnants of induced abortion, and probe into the influencing factors related to the successful removal of the remnants. Methods: A total of 101 patients with abortive remnants after induced abortion were selected by simple random sampling, and randomly divided into 4 groups, with 3 groups treated with different dosages of mifepristone (50 mg/d ×28d, 100 mg/d × 14d, and 200mg/d ×7d)and 1 control group. Based on the treatment outcomes, the patients were subgrouped into cured group and uncured group. The parameters of age, weight, gravidity, parity, bleeding time after treatment, baseline β-hCG (human chorionic gonadotrophin) levels, and the size of abortive remnants measured by B - mode ultrasonic diagnostic equipment were analyzed. Rank sum test and logistic regression method were used to analyze the correlated factors with successful treatment of abortive remnants of induced abortion with mifepristone. Results : The group with mifepristone 200mg/d × 7d showed the most effective results (P < 0. 05). Compared with the uncured group, cured group had lower levels of serum β -hCG, smaller abortive remnants, shorter bleeding time after treatment, greater resistance index of blood flow (P <0.05 for all above factors). Logistic regression analysis showed that dosage of mifepristone, baseline β - hCG, the average size of the abortive remnants, and resistance index of blood flow status of the remnant tissue were closely correlated to the treatment outcomes (P < 0.05). Conclusion: Mifepristone was effective in the treatment of incomplete induced abortion, and it was most effective when used at a short - term high dose. The baseline β - hCG, size of the abortive remnants and resistance index of bleed flow of the abortive remnants could predict the treatment outcomes.%目的:探讨影响人工流产术后残留保守治疗的相关因素,为临床有效诊断提供和治疗依据.方法:采用

  7. Did Legalized Abortion Lower Crime?

    Joyce, Ted


    Changes in homicide and arrest rates were compared among cohorts born before and after legalization of abortion and those who were unexposed to legalized abortion. It was found that legalized abortion improved the lives of many women as they could avoid unwanted births.

  8. College Students' Attitudes Toward Abortion

    Maxwell, Joseph W.


    Attitudes toward the desirability of abortion were significaantly related to sex, college, classification, level of church activity, residence background, family size, exposure to abortion, and attitude toward premarital sex. The data suggest an increasing acceptance of abortion in the future. (Author)

  9. Pregnancy outcome following spontaneous abortions

    Swati Agrawal


    Conclusions: Previous history of spontaneous abortion is associated with adverse pregnancy outcome. There is increased risk of abortion, preterm delivery, need for caesarean sections and fetal loss in cases of previous spontaneous abortions. These complications and fetal loss can be reduced by booking the patients and giving due antenatal care. [Int J Reprod Contracept Obstet Gynecol 2015; 4(6.000: 1891-1893

  10. Adolescent girls with illegally induced abortion in Dar es Salaam: the discrepancy between sexual behaviour and lack of access to contraception

    Rasch, V; Silberschmidt, M; Mchumvu, Y;


    contraception or condoms though they were also at risk of STDs and HIV. These girls were getting pregnant expecting their boyfriends to marry them, or because they did not think they could become pregnant or failed to use contraception correctly. Most adolescent girls are not aware of the 1994 Tanzanian policy...... that gave them the right to seek family planning services and in practice these services are not being provided. There is a need for youth-friendly family planning services and to make abortion safe and legal, in order to reduce unwanted pregnancies and abortion-related complications and deaths among...

  11. Haemophilus influenzae Septic Abortion

    Sharon L. Hillier


    Full Text Available Background: Haemophilus influenzae septic abortion is typically caused by nontypeable strains of the organism. Furthermore, nontypeable species with a special affinity for the genital tract are the most frequent isolates encountered, and an ascending vaginal or cervical infection is often the suspected route of transmission.

  12. Abortion: Strong's counterexamples fail

    Di Nucci, Ezio


    This paper shows that the counterexamples proposed by Strong in 2008 in the Journal of Medical Ethics to Marquis's argument against abortion fail. Strong's basic idea is that there are cases--for example, terminally ill patients--where killing an adult human being is prima facie seriously morally...

  13. Prematurity and Abortion

    Francisco Jover-Díaz


    Full Text Available Background: Although the pathogenic role of Coxiella burnetii infection during pregnancy is controversial, some cases of stillbirth and abortion occurring after an acute or chronic infection have been mentioned in the literature. Recently, Q fever has been advocated as a significant cause of morbidity and mortality in pregnancy

  14. Acceptance of contraceptives among women who had an unsafe abortion in Dar es Salaam

    Rasch, Vibeke; Massawe, Siriel; Yambesi, Fortunata;


    OBJECTIVE: To assess the need for post-abortion contraception and to determine if women who had an unsafe abortion will use a contraceptive method to avoid repeated unwanted pregnancies and STDs/HIV. METHOD: Women attending Temeke Municipal Hospital, Dar es Salaam, after an unsafe abortion or an...... induced abortion performed at the hospital (n=788) were counselled about contraception and the risk of contracting STDs/HIV. A free ward-based contraceptive service was offered and the women were asked to return for follow-up. RESULTS: Participants (90%) accepted the post-abortion contraceptive service...

  15. [Abortion: a public health or a family planning problem].

    Aguayo Hernandez, J R


    Institute of Social Security estimates that the rate of abortion has declined by about 25% between 1982-1990. Currently 1 of every 10 pregnancies is believed to end in induced abortion. Family planning programs have led to declines in the rates of both pregnancy and abortion in Mexico. The number of fertile-aged women attended in Social Security facilities for abortion complications declined from 11.5/1000 in 1982 to 8.8 in 1990. The extremes of opinion about whether abortion should be made safe and legal appear irreconcilably opposed. From a national perspective, abortion is a public health problem that needs to be addressed by the health sector. Existing laws permitting abortion under some circumstances should be made more explicit. The point of view of society should be respected, but women should also be protected. PMID:12317070

  16. Abortion health services in Canada

    Norman, Wendy V.; Guilbert, Edith R.; Okpaleke, Christopher; Hayden, Althea S.; Steven Lichtenberg, E.; Paul, Maureen; White, Katharine O’Connell; Jones, Heidi E.


    Abstract Objective To determine the location of Canadian abortion services relative to where reproductive-age women reside, and the characteristics of abortion facilities and providers. Design An international survey was adapted for Canadian relevance. Public sources and professional networks were used to identify facilities. The bilingual survey was distributed by mail and e-mail from July to November 2013. Setting Canada. Participants A total of 94 abortion facilities were identified. Main outcome measures The number and location of services were compared with the distribution of reproductive-age women by location of residence. Results We identified 94 Canadian facilities providing abortion in 2012, with 48.9% in Quebec. The response rate was 83.0% (78 of 94). Facilities in every jurisdiction with services responded. In Quebec and British Columbia abortion services are nearly equally present in large urban centres and rural locations throughout the provinces; in other Canadian provinces services are chiefly located in large urban areas. No abortion services were identified in Prince Edward Island. Respondents reported provision of 75 650 abortions in 2012 (including 4.0% by medical abortion). Canadian facilities reported minimal or no harassment, in stark contrast to American facilities that responded to the same survey. Conclusion Access to abortion services varies by region across Canada. Services are not equitably distributed in relation to the regions where reproductive-age women reside. British Columbia and Quebec have demonstrated effective strategies to address disparities. Health policy and service improvements have the potential to address current abortion access inequity in Canada. These measures include improved access to mifepristone for medical abortion; provincial policies to support abortion services; routine abortion training within family medicine residency programs; and increasing the scope of practice for nurses and midwives to include abortion




    Full Text Available ABSTRACT: BACKGROUND: Study of induced abortion in India by considering t he complete birth history of women is lacking. Induced abortion is associated wi th high mortality and morbidity in India. OBJECTIVES: The objectives of the study were to find out the In duced abortions ratio and to identify certain characteristics like perception, hea lth care seeking behavior and the motivational factors for such an act. METHODS: An exploratory type of investigation (a retrospective case series study was carried out amo ng 46 acceptors of induced abortion in a rural community of west Bengal, between September, 1 1 to February 12. RESULTS: The ratio of induced abortions was 20.62 per year per 1000 women o f reproductive age group. 89% belongs to Hindu and 93% of them were married. Unplanned preg nancy (43.47% and financial problem (21.73 % were the main reasons for acceptance of in duced abortions. About 71 % of induced abortions were carried out by qualified person in h ospital set up. CONCLUSION: Eventually induced abortions are increasing universally and se veral traditional methods are also found to be life threatening. So exploration of induced abort ions is important aspect and explores the point for entry of further research.

  18. The perspective of rural physicians providing abortion in Canada: qualitative findings of the BC Abortion Providers Survey (BCAPS.

    Jennifer Dressler

    Full Text Available BACKGROUND: An increasing proportion of Canadian induced abortions are performed in large urban areas. For unknown reasons the number of rural abortion providers in Canadian provinces, such as British Columbia (BC, has declined substantially. This study explored the experiences of BC rural and urban physicians providing abortion services. METHODS: The mixed methods BC Abortion Providers Survey employed self-administered questionnaires, distributed to all known current and some past BC abortion providers in 2011. The optional semi-structured interviews are the focus of this analysis. Interview questions probed the experiences, facilitators and challenges faced by abortion providers, and their future intentions. Interviews were transcribed and analyzed using cross-case and thematic analysis. RESULTS: Twenty interviews were completed and transcribed, representing 13/27 (48.1% rural abortion providers, and 7/19 (36.8% of urban providers in BC. Emerging themes differed between urban and rural providers. Most urban providers worked within clinics and reported a supportive environment. Rural physicians, all providing surgical abortions within hospitals, reported challenging barriers to provision including operating room scheduling, anesthetist and nursing logistical issues, high demand for services, professional isolation, and scarcity of replacement abortion providers. Many rural providers identified a need to "fly under the radar" in their small community. DISCUSSION: This first study of experiences among rural and urban abortion providers in Canada identifies addressable challenges faced by rural physicians. Rural providers expressed a need for increased support from hospital administration and policy. Further challenges identified include a desire for continuing professional education opportunities, and for available replacement providers.

  19. The consequences of abortion legislation.

    Braude, M


    This article examines the consequences of the 1973 US Supreme Court decision legalizing abortion as well as potential implications of proposed legilation aimed at nullifying this decision. In addition to giving women the right to determine their own reproduction, legal abortion had had beneficial health effects for both mothers and infants. The partial reversal of abortion gains due to restrictions on public funding and limitations on how and where abortions can be performed has produced a slight increase in abortion mortality, but the impact has not been dramatic. Moreover, each year since 1973, women have been obtaining abortions earlier in pregnancy. Abortion may be experienced as a loss by the mother, but there is no evidence of serious psychological sequelae. In contrast, a large body of evidence supports the physical, psychological, and social benefits of legal abortion to women, children, and families. However, proponents of the proposed Human Life Amendment place protection of the rights of the fetus over all other considerations. Their antiabortion actions have challenged the medical tradition of privacy and the confidentiality of the doctor-patient relationship. Most supporters of legal abortion would prefer that there be fewer abortions; such a decrease is more likely as a result of better education and contraceptive methods rather than coercion. PMID:12340335

  20. Austerity and Abortion in the European Union.

    Lima, Joana Madureira; Reeves, Aaron; Billari, Francesco; McKee, Martin; Stuckler, David


    Economic hardship accompanying large recessions can lead families to terminate unplanned pregnancies. To assess whether abortions have risen during the recession, we collected crude abortion data from 2000 to 2012 from Eurostat for countries that had legal abortions and complete data. Declining trends in abortion ratios between 2000 and 2009 have been reversing. Excess abortions between 2010 and 2012 totaled 10.6 abortions per 1000 pregnancies ending in abortion or birth or 6701 additional abortions (95% CI 1190-9240) with stronger effects in younger ages. Economic shocks may increase recourse to abortion. Further research should explore causal pathways and protective factors. PMID:27009038

  1. Immunologically mediated abortion (IMA).

    Giacomucci, E; Bulletti, C; Polli, V; Prefetto, R A; Flamigni, C


    Roughly 20% of all clinical pregnancies evolve into "spontaneous abortions". The causes of spontaneous abortion have been determined in under 60% of the total and comprise genetic, infectious, hormonal and immunological factors. In some cases the immune tolerance mechanism may be impaired and the foetus immunologically rejected (IMA, immunologically mediated abortion). The immunological mechanism implicated depends on the time in which pregnancy loss takes place. During preimplantation and up to the end of implantation (13th day) the cell-mediated immune mechanism (potential alloimmune etiologies) is responsible for early abortion. This mechanism involves immunocompetent decidual cells (eGL, endometrial granulated lymphocytes) already present during pre-decidualization (late luteal phase) and their production of soluble factors or cytokines. Once the implantation process is over, after blastocyst penetration of the stroma and the decidual reaction of uterine tissue, IMA could be caused by cell-mediated and humoral mechanism (anti-paternal cytotoxic antibodies or autoantibody etiology), by the production of paternal anti major histocompatibility complex antibodies, or even by an autoimmune disorder leading to the production of autoantibodies (antiphospholipid antibodies, antinuclear antibodies or polyclonal B cell activation). The diagnostic work-up adopted to select IMA patients is crucial and includes primary (karyotype of both partners, toxo-test, hysterosalpingography, endometrial biopsy, thyroid function tests, serum hprolactin, luteal phase dating) and secondary (full hemochromocytometric test, search for LE cells, lupus anticoagulant, anticardiolipin, antinuclear antibodies, Rheumatoid factor, blood complement VDRL) investigations. Therapeutical approaches vary. If autoimmune disorders are demonstrated therapies with different combinations of corticosteroids, aspirin and heparin or intravenous immunoglobulin are administered. Otherwise, therapy with paternal

  2. Abortion Performance and Politics

    Candelario, Rosemary


    “Performing abortion” typically refers to what health care providers do in clinics, private offices, and (rarely) hospitals 1.21 million times per year,every year, in the United States. At the same time, the phrase indicates what performance artists, choreographers, and activists have been doing on stages, in galleries, and on the streets for decades. Candelario is intrigued by this double meaning that invites us to take seriously what abortion means at this political and historical moment, b...

  3. Abortion, Law and Ideology

    Claudia Escobar García


    Full Text Available This work explains that the discourses opposing the criminalization ofabortion and that reject the constitutional rules that protect human life,are an artificially constructed ideology made only to justify abortion,and hide the asymmetrical relations of power between women and theunborn. In order for this purpose, these arguments are identified andsubjected to critical analysis, demonstrating that it is purely emotionaland lacking fundaments.

  4. Balanced Chromosomal Rearrangement in Recurrent Spontaneous Abortions: A Case Report

    Zarifian, Ahmadreza; Farhoodi, Zeinab; Amel, Roya; Mirzaee, Salmeh; Hassanzadeh-Nazarabadi, Mohammad


    One of the major causes of spontaneous abortion before the fourth month of pregnancy is chromosomal abnormalities. We report an unusual case of a familial balanced chromosomal translocation in a consanguineous couple who experienced 4 spontaneous abortions. Chromosomal studies were performed on the basis of G-banding technique at high resolution and revealed 46, XX, t (16; 6) (p12; q26) and 46, XY, t (16; 6) (p12; q26) in both partners, which induced such pregnancy complications. Chromosomal ...

  5. Abortion law reform in Nepal.

    Upreti, Melissa


    Across four decades of political and social action, Nepal changed from a country strongly enforcing oppressive abortion restrictions, causing many poor women's long imprisonment and high rates of abortion-related maternal mortality, into a modern democracy with a liberal abortion law. The medical and public health communities supported women's rights activists in invoking legal principles of equality and non-discrimination as a basis for change. Legislative reform of the criminal ban in 2002 and the adoption of an Interim Constitution recognizing women's reproductive rights as fundamental rights in 2007 inspired the Supreme Court in 2009 to rule that denial of women's access to abortion services because of poverty violated their constitutional rights. The government must now provide services under criteria for access without charge, and services must be decentralized to promote equitable access. A strong legal foundation now exists for progress in social justice to broaden abortion access and reduce abortion stigma. PMID:24890742

  6. Legal abortion and public health.

    Tietze, C


    Over 15 million abortions have been performed in the US since the process of abortion legalization began in 1967. Consequences of legalization have included a marked reduction of pregnancy-related mortality and the prevention in many cases of the birth of infants with major physical or mental defects. Prenatal diagnosis, backed up by selective abortion, has made procreation a possibility for many couples who might otherwise avoid childbearing. However, the number of abortions performed on the basis of prenatal diagnosis remains small, comprising only about .01% of all legal abortions. In recent months, the pro-choice movement in the US has been handed 2 important victories: the US Supreme Court reaffirmed the 1973 decision legalizing abortion and the US Senate defeated a constitutional amendment intended to reverse this decision. As a result of these victories, contributions to pro-choice groups have declined. Continued vigilance is needed to protect these victories. PMID:12267089

  7. The abortion debate in Australia.

    Read, Christine Margaret


    I recently watched a fascinating documentary about the crusade of Dr Bertram Wainer in the 1960s to bring the practice of illegal abortion in Victoria to an end. It documented the profound horror of the backyard abortion that so often ended in infection, sterility or death, and served as a potent reminder of a practice to which we must never return. Of course that cant happen again, abortion is legal now, isnt it? In Victoria in 1969 a Supreme Court judge ruled that an abortion is not unlawful if a doctor believed that: the abortion is necessary to preserve the woman from serious danger to her life or physical or mental health (Menhennit ruling). In Australia today however, abortion law remains conditional, unclear and inconsistent and, except in the ACT, is still part of criminal statutes. PMID:16969440

  8. Effectiveness of family planning policies: the abortion paradox.

    Nathalie Bajos

    Full Text Available The relation between levels of contraceptive use and the incidence of induced abortion remains a topic of heated debate. Many of the contradictions are likely due to the fact that abortion is the end point of a process that starts with sexual activity, contraceptive use (or non-use, followed by unwanted pregnancy, a decision to terminate, and access to abortion. Trends in abortion rates reflect changes in each step of this process, and opposing trends may cancel each other out. This paper aims to investigate the roles played by the dissemination of contraception and the evolving norms of motherhood on changes in abortion rates.Drawing data from six national probability surveys that explored contraception and pregnancy wantedness in France from 1978 through 2010, we used multivariate linear regression to explore the associations between trends in contraceptive rates and trends in (i abortion rates, (ii unwanted pregnancy rates, (iii and unwanted birth rates, and to determine which of these 3 associations was strongest.The association between contraceptive rates and abortion rates over time was weaker than that between contraception rates and unwanted pregnancy rates (p = 0.003. Similarly, the association between contraceptive rates and unwanted birth rates over time was weaker than that between contraceptive rates and unwanted pregnancy rates (p = 0.000.

  9. [Abortion among female students and employees of a Brazilian university].

    Hardy, E; Rebello, I; Faúndes, A


    In Brazil, the subject of induced abortion is controversial and considered by some to be a serious public health problem. On the other hand there are little data available as to its frequency and general characteristics. The difficulty encountered in obtaining reliable information is to be explained by the illegality of abortion that inhibits women from talking about their experience, and most studies are carried out in hospitals and thus succeed in identifying only those women who have complications. A study was carried out in 1990, involving all the female graduate students and employees of a Brazilian university. Data was obtained through a questionnaire that was returned by mail, anonymously. This paper presents some of the results relating to the frequency of miscarriage and abortion in this population. Significantly more students than employees were less than 25 years old (85% and 13.7% respectively); fewer students were married or in a common-law union (11% of students as against 56% of employees) and four times fewer students than employees had never been pregnant (15% and 65%). Nine percent of the students and 14% of the employees had had at least one abortion. When only sometime pregnant women were taken into consideration, over half the students (59%) and 20% of the employees had had an abortion. Differences between the two groups were maintained when considered by age, both for miscarriage and abortion. Students of less than 25 years of age presented the highest percentage of abortion. PMID:8278778

  10. Dworkin and Casey on abortion.

    Stroud, Sarah


    This article responds to two important recent treatments of abortion rights. I will mainly discuss Ronald Dworkin's recent writings concerning abortion: his article "Unenumerated rights: whether and how Roe should be overruled," and his book Life's Dominion. In these writings Dworkin presents a novel view of what the constitutional and moral argument surronding abortion is really about. Both debates actually turn, he argues, on the question of how to interpret the widely shared idea that human life is sacred. At the heart of the abortion debate is the essentially religious notion that human life has value which transcends its value to any particular person; abortion is therefore at bottom a religious issue. Dworkin hopes to use this analysis to show that the religion clauses of the First Amendment provide a "textual home" for a woman's right to choose abortion. I wish to scrutinize this suggestion here; I want to probe the precise consequences for abortion rights of such an understanding of their basis. I will argue that the consequences are more radical than Dworkin seems to realize. The other work I will examine here is the important 1992 Supreme Court decision on abortion, Planned Parenthood v. Casey. The controlling opinion in that case, written jointly by Justices Kennedy, O'Connor, and Souter, strongly reaffirmed Roe v. Wade, but also upheld most of the provisions of a Pennsylvania statute that had mandated various restrictions on abortion. The justices' basis for upholding these restictions was their introduction of a new constitutional standard for abortion regulations, an apparently weaker standard than those that had governed previous Supreme Court abortion decisions. I think there is a flaw in Casey's new constitutional test for abortion regulations, and I will explain, when we turn to Casey, what it is and why it bears a close relation to Dworkin's reluctance to carry his argument as far as it seems to go. PMID:11660187

  11. Psychiatric aspects of therapeutic abortion *

    Doane, Benjamin K.; Quigley, Beverly G.


    A search of the literature on the psychiatric aspects of abortion revealed poor study design, a lack of clear criteria for decisions for or against abortion, poor definition of psychologic symptoms experienced by patients, absence of control groups in clinical studies, and indecisiveness and uncritical attitudes in writers from various disciplines. A review of the sequelae of therapeutic abortion revealed that although the data are vague, symptoms of depression were reported most frequently, ...

  12. Frequency and characteristics of induced abortion among married and single women in São Paulo, Brazil Aborto provocado: sua dimensão e características entre mulheres solteiras e casadas da cidade de São Paulo, Brasil

    Rebeca de Souza e Silva; Elisabeth Meloni Vieira


    This article presents the results of a study in the city of São Paulo, Brazil, aimed at estimating the frequency of induced abortion among women 15 to 49 years of age. The objective was to characterize the occurrence of induced abortion by comparing the ideal number of children, age, and contraceptive use between married and single women. Based on random sampling, 1,749 interviews were held, including 764 married women, 658 single women, and 327 with other marital status. The analysis include...

  13. A Shiite perspective toward abortion

    Kiarash Aramesh


    Full Text Available All schools of Islamic jurisprudence regard abortion as wrong and forbidden and allow abortion only before the stage of ensoulment, if the continuation of pregnancy would endanger the mother's life or put her into intolerable difficulties. In this article we describe and assess the viewpoint of Shiite jurisprudence toward abortion. "nUsing a selected collection of related references, and discussion describes with experts, this article the abortion in Shiite jurisprudence."nIn the Shiite jurisprudence, the ensoulment occurs after about 4 months. Before this stage, all Shiite authorities regard abortion as forbidden (Hiram unless if continuing the pregnancy would put the mother's life in real danger or will be intolerable for her. But after that, they regard abortion as Hiram, unless in conditions in which continuing the pregnancy results in dying of both mother and fetus, but abortion will save the life of mother. However, the Shiite authorities have not accepted to legitimate abortion in unwanted pregnancies and even in pregnancies resulted from adultery (Zina or rape."nThe debate over abortion is still controversial as ever. There are some important and notable related Fatwas that make jurisprudical basis for some new and problem solving legal acts, showing the inherent and valuable flexibility of the Shiite jurisprudence in dealing with such important issues. Some related issues, such as the priority of saving the life of mother after ensoulment can be referred to jurisprudical authorities for more assessment.

  14. [Social hygiene aspects of abortion in Odessa].

    Zakharchenko, E M; Popov, V E


    The birth rate is a major concern in contemporary society today. Socialist countries having the material wherewithal and cultural wealth to maintain their populations have a genuine interest in population growth and maternity is therefore encouraged. The decision to have children lies with each individual family and does not involve society directly, except for the significant number of women who regulate their family size by having an abortion. In connection with the severity of such an intervention, a study of social and hygienic aspects of induced abortion was conducted in Odessa. The information was gathered anonymously among women who came to the gynecological department of a city hospital. 6.1% of the women were under age 20 and this figure may increase in the future. In the U.S. that figure already constitutes 1/3 of all abortions. 47.5% said they had had 3 previous abortions. 13.4% had no children, and 48.8% had 1 child. None of the women with no children thought of that as being the ideal. As reason for the abortion 31.7% gave irregular housing and living conditions, 12.2% unsatisfactory material well-being, 17.1% health reasons, 7.3% enough children already in the family, and 7.3% sickness of children and husband. In 24.4% of cases the husband was indifferent, and in 35.4% insisted on, and in 40.1% was against the woman having an abortion. 60% were thus probably poorly informed about the harmfulness of the operation. 39% of women did not use any contraception. Only 20% had received any information regarding contraceptives. Only 1/3 of obstetricians regularly instruct their patients about the use of contraceptives. Half of the nurses do not touch upon the subject due to lack of time and since instruction in birth control methods is not considered obligatory. Nevertheless it is important for women's health that during clinical examinations risk factors of abortion and the purposefulness of contraception are pointed out. PMID:3367727

  15. Misperceptions about contraceptives keep abortion incidence high in Ghana.


    Only 13% of couples in Ghana practiced contraception in 1988. During the period of nursing following childbirth, it is traditional for the new mother to abstain from sexual intercourse. She is subject to considerable social scorn should she conceive too soon after a previous delivery. Conceiving in short order, nonetheless, women long resorted to clandestine, unsafe abortions during the postpartum interval. The government of Ghana legalized the practice of induced abortion in 1985 so that women could limit their fertility in safety with registered and certified medical practitioners. The author studied 900 women seeking an induced abortion or reporting complications resulting from induced abortion performed outside a hospital setting to see why, in spite of high knowledge of contraception, Ghanaian women resort to abortion instead of using contraception. Subjects were recruited from the KorleBu Teaching Hospital in Accra, the Tema General Hospital of Tema, the Nsawam Hospital of Nsawam, and two abortion clinics in Accra. 55% were married, 25% were teenagers, and 56% were residents of Accra, while the rest were from rural areas. Among those who were married, 45% were the third wives. Most of the women had some formal education and some degree of economic independence. 99% knew of at least one method of contraception, only 21% had ever used a modern method, 6% had used a condom, 4% had used withdrawal sometimes, and 3% had used the rhythm method. The women reported not using modern contraceptives mainly because of the belief that they cause harmful side-effects. For example, it was commonly thought that the oral contraceptive pill causes infertility and withdrawal causes stroke in men. Women also viewed contraceptives as messy, complicated, and/or difficult to use. 54% said they decided to abort their fetus because the pregnancy was out of wedlock; single parenthood is stigmatized in Ghana. 25% decided to abort to better space their children. PMID:12287987

  16. The Impact of Legalized Abortion on Crime

    Donohue, John J, III; Steven D. Levitt


    We offer evidence that legalized abortion has contributed significantly to recent crime reductions. Crime began to fall roughly 18 years after abortion legalization. The 5 states that allowed abortion in 1970 experienced declines earlier than the rest of the nation, which legalized in 1973 with Roe v. Wade. States with high abortion rates in the 1970s and 1980s experienced greater crime reductions in the 1990s. In high abortion states, only arrests of those born after abortion legaliz...

  17. The Impact of Legalized Abortion on Crime

    Donohue, John J.; Levitt, Steven D.


    We offer evidence that legalized abortion has contributed significantly to recent crime reductions. Crime began to fall roughly 18 years after abortion legalization. The 5 states that allowed abortion in 1970 experienced declines earlier than the rest of the nation, which legalized in 1973 with Roe v. Wade. States with high abortion rates in the 1970s and 1980s experienced greater crime reductions in the 1990s. In high abortion states, only arrests of those born after abortion legalization fa...

  18. Reason and management for the failed early pregnancy termination induced by medical abortion%药物流产终止早孕失败的原因及处理



    Objective To explore the Reason and management methods for the failed early pregnancy termination induced by medical abortion.Methods 4 020 cases of early pregnant women were involved in this study and followed up who accepted medical abortion in the out-patient department.Results Among the 4 020 medical abortion cases,490 cases failed,with a failure rate of 12.19%,in which 66 cases had non-discharged gestational sac,and 424 cases had discharged gestational sac but remaining decidual.In the decidual remaining cases,140 cases of residual area<2 cm2 underwent drug curettage,successfully in 136 cases,all the rest accepted uterine curettage.Conclusion Failed medical abortion and previous pregnancy history,gestational sac diameter,there is a close relationship between menopause and position of uterus. Medroxyprogesterone decidual residue effectively.%  目的:探讨药物流产终止早孕失败的原因及处理方法.方法:对行药物流产的4020例早孕妇女进行观察随访.结果:4020例中,药物流产失败490例,失败率为12.19%,其中妊娠囊未排出者66例,有妊娠囊排出但蜕膜残留者424例,蜕膜残留者中选140例残留面积<2 cm2的行药物性刮宫,成功者136例,其余均行清宫术.结论:药物流产失败与既往有妊娠分娩史、妊娠囊直径、停经时间和子宫位置有密切关系.安宫黄体酮治疗蜕膜残留有效.

  19. Abortion - a philosophical perspective

    MN Jali


    The central issue in the abortion debate is the moral status of the conceptus. There are two positions that argue this issue. At one extreme are the views of the pro-life group which argues that human life begins at the moment of conception whilst at the other are views of the pro-choice group that argues in favour of a woman’s right to self-determination. Two basic principles come into conflict in this debate, namely the Value of Life and that of Self-determination. In this paper the argumen...

  20. Maternal mortality and morbidity of unsafe abortion in a university teaching hospital of Karachi, Pakistan

    Objective: To study the mortality and morbidity of unsafe abortion in a University Teaching Hospital. Methods: A cross-sectional, descriptive study was conducted in Department of Obstetrics and Gynaecology, Unit III, Dow Medical College and Civil Hospital Karachi from January 2005 to December 2009. Data regarding the socio demographic characteristics, reasons and methods of abortion, nature of provider, complications and treatment were collected for 43 women, who were admitted with complications of unsafe abortion, and an analysis was done. Results: The frequency of unsafe abortion was 1.35% and the case fatality rate was 34.9%. Most of the women belonged to a very poor socioeconomic group (22/43; 51.2%) and were illiterate (27/43; 62.8%). Unsafe abortion followed an induced abortion in 29 women and other miscarriages in 14 women. The majority of women who had an induced abortion were married (19/29, 65.5%). A completed family was the main reason for induced abortion (14/29; 48.2%) followed by being unmarried (8/29, 27.5%) and domestic violence in 5/29 cases (17.2%). Instruments were the commonest method used for unsafe abortion (26/43;68.4%).The most frequent complication was septicaemia (34; 79%) followed by uterine perforation with or without bowel perforation (13, 30.2%) and haemorrhage (9; 20.9%). Majority of induced abortions were performed by untrained providers (22/26; 84.6%) compared to only 3/14 cases (21.4%) of other miscarriages (p=0.0001). Conclusion: The high maternal mortality and morbidity of unsafe abortion in our study highlights the need for improving contraceptive and safe abortion services in Pakistan. (author)

  1. Comparison of medical abortion with surgical vacuum aspiration: women's preferences and acceptability of treatment.

    Henshaw, R C; Naji, S. A.; Russell, I T; Templeton, A A


    OBJECTIVES--To assess women's preferences for, and the acceptability of, medical abortion and vacuum aspiration in the early first trimester. DESIGN--Patient centred, partially randomised trial. Medical abortion was performed with mifepristone 600 mg followed 48 hours later by gemeprost 1 mg vaginal pessary. Vacuum aspiration was performed under general anaesthesia. SETTING--Teaching hospital in Scotland. PATIENTS--363 women undergoing legal induced abortion at less than nine weeks' gestation...

  2. Advice in the Abortion Decision

    Luscutoff, Sidney A.; Elms, Alan C.


    Subjects in this study were asked to report the number of contacts-for-advice they had made when forming decisions to have a therapeutic abortion, or to carry a pregnancy to term. As predicted, the abortion group differed strongly from both other groups on most questions. (Author)

  3. Birth, meaningful viability and abortion.

    Jensen, David


    What role does birth play in the debate about elective abortion? Does the wrongness of infanticide imply the wrongness of late-term abortion? In this paper, I argue that the same or similar factors that make birth morally significant with regard to abortion make meaningful viability morally significant due to the relatively arbitrary time of birth. I do this by considering the positions of Mary Anne Warren and José Luis Bermúdez who argue that birth is significant enough that the wrongness of infanticide does not imply the wrongness of late-term abortion. On the basis of the relatively arbitrary timing of birth, I argue that meaningful viability is the point at which elective abortion is prima facie morally wrong. PMID:25012846

  4. Comparative observation of primiparae undergone drug-induced abortion or artificial abortion on subsequent pregnancy%初产妇药物流产与人工流产术后对再妊娠影响的对比观察

    丘东海; 叶娉婷


    目的:比较初产妇药物流产后和人工流产术后对再妊娠的影响,为选择合适、安全的流产方式提供临床参考.方法:采用回顾性调查方法对135例有人工流产术史、126例有药物流产史及130例无流产史的初产妇进行比较,观察其妊娠期和分娩期并发症的发生情况以及妊娠结局.结果:妊娠期人流组先兆流产发生率明显高于药流组和无流产组,差异有统计学意义(χ2=14.993,P0.05).分娩期人流组产后出血、胎盘粘连和胎盘残留的发生率明显高于药流组和无流产组,χ2分别为22.146、12.211、9.387,P值均0.05).结论:初产妇药物流产后对再次妊娠影响小于人工流产术后,可考虑作为临床终止早孕的首先选择.%Objective :To observe the efforts of drug-induced aboition or aitifirial aboition for primiparous women on their subsequent pregnancies for cliniral evidence to determine a safe and adequate means for termination of pregnancy. Methods: Retrospective comparative study was performed in 135 primiparae undergone artificial aboition, 126 with drug-induced aboition history and 130 primiparity without aboition to examine outcomes of subsequent pregnancy and complications associated with gestation and delivery. Results : Higher incidence of threatened aboition during the gestation period was found in women undergone artificial aboition as compared with those with drug-induced aboition or without aboition history. The difference was significant ( x2 = 14. 993 , P 0. 05 ). Similarly, Mothers with a history of artificial aboition had significantly higher incidence of postpaitum hemorrhage, placenta! adherence and residual placenta in labor than those experienced drug-induced aboition or no aboition ( x2 - 22. 146, x2 -12.211, x2 - 9. 387 , respectively ,P 0. 05 ). Conclusion-. Ding-induced aboition for prhnigravidas seem to produce less effects on their subsequent pregnancies than artificial intervention, and may be recommended as

  5. Teenage pregnancies and abortion.

    Morgenthau, J E


    The issue of abortion, except when it is rendered moot because the fetus endangers the life of the mother, is not really a medical issue. The physician's role is to help patients achieve and maintain their maximum potential for physical, mental, and social well-being. To accomplish this, the physician must acquire a constantly evolving database of scientific knowledge, must evaluate this information in a critical and ethical manner, and must be prepared to apply what is learned. In the realm of applied ethics, no particular religion, profession, culture, class, or sex should be thought of as having all the answers in the realm of applied ethics. This physician's actions are predicated on the belief that, to a large extent, ethical precepts reflect the broader social and economic issues of the period in which they are articulated. If this is the case, then in today's world the population explosion, the postindustrial society, the women's rights movement, inequality of access, and the ability to perform prenatal diagnosis are all factors which have molded the approach to the issue of abortion. Only the last 3 of these can in any way be considered as medical. When considering the role of a physician in dealing with the issue of abortion in the adolescent, this individual relies on the concept articulated by the World Health Association (WHA): promoting the physical, emotional, and social well-being of one's patients. Each year in the US over 1 million 15-19 year olds become pregnant, resulting in over 600,000 births. Most of these pregnancies are unintentional, yet approximately 90% of the infants are kept in the home by mothers who are ill prepared to be parents. What is most disturbing is that the pregnancy rate for the younger mother, 16 years or under, is accounting for an ever increasing percentage of the total. Studies at the Adolescent Health Center of the Mount Sinai Hospital in New York City as well as national studies suggest that the younger teens are more

  6. Biblical views on abortion: an Episcopal perspective.

    Wilson-kastner, P; Blair, B


    perspective, this is a god-like decision. Any study of the tradition of the church over the centuries must deal with at least 2 related questions: the morality of the act of induced abortion; and the definition of the person. These are related, because if one does not believe that the fetus is a person until a certain age the act must be defined differently than if one considers the fetus a person from conception. PMID:12178933

  7. Interferon-γ promotes abortion due to Brucella infection in pregnant mice

    Suzuki Hiroshi


    Full Text Available Abstract Background The mechanisms of abortion induced by bacterial infection are largely unknown. In the present study, we investigated abortion induced by Brucella abortus, a causative agent of brucellosis and facultative intracellular pathogen, in a mouse model. Results High rates of abortion were observed for bacterial infection on day 4.5 of gestation, but not for other days. Regardless of whether fetuses were aborted or stayed alive, the transmission of bacteria into the fetus and bacterial replication in the placenta were observed. There was a higher degree of bacterial colonization in the placenta than in other organs and many bacteria were detected in trophoblast giant cells in the placenta. Intracellular growth-defective virB4 mutant and attenuated vaccine strain S19 did not induce abortion. In the case of abortion, around day 7.5 of gestation (period of placental development, transient induction of IFN-γ production was observed for infection by the wild type strain, but not by the virB4 mutant and S19. Neutralization of IFN-γ, whose production was induced by infection with B. abortus, served to prevent abortion. Conclusion These results indicate that abortion induced by B. abortus infection is a result of transient IFN-γ production during the period of placental development.

  8. [Abortion in Colombia. Medical, legal and socioeconomic aspects].

    Umaña, A O


    Abortion is a social problem and criminal sanctions are very ineffective in limiting it and are seldom applied (133 legal actions vs. 65,600 cases of induced abortion in 1965). Abortion is a social disease, as are prostitution, juvenile delinquency, drug abuse, and so far has been an insoluble problem. Colombian laws should be modified to reflect reality. Sex education must be emphasized, because ignorance is one of the main causes of abortion. Leniency should be applied toward women who cooperate with the authorities in identifying the person who performed an abortion. Legalization of abortion and enforcement of strict laws against it are considered as possible solutions, but both are rejected. The former is regarded as morally unacceptable and as imposing an excessive burden on scarce health services, the latter as even worse, imposing an equivalent burden on the court system, without s olving either health or social problems. The best and probably only solution is to improve education in family planning, to promote knowledge and motivation to enable the population to make sound and responsible decisions. PMID:4804875

  9. 口服短效避孕药对人工流产术后的影响%Effect of Oral Short Acting Contraceptives on Induced Abortion



    Objective To study the effect of immediate application of a short-acting oral contraceptive after abortion. Methods Women were randomly divided into observation group and control group, these cases of observation group immediately took a short-acting oral contraceptives and antibiotics to prevent infection after the abortion. These cases of control group were given antibiotics to prevent infection only.Results The vaginal bleeding time, blood loss, postoperative period after tide time, cervical spondylitis, pelvic inlfammatory disease, and again pregnancy in three months of cases of observation group were signiifcantly better than the control group (P<0.05).Conclusion The time of vaginal bleeding, postoperative vaginal bleeding volume and postoperative complications were shorten because of immediate application short-acting oral contraceptives, and the reliable contraceptive can reduce the repetition rate of artiifcial abortion.%目的:探讨人工流产术后即刻口服短效避孕药的影响。方法将在我院行人工流产妇女随机分为观察组和对照组,观察组人工流产后即给予妈富隆及抗生素预防感染治疗,对照组只给予抗生素预防感染治疗。结果观察组人工流产术后阴道出血时间、出血量、月经复潮时间、宫颈粘连、盆腔炎性疾病及3个月内再次妊娠均优于对照组(P<0.05)。结论行人工流产术后,即刻口服妈富隆可以缩短患者阴道流血时间、减少术后阴道流血量及术后并发症的发生,而且避孕效果可靠,减少重复人工流产率。

  10. 28 CFR 551.23 - Abortion.


    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Abortion. 551.23 Section 551.23 Judicial..., Pregnancy, Child Placement, and Abortion § 551.23 Abortion. (a) The inmate has the responsibility to decide either to have an abortion or to bear the child. (b) The Warden shall offer to provide each...

  11. New German abortion law agreed.

    Karcher, H L


    The German Bundestag has passed a compromise abortion law that makes an abortion performed within the first three months of pregnancy an unlawful but unpunishable act if the woman has sought independent counseling first. Article 218 of the German penal code, which was established in 1871 under Otto von Bismarck, had allowed abortions for certain medical or ethical reasons. After the end of the first world war, the Social Democrats tried to legalize all abortions performed in the first three months of pregnancy, but failed. In 1974, abortion on demand during the first 12 weeks was declared legal and unpunishable under the social liberal coalition government of chancellor Willy Brandt; however, the same year, the German Federal Constitution Court in Karlsruhe ruled the bill was incompatible with article 2 of the constitution, which guarantees the right to life and freedom from bodily harm to everyone, including the unborn. The highest German court also ruled that a pregnant woman had to seek a second opinion from an independent doctor before undergoing an abortion. A new, extended article 218, which included a clause giving social indications, was passed by the Bundestag. When Germany was unified, East Germans agreed to be governed by all West German laws, except article 218. The Bundestag was given 2 years to revise the article; however, in 1993, the Federal Constitution Court rejected a version legalizing abortion in the first 3 months of the pregnancy if the woman sought counsel from an independent physician, and suggested the recent compromise passed by the Bundestag, the lower house of the German parliament. The upper house, the Bundesrat, where the Social Democrats are in the majority, still has to pass it. Under the bill passed by the Bundestag, national health insurance will pay for an abortion if the monthly income of the woman seeking the abortion falls under a certain limit. PMID:7613423

  12. Motivos e circunstâncias para o aborto induzido entre mulheres vivendo com HIV no Brasil Motives and circumstances surrounding induced abortion among women living with HIV in Brazil

    Wilza Vieira Villela


    Full Text Available O impacto da infecção pelo HIV/Aids na decisão de interromper uma gravidez entre mulheres vivendo com HIV/Aids é ainda um tema pouco estudado. Visando entender como a infecção pelo HIV/Aids interfere na prática do aborto foi realizado estudo qualitativo em sete municípios brasileiros com mulheres portadoras desse vírus que haviam induzido um aborto em algum momento da vida. Este trabalho apresenta a análise das entrevistas de 30 mulheres que engravidaram após o diagnóstico. Os resultados mostram que para algumas a infecção foi o principal motivo de interrupção da gravidez, enquanto que para outras estiveram referidos a outras circunstâncias da vida. A decisão de abortar após o diagnóstico da infecção pelo HIV não é igual para todas as mulheres, e é influenciada pelo momento do diagnóstico e os demais aspectos da vida, como a relação com o parceiro, a inserção de trabalho e o suporte familiar. Os resultados sugerem a necessidade de atenção dos serviços de saúde quanto às decisões reprodutivas das mulheres vivendo com HIV/Aids; de incorporação dos homens nas ações preventivas de saúde sexual e reprodutiva e do aprofundamento da discussão sobre a ilegalidade do aborto no país e suas danosas consequências para mulheres, homens e crianças.The impact of HIV/AIDS infection on the decision of women living with HIV/AIDS to interrupt a pregnancy remains an understudied topic. In an effort to understand the influence of HIV/AIDS diagnosis on abortion practices, a qualitative study was carried out in seven Brazilian municipalities with women living with HIV/AIDS who reported inducing an abortion at some point in their lives. This study presents the analysis of interviews with thirty women who became pregnant after diagnosis. The results show that for some women, infection was the primary motive for terminating their pregnancy, while for others, the motives for abortion were predominantly related to life

  13. Frequency and characteristics of induced abortion among married and single women in São Paulo, Brazil Aborto provocado: sua dimensão e características entre mulheres solteiras e casadas da cidade de São Paulo, Brasil

    Rebeca de Souza e Silva


    Full Text Available This article presents the results of a study in the city of São Paulo, Brazil, aimed at estimating the frequency of induced abortion among women 15 to 49 years of age. The objective was to characterize the occurrence of induced abortion by comparing the ideal number of children, age, and contraceptive use between married and single women. Based on random sampling, 1,749 interviews were held, including 764 married women, 658 single women, and 327 with other marital status. The analysis included: mean number of abortions per woman by analysis of variance and proportions of abortions and pregnancy, using the chi-square test. The mean abortion rate for married women (45 per thousand did not differ statistically from that of single women. However, the pregnancy rate was much lower in single women, and when single women became pregnant they used abortion more frequently; while fewer than 2% of pregnancies in married women ended in induced abortions, among single women the abortion rate exceeded 18%. Therefore, the priority in the reproductive health field should be to invest in the supply and dissemination of appropriate contraceptive methods for women's early sexually active life.Apresenta-se uma pesquisa realizada na cidade de São Paulo, Brasil, para dimensionar o aborto provocado entre mulheres de 15 a 49 anos. O objetivo é caracterizar a ocorrência do aborto provocado analisando o número ideal de filhos, idade e uso de contraceptivos comparando-se as casadas e solteiras. Mediante sorteio aleatório foram realizadas 1.749 entrevistas, sendo 764 com mulheres casadas, 658 com solteiras e 327 de outras categorias maritais. A análise inclui: a média de abortos por mulher, por meio de análise de variância e proporções de aborto e de gestação, usando-se o teste do qui-quadrado. Verificou-se que a média de abortos, 45 por mil, por mulheres casadas não difere da das solteiras. No entanto, as solteiras engravidam numa escala muito menor e, ao

  14. The Development of Instruments to Measure Attitudes toward Abortion and Knowledge of Abortion

    Snegroff, Stanley


    This study developed an abortion attitude scale and abortion knowledge inventory that may be utilized by health educators, counselors, and researchers for assessing attitudes toward abortion and knowledge about it. (SK)

  15. Abortion and Crime: A Review

    Theodore J. Joyce


    Ten years have passed since John Donohue and Steven Levitt initially proposed that legalized abortion played a major role in the dramatic decline in crime during the 1990s. Criminologists largely dismiss the association because simple plots of age-specific crime rates are inconsistent with a large cohort affect following the legalization of abortion. Economists, on the other hand, have corrected mistakes in the original analyses, added new data, offered alternative tests and tried to replicat...

  16. Kvinners reaksjoner etter spontan abort


    Background: Approximately 15 percent of all verified pregnancies end in miscarriage. It is known that spontaneous abortion often cause psychological distress. The women are at risk of suffering from grief, anxiety, depression and other psychological symptoms. Psychological symptoms could persist for years after the miscarriage and there is frequently no routine to identify psychiatric morbidity among the women. Research has been conducted to identify the consequences of abortion, but the stud...

  17. "Abortion? That's for women!" Narratives and experiences of commercial motorbike riders in south-western Uganda.

    Nyanzi, Stella; Nyanzi, Barbara; Bessie, Kalina


    Although constitutionally illegal, induced abortion is a vital reproductive health option in Uganda. This paper analyses men's narratives about meanings of, and experiences with, abortion. Men play significant roles in abortion as instigators, facilitators, collaborators, transporters, advisors, informers, supporters or punishment givers. Many participants were knowledgeable about abortion. Attitudes were ambivalent, with initial reactions of denial and relegation of abortion to women's private domains. Further exploration, however, revealed active support and involvement of men. Interpretations of abortion ranged from 'dependable saviour' to 'deceptive sin'. Though a private action, abortion is socially scripted and often collectively determined by wider social networks of kinsmen, the community, peers, law and religion. A disjuncture exists between dominant public health discourse and the reality of local men who interact with women and girls as wives, lovers, sex sellers, mothers, daughters and sisters. Interventions targeting men about abortion should include safe sex education, provide safe abortion services and create stronger social support mechanisms. Policy and law should incorporate local knowledge and practice. PMID:16104664

  18. Abortion - a philosophical perspective

    MN Jali


    Full Text Available The central issue in the abortion debate is the moral status of the conceptus. There are two positions that argue this issue. At one extreme are the views of the pro-life group which argues that human life begins at the moment of conception whilst at the other are views of the pro-choice group that argues in favour of a woman’s right to self-determination. Two basic principles come into conflict in this debate, namely the Value of Life and that of Self-determination. In this paper the arguments forwarded by each group in justification of its position are presented. Also discussed is the moderate developmental viewpoint which accepts that the genetic basis of an individual is established at conception. Some development, however, has to occur before the conceptus can be called a person. The fact that an entity is a potential person is a prima facie reason for not destroying it. On the other hand, we need not conclude that a person has a right to life by virtue of that potentiality. Simultaneously we should recognise that the right a potential entity has, may be nullified by the woman’s right to self-determination.

  19. [Sexual violence in Congo-Kinshasa: necessity of decriminalizing abortion].

    Kalonda, J C Omba


    The sexual violence's committed in the Democratic Republic of Congo (DRC) are from their scales and consequences on women, real public health, politico-legal, and socio-economical challenges. More than a million of women have been victims of sexual violence on a period of less than fifteen years. Systematic rapes of women were used as war weapon by different groups involved in the Congolese war. Sexual violence against women has impacted public health by spreading sexually transmissible diseases including HIV/AIDS, causing unwanted pregnancies, leading to the gynaecological complications of rape-related injuries, and inflicting psychological trauma on the victims. Despite high level of unwanted pregnancies observed, the Congolese law is very restrictive and interdict induced abortion. This paper presents three arguments which plead in favour of legalizing abortion in DRC: 1) a restrictive law on abortion forces women to use unsafe abortion and increase incidence of injuries and maternal mortality ; 2) DRC has ratified the universal Declaration of human rights, the African union charter, and has than to promote equality between sexes, in this is included women reproductive rights; 3) an unwanted birth is an additional financial charge for a woman, a factor increasing poverty and psychologically unacceptable in case of rape. From the politico-legal point of view, ending rape impunity and decriminalizing abortion are recommended. Decriminalizing abortion give women choice and save victims and pregnant women from risks related to the pregnancy, a childbirth, or an eventual unsafe abortion. These risks increase the maternal mortality already high in DRC (between 950 and 3000 for 100000 live births). PMID:23167138

  20. House subcmte. tightens abortion language.


    Medicaid would help pay for abortion in fewer circumstances under the fiscal 1979 Department of Health, Education, and Welfare (HEW), appropriations bill approved May 4, 1978, by the House HEW Appropriations Subcommittee than it did in 1978. The new language would permit the funding only if the mother's life would be endangered if the pregnancy were carried to term. Current law permits abortion payments for this reason; if pregnancy results from rape or incest, or if the birth would cause the mother severe and long-lasting physical damage. Behind the scenes pressure probably will be applied to resolve the issue quickly this year since all House members are up for reelection and do not want to have such a sensitive issue intruding on their campaigns. 1 strategy being discussed is the inclusion of riders that would directly or indirectly provide federal funds for abortions in other appropriation measures such as funding for the Defense Department and federal employees health benefits. The House will have to contend with Senator Brooke (R-Massachusetts) ranking minority member on the Senate HEW Appropriations Subcommittee, who is determined to stand firm in favor of liberal abortion funding. With only minimal opposition for his Senate seat this year, Senate staffers say Brooke is not concerned with the possibility of abortion becoming a major campaign issue. It was Brooke who forced the House's hand last year and obtained a more relaxed abortion curb, much to the chagrin of the Carter Administration. The White House, with the President's popularity at a low ebb, would prefer not to be put in a position of taking sides publicly although it prefers the strict curbs. Carter is currently deciding which House members to assist during the campaign and such a no-win issue would only serve to complicate matters. He will have enough of a problem reconciling health spending increases without the added burden of abortion. PMID:12335662

  1. Grief and Mourning Reactions Following Abortion and Miscarriage.

    Widener, Anmarie J.


    Explores current research on psychological reactions following induced and spontaneous abortions. Provides examples of studies wherein researchers have used a loss model to understand this experience. Explores possible reasons for the apparent inattention to grief reactions following this type of loss and offers an alternative approach to the loss…

  2. Degloving Injury of Bowel: An Unheard Complication of Surgical Abortion

    Jain, Sandhya; Suneja, Amita; Guleria, Kiran


    Unsafe abortion is one of the leading causes of maternal mortality. Various types of intestinal injury in form of haematoma, perforation, contusion and transection have been reported. Degloving injury of intestine is one of the rarest complications. We report a case of 32-year-old lady Gravida 4, para 3 admitted with history of induced surgical abortion by a quack with degloving injury to bowel. Though there was no fecal soiling of peritoneal cavity but large segment of bowel was lost. She was managed by end ileostomy and discharged in stable condition.

  3. Design and test of the RHIC CMD10 abort kicker

    Hahn, H. [Brookhaven National Lab. (BNL), Upton, NY (United States); Blaskiewicz, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Drees, A. [Brookhaven National Lab. (BNL), Upton, NY (United States); Fischer, W. [Brookhaven National Lab. (BNL), Upton, NY (United States); Mi, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Meng, W. [Brookhaven National Lab. (BNL), Upton, NY (United States); Montag, C. [Brookhaven National Lab. (BNL), Upton, NY (United States); Pai, C. [Brookhaven National Lab. (BNL), Upton, NY (United States); Sandberg, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Tsoupas, N. [Brookhaven National Lab. (BNL), Upton, NY (United States); Tuozzolo, J. E. [Brookhaven National Lab. (BNL), Upton, NY (United States); Zhang, W. [Brookhaven National Lab. (BNL), Upton, NY (United States)


    In recent RHIC operational runs, planned and unplanned pre-fire triggered beam aborts have been observed that resulted in quenches of SC main ring magnets, indicating a weakened magnet kick strength due to beam-induced ferrite heating. An improvement program was initiated to reduce the longitudinal coupling impedance with changes to the ferrite material and the eddy-current strip geometry. Results of the impedance measurements and of magnet heating tests with CMD10 ferrite up to 190°C are reported. All 10 abort kickers in the tunnel have been modified and were provided with a cooling system for the RUN 15.

  4. Knowledge and feelings of women who experienced an abortion process

    Tereza Cristina Vidal Menezes; Francisca Elisângela Teixeira Lima; Karla Maria Carneiro Rolim


    Objective: To identify the knowledge and feelings of women in face of the loss of their child by an abortion process. Methods: It was a descriptive study, with a qualitative approach, carried out in a maternity-school of Fortaleza-CE. Ten women, in the age group between 22 and 39 years, who had been interned at the maternity after induced or spontaneous abortion, joined in the study. Data collection was performed with a semi-structured interview containing guiding questions related to the kno...

  5. Abortion and the law: the Supreme Court, privacy, and abortion.

    Marsh, F H


    This article examines the impact of the continuing politicization of the abortion issue in the US on the rights of women and on the emerging concept of fetal rights. The introduction 1) attributes the "final and total politicization" of a woman's right to control her reproduction to the "undue burden" standard introduced by the Supreme Court in its 1992 Casey decision and 2) claims that, if unchecked, the concept of fetal rights may give the state's interest in protecting potential life supremacy over women's rights. The next section presents an in-depth discussion of the politicization of the right to abortion that covers such topics as how the courts before Casey became the forum for debating abortion policy, how the "undue burden" standard fails to set definite parameters of acceptable state behavior, how the Casey decision in effect abandons the trimester-based framework of reference provided in Roe vs. Wade, how Casey allows states to subtly coerce women seeking abortions, how the Casey decision failed to reduce the intense politicization of abortion, and how the court failed to protect individual rights to health care and abortion funding from states. Part 3 of the article begins its exploration of the concept of "fetal rights" with a sketch of the history of this concept in the US courts starting in 1884 when damages for miscarriage were denied. Ways in which fetal rights compete with the rights of a pregnant woman are described, the Supreme Court is blamed for allowing states to develop this concept, and issues of patient confidentiality versus reporting requirements are considered. It is concluded that the Supreme Court will have to act to limit fetal rights. PMID:12348324

  6. Second trimester abortion- mifepristone and misoprostol or misoprostol alone?

    Uday Patel


    Full Text Available Background: From historical times termination of pregnancy was practiced with or without legal and social sanctions. Over the last few years, induced abortions have gained more popularity because of safe techniques and medications available. Induced abortion means willful termination of pregnancy before the period of viability. Medical abortion in the second trimester with misoprostol alone has been shown to be affective, although in comparison with the combination of mifepristone and misoprostol, misoprostol-only protocols have required higher doses, side effects are more common and the time to complete the abortion is longer. Methods: Total of 50 eligible women were enrolled for this study and were divided in two groups of 25 each of the case group and control group. This study was conducted in the Dhiraj General Hospital, Piparia, Waghodia. Women in the case group were given Tablet Mifepristone (200 mg orally followed by Tablet Misoprostol (200 mcg vaginally after 24 hours which may be repeated every 6 hrs till 5 doses. Women in control group were given Tablet Misoprostol (200 mcg vaginally which may be repeated every 6 hrs till 5 doses. Results: The combination of mifepristone and misoprostol is now an established and highly effective and safe method for medical method second trimester abortion. The combination of mifepristone with misoprostol significantly reduces the abortion to induction interval and also have fewer side effects and complications and also reduces the dose of misoprostol. Where mifepristone is not available or affordable, misoprostol alone has also been shown to be effective, although a higher total dose is needed and efficacy is lower than for the combined regimen. Therefore, whenever possible, the combined regimen should be used. Conclusions: Mifepristone followed by misoprostol was more effective and has a shorter IAI and fewer side effects. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000: 315-319

  7. Group A Streptococcus Endometritis following Medical Abortion

    Gendron, Nicolas; Joubrel, Caroline; Nedellec, Sophie; Campagna, Jennifer; Agostini, Aubert; Doucet-Populaire, Florence; Casetta, Anne; Raymond, Josette; Poyart, Claire; Kernéis, Solen


    Medical abortion is not recognized as a high-risk factor for invasive pelvic infection. Here, we report two cases of group A Streptococcus (GAS; Streptococcus pyogenes) endometritis following medical abortions with a protocol of oral mifepristone and misoprostol.

  8. Unsafe abortion in urban and rural Tanzania: method, provider and consequences

    Rasch, Vibeke; Kipingili, Rose


    OBJECTIVE: To describe unsafe abortion methods and associated health consequences in Tanzania, where induced abortion is restricted by law but common and known to account for a disproportionate share of hospital admissions. METHOD: Cross-sectional study of women admitted with alleged miscarriage......: 278 in rural Tanzania and 473 in urban Tanzania. Women who had undergone a clandestinely induced abortion were identified by an empathetic approach and interviewed in detail about the procedure. Information about complications was obtained from the patient file. RESULTS: Sixty-two per cent in rural...

  9. De novo transcriptome sequencing and gene expression analysis reveal potential mechanisms of seed abortion in dove tree (Davidia involucrata Baill.)

    Li, Meng; Dong, Xujie; Peng, Jiqing; Xu, Wen; Ren, Rui; Liu, Jane; Cao, Fuxiang; Liu, Zhiming


    Background Dove tree (Davidia involucrata Baill.) is a rare and endangered species. Natural reproduction of dove tree is extremely difficult due to its low fecundity. Serious seed abortion is one of the key factors restraining its sexual reproduction. Understanding the inducements of seed abortion is critical for addressing the issue of offspring production and the survivability of such an endangered species. However, studies on the molecular mechanism of seed abortion in woody plants are lac...

  10. Abortion counseling and the school counselor.

    Duncan, J A; Moffett, C F


    The Supreme Court decision of January 22, 1973, legalizing abortion now requires school counselors to examine both their personal and professional positions on abortion information and abortion counseling. To date a review of school counseling literature reveals a failure to deal with abortion as a counseling issue. Also, schools have failed to develop official policies regarding abortion counseling and the distribution of abortion information. The counselors who have provided abortion information to date have done so at the request of a student or parent rather than by making the information generally available. A study in 1973 in Virginia, however, revealed that Virginia counselor educators believed that there was a need for counselors in training to be exposed to abortion information as part of their formal training experience. Generally, today's present exposure to abortion information makes it impossible for counselors to continue to ignore a growing demand for both abortion information and counseling. School counselors must deal with the following questions: 1) What course of action should school counselors take when a pregnant young seeks counseling on alternatives to pregnancy continuation? 2) What is the counselor's professional role in abortion counseling with respect to his or her personal feelings and beliefs? 3) What kind of training if any should school counselors receive regarding abortion counseling? 4) Is there a need for in-service training on abortion counseling for school counselors? 5) Should various professional organizations develop materials that would assist their members in providing abortion counseling? 6) Should institutions such as schools, churches, and community agencies establish policies concerning abortion counseling? Although the answers are not simple, the school counselors and their professional organizations must begin to develop the answers in order to provide good counseling services to young women exercising their right to

  11. Abortion in Iranian legal system: a review.

    Mahmoud Abbasi; Ehsan Shamsi Gooshki; Neda Allahbedashti


    Abortion traditionally means, "to miscarry" and is still known as a problem which societies has been trying to reduce its rate by using legal means. Despite the pregnant women and fetuses have being historically supported; abortion was firstly criminalized in 1926 in Iran, 20 years after establishment of modern legal system. During next 53 years this situation changed dramatically, so in 1979, the time of Islamic Revolution, aborting fetuses before 12 weeks and therapeutic abortion (TA) durin...

  12. Abortion, Moral Maturity and Civic Journalism.

    Patterson, Maggie Jones; Hall, Megan Williams


    Contributes to rhetoric, moral reasonings scholarship, and journalism scholarship by examining public rhetoric on abortion and American popular media coverage (1940s to 1990s). Finds that the feminine means of moral reasoning has emerged into the foreground of discourse on abortion. Compares emergence of a common-ground rhetoric on abortion with a…

  13. Remembering Aborted Foetuses in a Japanese Shrine

    Macfarlane, Alan


    In a shrine beside a temple in Kyoto there are a large number of small effigies. They commemorate aborted foetuses. In the absence of proper contraception, the Japanese for centuries have had to use abortion and, in the past, infanticide to control their population. These 'water children' (who return to the water world at abortion) are a source of great sadness in Japan.

  14. The politics of unsafe abortion in Burkina Faso: the interface of local norms and global public health practice.

    Storeng, Katerini T; Ouattara, Fatoumata


    In Burkina Faso, abortion is legally restricted and socially stigmatised, but also frequent. Unsafe abortions represent a significant public health challenge, contributing to the country's very high maternal mortality ratio. Inspired by an internationally disseminated public health framing of unsafe abortion, the country's main policy response has been to provide post-abortion care (PAC) to avert deaths from abortion complications. Drawing on ethnographic research, this article describes how Burkina Faso's PAC policy emerged at the interface of political and moral negotiations between public health professionals, national bureaucrats and international agencies and NGOs. Burkinabè decision-makers and doctors, who are often hostile to induced abortion, have been convinced that PAC is 'life-saving care' which should be delivered for ethical medical reasons. Moreover, by supporting PAC they not only demonstrate compliance with international standards but also, importantly, do not have to contend with any change in abortion legislation, which they oppose. Rights-based international NGOs, in turn, tactically focus on PAC as a 'first step' towards their broader institutional objective to secure safe abortion and abortion rights. Such negotiations between national and international actors result in widespread support for PAC but stifled debate about further legalisation of abortion. PMID:25132157

  15. Inhibitory effect of progesterone on the lactogenic and abortive action of prostaglandin F2alpha.

    Vermouth, N T; Deis, R P


    The effect of ovariectomy, progesterone and prolactin treatment on the action of prostaglandin F2alpha (PGF2alpha) was determined in pregnant rats. PGF2alpha (150 mug times 2) injected i.p. on day 1. or 18 of pregnancy induced lactogenesis about 25 h later and abortion on days 20 and 21 of pregnancy. Treatment with PGF2alpha (100 mug times 2 or 50 mug times 2) on day 19 induced lactogenesis around 22 or 38 h later, respectively, and abortion on day 21. PHF2alpha treatment on day 17 was less effective. Unilateral ovariectomy on day 17 of pregnancy induced lactogenesis 32 h later but not abortion. PGF2alpha (150 mug times 2) given on the day of surgery advanced lactogenesis 12 h and rats aborted on day 19. Bilateral overiectomy on day 17 induced abortion between days 20 to 21, but if a single dose of PGF2alpha (300 mug) was injected on day 18. all the ovariectomized rats aborted on day 19. Progesterone (10 mg) injected into rats treated with PGF2alpha (150 mug times 2) on day 18, prevented abortion and delayed lactogenesis. Prolactin (1 mg times 4) treatment delayed only abortion. Serum prolactin levels were significantly higher 12 h after the last dose of PGF2alpha (150 mug times 2) in rats treated on days 17, 18 or 19 of pregnancy. Pretreatment with progesterone prevented the rise in prolactin concentration. These result suggest that the lactogenic and abortive action of PGF2alpha may be dependent on the uterine and plasma concentration of progesterone. PMID:1165437

  16. Observation Effect of Mental Nursing And Anxirty in Patients With Induced Abortion%再次人工流产患者的心理焦虑情绪及心理护理效果观察



    目的:探讨心理护理对再次人工流产患者的心理焦虑情绪及护理效果的影响。方法随机选取2011年4月~2014年3月在我院行再次人工流产手术的妇女80例作为研究对象,观察组手术前后实施心理护理,对照组实施常规的临床护理观察,观察两组患者的护理的效果。结果干预后,观察组的SAS评分下降,P<0.05,差异具有统计学意义。心理干预后,观察组的疼痛程度降低,P<0.05,差异具有统计学意义。结论对再次人工流产患者实施心理护理可以有效地改善患者的心理焦虑情绪,提高患者的满意程度,具有良好的临床护理效果。%Objective To explore the effect of psychological nursing on the psychological anxiety and nursing effect of patients with induced abortion. Methods Selected 80 women from April 2011 to March 2014 in our hospital as the research object, and the observation group was given psychological nursing before and after operation.ResultsAfter the intervention, the SAS score of the observation group was signiifcantly decreased,P<0.05, the difference was statistically signiifcant. The pain of the patients in the observation group was significantly lower,P<0.05, the difference was statistically signiifcant.Conclusion The implementation of psychological care in patients with artiifcial abortion can effectively improve the patient's psychological anxiety, improve patient satisfaction.

  17. Sundhedspersonales holdninger til sene provokerede aborter varierer

    Christensen, Anne Vinggaard; Petersson, Birgit


    Internationale undersøgelser viser, at sene provokerede aborter skaber en større bekymring hos sundhedspersonale end tidlige aborter. Den største bekymring er risikoen for, at det aborterede foster udviser livstegn efter fødslen. Undersøgelser peger desuden på, at indikationen for abort, religiøs...... tilknytning og fagligt tilhørsforhold påvirker holdningerne. Antallet af sene provokerede aborter stiger i takt med, at fosterdiagnostikken udvikles, og der er derfor behov for forskning, der kan kaste lys over, hvordan det danske sundhedspersonale forholder sig til sene provokerede aborter....

  18. The Expressions of P53, MDM2 in Trophoblasts of Spontaneous Abortion Mouse Model and the Relevant Researches

    Chunlan Zhou; Qian Wang; Menghuan Zeng; Liping Cheng; Xiaoyun Xie


    Objective: To explore the mRNA expression of the related genes of p53, MDM2, vascular endothelial growth factor (VEGF) and hypoxia inducible transcription factors-1 a (HIF-la) in villous samples of spontaneous abortion mouse models and normal pregnancy models, and to discuss the effect of p53, MDM2 on the growth of villous trophoblast cells. Methods: The abortion-prone CBAXDBA/2 matings were established as the model of spontaneous abortion and the non-abortion-prone CBA...

  19. Características sociodemográficas de la interrupción voluntaria del embarazo en Andalucía: diferencias entre población autóctona y extranjera Sociodemographic characteristics of induced abortions in Andalusia (Spain: differences between native and foreign populations

    Miguel Ruiz-Ramos


    Full Text Available Objetivos: Describir las variables asociadas con la interrupción voluntaria del embarazo en Andalucía y las diferencias entre población autóctona y extranjera. Material y métodos: Estudio poblacional transversal. Se ha unido el fichero de partos con el de interrupción voluntaria del embarazo y se ha creado un fichero único del periodo 2007-2010. Mediante modelos de regresión logística binaria, utilizando como variable dependiente si el embarazo terminó en parto o aborto voluntario y como independientes el año, la provincia de residencia, el número de hijos previo, el nivel de instrucción, la convivencia y la nacionalidad, se han calculado las odds ratios crudas y ajustadas con sus intervalos de confianza del 95%, para mujeres autóctonas y extranjeras. Con las poblaciones del padrón se calcularon las tasas correspondientes. Resultados: Se produjeron 460.715 embarazos, de los cuales un 17% terminó en aborto voluntario y un 83% en parto. Las variables que más influyeron en el riesgo de abortos voluntarios en las mujeres autóctonas y extranjeras fueron tener tres o más hijos (OR=23,06, ser menor de 25 años (OR=19,53, vivir sola (OR=10,04 y ser extranjera (OR=3,95, en especial africana. Las tasas de abortos voluntarios, de fecundidad y de fertilidad fueron mayores en las extranjeras que en las andaluzas, con un aumento de los abortos y un descenso de la fertilidad y de la fecundidad. Conclusiones: El mayor riesgo de abortar voluntariamente en Andalucía lo presentan mujeres jóvenes, con hijos, que no conviven en pareja, con estudios secundarios y extranjeras, en especial procedentes de África subsahariana y con residencia en la provincia de Huelva.Objectives: To describe the variables associated with induced abortions in Andalusia (Spain and the differences between native and foreign populations. Material and methods: A cross-sectional population-based study was carried out. The files on deliveries and induced abortions were

  20. “Sometimes they used to whisper in our ears”: health care workers’ perceptions of the effects of abortion legalization in Nepal


    Background Unsafe abortion has been a significant cause of maternal morbidity and mortality in Nepal. Since legalization in 2002, more than 1,200 providers have been trained and 487 sites have been certified for the provision of safe abortion services. Little is known about health care workers’ views on abortion legalization, such as their perceptions of women seeking abortion and the implications of legalization for abortion-related health care. Methods To complement a quantitative study of the health effects of abortion legalization in Nepal, we conducted 35 in-depth interviews with physicians, nurses, counsellors and hospital administrators involved in abortion care and post-abortion complication treatment services at four major government hospitals. Thematic analysis techniques were used to analyze the data. Results Overall, participants had positive views of abortion legalization – many believed the severity of abortion complications had declined, contributing to lower maternal mortality and morbidity in the country. A number of participants indicated that the proportion of women obtaining abortion services from approved health facilities was increasing; however, others noted an increase in the number of women using unregulated medicines for abortion, contributing to rising complications. Some providers held negative judgments about abortion patients, including their reasons for abortion. Unmarried women were subject to especially strong negative perceptions. A few of the health workers felt that the law change was encouraging unmarried sexual activity and carelessness around pregnancy prevention and abortion, and that repeat abortion was becoming a problem. Many providers believed that although patients were less fearful than before legalization, they remained hesitant to disclose a history of induced abortion for fear of judgment or mistreatment. Conclusions Providers were generally positive about the implications of abortion legalization for the country

  1. Lokal østrogen-fobehandling reducerer aborttiden ven prostaglandin E1 analog-induceret abort i 2. trimester

    Petersen, Lone Kjeld; Uldbjerg, N; Allen, J G


    Twenty-eight patients (median gestational age 17 weeks) referred for induction of second trimester abortion, were randomized to intracervical preliminary treatment by either 50 mg 17 beta-oestradiol or placebo. Abortion was then induced by 1 mg prostaglandin E1 vagitories. The preliminary treatment...

  2. A Clinical Study on Management of Incomplete Abortion by Manual Vacuum Aspiration (MVA

    Arifa Akter Jahan


    Full Text Available Background: Abortion is an important social and public health issue. In Bangladesh complication from unsafe abortion is one of the leading causes of maternal mortality. It is a serious health problem. World Health Organisation estimates that 14% of maternal deaths which occur every year in the countries of South Asia including Bangladesh are due to abortion. Study shows manual vacuum aspiration procedure is safe and effective in incomplete abortion. Very few clinical trials were carried out in Bangladesh to assess the safety and effectivity of manual vacuum aspiration in managing incomplete abortion. Objective: To find out the outcome of manual vacuum aspiration in the management of patients of incomplete abortion. Materials and Methods: This observational descriptive study was conducted in the department of Obstetrics & Gynaecology, Dhaka Medical College & Hospital from June to December, 2004. One hundred cases of diagnosed incomplete abortion up to 12 weeks of gestation were managed by manual vacuum aspiration during this period. A data recording sheet was designed for this purpose. Haemodynamically stable patients with no history of induced abortion and fever were enrolled. Results: Procedure time of manual vacuum aspiration was short, average duration was 7 minutes. Bleeding was minimum (20-30 mL in 67% cases and weighted mean was 29.80 mL. Eighty three percent patients were stable during the procedure and only 3% needed blood transfusion. Nonnarcotic analgesics were used in 59% cases and 33% needed only proper counselling. Average duration of hospital stay was 2 hours. Effectiveness of the procedure was about 98% with very low post procedure complication rate (2%. Conclusion: MVA procedure is a safe and effective technique of uterine evacuation in incomplete abortion. It is quick, less expensive, effective and less painful. Hospital stay and chance of perforation of uterus is less. So this procedure should be considered by health care

  3. [Psychological perspectives of abortion care -- when, what and how can psychotherapeutic assistance help during pregnancy termination].

    Sz Makó, Hajnalka


    Research data on the psychological consequences of induced abortion show that almost 20 per cent of women are affected by related, long term psychological complications such as anxiety disorders, depression and PTSD. The aim of this review is to summarise support possibilities which are significant to prevent recurrent abortions and psychiatric problems following surgical interventions. Besides acute crisis management, the primary tasks of psychological interventions must also include screening women at high risk of later psychological problems and recurring abortions, supporting bereavement work when experience of loss emerges; as well as professional psychotherapeutic assistance in cases of complicated grief. PMID:25569831

  4. Rejoinder to Wisniewski on Abortion

    Walter E. Block


    Full Text Available I have published more than just a few papers on the abortion issue. Instead of taking either the pro choice or the pro life position, I offer a third alternative: evictionism. I claim that this perspective, which, as it happens is a principled compromise between the other two positions, is the only one compatible with libertarianism. Wisniewski (2010 offers several not unreasonable challenges to my thesis. The present paper is my attempt to refute each and every one of them.

  5. Rejoinder to Wisniewski on Abortion

    Walter E. Block


    I have published more than just a few papers on the abortion issue. Instead of taking either the pro choice or the pro life position, I offer a third alternative: evictionism. I claim that this perspective, which, as it happens is a principled compromise between the other two positions, is the only one compatible with libertarianism. Wisniewski (2010) offers several not unreasonable challenges to my thesis. The present paper is my attempt to refute each and every one of them.

  6. Expectant Fathers, Abortion, and Embryos.

    Purvis, Dara E


    One thread of abortion criticism, arguing that gender equality requires that men be allowed to terminate legal parental status and obligations, has reinforced the stereotype of men as uninterested in fatherhood. As courts facing disputes over stored pre-embryos weigh the equities of allowing implantation of the pre-embryos, this same gender stereotype has been increasingly incorporated into a legal balancing test, leading to troubling implications for ART and family law. PMID:26242955

  7. The propofol combined with sufentanil as an-esthetic for induced abortion%丙泊酚复合舒芬太尼用于人工流产术的麻醉



    AIM:To observe the propofol combined with sufen-tanil for anesthetic effect of induced abortion and the impact on the respiratory,circulatory system.METHODS:60 cases who underwent induced abortion without related taboos characteristics, with ASA physical status I -II grade,age 18 -35 years old, weight 45 -65 kg,6 -9 weeks of pregnancy,were randomly di-vided into two groups,S group and P group of propofol combined with sufentanil and propofol only,30 cases in each group.Both groups used the same surgical methods,and had no differences in age,weight and flow of time (P >0.05).In S group sufentanil intravenous was injected 0.10 μg/kg,propofol bolus was dosed at 2 mg/kg,which in P group,propofol bolus was dosed at 2.5 mg/kg.Two groups were satisfied with anesthesia before induced a-bortion,and at the same time were observed before induction,af-ter induction,the end of surgery,blood pressure (Bp),heart rate (HR),oxygen saturation (SpO2 ),wake time,and anesthet-ic effects were analyzed and evaluated.RESULTS:The induc-tion and emergence time of S group was significantly shorter than the P group (P <0.05);Bp decreased 2 min after the induction of the P group,the HR slowed down,the SpO2 was lower than the S group (P <0.05);anesthetic effect in S group was significantly superior in the P group (P <0.05 ).CONCLUSION:The propofol combined with sufentanil for abortion, showed exact effect of narcotic analgesics,less medication,rapid onset,mild respiratory,circulatory inhibition,patients waking up faster.It is better than using only propofol phenol anesthesia treatment.%目的:研究人工流产手术中使用丙泊酚辅助舒芬太尼药剂来进行麻醉的功效,以及其对于机体的循环系统和呼吸状况的相关性.方法:择取60例拟准备进行人工流产手术的患者,与此同时病患之前没有出现类似禁忌征,ASA I ~II级,年龄18~35岁,体质量45~65 kg,孕期6~9周.将患者随机分为两个小组,使用丙泊酚

  8. [Request for abortion during the 2d pregnancy trimester].

    Treffers, P E; Van den Berg, G R; Jager-van Gelder, P A; Van Oenen, J J


    156 women, 12-20 weeks pregnant, applied for abortion at the Wilhelmo Clinic in Amsterdam; 102 abortions were granted. The 156 late-abortion seekers were compared with 282 early-abortion seekers and 490 pregnant women. The late-abortion seekers were significantly younger (P .05). A significantly greater number of women over 30 applied for early abortion (P .001). Unmarried or divorced women were more likely to apply to abortion (P .001). Nulliparae applied more frequently for late abortion, compared to early-abortion seekers (P .001). Women with only one child were more likely to be in the pregnancy group (p .05), with 2 children in the early-abortion group (p .001). Women from Surinam and the Antilles were more likely to be in the early abortion group (p .001). Of the late-abortion seekers, 9 had medical indications. Many had psychosocial problems; 91 had problems with partner relations. In 24 cases the delay in seeking abortion was due to a doctor. An ambivalent attitude toward the abortion existed in 22 of the patients. 83% of the late-abortion seekers and 11.3% of the early-abortion seekers had previously had an abortion. The contraceptive use of the late-abortion seekers was not regular. 1.3% of the late-abortion seekers and 9.9% of the early-abortion seekers were using IUDs at the time of conception. PMID:1012384

  9. The clinical analysis of artificial abortion syndrome%人工流产综合征的临床分析

    马莉; 童德梅


    目的:探讨人工流产综合征的临床表现、危险因素及预后。方法:回顾性分析1000例施行人工流产术患者的临床资料。结果:1000例患者中发生人工流产综合征38例(3.8%)。初孕妇相比经孕妇发生率高,差异具有统计学意义(P<0.05),传统人工流产术相比无痛人工流产术发生率高,差异具有统计学意义(P<0.01)。结论:采用无痛人工流产术、加强对患者心理疏导,术中操作轻柔均能减少人工流产综合征发生率。%Objective:To observe and explore the clinical features,prognosis and risk factors of artificial abortion syndrome. Methods:Retrospective analysis of clinical data in 1 000 induced abortion syndrome patients.Results:There are 38 artificial abortion syndrome patients in the 1 000 patients,the incidence of artificial abortion syndrome is 3.8% .The induced abortion syndrome incidence rate in the multigravida was lower than that in the primigravida,and there was statistically significant(P<0.05).The induced abortion syndrome incidence rate in the painless induced abortion was lower than that in traditional induced abortion,and there was statistically significant(P<0.01).Conclusion:Using the painless artificial abortion,strengthen guidance on psychology of patients and operation gentle can reduce the incidence of artificial abortion syndrome.

  10. 人工流产综合征的临床分析%The clinical analysis of artificial abortion syndrome

    马莉; 童德梅


    目的:探讨人工流产综合征的临床表现、危险因素及预后。方法:回顾性分析1000例施行人工流产术患者的临床资料。结果:1000例患者中发生人工流产综合征38例(3.8%)。初孕妇相比经孕妇发生率高,差异具有统计学意义(P<0.05),传统人工流产术相比无痛人工流产术发生率高,差异具有统计学意义(P<0.01)。结论:采用无痛人工流产术、加强对患者心理疏导,术中操作轻柔均能减少人工流产综合征发生率。%Objective:To observe and explore the clinical features,prognosis and risk factors of artificial abortion syndrome. Methods:Retrospective analysis of clinical data in 1 000 induced abortion syndrome patients.Results:There are 38 artificial abortion syndrome patients in the 1 000 patients,the incidence of artificial abortion syndrome is 3.8% .The induced abortion syndrome incidence rate in the multigravida was lower than that in the primigravida,and there was statistically significant(P<0.05).The induced abortion syndrome incidence rate in the painless induced abortion was lower than that in traditional induced abortion,and there was statistically significant(P<0.01).Conclusion:Using the painless artificial abortion,strengthen guidance on psychology of patients and operation gentle can reduce the incidence of artificial abortion syndrome.

  11. Abortion in Sri Lanka: The Double Standard


    In Sri Lanka, women do not have access to legal abortion except under life-saving circumstances. Clandestine abortion services are, however, available and quite accessible. Although safe specialist services are available to women who can afford them, others access services under unsafe and exploitative conditions. At the time of this writing, a draft bill that will legalize abortion in instances of rape, incest, and fetal abnormalities awaits approval, amid opposition. In this article, I explore the current push for legal reform as a solution to unsafe abortion. Although a welcome effort, this amendment alone will be insufficient to address the public health consequences of unsafe abortion in Sri Lanka because most women seek abortions for other reasons. Much broader legal and policy reform will be required. PMID:23327236

  12. Abortion in Sri Lanka: the double standard.

    Kumar, Ramya


    In Sri Lanka, women do not have access to legal abortion except under life-saving circumstances. Clandestine abortion services are, however, available and quite accessible. Although safe specialist services are available to women who can afford them, others access services under unsafe and exploitative conditions. At the time of this writing, a draft bill that will legalize abortion in instances of rape, incest, and fetal abnormalities awaits approval, amid opposition. In this article, I explore the current push for legal reform as a solution to unsafe abortion. Although a welcome effort, this amendment alone will be insufficient to address the public health consequences of unsafe abortion in Sri Lanka because most women seek abortions for other reasons. Much broader legal and policy reform will be required. PMID:23327236

  13. The experience of women with abortion during adolescence as demanded by their mothers

    Selisvane Ribeiro da Fonseca Domingos


    Full Text Available OBJECTIVE: to understand the experience of women who induced an abortion during adolescence as demanded by their mothers. METHOD: qualitative study with a social phenomenology approach conducted in 2010 with three women through interviews with open questions. RESULTS: the participants tried to hide their pregnancies from their mothers and when the mothers found out about the pregnancies they decide to interrupt it, demanding that their daughters have an abortion, which was performed in an unsafe manner, regardless of the adolescents' desire. After the abortion, the adolescents experienced suffering, guilt, and regret for not having fought against their mothers' decisions. These women expect to be autonomous to make their own decisions, take care of their own health and become pregnant again. CONCLUSION: the study evidenced the decision for an abortion was centered on the adolescents' mothers, a result that deserves to be further explored in future research deepening the relationship established between daughter and mother in the situation of an induced abortion. We suggest the creation of opportunities for the triad of health professional/adolescent/family to dialogue, especially the mother, who in the context of family relations, can help the daughter to safely deal with an early pregnancy and prevent it instead of influencing the adolescent to induce an abortion.

  14. Further Tests of Abortion and Crime

    Ted Joyce


    The inverse relationship between abortion and crime has spurred new research and much controversy. If the relationship is causal, then polices that increased abortion have generated enormous external benefits from reduced crime. In previous papers, I argued that evidence for a casual relationship is weak and incomplete. In this paper, I conduct a number of new analyses intended to address criticisms of my earlier work. First, I examine closely the effects of changes in abortion rates between ...

  15. Abortion Counselling in Britain: Understanding the Controversy

    Hoggart, Lesley


    This article reviews literature from a number of disciplines in order to provide an explanation of the political controversy attached to the provision of abortion counselling. It will show how this is an area of health policy debate in which women's reproductive bodies have become a setting for political struggle. The issue of abortion counselling in Britain has undergone a number of discursive shifts in response to political manoeuvring and changing socio-legal framing of abortion. In partic...

  16. The abortion battle: the Canadian scene.

    Sachdev, P


    In January 1988 the Supreme Court of Canada struck down the country's archaic abortion law on the ground that it imposed arbitrary delays and unfair disparities in access to abortion across the country. Since then, the conservative government of Canada has made a few attempts to introduce a new abortion policy, but it did not get passed in the parliament because the revised bills failed to protect women's right to 'life, liberty, and security of the person' within the meaning of the Canadian Charter. Canada has been without an abortion law for over four years and there has been a wide range of provincial policies and confusion in the country. Despite the legal vacuum, Canadian women are not frenziedly having abortions. However, the militancy of the anti-abortion groups has steadily intensified with continued assault on a woman's right to make reproductive choices. Since no law, short of banning abortions altogether, is going to satisfy abortion opponents, the abortion battle will rage on in Canada. PMID:8065237

  17. Abortion in Iranian legal system: a review.

    Mahmoud Abbasi


    Full Text Available Abortion traditionally means, "to miscarry" and is still known as a problem which societies has been trying to reduce its rate by using legal means. Despite the pregnant women and fetuses have being historically supported; abortion was firstly criminalized in 1926 in Iran, 20 years after establishment of modern legal system. During next 53 years this situation changed dramatically, so in 1979, the time of Islamic Revolution, aborting fetuses before 12 weeks and therapeutic abortion (TA during all the pregnancy length was legitimate, based on regulations that used medical justification. After 1979 the situation changed into a totally conservative and restrictive approach and new Islamic concepts as "Blood Money" and "Ensoulment" entered the legal debates around abortion. During the next 33 years, again a trend of decriminalization for the act of abortion has been continuing. Reduction of punishments and omitting retaliation for criminal abortions, recognizing fetal and maternal medical indications including some immunologic problems as legitimate reasons for aborting fetuses before 4 months and omitting the fathers' consent as a necessary condition for TA are among these changes. The start point for this decriminalization process was public and professional need, which was responded by religious government, firstly by issuing juristic rulings (Fatwas as a non-official way, followed by ratification of "Therapeutic Abortion Act" (TAA and other regulations as an official pathway. Here, we have reviewed this trend of decriminalization, the role of public and professional request in initiating such process and the rule-based language of TAA.

  18. Abortion Decision and Ambivalence: Insights via an Abortion Decision Balance Sheet

    Allanson, Susie


    Decision ambivalence is a key concept in abortion literature, but has been poorly operationalised. This study explored the concept of decision ambivalence via an Abortion Decision Balance Sheet (ADBS) articulating reasons both for and against terminating an unintended pregnancy. Ninety-six women undergoing an early abortion for psychosocial…

  19. Medical abortion practices : a survey of National Abortion Federation members in the United States

    Wiegerinck, Melanie M. J.; Jones, Heidi E.; O'Connell, Katharine; Lichtenberg, E. Steve; Paul, Maureen; Westhoff, Carolyn L.


    Background: Little is known about clinical implementation of medical abortion in the United States following approval of mifepristone as an abortifacient by the Food and Drug Administration (FDA) in 2000. We collected information regarding medical abortion practices of National Abortion Federation (

  20. A Critical Appraisal of Laws on Second Trimester Abortion1

    Berer, Marge


    There will always be women who need abortions after 12 weeks of pregnancy, and their reasons are often compelling. Although second trimester abortions carry relatively more risks than first trimester abortions, abortion is still very safe throughout the second trimester if done in safe conditions. This paper is about law and policy on second trimester abortions, which are allowed on more restrictive grounds than first trimester abortions in most countries, if at all. It focuses on countries w...

  1. The abortion debate in South Africa.

    Rees, H


    Before 1975 abortion was illegal in South Africa unless the life of the mother was at risk. The Abortion and Sterilization Act (ASA) of 1975 broadened the scope of legal abortion. The act allows abortion to save the life of the mother, in cases of severe fetal deformity, in cases or rape or incest, or if the woman is mentally incompetent. The procedure to get the abortion includes finding a doctor to recommend the procedure, then finding 2 other doctors to claim, in good faith, that abortion is indicated. At least 1 of these doctors must have been practicing for 4 years and neither can participate in the procedure. The operation must take place in a state controlled institution or an institution specifically designed for abortion. This law is currently not serving the needs of the women of South Africa, even among the women who are legally entitled to have an abortion. Annually only 40% of those that apply for abortion are approved and over 70% of the approved procedures are performed on psychological grounds. It is estimated that there are 200,000-300,000 illegal abortions every year. At Baragwanath there are 15,000 patients admitted for infection related to abortion every year. The ASA has failed to stop illegal abortion and failed to meet the needs of society. The abortion law should be liberalized for a variety of reasons. Women do not have adequate access to contraceptives in South Africa. This results in the birth of many unwanted children which are more likely to be abused and abandoned. Even if contraceptives were universally available, they all have associated failure rates. Since it is assumed that a women using contraceptives does not want to become pregnant, abortion needs to be available as a backup to contraceptives. Since South Africa is a patriarchal society, women must be given control over their reproduction if they are to achieve equal status. Thus for the reasons of preventing unwanted and unwanted and abused children, backing up contraceptives

  2. Irish women who seek abortions in England.

    Francome, C


    In 1991, 4158 women from Ireland and 1766 from Northern Ireland traveled to England for abortions. This situation has been ignored by Irish authorities. The 1992 case of the 14-year old seeking an abortion in England finally caught legal attention. This study attempts to help define who these abortion seekers are. Questionnaires from 200 Irish abortion seeking women attending private Marie Stopes clinics in London and the British Pregnancy Advisory Services clinic in Liverpool between September 1988 and December 1990 were analyzed. Findings pertain to demographic characteristics, characteristics of first intercourse, family discussion of sexual activity, and contraceptive use. From this limited sample, it appears that Irish women are sexually reserved and without access to modern methods of birth control and abortion. Sex is associated with shame and guilt. 23% had intercourse before the age of 18 years and 42% after the age of 20. 76% were single and 16% were currently married. 95% were Catholic; 33% had been to church the preceding Sunday and 68% within the past month. Basic information about menstruation is also limited and procedures such as dilatation and curettage may be performed selectively. 28% of married women were uninformed about menstruation prior to its onset. Only 24% had been using birth control around the time of pregnancy. The reason for nonuse was frequently the unexpectedness of intercourse. 62% of adults and 66% of women believe in legalizing abortion in Ireland. British groups have tried to break through the abortion information ban by sending telephone numbers of abortion clinics to Irish firms for distribution to employees. On November 25, 1992, in the general election, there was approval of constitutional amendments guaranteeing the right to travel for abortions and to receive information on abortion access. The amendment to allow abortion to save the life of the mother was not accepted. PMID:1483530

  3. J-2X Abort System Development

    Santi, Louis M.; Butas, John P.; Aguilar, Robert B.; Sowers, Thomas S.


    The J-2X is an expendable liquid hydrogen (LH2)/liquid oxygen (LOX) gas generator cycle rocket engine that is currently being designed as the primary upper stage propulsion element for the new NASA Ares vehicle family. The J-2X engine will contain abort logic that functions as an integral component of the Ares vehicle abort system. This system is responsible for detecting and responding to conditions indicative of impending Loss of Mission (LOM), Loss of Vehicle (LOV), and/or catastrophic Loss of Crew (LOC) failure events. As an earth orbit ascent phase engine, the J-2X is a high power density propulsion element with non-negligible risk of fast propagation rate failures that can quickly lead to LOM, LOV, and/or LOC events. Aggressive reliability requirements for manned Ares missions and the risk of fast propagating J-2X failures dictate the need for on-engine abort condition monitoring and autonomous response capability as well as traditional abort agents such as the vehicle computer, flight crew, and ground control not located on the engine. This paper describes the baseline J-2X abort subsystem concept of operations, as well as the development process for this subsystem. A strategy that leverages heritage system experience and responds to an evolving engine design as well as J-2X specific test data to support abort system development is described. The utilization of performance and failure simulation models to support abort system sensor selection, failure detectability and discrimination studies, decision threshold definition, and abort system performance verification and validation is outlined. The basis for abort false positive and false negative performance constraints is described. Development challenges associated with information shortfalls in the design cycle, abort condition coverage and response assessment, engine-vehicle interface definition, and abort system performance verification and validation are also discussed.

  4. Abortion Legalization and Lifecycle Fertility

    Elizabeth Oltmans Ananat; Jonathan Gruber; Phillip B. Levine


    Previous research has convincingly shown that abortion legalization in the early 1970s led to a significant drop in fertility at that time. But this decline may have either represented a delay in births from a point where they were have represented a permanent reduction in fertility. We combine data from the 1970 U.S. Census and microdata from 1968 to 1999 Vital Statistics records to calculate lifetime fertility of women in the 1930s through 1960s birth cohorts. We examine whether those women...

  5. Usual hospital care versus post-abortion care for women with unsafe abortion: a case control study from Sri Lanka

    Arambepola, Carukshi; Lalini C. Rajapaksa; Galwaduge, Chandani


    Background Good quality post-abortion-care (PAC) is essential to prevent death and long-term complications following unsafe abortion, especially in countries with restrictive abortion laws. We assessed the PAC given to women following an unsafe abortion, compared to the routine hospital care following spontaneous abortion or unintended pregnancy carried to term in Sri Lanka. Methods A case–control study was conducted in Sri Lanka among 171 cases following unsafe abortion, 638 controls followi...

  6. Complexifying Commodification, Consumption, ART, and Abortion.

    Cohen, I Glenn


    This commentary on Madeira's paper complicates the relationships between commodification, consumption, abortion, and assisted reproductive technologies (ARTs) she draws in two ways. First, I examine under what conditions the commodification of ARTs, gametes, and surrogacy lead to patients becoming consumers. Second, I show that there are some stark difference between applying commodification critiques to ART versus abortion. PMID:26242952

  7. Provokeret abort og stratificeret reproduktion i Danmark

    Gammeltoft, Tine; Rasch, Vibeke; Knudsen, Lisbeth B.


    Hvorfor får kvinder med indvandrerbaggrund dobbelt så mange provokerede aborter som andre kvinder i Danmark? Det var udgangsspørgsmålet for det forskningsprojekt, denne artikel er baseret på. Artiklens argument er, at når nogle grupper af minoritetskvinder får flere aborter end andre kvinder i...

  8. Provokeret abort og stratificeret reproduktion i Danmark

    Gammeltoft, Tine; Rasch, Vibeke; Knudsen, Lisbeth B.

    Hvorfor får kvinder med indvandrerbaggrund dobbelt så mange provokerede aborter som andre kvinder i Danmark? Det var udgangsspørgsmålet for det forskningsprojekt, denne artikel er baseret på. Artiklens argument er, at når nogle grupper af minoritetskvinder får flere aborter end andre kvinder i...

  9. 人工流产与河南女性乳腺癌发病关系的病例对照研究%A case-control study of the relationship between induced abortion and female breast cancer in Henan Province

    郭阳阳; 谷元廷; 王芳


    目的 探讨河南地区人工流产与女性乳腺癌发病的关系.方法 采用病例对照研究方法,选取经组织病理学确诊的89例乳腺癌患者及93例健康对照者,采用统一问卷调查表搜集其生殖、生理资料,进行x2检验及多因素非条件Logistic回归分析,研究人工流产与河南女性乳腺癌发病关系.结果 多因素非条件Logistic回归分析显示,有人工流产史者乳腺癌发病风险显著升高.其调整婚姻状况、教育程度、体质量指数、初潮年龄及足月产数后的OR值为1.31(95% CI:0.93 ~ 1.89).结论 人工流产增加乳腺癌的危险性,且随着人工流产胎数的增加OR值有所上升.%Objective To investigate the relationship between induced abortion and female breast cancer in Henan Province.Methods A case-control study method was used for 89 patients with histopathologically proved breast cancer and 93 healthy females.All data were collected with unified questionnaire and analyzed with chi-square test and multi-factor unconditioned Logistic regression analysis.Results Multi-factor unconditioned Logistic regression analysis showed that female with a history of induced abortion had higher risk of breast cancer.After adjustment of marital status,education level,body mass index,age at menarche and number of full-term birth,the OR was 1.31 (95% CI:0.93-1.89).Conclusions Induced abortion can increase the risk of breast cancer,and with the increase of induced abortion births,the OR value increased.

  10. [Scope of the indications for abortion].

    Martella, E


    Legalization of abortion in Italy generates never ending discussions. The problem should have been solved years ago with a national campaign for family planning, with the setting up of well organized family centers, and with contraception available and free to all. If it seems right and proper to perform abortion under certain circumstances, it does not seem proper to take into consideration socioeconomic conditions, and certainly not abortion on request; a new life must not be wasted because a woman does not feel like having a new child. Abortion, on the other hand, is certainly to be considered in case of danger for the mother, in case of fetal abnormalities, or when the pregnancy is result of incest or of rape. Abortion for psychological reasons is very valid if the reasons are real, evident, and have been thoroughly evaluated. PMID:1012595

  11. Ultrasonographic findings of early abortion: suggested predictors

    To investigate predictable ultrasonographic findings of early abortion. To investigate objective rules for the screening of abortion. Ultrasonographic examination of 111 early pregnancies between the sixth and ninth week in women who had regular 28 day menstrual cycles was performed. Ultrasonographic measurements of the gestational sac, crown rump length and fetal heart rate were performed using a linear array real time transducer with doppler ultrasonogram. All measurements of 17 early abortions were compared to those of 94 normal pregnancies. Most of early aborted pregnancies were classified correctly by discriminant analysis with G-SAC and CRL (G-SAC=0.5 CRL + 15, sensitivity 76.5%, specificity 96.8%). With the addition of FHR, 94.1% of early abortions could be predicted. In conclusion, ultrasonographic findings of early intrauterine growth retardation, small gestational sac and bradycardia can be predictable signs suggestive of poor prognosis of early pregnancies

  12. [Therapeutic abortion, unjustified absence in health policy].

    Chávez-Alvarado, Susana


    Although abortion for health reasons is not considered a crime in Peru, the State does not allow its inclusion in public policy, thus violating women's right to terminate a pregnancy when it affects their health. When examining the article in the Criminal Code which decriminalizes this type of abortion, provisions are identified which protect women and set the conditions to offer this type of service. This document sets the debate about the arguments used by the Peruvian State for not approving a therapeutic abortion protocol which would regulate the provision and financing of therapeutic abortion in public services, and explains why this obligation should be complied with, based on the conceptual framework of "health exception" In addition, it presents two cases brought before the judicial court in which the Peruvian State was found guilty of violating the human rights of two adolescents to whom a therapeutic abortion was denied. PMID:24100828

  13. Ultrasonographic findings of early abortion: suggested predictors

    Jun, Soon Ae; Ahn, Myoung Ock; Cha, Kwang Yul [Cha Women' s Hospital of Seoul, Seoul (Korea, Republic of); Lee, Young Doo [Yonsei University Medical College, Seoul (Korea, Republic of)


    To investigate predictable ultrasonographic findings of early abortion. To investigate objective rules for the screening of abortion. Ultrasonographic examination of 111 early pregnancies between the sixth and ninth week in women who had regular 28 day menstrual cycles was performed. Ultrasonographic measurements of the gestational sac, crown rump length and fetal heart rate were performed using a linear array real time transducer with doppler ultrasonogram. All measurements of 17 early abortions were compared to those of 94 normal pregnancies. Most of early aborted pregnancies were classified correctly by discriminant analysis with G-SAC and CRL (G-SAC=0.5 CRL + 15, sensitivity 76.5%, specificity 96.8%). With the addition of FHR, 94.1% of early abortions could be predicted. In conclusion, ultrasonographic findings of early intrauterine growth retardation, small gestational sac and bradycardia can be predictable signs suggestive of poor prognosis of early pregnancies.

  14. Medical abortion: the hidden revolution.

    Harvey, Phil


    While the medical abortion (MA) drugs, mifepristone and misoprostol, have radically altered reproductive health practices around the world, there has been little field research on the sales and use of these drugs, especially in developing countries. This leaves the family planning community with many unanswered questions. While good profiles of contraceptive use are available for many countries and we have good technical data on the MA drugs' efficacy, dosages and regimens such as home dosage of misoprostol versus clinic dosage, we have very little information about the quantities of MA drugs sold, how they are used, where they are used, and, in the case of misoprostol, for what purposes. Sales data are available from one excellent commercial survey and from social marketing sales of mifepristone and misoprostol and these are presented. Acknowledging the sensitivity of the issue, especially in countries where abortion is severely restricted, the author makes a plea for careful additional research to shed light on an important and growing part of the international reproductive health picture. PMID:26106105

  15. Receiving voluntary family planning services has no relationship with the paradoxical situation of high use of contraceptives and abortion in Vietnam: a cross-sectional study

    Nguyen Phuong


    Full Text Available Abstract Background Vietnam shows a paradoxical situation where high contraceptive prevalence goes together with high abortion rates. This study examined the associations between self-reports of having received voluntary family planning (VFP services and induced abortions. Methods A cross sectional survey was conducted in Thai Nguyen province, covering a total of 1281 women. Data were derived from a sample of 935 married women aged 18–49 years who were ever-users (93.5% and current users of contraceptives (84%, and had completed birth histories. The dependent variables were the likelihood of having an induced abortion and repeated (two or more induced abortions. The main independent variable was having received the three VFP dimensions (counselling, broader information, and access to availability. The association was examined using multivariate logistic regressions, taking into account women’s socio-demographic characteristics. Results The overall induced abortion percentage was 19.4 per 100 pregnancies. None of the three VFP dimensions was significantly associated with the odds of having an induced abortion or having repeated induced abortions. Mother’s age of 35 or older, having more than three living children, and ever used female contraception methods significantly doubled or more the odds of having an induced abortion and significantly tripled the odds of having repeated abortions. Conclusions Results indicate that women receiving VFP services were not less likely to have induced abortions. The provision of family planning counselling, information on contraceptive method mix, and management skills to ensure availability, are in need of reinforcement in a new set of policy and program strategies in the future.

  16. [About da tai - abortion in old Chinese folk medicine handwritten manuscripts].

    Zheng, Jinsheng


    Of 881 Chinese handwritten volumes with medical texts of the 17th through mid-20th century held by Staatsbibliothek zu Berlin and Ethnologisches Museum Berlin-Dahlem, 48 volumes include prescriptions for induced abortion. A comparison shows that these records are significantly different from references to abortion in Chinese printed medical texts of pre-modern times. For example, the percentage of recipes recommended for artificial abortions in handwritten texts is significantly higher than those in printed medical books. Authors of handwritten texts used 25 terms to designate artificial abortion, with the term da tai [see text], lit.: "to strike the fetus", occurring most frequently. Its meaning is well defined, in contrast to other terms used, such as duo tai [see text], lit: "to make a fetus fall", xia tai [see text], lit. "to bring a fetus down", und duan chan [see text], lit., to interrupt birthing", which is mostly used to indicate a temporary or permanent sterilization. Pre-modern Chinese medicine has not generally abstained from inducing abortions; physicians showed a differentiating attitude. While abortions were descibed as "things a [physician with an attitude of] humaneness will not do", in case a pregnancy was seen as too risky for a woman she was offered medication to terminate this pregnancy. The commercial application of abortifacients has been recorded in China since ancient times. A request for such services has continued over time for various reasons, including so-called illegitimate pregnancies, and those by nuns, widows and prostitutes. In general, recipes to induce abortions documented in printed medical literature have mild effects and are to be ingested orally. In comparison, those recommended in handwritten texts are rather toxic. Possibly to minimize the negative side-effects of such medication, practitioners of folk medicine developed mechanical devices to perform "external", i.e., vaginal approaches. PMID:24195336

  17. Ireland: child rape case undermines abortion ban.


    Abortion has been illegal in Ireland since 1861. This position was written into the national Constitution in 1963 and reconfirmed by referendum in 1983. Contraception is also illegal in the country. The pregnancy of a 14-year old adolescent due to an alleged rape, however, has caused many in Ireland to voice their support for abortion in limited circumstances. Approximately 5000 pregnant women go from Ireland to the United Kingdom annually for abortions. This 14-year old youth also planned to make the crossing, but was blocked from leaving by the Irish police and later by an injunction of the Attorney-General. The Irish Supreme Court upheld the injunction even though the young woman was reportedly contemplating suicide. A national outcry ensued with thousands of demonstrators marching in Dublin to demand the availability of information on abortion and that Irish women be allowed to travel whenever and wherever they desire. 66% of respondents to recent public opinion polls favor abortion in certain circumstances. Ultimately, the Irish Supreme Court reversed their stance to allow pregnant Irish women to travel internationally and gave suicidal Irish women the right to abortions. These decisions were made shortly within the time frame needed for the young lady in question to received a legal abortion in the United Kingdom. PMID:12222235

  18. Bills to decriminalize abortion in Brazil.


    The National Congress in Brazil is currently considering 9 abortion bills, 2 of which were introduced by women. In this interview, the women senators--Jandira Feghall of the Communist Party and Eva Blay of the Social Democrat Party--discuss the likely outcome of the abortion debate. Although the Roman Catholic Church has announced its intentions to oppose any liberalization of the abortion law, there are divisions within the Church as evidenced by the existence of groups such as Catholics for a Free Choice. Both senators agree that decriminalization of abortion will depend upon the societal response and an effort must be made to reach the many people who are confused and undecided about the issue. Although the present debate fits within the broader current debate on population policies, it has been the insistence of the feminist movement that put abortion reform on the agenda. Blay's bill calls for the legalization of abortion on demand until the 12th week of pregnancy and in cases of rape or risk to the woman's life after that point. A controversial aspect of Feghall's bill is the inclusion of maternal human immunodeficiency virus (HIV) infection as a condition for abortion. Feghall notes that this is an option rather than a requirement, but she will eliminate this condition if it engenders discrimination against HIV-infected women. PMID:12318722

  19. The Impact of State Abortion Policies on Teen Pregnancy Rates

    Medoff, Marshall


    The availability of abortion provides insurance against unwanted pregnancies since abortion is the only birth control method which allows women to avoid an unwanted birth once they are pregnant. Restrictive state abortion policies, which increase the cost of obtaining an abortion, may increase women's incentive to alter their pregnancy avoidance…




    Full Text Available INTRODUCTION: Septic abortion is a significant contributor to maternal morbidity and mortality. Termination of pregnancy, although a safe and easy procedure in trained hands, can produce catastrophic outcomes when performed by unauthorized or untrained people and in improper settings. OBJECTIVE: To find out the association of various socio-demographic factors with septic abortion. MATERIAL AND METHODS: This was a longitudinal study, conducted in the indoor of obstetrics & gynaecology department of R.M.C.H & R.C, Ghaziabad district of Uttar Pradesh from the period of Feb-2013 to April-2013, after selecting 100 septic abortion cases by simple randomization, who were admitted during the study period. Information of all these cases regarding their age, marital status, socio-economic status, literacy, parity and gestational age was obtained, and their association with septic abortion was studied accordingly. OBSERVATION: Out of the 100 cases of septic abortion studied, maximum percentage (66% of the cases was seen from the age group of 26 to 35 years. Most of the cases (97% were married, maximum (40% were belonging from low socio-economic status group (Group-IV, maximum (60% number of cases were illiterate, maximum (53% number of cases belonged to women group having parity five and above, and maximum (86% number of women were in the 1st trimester of pregnancy at the time of abortion. CONCLUSION: Present study confirms that unsafe abortion is one of the greatest neglected healthcare problems in India and more so in rural India. So, there is the need to strengthen quality abortion services to reduce the maternal morbidity and mortality due to septic abortion

  1. The abortion debate: measuring gestational age.

    Santee, B; Henshaw, S K


    Abortion statistics are flawed by the lack of consistency in reporting gestational age. Several methods are generally used, and the number of abortions occurring before 12 weeks changes considerably depending upon the method used to determine gestational age. Pregnancy can be measured from the beginning of last menstruation or from fertilization, which is 14 days after the 1st day of the last menstrual period. Neither method accurately records pregnancy as determined by specialists in embryology and fetal development. Pregnancy actually begins with implantation, which begins 6-7 days after fertilization and ends 10-14 days later. Completion of fertilization and implantation occurs as much as 28 days after the 1st day of the last menstrual period. A report of an 8-week pregnancy is actually 6 weeks from fertilization and 4-5 weeks from implantation. The Centers for Disease Control and other abortion data collecting agencies use the 1st day of the last menstrual period. Statistics generally show that 50% of abortions occur before 8 weeks of gestation and 90% by 12 weeks. When gestation is considered at fertilization, 78% of abortions occur under 9 weeks, while 52% of abortions under 9 weeks are performed with data beginning at the 1st day of the last menstrual period. For abortions occurring under 12 weeks, 95% beginning at fertilization and 90% occur at the 1st day of the last menstrual period. 2/1000 vs. 5/1000 abortions occur under 20 weeks for data beginning at fertilization vs. at the onset of the last period. It is important to report abortion data accurately and to specify the method used to determine the gestational time period. PMID:1526273

  2. Radical surgery in septic abortion.

    Chatterjee, P; Ghosh, M; Ghosh, S


    At R.G. Kar Medical College Hospital, Calcutta, 10 cases of septic abortion from 1975-1977 were studied. Hysterectomies were preformed on 4 cases due to emergency situations including traumatised uterine fundus and perforated cervix, and on 6 cases after conservative treatment. Upon performing laparotomy in 9 cases, a uterine rent was detected; in 1 case there was a perforation in the posterior wall of the cervix, and in 5 cases mechanical obstructions due to internal adhesions to the uterine rent were found. 4 patients died primarily because of the patients seeking help too late. It is suggested that under high risk circumstances, laparotomy is advantageous to conservative medical management since bowel injuries and mechanical obstructions can only be detected by laparotomy. Radical surgery, however, should be undertaken before the patients general condition deteriorates to the point that the patient cannot tolerate surgical intervention. PMID:12336028

  3. How technology is reframing the abortion debate.

    Callahan, D


    Since the 1973 Supreme Court decision legalizing abortion, medical and scientific developments have focused greater public and professional attention on the status of the fetus. Their cumulative effect may influence legal, social, and moral thought and set the stage for a change in public opinion and a challenge to legalized abortion. There is as yet no inexorable convergence of medical data and legal opinion that would undermine the rational of Roe v. Wade. But the prochoice movement must find room for an open airing of the moral questions if abortion is to remain what it should be--a legally acceptable act. PMID:3514547

  4. economics of abortion and children in care

    Bagaria, Manish


    This paper investigates the relationship between abortion and children in care. Data from 1967 to 1973 are used to test the hypothesis, whether or not legalisation of abortion in England had some effect on the number children in care. The motivation of this research comes from the negative association between abortion rates and reported crime found by Donohue and Levitt (2001) for the U.S. and replication of the same in the U.K in Kahane's, Paton's and Simmons research (2007). Although childr...

  5. Abort Gap Cleaning for LHC Run 2

    Uythoven, J; Bravin, E; Goddard, B; Hemelsoet, GH; Höfle, W; Jacquet, D; Kain, V; Mazzoni, S; Meddahi, M; Valuch, D


    To minimise the beam losses at the moment of an LHC beam dump the 3 μs long abort gap should contain as few particles as possible. Its population can be minimised by abort gap cleaning using the LHC transverse damper system. The LHC Run 1 experience is briefly recalled; changes foreseen for the LHC Run 2 are presented. They include improvements in the observation of the abort gap population and the mechanism to decide if cleaning is required, changes to the hardware of the transverse dampers to reduce the detrimental effect on the luminosity lifetime and proposed changes to the applied cleaning algorithms.

  6. Aborto. Responsabilidad compartida/Abortion. Shared responsibility

    David Ernesto Betancourt


    Full Text Available The father and the mother are involved in the act of procreation, therefore in abortion should also be considered is the father figure in some way and not let you load psychological, emotional and physical exclusively women. Similarly, when she decides to have an abortion he is not observed or questioned integral form to family and society to which she belongs, in short, the stigmatization affects only to the woman in question when there are several actors and circumstances that come into the Act of abortion.

  7. Public opinion about abortion-related stigma among Mexican Catholics and implications for unsafe abortion.

    McMurtrie, Stephanie M; García, Sandra G; Wilson, Kate S; Diaz-Olavarrieta, Claudia; Fawcett, Gillian M


    A nationally representative survey was conducted among 3000 Catholics in Mexico during 2009 and 2010. Respondents were presented with a hypothetical situation about a young woman who decided to have an abortion and were asked their personal opinion of her. On the basis of a stigma index, it was found that the majority (61%) had stigmatizing attitudes about abortion; however, 81% believed that abortion should be legal in at least some circumstances. Respondents were significantly more likely to stigmatize abortion if they disagreed with the Mexico City law legalizing the procedure (odds ratio 1.66; 95% CI, 1.30-2.11) and believed that abortion should be prohibited in all cases (odds ratio 3.13; 95% CI, 2.28-4.30). Such stigma can lead women to seek unsafe abortions to avoid judgment by society. PMID:22920621

  8. Prevalência e características de mulheres com aborto provocado - Favela México 70, São Vicente - São Paulo Prevalence and characteristics of women with induced abortion - Favela México 70, São Vicente - São Paulo

    Tássia Ferreira Santos


    Full Text Available No Brasil, o aborto está entre as principais causas de mortalidade materna. Pesquisas mostram que o aborto é praticado clandestinamente por mulheres de todas as classes sociais; no entanto, tem consequências desiguais, dependendo da inserção social, produzindo riscos à vida de mulheres pobres. Embora o tema venha sendo amplamente explorado nos últimos 20 anos, observou-se escassez de dados sobre mulheres de baixa renda. Desta forma, o presente estudo tem por objetivo estimar a prevalência de mulheres com aborto provocado. Arrolaram-se mulheres por inquérito domiciliar de base populacional em setores de baixa renda de São Vicente, São Paulo. Eram elegíveis as mulheres em idade fértil de 15 a 49 anos. A avaliação das razões de prevalência de mulheres com aborto provocado foi realizada por meio de modelos lineares generalizados, usando-se a regressão de Poisson com função de ligação logarítmica e variância robusta para aproximar a binomial. As variáveis que demonstraram ter maior influência no relato de aborto foram: "aceitar sempre esta prática" (IC95% 2,98 - 11,02, seguida de "não ter filho nascido vivo" (IC95% 1,35 - 19,78, ter de "dois a cinco nascidos vivos" (IC95% 1,42 - 14,40 e ter de "seis ou mais nascidos vivos" (IC 95% 1,35 - 19,78, "idade no momento da entrevista" (IC 95% 1,01 - 1,07 e "renda" In Brazil, abortion is among the leading causes of maternal mortality. Research has shown that abortion is practiced clandestinely by women of all social classes, but has unequal consequences depending on social inclusion, producing risks to poor women. Although the issue has been widely explored in the past 20 years, there is a lack of data about low-income women. Thus, the present study aims to estimate the prevalence of women with induced abortion. Women from a population-based household survey in low-income sectors of São Vicente, São Paulo were recruited. Women of childbearing age from 15 to 49 years were eligible

  9. Study on the association of preoperative anxiety and depression with mental distress in unmarried women receiving induced abortion durgery%未婚人工流产手术妇女术前焦虑抑郁与心理压力的关系研究



    目的:探讨术前人工流产术妇女术前焦虑抑郁与心理压力的状况及其关系。方法采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和中文版知觉心理压力量表(CPSS)对200例术前未婚人工流产术妇女进行术前调查,分析SAS 、SDS与CPSS之间的关系。结果术前人工流产术妇女CPSS评分总分为(27.52±6.39)分,HRS者检出率为39%;SAS、SDS评分分别为(56.38±13.25)分、(53.38±11.25)分,明显高于国内常模(37.23±12.58)分、(41.38±10.57)分(t=193.47、14.64,P<0.01)。术前未婚人工流产术妇女焦虑抑郁与心理压力存在显著正相关(P<0.01)。结论焦虑抑郁情绪会加重术前未婚人工流产术妇女的心理压力,消除焦虑抑郁情绪能够缓解心理压力。%Objective To explore the association of preoperative anxiety and depression with mental distress in women receiving induced abortion surgery.MethodsSelf-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and Chinese Perceived Stress Scale (CPSS) were used for preoperative survey on 200 unmarried women receiving induced abortion surgery. The association of SAS and SDS with CPSS was analyzed.Results As for unmarried women receiving induced abortion surgery, CPSS score was (27.52±6.39) with HRS detection rate of 39%; SAS score and SDS score were (56.38±13.25) and (53.38±11.25) respectively, significantly higher than national norm: (37.23±12.58) and (41.38±10.57) respectively. Preoperative anxiety and depression were positively correlated with mental distress in unmarried women receiving induced abortion surgery.ConclusionAnxiety and depression can aggravate the mental stress of unmarried women receiving induced abortion surgery. Mental stress can be relieved by eliminating anxiety and depression.

  10. Psychology Consequences of Abortion Among The Post Abortion Care Seeking Women in Tehran

    Abolghasem Pourreza; Aziz Batebi


    "nObjective: abortion either medical or criminal has distinctive physical, social, and psychological side effects. Detecting types and frequent psychological side effects of abortion among post abortion care seeking women in Tehran was the main objective of the present study. "n Method: 278 women of reproductive age (15-49) interviewed as study population. Response rate was 93/8. Data collected through a questionnaire with 2 parts meeting broad socio-economic characteristics of the respo...

  11. Psychological Consequences of Abortion among the Post Abortion Care Seeking Women in Tehran

    Pourreza, Abolghasem; Batebi, Aziz


    Objective Abortion either medical or criminal has distinctive physical, social, and psychological side effects. Detecting types and frequent psychological side effects of abortion among post abortion care seeking women in Tehran was the main objective of the present study. Method 278 women of reproductive age (15-49) interviewed as study population. Response rate was 93/8. Data collected through a questionnaire with 2 parts meeting broad socio-economic characteristics of the respondents and h...

  12. Mifepristone followed by home administration of buccal misoprostol for medical abortion up to 70 days of amenorrhoea in a general practice in Curacao

    Boersma, Adriana A.; Jong, Betty Meyboom-de; Kleiverda, Gunilla


    Objective To evaluate the efficacy and safety of home administration of buccal misoprostol after mifepristone for medical abortion up to 70 days' gestation in a general practice in Curacao, where induced abortion is severely restricted by law. Methods In a prospective study 330 women received 200 mg

  13. Therapeutic abortion in Siriraj Hospital: A 10-year review

    Chanon Neungton; Saifon Chawanpaiboon


    Objective: To assess indications, methods of interventions and gestational age of women underwent therapeutic abortion. Method: A total of 1381 cases of pregnant women underwent therapeutic abortion with completed charts between 1st January, 2001 to 31st December, 2010, were enrolled in this study. The patient data including demographic data, gestational age of abortion, methods of abortion, dosage of cytotec usage, indications of abortion and length of hospital stay were recorded. RESULT: M...

  14. Sex-Selective Abortions to Be Outlawed


    China is to outlaw the selective abortion of female fetuses to correct an imbalance in the ratio of boys to girls that has grown since the family planning policy was introduced more than 20 years ago.

  15. Access to abortion and secular liberties

    Roberto Arriada Lorea; Michele Andréa Markowitz


    In Brazil, facing an issue like abortion requires a secular perspective since the freedom of conscience assured by the Federal Constitution places upon the State the need to regard not only different viewpoints of different religions, but more specifically assure the right to diversity existing within a same religion, as well as the right to exercise different views from those of the hierarchy of his/her own religion. As such, there is no legal barrier for the decriminalization of abortion in...

  16. The Bad Mother: Stigma, Abortion and Surrogacy.

    Abrams, Paula


    Stigma taints individuals with a spoiled identity and loss of status or discrimination. This article is the first to examine the stigma attached to abortion and surrogacy and consider how law may stigmatize women for failing to conform to social expectations about maternal roles. Courts should consider evidence of stigma when evaluating laws regulating abortion or surrogacy to determine whether these laws are based on impermissible gender stereotyping. PMID:26242937

  17. Influential Factors in American Abortion Issue



    The landmark case Roe v.Wade remains one of the most controversial and essential ones in American history.The divergent opinions on abortion also play a crucial part in American political arena.What factors are influencing the dispute about abortion? This essay will thoroughly discuss the factors: the value of freedom and pro-choice and the consideration on women’s self-development; Contrarily,the firm religious faith and the concerns for women’s healt

  18. Influential Factors in American Abortion Issue


    The landmark case Roe v.Wade remains one of the most controversial and essential ones in American history. The divergent opinions on abortion also play a crucial part in American political arena.What factors are influencing the dispute about abortion? This essay will thoroughly discuss the factors:the value of freedom and pro-choice and the consideration on women’s self-development; Contrarily,the firm religious faith and the concerns for women’s health.

  19. South African parliament approves sweeping abortion reform.


    South Africa's National Assembly voted 209 to 87 for passage of the "Choice on Termination of Pregnancy Act" on October 30; it was passed in the Senate, 49 to 21 (20 abstentions), on November 5. The African National Congress strongly supported the Act, while the National Party opposed it. Under the law, abortions during the first 12 weeks of pregnancy may to be performed by physicians or trained midwives. From week 13 through week 20, a physician, in consultation with the mother, may terminate the pregnancy after determining that continuing the pregnancy would threaten the woman's health (physical or mental) or circumstances (social or economic), or that the fetus is at substantial risk of suffering severe physical or mental abnormalities. Abortion is permitted after 20 weeks if two doctors (or midwives) decide continuing the pregnancy would endanger the mother's life or result in injury or severe malformation of the fetus. Only the pregnant woman's consent is required. Although an abortion provider must advise a young client to consult with parents, guardian, family members, or friends before the procedure, she is not required to comply. All women are to be informed of their rights under the Act; criminal penalties (up to 10 years) are mandated for unauthorized abortion providers, for persons who prevent a lawful abortion, or for those who obstruct access to an abortion facility. The new statute repeals the more restrictive Abortion and Sterilization Act of 1975, which permitted abortion only in cases of maternal life or health endangerment, severe fetal abnormality, rape, incest, or mental incapacity. PMID:12292092

  20. 药物流产辅以清宫术与无痛人工流产术终止早期妊娠的临床疗效比较%Comparison on the Efficacies of Drug Miscarriage Combined with Curettage and Anodynia Induced Abortion in the Termination of Early Pregnancy

    陈蓉; 桑晓梅


    Objective To compare the clinical efficacies of drug miscarriage combined with curettage and anodynia induced abortion in the termination of early pregnancy.Methods A total of 302 outpatient that required termination of early pregnancy in Luzhou People′s Hospital from Oct.2013 were divided into two groups.According to the patients′requests, 151 cases received drug miscarriage combined with curettage were regarded as group A, and 151 cases received anodynia induced abortion were regarded as group B.Patients in group A orally took 50 mg of mifepristone in fasting morning,and had breakfast after 2 hours,took 50 mg of mifepristone after 12 hours again,took the same dosages on the second day,and orally took 0.6 mg of misoprostol on the morning of the third day,curettages were applied when cervix opened or embryonic outflow happened on the third day.Patients in group B received painless artificial abortion after propofol intravenous anesthesia.Duration of abdominal pain and vaginal bleeding,rates of complete abortion and second curettage,and incidences of other complications of the two groups were compared.Results Duration of abdominal pain of group A was longer than that of group B [(158.8 ±17.5) min vs (7.1 ± 1.6) min,P0 .05 ) .The general incidence of other compli-cations in group A was lower than that in group B(5.3% vs 18.5%,P<0.01).Conclusion The dura-tion of abdominal pain in drug miscarriage combined with curettage was not superior to anodynia induced abortion in the termination of early pregnancy,but duration of vaginal bleeding in drug miscarriage com-bined with curettage is much shorter than that in anodynia induced abortion .The rates of complete abortion and second curettage are similar between drug miscarriage combined with curettage and anodynia induced abortion.Therefore,drug miscarriage combined with curettage is a relatively safe and superior method for termination of early pregnancy.%目的:比较药物流产辅以清宫术与无痛人

  1. Abortion and anxiety: what's the relationship?

    Steinberg, Julia Renee; Russo, Nancy F


    Using data from the United States National Survey of Family Growth (NSFG) and the National Comorbidity Survey (NCS), we conducted secondary data analyses to examine the relationship of abortion, including multiple abortions, to anxiety after first pregnancy outcome in two studies. First, when analyzing the NSFG, we found that pre-pregnancy anxiety symptoms, rape history, age at first pregnancy outcome (abortion vs. delivery), race, marital status, income, education, subsequent abortions, and subsequent deliveries accounted for a significant association initially found between first pregnancy outcome and experiencing subsequent anxiety symptoms. We then tested the relationship of abortion to clinically diagnosed generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), and social anxiety disorder, using NCS data. Contrary to findings from our analyses of the NSFG, in the NCS analyses we did not find a significant relationship between first pregnancy outcome and subsequent rates of GAD, social anxiety, or PTSD. However, multiple abortions were found to be associated with much higher rates of PTSD and social anxiety; this relationship was largely explained by pre-pregnancy mental health disorders and their association with higher rates of violence. Researchers and clinicians need to learn more about the relations of violence exposure, mental health, and pregnancy outcome to avoid attributing poor mental health solely to pregnancy outcomes. PMID:18468755

  2. The abortion debate in the Dominican Republic.


    Faced with a situation in which an estimated 60,000 illegal abortions (a major cause of maternal mortality) were performed annually, the Dominican Republic has adopted a new Health Code which contains a chapter dedicated to maternal health. Included in the new code are cases in which abortion is allowed: 1) when 2 specialists affirm that the pregnancy or childbirth constitutes a risk to the mother's health or life; 2) if the medical history of the parents and 2 doctors confirm the likelihood of the baby being born seriously disabled or deformed; or 3) if the mother's mental health is put in jeopardy by continuing the pregnancy. Despite the disapproval of church representatives, the legalization of abortion was unanimously approved by the Congress. The debate which surrounded the process was increased by a petition signed by more than 260 women decrying the lack of input that women had in the decision-making process. Women's action groups have been trying to widen the context in which the political discussion is taking place to stress the importance of viewing abortion from a reproductive rights perspective. The women's groups wish to prevent a situation in which the discussion surrounding the issue will be limited to legislators and church leaders. The women have pointed out that women should make the decisions about their lives and their bodies. In the meantime, the president of the Congress predicts that illegal abortion will continue in the Dominican Republic regardless of the current provisions for legal abortion. PMID:12286344




    Full Text Available Aim of this study was to study the incidence, demographic factors, clinical features, management, maternal morbidity, maternal mortality, surgical interventions with special emphasis on various contributing factors and unmet needs of septic abortion. In this study, 153 cases of septic abortions during six years periods, from January 2009 to December 2014 in the department of obstetrics and gynecology in Rajendra Institute of Medical Sciences, Ranchi, were included. All patients were evaluated with special reference to incidence, age incidence, marital status, socio economic status, residential distribution, gravida incidence, causes of septic abortion, grades of infection, clinical presentation, and management. Incidence of septic abortion was 3.88 % . Criminal interference was in 74 % of cases. Most of the cases (65 % were from low socioeconomic group. Sixty percent were from rural area. Fifty eight percent were tribal. Sixteen percent were admitted in septic shock. Laparotomy was required in seventeen percent of cases. Hysterectomy was require in five cases. Unfortunately, maternal death was nine. Cause of maternal death was septic shock in six and haemorrhagic shock in three. This incidence of septic abortion can be reduced by increasing awareness and making “safe abortion services” easily available, free of coast and also by providing family planning services.

  4. Abortion in Vietnam: measurements, puzzles, and concerns.

    Goodkind, D


    This report summarizes current knowledge about abortion in Vietnam, drawing upon government statistics, survey data, and fieldwork undertaken by the author in Vietnam throughout 1993 and part of 1994. The official total abortion rate in Vietnam in 1992 was about 2.5 per woman, the highest in Asia and worrisome for a country with a still-high total fertility rate of 3.7 children per woman. Vietnamese provinces exhibited substantial variation in both the rate of abortion and the type of procedures performed. Among the hypotheses explored to explain Vietnam's high rate of abortion are the borrowing of family planning strategies from other poor socialist states where abortion is common; current antinatal population policies that interact with a lack of contraceptive alternatives; and a rise in pregnancies among young and unmarried women in the wake of recent free-market reforms. Because family-size preferences are still declining, abortion rates may continue to increase unless the incidence of unwanted pregnancy can be reduced, a goal that Vietnamese population specialists are seeking to achieve. PMID:7716799

  5. Women's Private Conversations about Abortion: A Qualitative Study.

    Herold, Stephanie; Kimport, Katrina; Cockrill, Kate


    Abortion is a relatively frequent experience, yet public discourse about abortion is contentious and stigmatizing. Little literature is available on private conversations about abortion, which may be distinct from public discourse. We explored private discourse by documenting the nature of women's discussions about abortion with peers in a book club. We recruited thirteen women's book clubs in nine states. Participants (n = 119) read the book Choice: True Stories of Birth, Contraception, Infertility, Adoption, Single Parenthood, & Abortion, and participated in a book club meeting, which we audio-recorded and transcribed. Data collection occurred between April 2012 and April 2013. In contrast to public discourse of abortion, private discourse was nuanced and included disclosures of multiple kinds of experiences with abortion. Participants disclosed having abortions, considering abortion as an option for past or future pregnancies, and supporting others through an abortion. Distinguishing between public and private discourse enabled us to identify that an "abortion experience" could include personal decisions, hypothetical decisions, or connection with someone having an abortion. The book club atmosphere provided a rare opportunity for participants to explore their relationship to abortion. More research is needed to understand the role of private discourse in reducing abortion stigma. PMID:26086582

  6. [Conscientious objection in the matter of abortion].

    Serrano Gil, A; García Casado, M L


    The issue of conscientious objection in Spain has been used by pro-choice groups against objecting health personnel as one of the obstacles to the implementation of the abortion law, a misnomer. At present objection is massive in the public sector; 95% of abortions are carried out in private clinics with highly lucrative returns; abortion tourism has decreased; and false objection has proliferated in the public sector when the objector performs abortions in the private sector for high fees. The legal framework for conscientious objection is absent in Spain. Neither Article 417 of the Penal Code depenalizing abortion, nor the Ministerial Decree of July 31, 1985, nor the Royal Decree of November 21, 1986 recognize such a concept. However, the ruling of the Constitutional Court on April 11, 1985 confirmed that such objection can be exercised with independence. Some authors refer to the applicability of Law No. 48 of December 16, 1984 that regulates conscientious objection in military service to health personnel. The future law concerning the fundamental right of ideological and religious liberty embodied in Article 16.1 of the Constitution has to be revised. A draft bill was submitted in the Congress or Representatives concerning this issue on May 3, 1985 that recognizes the right of medical personnel to object to abortion without career repercussions. Another draft bill was introduced on April 17, 1985 that would allow the nonparticipation of medical personnel in the interruption of pregnancy, however, they would be prohibited from practicing such in the private hospitals. Neither of these proposed bills became law. Professional groups either object unequivocally, or do not object at all, or object on an ethical level but do not object to therapeutic abortion. The resolution of this issue has to be by consensus and not by imposition. PMID:1565971

  7. 影响早期流产方法选择的相关因素调查%Choice of methods of early abortion related factors



    Objective To study the method of choice of abortion in early pregnancy factors.Methods Totally 216 cases of early pregnancy conducted a questionnaire survey of women, according to women voluntarily choose different methods of abortion, medical abortion groups into the general surgical abortion group and the induced abortion group because of different methods of selection.Results The results have the same opportunity to choose abortion way, most young, unmarried choose medical abortion, when economic conditions are good choose induced abortion, while older, farmers, workers to choose surgery abortion.Conclusions The method of understanding abortion is not comprehensive,the choice of abortion method involves many problems, physicians should provide appropriate methods for women.%目的 探讨早期妊娠流产方法选择的影响因素.方法 对216例早孕妇女进行问卷调查,按照妇女自愿选择流产方法的不同,分为药物流产组,一般手术流产组和无痛人工流产组,分析选择不同方法的原因.结果 在有同等机会选择流产方法时,多数年轻、未婚者选择药物流产,其中经济条件好的选择无痛人工流产,而经济条件较差者选择常规一般手术流产.结论 妇女埘流产方法的认识并不全面,在选择流产方法时涉及许多问题,医生应尽可能为妇女提供适宜方法.

  8. Fatores associados ao aborto induzido entre jovens pobres na cidade de São Paulo, 2007 Factores asociados al aborto inducido entre jóvenes pobres en la ciudad de Sao Paulo, 2007 Factors associated with induced abortion among poor youth in the city of São Paulo, 2007

    Rebeca de Souza e Silva


    que las gestaciones se produjeron de forma inesperada, intempestiva, como es praxis en las conductas adolescentes, siendo las candidatas con mayores probabilidades de terminar conun aborto provocado. Se evidencia, portanto, la necesidad de que sean invertidos recursos financieros para obtenciónde métodos contraceptivos eficaces e inocuos, destinados al inicio de la vida sexual.The present article investigates factors associated with induced abortion among youth living in a poor community in the city of São Paulo. The sample consisted of 102 men and 99 women, 14 to 25 years of age who had initiated their sex lives. The hierarchical logistic model was used. The variables, not having a sex partner at the time of the interview, respondent´s gender, age at the time of interview, prioritizing living alone, and the number of pregnancies comprised the final model. Considering very important to live alonesingly increases fourfold the likelihood of an abortion. Older youngsters were less likely to face an abortion, given that the likelihood of opting for an abortion is reduced in 17% for each one year increment in the age. This indicates that pregnancies were unexpected, untimely, as it is usual in the behavior teenagers, who are the major candidates to end up with an induced abortion. All this stresses the need to invest financial resources to obtain efficacious and innocuous contraceptive methods for the beginning of sex life.

  9. Attitude toward contraception and abortion among Curaçao women. Ineffective contraception due to limited sexual education?

    Meyboom-de Jong Betty


    Full Text Available Abstract Background In Curaçao is a high incidence of unintended pregnancies and induced abortions. Most of the induced abortions in Curaçao are on request of the woman and performed by general practitioners. In Curaçao, induced abortion is strictly prohibited, but since 1999 there has been a policy of connivance. We present data on the relevance of economic and socio-cultural factors for the high abortion-rates and the ineffective use of contraception. Methods Structured interviews to investigate knowledge and attitudes toward sexuality, contraception and abortion and reasons for ineffective use of contraceptives among women, visiting general practitioners. Results Of 158 women, 146 (92% participated and 82% reported that their education on sexuality and about contraception was of good quality. However 'knowledge of reliable contraceptive methods' appeared to be - in almost 50% of the cases - false information, misjudgements or erroneous views on the chance of getting pregnant using coitus interruptus and about the reliability and health effects of oral contraceptive pills. Almost half of the interviewed women had incorrect or no knowledge about reliability of condom use and IUD. 42% of the respondents risked by their behavior an unplanned pregnancy. Most respondents considered abortion as an emergency procedure, not as contraception. Almost two third experienced emotional, physical or social problems after the abortion. Conclusions Respondents had a negative attitude toward reliable contraceptives due to socio-cultural determined ideas about health consequences and limited sexual education. Main economic factors were costs of contraceptive methods, because most health insurances in Curaçao do not cover contraceptives. To improve the effective use of reliable contraceptives, more adequate information should be given, targeting the wrong beliefs and false information. The government should encourage health insurance companies to reimburse

  10. Epidemiology of Abortion in Women who Refer to Therapeutic Centers of Qom City, Iran

    Nayereh Ostadzadeh; Masoomeh Sadat Sadeghzadeh; Seyed Mohsen Mousavi


    Background: The termination of pregnancy before 20th week of gestation is abortion. There is two type of abortion: Spontaneous and Induce (Legal or Illegal). The annual number of pr...

  11. Abortion in Brazil: legislation, reality and options.

    Guedes, A C


    Abortion is illegal in Brazil except when performed to save the woman's life or in cases of rape. This paper gives a brief history of parliamentary and extra-parliamentary efforts to change abortion-related legislation in Brazil in the past 60 years, the contents of some of the 53 bills that have been tabled in that time, the non-governmental stakeholders involved and the debate itself in recent decades. The authorities in Brazil have never assumed full public responsibility for reproductive health care or family planning, let alone legal abortion; the ambivalence of the medical profession is an important obstacle. Most politicians avoid getting involved in the abortion debate, but the majority of bills in the 1990s have favoured less restrictive legislation. Incremental legislative and health service changes could help to improve the situation for women. Advocacy is probably the most important action, to promote an environment conducive to change. Clandestine abortion is a serious public health problem in Brazil, and the inadequacy of family planning services is one of the causes of this problem. The solutions should be made a priority for the Brazilian public health system. PMID:11424252

  12. Therapeutic abortion on account of x-ray examination during pregnancy

    Previous studies on radiation injury to the foetus are reviewed. Very little is known about possible injuries due to the small radiation doses in diagnostic radiology. Eleven pregnant women had one or more abdominal X-ray examinations during the first three months of pregnancy. Subsequently, 8 had therapeutic abortion, whereas 3 went to term. The case histories are reported. The calculated foetal doses range from 0.03 to 3.7 r (0.01-18.9). The author makes the following preliminary suggestions about irradiation during the first four months of pregnancy: Foetal doses below about one r do not indicate induction of abortion. Foetal doses between about one r and about ten r indicate therapeutic abortion only in the presence of additional indications. Foetal doses above about 10 r presumably always indicate abortion. One of the pregnancies that was carried to term ought to have been interrupted. Four of the induced abortions ought not to have been performed. X-ray examinations of the abdomen should not be performed during the first four months of pregnancy. In order to avoid irradiation in the early stages of pregnancy, the following routine precaution is suggested: In fertile women X-ray examination of the abdomen should be carried out only during the first ten days after a regular menstrual period of normal intensity and duration. (author)

  13. Access to abortion services: abortions performed by mid-level practitioners.

    Kowalczyk, E A


    Because the number of physicians available to perform abortions in the US is dwindling, certified nurse-midwives, nurse practitioners, and physician assistants should be trained and permitted to perform abortions. Roadblocks to this change are the fact that the Supreme Court would likely allow states to prevent mid-level practitioners from performing abortions in the name of protecting the health of the mother. Also, existing statutes would probably not be interpreted by courts to allow mid-level practitioners to perform abortions. However, physician assistants have been performing abortions in Vermont since 1975, and a 1981-82 comparative study affirmed that physician assistants are well-equipped to perform abortions (of 2458 procedures, the complication rate/1000 was 27.4 for physician assistants and 30.8 for physicians). However, controversy surrounds the provision of abortion by these physician assistants in Vermont, since the relevant statute suggests that abortion is illegal unless performed by a physician. However, the statute has not been changed since Roe vs. Wade and is likely unconstitutional. Court cases in Missouri and Tennessee suggest that courts may be willing to include abortion within the scope of progressive nursing practice acts, but a recent similar case in Massachusetts resulted in a narrow interpretation of nursing practice statutes. Because the definition of professional nursing varies with each state statute, it will be a formidable task to convince every jurisdiction to include abortion as a permissible mid-level practice. Even in Vermont, the nursing practice statute defines in an exclusive list what services the professional nurse may perform (whereas the physician assistant regulations limit their scope of practice only to that delegated by a supervising physician). States could, of course, pass statutes which include abortion as a permissible practice for the mid-level practitioner. However, specific legislation would provide a clear

  14. One or two day mifepristone-misoprostol interval for second trimester abortion

    Nilas, Lisbeth; Glavind-Kristensen, M; Vejborg, Thomas;


    METHODS: A retrospective 2-year cohort study of 127 women, with gestation between 13 and 24 weeks and a live fetus, seeking induced abortion. The aim was to compare the effect of a 1-day and a 2-day interval between oral mifepristone (200 mg) and vaginal misoprostol (400 microg) every 3 h. RESULTS......: The time to fetal expulsion was longer (9.8 versus 7.5 h; pday than in the 2-day group, but the median number of applications were identical and abortion occurred in 98% within 24 h in both groups The time to abortion was longer in women with a gestation of 17-22 weeks compared to women...

  15. 应用阴道微生态检测诊断人工流产术前女性阴道炎的价值初探%The value of microecological assessment of vaginal microflora in diagnosis of vaginitis of the women before the induced abortion

    王威; 耿力; 武淑英; 王晓晔; 王迎


    目的:探讨应用阴道微生态检测手段对人工流产术前妇女阴道炎的诊断价值,并了解阴道炎分泌物菌群分布.方法:选取2012年3月1日~5月31日在北京大学第三医院计划生育门诊欲行人工流产妇女中患阴道炎患者,进行阴道分泌物阴道微生态检测.结果:407例患者以细菌性阴道病和外阴阴道假丝酵母菌病为主,应用阴道微生态检测进行Nugent评分(≥7分)诊断为细菌性阴道病123例(30.2%),外阴阴道假丝酵母菌病92例(22.6%),此外还有164例(40.3%)患者没有特异病原体的感染,仅表现为菌群失调或清洁度异常.407例患者中菌群正常占26.5%,菌群密集度++~+++占70.8%,菌群多样性++~+++占65%,pH>4.5占31.7%.患阴道炎妇女中普遍存在异常茵群,主要包括:革兰阳性小杆菌(29.5%)、革兰阴性小杆菌(18.2%)、革兰阳性球菌(12.5%)、革兰阴性球菌(11.8%).结论:阴道微生态评价体系是对人工流产术前女性阴道炎进行确切临床诊断的一个重要检测手段,能明确指导临床诊断阴道感染,并可能为围手术期的合理治疗提供依据.%Objective: To investigate the importance of microecological evaluation in diagnosing vaginitis before the induced a-bortion, and to investigate the distribution of vaginal microflora in the women with vaginitis before the induced abortion. Methods : A total of 407 women with diagnosed vaginitis who requested for an induced abortion were recruited from Mar 1, 2012 to May 31, 2012, and the samples of vaginal secretion were collected for the microecological evaluation of vaginal microflora. Results; The bacterial vaginosis (BV) and vulvovaginal candidiasis (VVC) were the main diseases in the 407 patients, with 30.2% (123/407) of BV diagnosed by Nugent score of ≥7, and 22. 6% (92/407) of VVC. There were 164 women who had no specific infectious agents and were characterized by only abnormal vaginal microflora. Of the 407

  16. 心理护理对无痛人工流产手术患者身心的影响%Effect of psychological nursing on patients with mental and physical operation of painless induced abortion

    王莉元; 赵春燕


    Objective:To explore the effect of psychological nursing to patients undergoing painless artificial abortion operation.Methods:60 patients who underwent painless abortion operation were chosen and divided experimental group and control group according to the random number table,30 cases in each group.The control group was prepared with normal operation methods,and the experimental group was given specifically psychological nursing except the normal operation.Fear was evaluated before the operation,dream and pain were evaluated after the operation Results:The fear,dream and pain of patients in experimental group were improved comparing with control group,there was a statistical difference (P < 0.05,P < 0.01).Conclusion:Psychological nursing can be applied to the preoperative nursing for patients who have painless abortion operations.%目的:探讨心理护理对无痛人工流产手术患者身心影响的效果.方法:选择60例无痛人工流产手术患者并随机分为试验组和对照组各30例,对照组给予常规手术准备及护理,试验组除常规手术准备外还针对性地进行心理护理,对两组患者术前进行恐惧评定、术后进行梦境和疼痛评定.结果:试验组患者的恐惧、梦境和疼痛状态均明显优于对照组,两组比较有统计学意义(P <0.05,P<0.01).结论:心理护理可减轻患者的术前恐惧状态,明显改善患者术中梦境和术后疼痛程度.

  17. Expression of AIF-1 and RANTES in Unexplained Spontaneous Abortion and Possible Association with Alloimmune Abortion

    Yong-hong LI; Hai-lin WANG; Ya-juan ZHANG


    Objective To investigate the effects of allograft inflammatory factor-1(AIF-1)and (RANTES) in sera and deciduas on unexplained early spontaneous abortion.Methods AIF-1 and RANTES were examined in sera and deciduas/endometria of 43 unexplained early spontaneous abortion women (group A),40 healthy women with early pregnancy(group B)and 20 healthy women with no pregnancy (group C). Immunohistochemistry and enzyme linked immunosorbent assay (ELISA) were used in this study. Results AIF-1 protein was expressed both in deciduas of group A and in endometria of group C.In group A, H scores in the recurrent abortion deciduas specimens were significantly greater than those in the first abortion;in endometrium,expression of AIF-1 was greater in the secretory than in proliferative phase of group C.In group B,concentrations of RANTES in sera were higher in 7th-8th week of pregnancy than in 6th-7th and >8th week of pregnancy;expression of AIF-1 protein showed a negative correlation with RASNTES concentration;a significant increase of the RANTES levels in sera and tissue was observed in group B. Conclusion These results demonstrate, for the first time,that AIF-1 are expressed in deciduas of unexplained spontaneous abortion suggesting that AIF-1 involve in alloimmune abortion; RANTES might act as a novel blocking antibody;AIF-1 and RANTES might act as reliable markers for diagnosis of early alloimmune abortion.

  18. [Abortion as it is described to us].

    Six-Quivy, M; Macaigne, M; Playoust, D; Zylberberg, G


    The French law legalizing abortion provided for a meeting between patient and social counselor prior to the intervention. Aim of this provision was to allow a women to see more clearly into herself, and to allow a social worker to help the patient make a personal and wise decision. Most women come to this encounter with feelings of guilt, anxiety, and depression; most of them want abortion because they know they can have one, and medical reasons for abortion are practacally nonexistant. The emotional situation of the couple, more than their socioeconomic condition, does have a great importance in making a final decision. A discussion can sometimes help, but the responsibility of the decision is with the women's alone. PMID:7401902

  19. The politics of abortion and contraception

    Drezgić Rada


    Full Text Available In this article the author challenges several dominant positions that are relevant for understanding demographic trends and contraceptive practices as well as their mutual relationship. First, the author rejects the assumed direct connection between high abortion rates and low fertility. Second, the author challenges the thesis according to which abortions come about because of the lack of contraception and proposes that high abortion rates result from failing contraception i.e. from high failing rates of coitus interruptus which is a preferred method of birth control by men and women in Serbia. Finally, the author argues that giving control over reproductive risk to men does not make women passive victims of male domination. Rather women are, it is argued, active agents in reproducing hegemonic gender roles and relations. In addition, the author shows how gender power relations formed at the micro level may be consequential for macro level politics.

  20. Medical abortion. defining success and categorizing failures

    Rørbye, Christina; Nørgaard, Mogens; Vestermark, Vibeke;


    Medical abortion was performed in 461 consecutive women with gestational age LT /= 63 days using a regimen of mifepristone 600 mg followed 2 days later by gemeprost 1 mg vaginally. Success, defined as no surgical intervention, declined from 98.7% after 2 weeks to 94.6% after 15 weeks. The...... difference in short- and long-term success rates increased with increasing gestational age. The majority of failures (76%) were diagnosed more than 2 weeks after initiation of the abortion. At a 2-week follow-up visit, the women who turned out to be failures had a larger endometrial width, higher beta......-hCG values and smaller reductions of beta-hCG than those treated successfully. To optimize comparison of success rates after different medical abortion regimens, we suggest that the criteria for success are stated clearly, that the success rates are stratified according to gestational age and that the...

  1. Diagnostic categorization of post-abortion syndrome.

    Gómez Lavín, C; Zapata García, R


    Some psychopathological characteristics are frequently observed in women who have voluntarily aborted. However, some resistance currently remains to their recognition as a differentiated nosological category, known as Post-Abortion Syndrome (PAS). We tried to assign a diagnostic category to women with PAS by determining the extent by which they fulfilled the diagnostic criteria of international classifications. Criteria for Post-Traumatic Stress Disorder (PTSD) were met in the ten PAS cases studied. In addition, patients also showed other non-specific symptoms such as repeated and persistent dreams and nightmares related with the abortion, intense feelings of guilt and the "need to repair". PAS should be considered as an additional type of PTSD. It also has some specific characteristics that could help to understand the patient's life experience and to establish a psychotherapeutic intervention. PMID:15999304

  2. Access to abortion and secular liberties

    Roberto Arriada Lorea


    Full Text Available In Brazil, facing an issue like abortion requires a secular perspective since the freedom of conscience assured by the Federal Constitution places upon the State the need to regard not only different viewpoints of different religions, but more specifically assure the right to diversity existing within a same religion, as well as the right to exercise different views from those of the hierarchy of his/her own religion. As such, there is no legal barrier for the decriminalization of abortion in the country. It is up to legislators to reform the present law and decriminalize abortion, assuming the commitments Brazil has assumed with international human-rights organizations, thus assuring the efficacy of civil liberties.

  3. Medical abortion and the risk of subsequent adverse pregnancy outcomes

    Virk, Jasveer; Zhang, Jun; Olsen, Jørn


    identified all women living in Denmark who had undergone an abortion for nonmedical reasons between 1999 and 2004 and obtained information regarding subsequent pregnancies from national registries. Risks of ectopic pregnancy, spontaneous abortion, preterm birth (at <37 weeks of gestation), and low birth...... weight (<2500 g) in the first subsequent pregnancy in women who had had a first-trimester medical abortion were compared with risks in women who had had a first-trimester surgical abortion. RESULTS: Among 11,814 pregnancies in women who had had a previous first-trimester medical abortion (2710 women) or...... pregnancies, gestational age at abortion, parity, cohabitation status, and urban or nonurban residence, medical abortion was not associated with a significantly increased risk of ectopic pregnancy (relative risk, 1.04; 95% confidence interval [CI], 0.76 to 1.41), spontaneous abortion (relative risk, 0.87; 95...

  4. Abortion Rates Rising in Zika-Affected Countries, Study Shows

    ... Abortion Rates Rising in Zika-Affected Countries, Study Shows ... from mosquito-borne Zika may be driving up abortion rates in Latin American countries affected by the ...

  5. Their Right to an Abortion, Your Right to Know

    ... Size Email Print Share Their Right to an Abortion, Your Right to Know Page Content Article Body ... a handful of states grant minors access to abortion without their parents’ knowledge or permission. The majority ...

  6. Pregnancy Choices: Raising the Baby, Adoption, and Abortion

    ... PREGNANCY Pregnancy Choices: Raising the Baby, Adoption, and Abortion • What are my options if I find out ... is financial help available? • If I am considering abortion, what should I know about my state’s laws? • ...

  7. Abortion Rates Rising in Zika-Affected Countries, Study Shows

    ... page: Abortion Rates Rising in Zika-Affected Countries, Study Shows ... from mosquito-borne Zika may be driving up abortion rates in Latin American countries affected by the ...

  8. Development of abort trigger system for SuperKEKB

    We have developed the new abort trigger system for SuperKEKB. The abort trigger system collects more than 130 abort signals and issues the abort kicker trigger signal. Since the response time of the system is required to be less than 20 μs, the abort signals are transmitted as optical signals. The system also has the timestamp function to record the abort signal received time with a 0.1 μs time resolution. Based on the performance tests, the response time of the modules is considered to be much shorter than cable delay. In the new system, the timestamp information gives the order of the received abort signals. This paper describes the design and the result of the performance test of the new abort trigger system. (author)

  9. Socioeconomic position and the risk of spontaneous abortion

    Norsker, Filippa Nyboe; Espenhain, Laura; A Rogvi, Sofie; Morgen, Camilla Schmidt; Andersen, Per Kragh; Andersen, Anne-Marie Nybo


    To investigate the relationship between different indicators of socioeconomic position and the risk of spontaneous abortion.......To investigate the relationship between different indicators of socioeconomic position and the risk of spontaneous abortion....

  10. Catholic options in the abortion debate.

    Maguire, D C


    The little-known Roman Catholic theological doctrine of probabilism, an ethical system explicated in all manuals of moral theology, is explained using as an example the dilemma of abortion. Probabilism is based on the notion that a doubtful moral obligation may not be imposed as though it were certain. "Ubi dubium, ibi libertas," means where there is doubt, there is freedom. There are 2 types of moral probability, intrinsic probability, where the individual, without the help of moral theologians, perceives the inapplicability of a particular moral teaching; and extrinsic probability, which involves reliance on the findings of 5 or 6 reputable moral theologians, who may hold a liberal view. Probabilism implies a reasonable doubt, and one's reasons must be cogent, but not necessarily conclusive. Today's abortion debate is an example of a respectable debate, where the liberal view has been endorsed by a number of reputable religious or other humanitarian bodies that in some cases abortion is not always immoral. Other examples in history are the view once taught by the church that taking interest on loans was immoral, that depriving slaves and women of civil rights on non-Catholics of religious or political freedom was moral. For today's legislators, there is a precedent throughout theological history for the state permitting an evil: both St. Augustine and St. Thomas Aquinas wrote that prostitution, although evil, should not be outlawed, because worse evils would occur with prohibition. Legislators who personally find abortion always immoral can support a Roe V. Wade decision because 1) it does not require anyone to have an abortion, and 2) the abortion debate, among Catholics, and non-Catholics is not settled. PMID:12178838

  11. Nurses and care of women seeking abortions, 1971 to 2011.

    McLemore, Monica; Levi, Amy


    In its first issue in 1972, JOGNN published a review article reporting surveillance data about abortions in the United States (Bourne, Kahn, Conger, & Tyler, 1972). This historical article predated Roe v. Wade, the U.S. Supreme Court decision legalizing abortion. Since this landmark decision, numerous articles have addressed nurses' role in abortion care. We review current literature on nurses and abortion care and use thematic categories to highlight areas of investigation. PMID:22273447

  12. Analysis of the Spontaneous Abortion in Chinese Married Women

    高尔生; 邓新清; 何更生; 方可娟; 唐威; 楼超华


    The spontaneous abortion is a common type of pregnant outcomes. The spontaneous abortion rate can be used to indicate the women's fecundity and the level of the reproductive health. It is also a sensitive indicator for determing the social, economic, and health status and prenatal care. To explore the preventive method for spontaneous abortion and improve women's health level, it is important to evaluate the status of spontaneous abortion and to determine the factors affecting

  13. Abortion Costs, Separation and Non-Marital Childbearing

    Andrew Beauchamp


    How do abortion costs affect non-marital childbearing? While greater access to abortion has the first-order effect of reducing childbearing among pregnant women, it could nonetheless lead to unintended consequences via effects on marriage market norms. Single motherhood could rise if lower-cost abortion makes it easier for men to avoid marriage. We identify the effect of abortion costs on separation, cohabitation and marriage following a birth by exploiting the "miscarriage-as-a-natural exper...

  14. Post-Abortion Syndrome: A Critical Review of the Literature

    Robins, Melanie


    Background and Aim Unwanted pregnancy and abortion are common life events, with an estimated 1 in 5 women experiencing an abortion within their lifetime. Although abortion itself is a relatively minor, safe procedure with minimal physical impact, controversy exists regarding the psychological risks associated with the termination of a pregnancy. A key argument within this debate is whether or not there is such a phenomenon as post-abortion syndrome. Therefore, this study aimed to examine t...

  15. Factors affecting attitudes towards medical abortion in Lithuania

    Lazarus, Jeff; Nielsen, Stine; Jakubcionyte, Rita;


    Surgical abortion in Lithuania is governed by a 1994 ministerial decree that made it legal for any woman 16 or older. This article seeks to determine the key demographic factors in Lithuanian attitudes towards medical abortion, which is currently not legal.......Surgical abortion in Lithuania is governed by a 1994 ministerial decree that made it legal for any woman 16 or older. This article seeks to determine the key demographic factors in Lithuanian attitudes towards medical abortion, which is currently not legal....

  16. [Religion, morality and politics: the abortion debate].

    Ladriere, P


    The views of morality enunciated by the Protestant and Catholic churches in the process of France's abortion law revision are examined through an analysis of the testimony of each church and its moral theologians during hearings held from July-November 1973 by the Commission of Cultural, Family, and Social Affairs of the National Assembly concerning the proposed abortion legislation. The offical Catholic Church position, which restated a neoscholastic philosophy with its theory of human nature, natural law, natural right, and natural morality, was opposed by 2 priests who participated as members of other organizations. The moral principles behind the official Catholic position included the sacred and absolute principle of respect for life, the beginning of human life at conception, and the responsibility to protect the fetus as a human being. Internal Catholic challenges to the official position appeared to rest principally on the question of when life begins but also touched on the inappropriateness of viewing unwanted pregnancy as a punishment for sexual activity, the constant recourse to authority of the church, and the reluctance to reexamine questions on new evidence. Faced with the likely replacement of abortion law consistent with Catholic morality by 1 seriously at variance, the French Church and state while justifying their organized opposition to any change. The right of the church to impose its views on the legislature and on society, the view of the cultural context of abortion as a degradation of public attitudes expressed in rejection of children, the necessary connections between sexuality and fertility, the necessity for women to be able to control their fertility if they were to participate fully in society, the debased conditions in which thousands of illegal abortions occurred or the exaggeration of such conditions were other issues. Proposed legislation on abortion was opposed by the official Catholic position, which instead called for a vaguely

  17. Spontaneous abortion and physical strain around implantation

    Hjollund, N H; Jensen, Tina Kold; Bonde, Jens Peter;


    Existing studies of physical strain and spontaneous abortion are mainly retrospective or based only on pregnancies that have survived the first trimester. Furthermore, almost all studies have relied on averaged measures of physical strain, which tend to blur an effect if peak values during short...... pregnancy the women recorded physical strain prospectively in a structured diary. Physical strain around the time of implantation was associated with later spontaneous abortion. The adjusted risk ratio for women who reported physical strain higher than average at day 6 to 9 after the estimated date of...

  18. Social forces and the abortion law.

    Francome, Colin


    This research analyses the social and political forces underlying the 1aws of abortion in Britain and the United States. It sets out to explain the apparent paradox that the United States now has an abortion law which is more liberal than Britain despite the fact that in many ways it is a more conservative society. Furthemore it aims to set this recent situation in a historical context and to examine recent and likely future developments. It analyses the major social forces on either si...

  19. A comment on Tooley's Abortion and Infanticide.

    Tushnet, Mark; Seidman, Louis Michael


    Tushnet and Seidman attempt to show that, even if Michael Tooley is correct that fetuses have no right to life, others may have a right to their continued existence. Rights-bearing third parties with an interest in the fetus might be biological fathers, prospective adoptive parents, or even society as a whole. Criteria for assessing the legitimacy of claims of interest must be developed and then balanced against the claims of those who support abortion. The authors also discuss principles of bodily autonomy, the destruction as well as the removal of the fetus, and the question of whether legislation prohibiting abortion is mandatory, permissible, or optional. PMID:11653692

  20. 宫腔镜在诊治人工流产术后宫颈粘连及术后二次探查中的价值%The Value of Hysteroscope in the Diagnosis and Treatment of Cervix Adhesion after Induced Abortion and Postoperative Secondary Exploration

    黄春玉; 冯力民; 杨保军


    目的 探讨宫腔镜诊治人工流产术后宫颈粘连及术后二次探查的价值.方法 2000年12月~ 2012年7月51例人工流产术后有症状者行宫腔镜检查,对宫颈和宫腔粘连进行分离、切除,术后宫腔内放置带尾丝的节育器.对术后第3次月经干净3~7d行宫腔镜二次探查.结果 人工流产术后宫颈粘连中有9.8%(5/51)的病人同时合并宫腔粘连.宫颈粘连中疏松粘连占72.5% (37/51),致密粘连占27.5% (14/51).术后二次探查显示疏松粘连组复发率2.7(1/37)与致密粘连组21.4% (3/14)无统计学差异(x2=2.677,P=0.102);宫颈粘连合并宫腔粘连组复发率60.0% (3/5)显著高于单纯宫颈粘连组2.2% (1/46) (P =0.002).结论 宫腔镜诊治人工流产术后宫颈粘连有较高的临床应用价值,宫腔镜二次探查可以了解宫腔恢复情况,确定治疗是否彻底和发现粘连及早分离,弥补第1次手术的不足.%Objective To evaluate the value of hysteroscope in the diagnosis and treatment of cervix adhesion after induced abortion and postoperative secondary exploration.Methods 51 patients with symptoms after induced abortion underwent hysteroscopic examination from December 2000 to July 2012.Cervix and intrauterine adhesion were separated and dissected.Intrauterine device was inserted after operation.Postoperative secondary hysteroscopic examination was performed 3 to 7 days after the third menstruation.Results After artificial abortion,9.8% (5/51) of patients with cervical adhesions were combined with intrauterine adhesion.Among the patients with cervical adhesion,loose adhesions accounted for 72.5% (37/51),and dense adhesions accounted for 27.5% (14/51).Postoperative hysteroscopic examination showed that the loose adhesion group (2.7,1/37) had similar recurrence rate to the dense adhesion group (21.4%,3/14) (x2 =2.677,P =0.102).The cervical adhesions combined with intrauterine adhesions group (60.0%,3/5) had significantly higher

  1. 21 CFR 884.5070 - Vacuum abortion system.


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Vacuum abortion system. 884.5070 Section 884.5070 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... § 884.5070 Vacuum abortion system. (a) Identification. A vacuum abortion system is a device designed...


    XUChong; CHENFu; LIULi; ZHAOFei-Sha


    To clarify the possible correlation between antisperm antibodies (ASA) and spontaneous abortion, 68 women, aged 23-37, experienced 2-9 times of spontaneous abortion were tested for ASA by ELISA. 38 fertile women, aged 24-40, without history of abortion were employed as control.

  3. 42 CFR 457.475 - Limitations on coverage: Abortions.


    ... 42 Public Health 4 2010-10-01 2010-10-01 false Limitations on coverage: Abortions. 457.475 Section... State Plan Requirements: Coverage and Benefits § 457.475 Limitations on coverage: Abortions. (a) General rule. FFP under title XXI is not available in expenditures for an abortion, or in expenditures for...

  4. The Effect of Religious Membership on Teen Abortion Rates.

    Tomal, Annette


    Studied abortion rates among teenagers in 1,024 counties in 18 states that report abortion numbers. Results show that counties with high levels of religious membership were more likely to be in a state with a parental involvement law for teenage abortions. Both religious membership level and a parental involvement law were negatively related to…

  5. The Psychosocial Factors of the Abortion Experience: A Critical Review

    Shusterman, Lisa Roseman


    Due to faulty methodology no general statements can be made about psychosocial factors for women receiving illegal abortions. Women receiving therapeutic abortions experienced favorable psychological consequences more often than negative consequences. New abortion patients are mostly young, unmarried women who are not in a social position to care…

  6. Knowledge Level of Gynecologists and Midwives of Yazd Concerning Rules and Regulations of Therapeutic Abortion(Legal) and Criminal Abortion

    M Ghadipasha; N BASHARDOOST; A Ghodoosi; B Samadirad; Nikian, Y.; Roohparvar, R.


    Introduction: Abortion has always been a controversial issue and all religions, humanistic and medical communities have opposed it . The complications of illegal abortion are one of the most common reasons of hospital admission in developing countries. W.H.O estimates that the one eight of all pregnancy deaths is due to illegal abortion. Lack of knowledge of the medical team about the abortion regulations and rules can endanger the pregnant mothers life and also create certain problems for me...

  7. Healthcare for women in process of induced abortion: statements of nursing professionals Asistencia a la mujer en proceso de aborto provocado: discurso de profesionales de enfermería Assistência à mulher em processo de abortamento provocado: discurso de profissionais de enfermagem

    Solange Maria dos Anjos Gesteira


    Full Text Available OBJECTIVE: To analyze the statements of nursing professionals regarding healthcare provided to women in process of induced abortion. METHODS: Case study with qualitative approach, performed at a public maternity hospital in Salvador BA; data were obtained with the focus group technique, using content analysis. RESULTS: The nursing team professionals perceive abortion as a crime, a sin, and healthcare as discriminatory. The woman's right to speech is denied, with silence being observed along the abortion process. CONCLUSION: The absence of dialogue at the healthcare services makes the possibility of humanized care delivery more distant, turning the implantation of healthcare humanization policies for women in the process of induced abortion a challenge.OBJETIVO: Analizar el discurso de profesionales de enfermería con relación a la asistencia prestada a las mujeres en proceso de aborto provocado. MÉTODOS: Estudio de caso, con abordaje cualitativo; realizado en una maternidad pública de Salvador - BA; los datos fueron obtenidos por medio de la técnica del Grupo Focal utilizando la técnica del análisis de contenido. RESULTADOS: Las profesionales del equipo de enfermería perciben el aborto como crimen, pecado, y la asistencia, como discriminante. A la mujer le es negado el derecho a hablar, por lo que el silencio es observado a lo largo del proceso de aborto. CONCLUSIÓN: La ausencia de diálogo en los servicios de atención vuelve más distante la posibilidad de asistencia humanizada, haciendo que la implantación de la política de humanización de la asistencia a las mujeres en proceso de aborto provocado sea un reto.OBJETIVO: Analisar o discurso de profissionais de enfermagem com relação à assistência prestada às mulheres em processo de abortamento provocado. MÉTODOS: Estudo de caso, com abordagem qualitativa; realizado em uma maternidadepública de Salvador - BA; os dados foram obtidos por meio da técnica do Grupo Focal utilizando

  8. Spiral kicker for the beam abort system

    Martin, R.L.


    A brief study was carried out to determine the feasibility of a special kicker to produce a damped spiral beam at the beam dump for the beam abort system. There appears to be no problem with realizing this concept at a reasonably low cost.

  9. Abortion Legalization and Life-Cycle Fertility

    Ananat, Elizabeth Oltmans; Gruber, Jonathan; Levine, Phillip


    The early-1970s abortion legalization led to a significant drop in fertility. We investigate whether this decline represented a delay in births or a permanent reduction in fertility. We combine Census and Vital Statistics data to compare the lifetime fertility of women born in early-legalizing states, whose peak childbearing years occurred in the…

  10. Debate: Should Abortion Be Available on Request?

    Nathanson, Bernard; Lawrence, George


    Two physicians debate whether abortions should be available on request regardless of medical indications. The crux of the issue is whether the fetus should be considered body tissue over which the woman has complete control or whether society has an interest in the embryo and should protect it. (Author/BY)

  11. [Putting decriminalization of abortion to a refendum].


    Surveys conducted in Mexico by GIRE in 1992, 1994, and 1995 reveal that over 80% of the national population believes only a woman or a woman and her partner should make abortion decisions. Neither the government, the Church, nor physicians should intervene. Public opinion and the documented social and public health consequences of illegal abortion demonstrate the obsolescence of laws penalizing abortion. Mexico does not have a direct means of converting the opinions of the population into votes and laws. In place of referendums, committees of specialists have been convened; they are limited in number and ability to represent diverse groups, and oriented above all to the losses and gains of political and parliamentary disputes. The electoral reform of 1995-96 was a good example of the question under debate getting lost in partisan maneuvering. The Federal District and four states have initiated development of the referendum process, but the procedures have been too cumbersome and the results disappointing. In the current day, opinions are often formed not by following a rational process, but by bombardment with advertising appealing to irrational emotions. The democratic effects of referendum should be furthered by guaranteeing fair and exhaustive exposure of all points of view before the vote is held. GIRE recommends that a referendum on decriminalization of abortion should be preceded by a period of at least two years for public debate and reflection, and that the Federal Electoral Institute should organize the debate and the referendum. PMID:12349540

  12. Adolescent girls, illegal abortions and "sugar-daddies" in Dar es Salaam: vulnerable victims and active social agents

    Silberschmidt, M; Rasch, V


    they became pregnant, and many counted on an illegally induced abortion if they got pregnant. Even if adolescents are now allowed free access to family planning information, education and services, our study shows that this remains in the realm of theory rather than practice. Moreover, most adolescent......Adolescent girls' early sexual activity, early pregnancy, induced abortions and the increase in HIV infections have become major concerns in Sub-Saharan Africa. Efforts, though, to understand their sexual behaviour and to prevent reproductive health problems are almost non-existent. Adolescent...... willing preys and active social agents engaging in high-risk sexual behaviour. In order to get material benefits they expose themselves to serious health risks, including induced abortion - without realising their own vulnerability. In our study, one out of four girls had more than one partner at the time...

  13. Review on abort trajectory for manned lunar landing mission


    Abort trajectory is a passage that ensures the astronauts to return safely to the earth when an emergency occurs. Firstly,the essential elements of mission abort are analyzed entirely based on summarizing the existing studies. Then,abort trajectory requirement and rational selection for different flight phases of typical manned lunar mission are discussed specifically. Considering a trade-off between the two primary constrains of an abort,the return time of flight and energy requirement,a general optimizing method for mission abort is proposed. Finally,some suggestions are given for China’s future manned lunar landing mission.

  14. Legal abortions among teenagers in Canada, 1974 through 1978.

    Wadhera, A.; Nair, C.(Argonne National Laboratory, Argonne, IL, 60439, USA)


    Between August 1969, when the amendment to the Criminal Code went into effect, and December 1978 about 397 000 legal abortions were performed in hospitals with therapeutic abortion committees in Canada. During the 5-year period 1974-78 abortions in females under 20 years of age accounted for 30.9% of all the legal abortions performed in Canada on Canadian residents, and the abortion rate per 1000 women aged 15 to 19 years increased from 13.6 to 16.3. During 1974-77 the proportion of women in ...

  15. Visualising abortion: emotion discourse and fetal imagery in a contemporary abortion debate.

    Hopkins, Nick; Zeedyk, Suzanne; Raitt, Fiona


    This paper presents an analysis of a recent UK anti-abortion campaign in which the use of fetal imagery--especially images of fetal remains--was a prominent issue. A striking feature of the texts produced by the group behind the campaign was the emphasis given to the emotions of those viewing such imagery. Traditionally, social scientific analyses of mass communication have problematised references to emotion and viewed them as being of significance because of their power to subvert the rational appraisal of message content. However, we argue that emotion discourse may be analysed from a different perspective. As the categorisation of the fetus is a social choice and contested, it follows that all protagonists in the abortion debate (whether pro- or anti-abortion) are faced with the task of constructing the fetus as a particular entity rather than another, and that they must seek to portray their preferred categorisation as objective and driven by an 'out-there' reality. Following this logic, we show how the emotional experience of viewing fetal imagery was represented so as to ground an anti-abortion construction of the fetus as objective. We also show how the arguments of the (pro-abortion) opposition were construed as totally discrepant with such emotions and so were invalidated as deceitful distortions of reality. The wider significance of this analysis for social scientific analyses of the abortion debate is discussed. PMID:15893054

  16. Psychology Consequences of Abortion Among The Post Abortion Care Seeking Women in Tehran

    Abolghasem Pourreza


    Full Text Available "nObjective: abortion either medical or criminal has distinctive physical, social, and psychological side effects. Detecting types and frequent psychological side effects of abortion among post abortion care seeking women in Tehran was the main objective of the present study. "n Method: 278 women of reproductive age (15-49 interviewed as study population. Response rate was 93/8. Data collected through a questionnaire with 2 parts meeting broad socio-economic characteristics of the respondents and health- related abortion consequences. Tehran hospitals were the site of study. "nResults: The results revealed that at least one-third of the respondents have experienced psychological side effects. Depression, worrying about not being able to conceive again and abnormal eating behaviors were reported as dominant psychological consequences of abortion among the respondents. Decreased self-esteem, nightmare, guilt, and regret with 43.7%, 39.5%, 37.5%, and 33.3% prevalence rates have been placed in the lower status, respectively. "nConclusion: Psychological consequences of abortion have considerably been neglected. Several barriers made findings limited. Different types of psychological side effects, however, experienced by the study population require more intensive attention because of chronic characteristic of psychological disorders, and women's health impact on family and population health.

  17. Orion Launch Abort Vehicle Attitude Control Motor Testing

    Murphy, Kelly J.; Brauckmann, Gregory J.; Paschal, Keith B.; Chan, David T.; Walker, Eric L.; Foley, Robert; Mayfield, David; Cross, Jared


    Current Orion Launch Abort Vehicle (LAV) configurations use an eight-jet, solid-fueled Attitude Control Motor (ACM) to provide required vehicle control for all proposed abort trajectories. Due to the forward position of the ACM on the LAV, it is necessary to assess the effects of jet-interactions (JI) between the various ACM nozzle plumes and the external flow along the outside surfaces of the vehicle. These JI-induced changes in flight control characteristics must be accounted for in developing ACM operations and LAV flight characteristics. A test program to generate jet interaction aerodynamic increment data for multiple LAV configurations was conducted in the NASA Ames and NASA Langley Unitary Plan Wind Tunnels from August 2007 through December 2009. Using cold air as the simulant gas, powered subscale models were used to generate interaction data at subsonic, transonic, and supersonic test conditions. This paper presents an overview of the complete ACM JI experimental test program for Orion LAV configurations, highlighting ACM system modeling, nozzle scaling assumptions, experimental test techniques, and data reduction methodologies. Lessons learned are discussed, and sample jet interaction data are shown. These data, in conjunction with computational predictions, were used to create the ACM JI increments for all relevant flight databases.

  18. Novel genetic male sterility developed in (Capsicum annuum x C. chinense) x C. pubescens and induced by HNO2 showing Mendelian inheritance and aborted at telophase of microspore mother cell stage.

    Huang, W; Ji, J-J; Li, C; Li, G-Q; Yin, C-C; Chai, W-G; Gong, Z-H


    A novel genetic male sterile germplasm was developed by successively crossing of (C. annuum x C. chinense) x C. pubescens and by chemical mutagenesis in pepper. The sterile anthers showed morphological abnormalities, but pistils developed normally with fine pollination capability. We investigated fertility segregation through sib-crossing of the same strains and test crossing by male sterile plants with 6 advanced inbred lines. The results showed that male fertility in the pepper was dominant in the F1 generation and segregated at a rate of 3:1 in the F2 generation, suggesting that monogenic male sterility was recessive and conformed to Mendelian inheritance. Cyto-anatomy analysis revealed that microspore abortion of sterile anthers occurred during telophase in the microspore mother cell stage when tapetal cells showed excessive vacuolation, resulting in occupation of the loculi. The microspore mother cells self-destructed and autolyzed with the tapetum so that meiosis in pollen mother cells could not proceed past the tetrad stage. PMID:25966098

  19. [First results of an epidemiological survey on abortion in the "Ceramic District" and in other areas of Emilia (Italy)].

    Paltrinieri, R


    This research sought to determine whether a connection exists between atmospheric pollution and abortion frequency in a particular situation created in the Ceramic District. Industries specializing in the production of ceramic tiles have proliferated since 1950 in an area comprising 15 urban areas in northeast Italy. The use of pollutant raw materials (clay, lead, and dusts transported by smoke) as well as the heavy concentration of industry have caused an intense and harmful atmospheric pollution inside and outside the factories. In particular, the longstanding and widespread use of lead, which gives the tiles the technical and aesthetic properties which render them highly competitive in international markets, has been suspected of causing chromosomal alterations and abortion; this despite contradictions present in the literature. The epidemiological survey includes all women entering hospital for abortion and delivery with stillbirths and livebirths in the Ceramic District from October 24, 1968-October 24, 1975. The survey has been extended to other areas subject to normal pollutants with similar or different socioeconomic structures with respect to the Ceramic District; this 2nd survey considers all hospitalizations for abortion and a systematic sample of delivery in the 3 communal hospitals. A total of 20,925 cases were examined. The issue of each pregnancy was classified according to the woman's area of residence. 4 groups corresponding to the areas taken into consideration were examined: the 1st comprises the Ceramic District; the 2nd, 3rd, and 4th comprise the areas of Carpi, Vignola, and Pavullo. The following assumptions were made: 1) that women opt for local hospital care, 2) that hospital care may have been sought in the case of induced abortion, and 3) that the frequency of induced abortion corresponded with the condition of proportional parity in each group. A comparison of the abortion rate (i.e., the number of abortions/100 pregnancies) in the 4

  20. 流产后服务模式的临床探讨%Investigatoin on clinical post abortion care

    袁贞明; 魏敏敏


    Objective:To investigate the clinical significance of immediate post abortion care after artificial abortion.Methods:The induced abortion young nulliparous women 480 cases were randomly divided into two groups, who accepted PAC after abortion are the treatment group (240cases), who do not accepted PAC after abortion are the observation group (240 case)s.The amount and duration of vaginal bleeding after induced abortion,the recovery of menstruation,take contraceptive measures and unwanted pregnancy once again after treatment were evaluated.Results:Shorter duration of vaginal bleeding,lower rate of complications such as intrauterine adhesions and ac -companying infection ,faster recovery of menstrual cycle after abortion , better contraception effect and lower unintended pregnancy rate once again were observed in the treatment group (P <0.05),.Conclusion:Immediate application of post abortion care after artificial a-bortion should be safe and effective and has additional benefit of contraception.%目的:探讨人工流产术后即时开展人工流产后服务( post abortion care, PAC)的临床意义。方法:将行人工流产的年轻未生育妇女480例随机分为2组,人工流产术后接受PAC者为治疗组(240例),不采用PAC者为观察组(240例)。观察2组术后出血及月经情况,采取避孕措施及再次非意愿妊娠情况。结果:观察组出血时间短,术后并发感染及宫腔粘连等并发症发生率低,流产后月经恢复快,且避孕效果优于观察组(P<0.05),再次非意愿妊娠率低。结论:人工流产后立即开展PAC是安全、有效,并具有额外益处的避孕方法。

  1. 流产后服务模式的临床探讨%Investigatoin on clinical post abortion care

    袁贞明; 魏敏敏


    目的:探讨人工流产术后即时开展人工流产后服务( post abortion care, PAC)的临床意义。方法:将行人工流产的年轻未生育妇女480例随机分为2组,人工流产术后接受PAC者为治疗组(240例),不采用PAC者为观察组(240例)。观察2组术后出血及月经情况,采取避孕措施及再次非意愿妊娠情况。结果:观察组出血时间短,术后并发感染及宫腔粘连等并发症发生率低,流产后月经恢复快,且避孕效果优于观察组(P<0.05),再次非意愿妊娠率低。结论:人工流产后立即开展PAC是安全、有效,并具有额外益处的避孕方法。%Objective:To investigate the clinical significance of immediate post abortion care after artificial abortion.Methods:The induced abortion young nulliparous women 480 cases were randomly divided into two groups, who accepted PAC after abortion are the treatment group (240cases), who do not accepted PAC after abortion are the observation group (240 case)s.The amount and duration of vaginal bleeding after induced abortion,the recovery of menstruation,take contraceptive measures and unwanted pregnancy once again after treatment were evaluated.Results:Shorter duration of vaginal bleeding,lower rate of complications such as intrauterine adhesions and ac -companying infection ,faster recovery of menstrual cycle after abortion , better contraception effect and lower unintended pregnancy rate once again were observed in the treatment group (P <0.05),.Conclusion:Immediate application of post abortion care after artificial a-bortion should be safe and effective and has additional benefit of contraception.

  2. Adolescent girls, illegal abortions and "sugar-daddies" in Dar es Salaam: vulnerable victims and active social agents

    Silberschmidt, Margrethe; Rasch, V


    Adolescent girls' early sexual activity, early pregnancy, induced abortions and the increase in HIV infections have become major concerns in Sub-Saharan Africa. Efforts, though, to understand their sexual behaviour and to prevent reproductive health problems are almost non-existent. Adolescent...... girls are normally seen as victims and easy preys of (often older and married) men's sexual exploitation. This article, which is based on a qualitative study of 51 adolescent girls who had just had an illegal abortion in Dar es Salaam, Tanzania, reveals that these girls are not only victims but also...... willing preys and active social agents engaging in high-risk sexual behaviour. In order to get material benefits they expose themselves to serious health risks, including induced abortion - without realising their own vulnerability. In our study, one out of four girls had more than one partner at the time...

  3. [On the question of the illegality of abortion].

    Salton, J A


    The illegality of abortion in Brazil is questioned more and more. It would seem obvious that the prohibition of abortion would result in a decrease in the number of abortions, but upon closer observation, the opposite is true. Abortion related legislation in Brazil is among the most severe in the world. Both the physician and the patient are equally punishable, but this did not stop Brazilian women from having 3.5 million abortions/year. Countries with less severe laws have a much lower abortion rate. There have been extreme physiological and social consequences in Brazil as a result of abortion's illegality. The woman is not only a criminal, she is also a sinner in the eyes of the Church. In most cases, especially in low-income areas, abortion can lead to complications and death. Although there are no statistical data on the number of deaths due to illegal abortion, they would no doubt be alarming. An unwanted, unterminated pregnancy can have disastrous effects upon the mother, the child, and their relationship. These negative effects have been well documented. Prohibition will keep abortion out of the mainstream of national debate and aggravate the situation. A person's sexuality cannot be suppressed and considered evil. In lower income levels, unwanted pregnancy should not be a punishment for being poor. The legalization movement will grow, as it has in developed nations. The members of the Brazilian Society for Scientific Progress must remain active in the debate, because they cannot ignore something of such national importance. PMID:12314816

  4. Ugandan opinion-leaders' knowledge and perceptions of unsafe abortion.

    Moore, Ann M; Kibombo, Richard; Cats-Baril, Deva


    While laws in Uganda surrounding abortion remain contradictory, a frequent interpretation of the law is that abortion is only allowed to save the woman's life. Nevertheless abortion occurs frequently under unsafe conditions at a rate of 54 abortions per 1000 women of reproductive age annually, taking a large toll on women's health. There are an estimated 148,500 women in Uganda who experience abortion complications annually. Understanding opinion leaders' knowledge and perceptions about unsafe abortion is critical to identifying ways to address this public health issue. We conducted in-depth, semi-structured interviews with 41 policy-makers, cultural leaders, local politicians and leaders within the health care sector in 2009-10 at the national as well as district (Bushenyi, Kamuli and Lira) level to explore their knowledge and perceptions of unsafe abortion and the potential for policy to address this issue. Only half of the sample knew the current law regulating abortion in Uganda. Respondents understood that the result of the current abortion restrictions included long-term health complications, unwanted children and maternal death. Perceived consequences of increasing access to safe abortion included improved health as well as overuse of abortion, marital conflict and less reliance on preventive behaviour. Opinion leaders expressed the most support for legalization of abortion in cases of rape when the perpetrator was unknown. Understanding opinion leaders' perspectives on this politically sensitive topic provides insight into the policy context of abortion laws, drivers behind maintaining the status quo, and ways to improve provision under the law: increase education among providers and opinion leaders. PMID:24064047

  5. Efforts underway to impose harsh regulations on abortion providers.

    Sollom, T


    Legislators or regulators in Mississippi, South Carolina, and Missouri have imposed burdensome and unnecessary clinic requirements on abortion providers. In each case, the legislators or regulators designed the requirements to make abortions more difficult to obtain. Mississippi, a state with only two licensed abortion clinics, already had restrictive abortion laws. In August 1996, it implemented stringent regulations on private physicians who provide abortion services in their offices. Some requirements include purchasing specific equipment, widening hallways, and hiring more staff. Several physicians have filed a lawsuit to stop enforcement of the regulations because they make the provision of abortion services so cumbersome and expensive as to discourage physicians from offering abortions. Antiabortion groups testified before the legislature that the Department of Health had been negligent in monitoring private practices for compliance with Mississippi's many abortion laws, particularly counseling requirements. The Republican governor signed the legislation in March 1996. In July 1996, a federal judge prohibited the South Carolina Department of Health from enforcing a new regulation making physicians who perform as few as five abortions a month to meet strict specifications for their office (e.g., disclosure of patient records and medical agreements). The regulation was a response to a 1995 law targeting private physicians who perform abortions in their offices. The judge held that the substantial changes in terms of privacy and expense could bring an undue burden on women seeking abortions. The state denied that the regulation would close clinics or would increase costs so much as to make abortions inaccessible. In September 1996, the House did not override the Democratic governor's veto of a bill that would have required all facilities where abortions are done to be licensed and undergo annual inspections and that would have required all physicians to have

  6. [A glossary for discussion about abortion].

    Astete A, Carmen; Beca I, Juan Pablo; Lecaros U, Alberto


    Abortion and its diverse possible legal regulations is one of the major and toughest social controversies. This debate is even more problematic due to biases, prejudgments, different ideologies, beliefs, religious doctrines and political pressures. Chile has recently begun a new national discussion with an evident confusion, both in juridical and clinical terminology, which makes very difficult to achieve the necessary plural debate for a social and political consensus. The authors structured an academic collaborative project to create a glossary as a contribution for a discussion based on clearly defined notions about the different terms used in the abortion debate. Twenty-two concepts were selected and their definitions were reviewed and discussed by more than 50 different specialists. The final version of this glossary in Spanish language is presented. PMID:25694291

  7. [Abortion: legal, deontological and ethical framework].

    Canário, Catarina; Figueiredo, Bárbara; Ricou, Miguel


    Pregnancy interruption before fetal viability limit is inherent to a multidisciplinary reflection, due to the conflicts involved. Portuguese laws have been altered along time in the way of women's health protection, allowing the needed information and support towards a free, informed and enlightened decision. Deontological determinants about health professionals towards abortion indicate the practice accordingly the law. Nevertheless, it is safeguarded their right to consciousness objection. Ethical discussion about abortion, in its different ways, includes the concern about the value of intrauterine human life, and also the respect for individual autonomy. Even though the debate about intrauterine human life moral status is viewed from different theories and points of view, it is concluded that different perspectives about this matter are acceptable, in an interpersonal diversity valorization point of view. PMID:22863486

  8. Orion Launch Abort System (LAS) Propulsion on Pad Abort 1 (PA-1)

    Jones, Daniel S.


    This presentation provides a concise overview of the highly successful Orion Pad Abort 1 (PA-1) flight test, and the three rocket motors that contributed to this success. The primary purpose of the Orion PA-1 flight was to help certify the Orion Launch Abort System (LAS), which can be utilized in the unlikely event of an emergency on the launchpad or during mission vehicle ascent. The PA-1 test was the first fully integrated flight test of the Orion LAS, one of the primary systems within the Orion Multi-Purpose Crew Vehicle (MPCV). The Orion MPCV is part of the architecture within the Space Launch System (SLS), which is being designed to transport astronauts beyond low-Earth orbit for future exploration missions. Had the Orion PA-1 flight abort occurred during launch preparations for a real human spaceflight mission, the PA-1 LAS would have saved the lives of the crew. The PA-1 flight test was largely successful due to the three solid rocket motors of the LAS: the Attitude Control Motor (ACM); the Jettison Motor (JM); and the Abort Motor (AM). All three rocket motors successfully performed their required functions during the Orion PA-1 flight test, flown on May 6, 2010 at the White Sands Missile Range in New Mexico, culminating in a successful demonstration of an abort capability from the launchpad.

  9. The search for meaning: RU 486 and the law of abortion.

    Banwell, S S; Paxman, J M


    The advent of RU 486 (mifepristone), a steroid analogue capable of inducing menses within 8 to 10 weeks of a missed menstrual period, has provoked a firestorm of concern and controversy. When used in conjunction with prostaglandin (RU 486/PG), it is at least 95% effective. Used in France principally to terminate confirmed pregnancies very early in the process of gestation, RU 486 raises many interesting legal questions. This article focuses on whether and how RU 486/PG can be accommodated within the framework of the world's current abortion laws. Four avenues are explored and conclusions drawn. First, it is clear that RU 486/PG can be used readily, if approved, within the regimens established by liberal abortion laws, as has been the experience in France, the United Kingdom, and even China. Second, although unlikely, the introduction of this new technology may inspire a reexamination of restrictive abortion statutes themselves. Third, some of the presently restrictive laws may be interpreted to permit RU 486/PG use as a legal procedure, for a very narrow range of reasons. Finally, in some settings the early use of RU 486/PG (before pregnancy can be confirmed) may fall outside the reach of abortion legislation and hence be acceptable from a legal point of view. PMID:1415870

  10. [Medical claims and women's experience. Physician-performed abortions in the Weimar Republic].

    Usborne, C


    The campaign for abortion reform in the Weimar Republic occasioned passionate disputes between factions supporting and opposing liberalization of abortion laws. Nevertheless, both camps agreed on one issue: that doctors, and only doctors, should be authorized to terminate a pregnancy. The implication was that an operation induced by a registered medical practitioner was safe, while so-called back-street operations were always dangerous. By and large, this view has also been accepted by historians, often uncritically. This article shows that evidence of the very real risks of terminating a pregnancy was open to cultural and political manipulation. The claims of academic physicians were often contradictory: on the one hand, they dismissed the risks of medical procedures as a way of fighting lay abortions; on the other hand, they exaggerated these risks as a way of explaining unsuccessful surgeries. Using a case study from Bavaria at the beginning of the Republic, this article shows the ambiguous role doctors played and the biased view of the courts. It also sheds light on the experience of abortion-seeking women, whose interests were largely ignored by the law enforcement agencies. PMID:14674407

  11. Residential Exposure to Traffic and Spontaneous Abortion

    Green, Rochelle S; Malig, Brian; Windham, Gayle C.; Fenster, Laura; Ostro, Bart; Swan, Shanna


    Background Studies have shown associations between air pollution or traffic exposure and adverse birth outcomes, such as low birth weight. However, very few studies have examined the effect of traffic emissions on spontaneous abortion (SAB). Objective The goal of this study was to determine whether residential exposure to vehicular traffic was associated with SAB. Methods Pregnant women from a prepaid health plan in California were recruited into a prospective cohort study in 1990–1991. Three...

  12. Therapeutic abortion and Chlamydia trachomatis infection.

    Qvigstad, E; Skaug, K; Jerve, F; Vik, I S; Ulstrup, J C


    Chlamydia trachomatis was isolated from the cervix of 30 of 218 (13.8%) women admitted for legal termination of pregnancy. During the first two weeks after the abortion seven of the 30 (23.3%) patients developed pelvic inflammatory disease. Four of these had serological evidence of recent active chlamydial infection. Thus, routine examination of patients for genital chlamydial infection before termination of pregnancy is recommended.

  13. US poised to outlaw late abortion technique.

    Bozalis, D


    The House of Representatives passed a bill, by a two-thirds majority (288-139), prohibiting late (at 19-20 weeks gestation) abortion using intrauterine cranial decompression. The bill now awaits judgment from the Senate Judiciary Committee for hearings. If the bill becomes law, physicians performing the procedure could face up to two years in prison. Chris Smith, Republican cochairman of the House Pro-Life Caucus, who introduced the bill in the House, described the vote as historic. During his emotional speech, the procedure was described in order to desanitize a form of abortion that he called barbaric torture. Patricia Schroeder, Colorado House Representative, argued that the wording of the bill allowed the procedure only when it was the only possible way of saving the mother's life; the woman's health and future fertility were, in effect, set aside. There is no exception clause for when the woman's life or health is endangered. Schroeder fears women will be forced to choose more dangerous methods of abortion and believes more discussion is required regarding health risks and a more precise definition of when the procedure may be used. She is joined by the California Medical Association, the American Medical Women's Association, the American College of Obstetricians and Gynaecologists, and the American Medical Association. PMID:7496271

  14. Women and men’s psychological adjustment after abortion: a six months prospective pilot study

    Canário, Catarina; Figueiredo, Bárbara; Ricou, Miguel


    Background: The psychological impact of abortion is a controversial issue. While some studies indicate that women who had elective abortions present lower psychological distress when compared with those who had spontaneous or therapeutic abortions, other studies found abortion to be associated with significant psychological distress. Objectives: To assess psychological adjustment (emotional disorder, trauma symptoms and couple relationship) one and six months after abortion,...

  15. Maternal smoking predicts the risk of spontaneous abortion

    Nielsen, Ann; Hannibal, Charlotte Gerd; Lindekilde, Bodil Eriksen;


    ) or who gave birth (n=1,578) during follow-up were selected. Associations between self-reported smoking at enrollment and subsequent spontaneous abortion were analyzed by means of multiple logistic regression. RESULTS: The risk of spontaneous abortion in relation to pre-pregnancy smoking showed a......BACKGROUND: Few studies have examined smoking prior to pregnancy and the occurrence of spontaneous abortion, as most studies have addressed the risk of spontaneous abortion in relation to smoking during pregnancy. However, results are not entirely consistent. The aim of the present study was to...... assess the risk of spontaneous abortion considering smoking prior to pregnancy. METHODS: We performed a nested case-control study using prospective data from a population-based cohort comprising 11,088 women aged 20-29 years. From this cohort, women who experienced either a spontaneous abortion (n=343...

  16. 25 years later, US abortion war still drags on.

    Rovner, J


    In the 25 years since the US Supreme Court's landmark Roe vs. Wade decision legalizing abortion, activists on both sides of the issue have drawn further apart as they have vied for the support of the majority of US voters who express ambivalence towards the law. These voters believe that abortion may be murder but that it must be legal. The Roe vs. Wade anniversary has sparked new legislative priorities on both sides. Abortion-rights activists will seek legislation that attempts to decrease the need for abortion by increasing funding for family planning services in the US and abroad, supporting funding for contraceptive research, and requiring health insurers to pay for contraceptives. Abortion opponents will continue to press for "partial birth" abortion bans and will support efforts to make it a federal crime for an adult to transport a minor across state lines to evade state parental notification or consent laws. PMID:9652629

  17. U.S. tries to defuse abortion debate.

    Struck, D


    In an apparent attempt to defuse acrimony at the International Conference on Population and Development, underway in Cairo, the US delegation is softening its stance on abortion decriminalization. US Vice President Al Gore, the head of the delegation, has stated, "The United States does not seek to establish a new international right to abortion, and we do not believe that abortion should be encouraged as a method of family planning." The Vatican and Muslim fundamentalists remain concerned, however, that the Cairo gathering represents an opportunity for the US to impose its abortion rights agenda on other countries. The draft prepared for presentation to the conference makes no explicit mention of legal abortion. Rather, it advocates safe motherhood, complete reproductive health care, and fertility control-- phrases the Vatican insists mask an intent to promote the use of abortion for family planning. PMID:12318927

  18. Measuring abortion-related mortality: challenges and opportunities.

    Gerdts, Caitlin; Tunçalp, Ozge; Johnston, Heidi; Ganatra, Bela


    Two recent efforts to quantify the causes of maternal deaths on a global scale generated divergent estimates of abortion-related mortality. Such discrepancies in estimates of abortion-related mortality present an important opportunity to explore unique challenges and opportunities associated with the generation and interpretation of abortion-related mortality estimates. While innovations in primary data collection and estimation methodologies are much needed, at the very least, studies that seek to measure maternal deaths due to abortion should endeavor to improve transparency, acknowledge limitations of data, and contextualize results. As we move towards sustainable development goals beyond 2015, the need for valid and reliable estimates of abortion-related mortality has never been more pressing. The post-MDG development agenda that aims to improve global health, reduce health inequities, and increase accountability, requires new and novel approaches be tested to improve measurement and estimation of abortion-related mortality, as well as incidence, safety and morbidity. PMID:26377189

  19. How Danes evaluate moral claims related to abortion

    Uldall, Sigurd Wiingaard


    OBJECTIVE: To investigate how Danish citizens evaluate four moral claims related to abortion issues, regarding the moral status of the fetus, autonomy, harm and possible negative consequences of allowing abortion and to explore the association between moral beliefs and attitudes towards abortion......-two responded to at least one moral claim. Two hundred and fifty-eight responded to all four claims without using the option 'neither agree nor disagree' and were classified as 'morally engaged responders'. A majority of these had a pro-abortion moral. The general relationship between moral beliefs and...... attitudes towards abortion was morally sound. Being 'morally engaged' did not increase the likelihood of reaching moral judgement on whether requests for abortion should be permitted. Education, religion and parenthood were statistically associated with the investigated issues. DISCUSSION: The direction of...

  20. Diagnostic studies of abortion in Danish dairy herds

    Agerholm, J.S.; Willadsen, C. M.; Nielsen, Thomas Krogh; Giese, Steen Bjørck; Holm, Elisabeth; Jensen, L.; Agger, J. F.

    Diagnostic findings in 218 aborted bovine foetuses are reported. The materials were examined in a matched case-control study of 69 Danish dairy herds with a sudden increase in the number of abortions and a corresponding 69 control herds. Foetuses aborted during the subsequent 6-month period were...... examined to identify the cause of abortion if possible. A total of 186 specimens were submitted from case herds and 32 from control herds. A likely cause of abortion was diagnosed in 73 foetuses. The most common cause was bovine viral diarrhoea virus (BVDV: 13%) followed by Neospora caninum infection (10......%), mycosis (5%) and Bacillus licheniformis infection (4%). Foetal and/or placental lesions were found in a further 27 cases. Only BVDV infection and neosporosis were diagnosed in more than one foetus per herd and only protozoal associated abortions occurred significantly more frequently in the case, rather...

  1. Stewardship challenges abortion: A proposed means to mitigate abortion's social divisiveness.

    Tardiff, Robert G


    Since 1973 the legislated constitutional right to abortion has produced a political dichotomy (anti-abortion versus pro-abortion) within the United States, even while witnessing a gradual decline in the rate of abortions. A third paradigm, moral stewardship, is advanced as an effective means to ameliorate this social divisiveness. Incorporating the concept of stewardship into deliberations of pregnancy termination would require recognition, through fact-based education programs, of the life circumstances that prompt the consideration to terminate a pregnancy. Based on collective responsibility, policies, and programs are needed to foster social justice for parents and for the offspring brought to term, without creating excessive burdens on women faced with an unwanted pregnancy. Moral stewardship is perceived as humanitarian to family and community and advantageous to society overall. It also offers a serious opportunity to reshape our society from divisiveness to inclusiveness, and to guide science policy judgment that enhances and strengthens social justice. Lay summary: Differing opinions over the ethics of human abortion have been legion since Roe v. Wade (1973). The disputes between pro- and anti-abortion factions have segregated society with few improvements in social justice. This study offers an alternative approach, one capable of social assimilation and justice for unwanted offspring and pregnant mothers bearing them. It promotes moral stewardship toward the unborn whose humanity and personhood are recognized genetically and supported philosophically by long-standing ethical principles. Stewardship incorporates all people at all levels of society based on collective responsibility, supported by government policies, yet not restricting a mother's choices for the future of her unborn offspring. PMID:26912934

  2. Subclinical abortions in patients treated with clomiphene citrate

    Using radioimmunoassay for human chorionic gonadotrophin beta-subunit, 39 treatment cycles of clomiphene citrate therapy were studied prospectively for incidence of subclinical abortions. Eight treatment cycles resulted in clinically recognizable pregnancies and three other treatment cycles ended up with subclinical abortions. The plasma progesterone levels in patients with subclinical abortions at the 13th day after ovulation were lower than those in patients with normal pregnancies. (author)

  3. Abortions, Inequality and Intergenerational Mobility: A Quantitative Evaluation

    Georgi Kocharkov


    In the last three decades over a million abortions are performed annually in the United States. Empirical studies such as Donohue and Levitt (2001) and Gruber, Levine and Staiger (1999) assess the impact of legalization of abortions on crime and living conditions of children. They argue that legalization of abortions provides better living conditions and human capital endowments to surviving children. This paper takes seriously the hypothesis that the improved living conditions of children du...

  4. Impossible floodgates and unworkable analogies in the Irish abortion debate.

    de Londras, Fiona; Graham, Laura


    The debate about the introduction and form of abortion legislation in Ireland is rife with floodgate arguments, suggesting (either implicitly or expressly) that the introduction of abortion legislation within current constitutional boundaries would only be a starting point, following which so-called ‘abortion on demand’ would flow. The recent discussions at the Oireachtas Committee on Health and Children showed little prospect of a break from this pattern. At those hearings, a number of parli...

  5. We Should Protect Women’s Right of Abortion



    <正>Many countries have legalized abortion such as China,America,Japan,France and Italy,but still about one third women cannot have a legal abortion around the world(Debate on Legality).Although two thirds women are protected by law on abortion,some of them cannot get support from others due to the bondage of religions and morality.Some people,especially

  6. Abortion among young women and subsequent life outcomes

    Casey, Patricia R.


    This article will discuss the nature of the association between abortion and mental health problems. Studies arguing about both sides of the debate as to whether abortion per se is responsible will be presented. The prevalence of various psychiatric disorders will be outlined and where there is dispute between studies, these will be highlighted. The impact of abortion on other areas such as education, partner relationships and sexual function will also be considered. The absence of specific i...

  7. Current abortion practices in India: a review of literature

    Naina Kumar


    Among issues related to reproductive health, none has more controversial connotations than abortion nor carries a heavier burden of stigmatization. Abortion, is a universal phenomenon and is defined as and has existed throughout recorded history, yet it continues to be a highly charged, controversial issue, raising extreme passions among lay people, as well as politicians, religious leaders, and health and rights advocates. Although abortion services in India were liberalized more than three ...

  8. Childhood adversities and subsequent risk of one or multiple abortions

    Steinberg, Julia R.; Tschann, Jeanne M


    Although many studies have found an association between childhood adversities and mental health disorders, few have examined whether childhood adversities are linked to having abortions. This research investigates the association between a range of childhood adversities and risk of abortion in part to identify which adversities should be considered when examining the association between abortion and subsequent mental health. Using the U.S. National Comorbidity Survey-Replication (NCS-R), we t...

  9. Why women seek abortion? a qualitative study on perspectives of rural women on abortion and contraception

    Fatima Shanthini Navis


    Conclusion: These findings highlight the need to improve rural women's knowledge of fertility and contraception. Media and service providers should use every possible opportunity to educate women regarding the legal status of abortion and to promote contraceptive usage by creating awareness regarding safety and free availability of various contraceptives thereby clearing misconceptions regarding contraception. There is a need to educate rural women that use of a regular contraceptive method is better than undergoing repeated abortions. [Int J Reprod Contracept Obstet Gynecol 2015; 4(4.000: 1153-1157

  10. Uterine perforation with bowel prolapsing through vagina following an unsafe abortion

    Kamala Verma; Girish Chandra Baniya


    An unwanted pregnancy may lead to induced abortion that means willful termination of pregnancy before the period of viability. Most of the times when termination of pregnancy is done by skilled person in fully aseptic environment, complications are low. But severe complication including uterine perforation, bowel injury, sepsis and sometimes death is common when the procedure is carried out by unskilled personnel in unhealthy condition. This case representing the neglected scenario of our mat...

  11. Factores asociados con la búsqueda del servicio de interrupción legal del embarazo en la Ciudad de México, 2010 Factors associated with the seeking of legal induced abortion services in Mexico City in 2010

    Alejandro Figueroa-Lara


    Full Text Available OBJETIVO: Identificar factores asociados con la búsqueda del servicio de interrupción legal del embarazo (ILE en la Ciudad de México. MATERIAL Y MÉTODOS: Se utilizó un diseño casos-controles. Usuarias del servicio de ILE fueron definidas como casos, y usuarias de control prenatal con 13 o más semanas de gestación con un embarazo no deseado constituyeron los controles. Se ajustaron modelos de regresión logística condicional. RESULTADOS: Los años de escolaridad (RM=1.47, IC:1.04-2.07, la ocupación (estudiante, RM=7.31, IC:1.58-33.95; tener empleo remunerado, RM= 13.43, IC:2.04-88.54 y número de interrupciones de embarazo previas (RM=11.41, IC:1.65-79.07 se asociaron con la búsqueda de ILE. El factor de mayor peso fue la ocupación; las mujeres que trabajan tuvieron 13.4 veces mayor posibilidad de demandar el servicio de ILE. CONCLUSIONES: En el contexto de la Ciudad de México, mujeres con más educación y participación laboral activa utilizan más los servicios de ILE. Se requieren estrategias dirigidas a incrementar el uso de estos servicios por mujeres menos favorecidas.OBJECTIVE: To identify factors associated with the seeking of the legal-interruption-pregnancy (LIP services in Mexico City. MATERIALS AND METHODS: We used a case-control design. Users who utilized the LIP were defined as cases, while users of the antenatal care service with gestational age 13 or more weeks and who reported having an unwanted pregnancy were defined as controls. Logistic regressions were fitted to estimate odds ratios. RESULTS: Higher level of education (OR=1.47, 95% CI:1.04-2.07, women's occupation (being student OR=7.31, 95% CI:1.58-33.95; worker OR=13.43, 95% CI:2.04-88.54, and number of previous abortions (OR=11.41, 95% CI:1.65-79.07 were identified as factors associated with the lookup of LIP. CONCLUSIONS: In Mexico City context, empowered women with a higher level of education, or having a work activity are the users of LIP services

  12. Recurrent abortions and lymphocyte transfusions.

    Bjercke, S


    Normal pregnancies depend on successful implantation of the placenta in the uterus. The trophoblast which forms the ultimate interface between the fetal and maternal tissue seems to lack the foreign (allo) antigens (namely HLA/TLX) required to induce immunological rejection reactions in the mother. It was previously believed that the trophoblast expressed paternal allo antigens and that successful pregnancies were dependent on so called 'kind' (non-cytotoxic or non-complement binding) blocking antibodies in order to protect the fetal unit from maternal cytotoxic T-cells and -antibodies. Blocking antibodies attached to paternal antigens on the trophoblast were assumed to prevent maternal cytotoxic T cell and cytotoxic antibodies from recognising the trophoblast as foreign tissue. On this assumption it was reasoned that transfusions of paternal HLA-expressing lymphocytes would increase maternal antipaternal HLA (TLX) blocking antibodies and thus be beneficial to women who experienced multiple miscarriages. There is, however, no scientific evidence for a specific immune response after lymphocyte transfusions that fulfil this function. Immunological tests, as for example mixed lymphocyte culture (MLC), on peripheral blood lymphocytes do not seem to reflect the local immune state in the uterus, either in the pregnant or the non-pregnant state. Since the trophoblast forms the ultimate interface between fetal and maternal tissue, its structure, secretions, and interaction with the decidua must be of definite importance for implantation of the blastocyst and growth of the embryo. PMID:8009967

  13. The abortion-crime link: evidence from England and Wales

    L H Kahane; Paton, D; Simmons, R.


    We use panel data from 1983 to 1997 for the 42 police force areas in England and Wales to test the hypothesis that legalizing abortion contributes to lower crime rates. We provide an advance on previous work by focusing on the impact of possible endogeneity of effective abortion rates with respect to crime. Our use of U.K. data allows us to exploit regional differences in the provision of free abortions to identify abortion rates. When we use a similar model and estimation methodology, we are...

  14. [Decriminalization of abortion: a common purpose in Latin America].


    In the conviction that abortion is a fundamental right of women and that its illegal practice constitutes a serious threat to life, several Latin American women's groups have united to work for decriminalization. The groups have been attempting to increase public awareness of the consequences of illegal abortion. Official silence on the topic appears to deny the existence of a problem. Proposals in the different Latin American countries are adapted to their political and legal circumstances. In Argentina, a campaign has been underway for nearly two years to collect signatures for a petition for a law concerning contraception and abortion. The National Network for Women's Health and other groups have held regional and national workshops on the issue. In Bolivia, radio and television programs have been broadcast in Spanish and indigenous languages on the right to choose, reproductive health, and sex education. Abortion was debated in Brazil during the process of constitutional reform, but it remains illegal. Illegal abortion continues to be a reality and women's groups are lobbying for decriminalization. Abortion is considered a crime in Colombia's penal code. Attempts to legalize abortion have been rejected by the legislature without debate. The practice of abortion under the circumstances has become a lucrative business whose lack of regulation has resulted in a growing number of maternal deaths. Attempts are underway in Costa Rica to legalize abortion in cases of rape or incest. Studies show that illegal abortion is the third most important cause of maternal death. A bill to legalize abortion is under study in Chile's Parliament but has not been approved. Abortion is illegal but common in Ecuador. Efforts are underway in Mexico and Nicaragua to encourage debate on abortion. Peru's Health Commission was recently prevented from classifying abortion for any reason other than grave congenital anomaly as homicide. Abortion has been legal in Puerto Rico since 1974, but

  15. Teen pregnancy and abortion among high school students of the urban district of Antananarivo

    Fidiniaina Mamy Randriantsarafara


    Full Text Available Background: Teen pregnancy and abortion phenomena take an ever-growing magnitude in poor countries. Lack of knowledge about reproductive health could aggravate these problems. Methods: Across-sectional survey has been conducted in public, private and denominational high schools of the urban district of Antananarivo, Madagascar, on a sample of 248 students during schoolyear 2012-2013. Data was collected during the third quarter of the schoolyear. Results: Good knowledge about pregnancy and abortion was found in 14.5%, 95% CI [10.4% -19.5%] of students. The media represent almost 60% of the sources of information. Access to care is limited in 48% of cases by feeling shame. Nearly 11% would resort to abortion if an unplanned pregnancy happens. Nearly 6.5%, 95% CI [3.6% - 10.3%] had teen pregnancy problems: 9.6% of boys and 4.1% of girls came encountered these and all cases have ended in induced abortion among girls. The students from the denominational schools and the female gender have more knowledge of about sexuality. The level of knowledge does not significantly influence pregnancy. Female students (p = 0.07 are less prone to teen pregnancy, whereas dating a fixed boyfriend (p <10-4, a large sibship (p = 0.03 and parents in consensual union (p = 0.02 encourage its occurrence. Conclusions: Abortion does not actually represent a remedy in case of pregnancy. Nevertheless, prevention of teen pregnancy is suggested. The control strategy should be multidisciplinary and multisectoral, and focused on targeted information. [TAF Prev Med Bull 2015; 14(3.000: 240-246

  16. [Legal abortion. Preliminary evaluations at the S. Barbara di Rogliano Hospital].

    Giannice, C; De Santis, F


    After briefly describing the history of legal abortion in several West and East European countries, the article examines the Italian law of May 1978. Induced abortion is legal in Italy within the first 90 days of gestation provided a doctor states that pregnancy would endanger the physical or mental wellbeing of the mother, whether the danger is due to economic or social reasons, or when the pregnancy is result of rape or incest, or when there is a chance of malformations in the new born. After 7 days from the first interview with a doctor, the abortion can take place. In the hospital of S. Barbara of Rogliano, Italy, there were 24 requests of abortion in 1978, and 75 in 1979. All women underwent a complete and careful gynecological examination, and were told about the details of the procedure. Anesthesia was in all cases by paracervical block, and the procedure by vacuum aspiration followed by curettage. The majority of patients were in the 1-11 week of gestation, most were either multiparous or nulliparous, and between 18-29. The majority came from districts outside of Rogliano and were married; the number of students and employees taken together exceeded that of housewives. There were 6 cases of metrorrhagia and 3 cases of fever, but no major complications. After the procedure all women were advised to rest, not to engage in sexual activities, and to return to the hospital in case of hemorrhage or abdominal pain. It is hoped that improved contraceptive techniques will reduce the number of requests for legal abortion. PMID:7254670

  17. Are all abortions equal? Should there be exceptions to the criminalization of abortion for rape and incest?

    Cohen, I Glenn


    Politics, public discourse, and legislation restricting abortion has settled on a moderate orthodoxy: restrict abortion, but leave exceptions for pregnancies that result from rape and incest. I challenge that consensus and suggest it may be much harder to defend than those who support the compromise think. From both Pro-Life and Pro-Choice perspectives, there are good reasons to treat all abortions as equal. PMID:25846041

  18. Small-area variations in utilization of abortion services in Ontario from 1985 to 1992.

    L E Ferris; McMain-Klein, M


    OBJECTIVE: To assess interregional differences in the utilization of abortion services in Ontario from 1985 to 1992. DESIGN: Retrospective analysis of provincial therapeutic abortion database. SETTING: All hospitals conducting abortions between 1985 and 1992 and all free-standing abortion clinics conducting abortions between 1990 and 1992. POPULATION: All women in Ontario aged 15 to 44 years who underwent a therapeutic abortion in Ontario during the study period. OUTCOME MEASURES: Utilization...

  19. [Prevention of habitual abortion by buffycoat transfusions].

    Neumeyer, H; Kuhn, W; Götze, O; Hinney, B


    From an immunological point of view the product of pregnancy may be regarded as a haplo-different allotransplant. A system possibly closely linked to the HLA-region is postulated to lead to the immunological recognition of the fetus by the mother and, paradoxically, to a take of the "transplant". The postulated system apparently codes for antigens present on both trophoblast and adult lymphocytes (TLX = trophoblast-lymphocyte-crossreacting). The prevention of rejection is thought to be effected by blocking factors (BF) present in the serum or plasma of the mother. There may be different kinds of BF: a specific BF (detectable only in an autologous assay system), appearing late in pregnancy, which inhibits several lymphocyte-dependent reactions (e.g. production of MIF, MLC). This BF has been identified as an IgG-class antibody. a nonspecific BF, appearing early in pregnancy which inhibits the MLC in vitro. c) may be a third BF, also specific, which is found only in plasma but not in serum. All described BF-activities were absent in women with habitual abortions. HLA-identity or partial identity could imply TLX-identity. The consequence of such an identity could be: non-detection of the trophoblast by the immune system of the mother, no production of BF, abortion. However several investigators could not find any HLA-identity of the partners with habitual abortions. A protective effect on the fetus has been seen when pregnant women were immunised with adult leukocytes, using either buffycoats from various HLA-different but bloodgroup-compatible donors or isolated leukocytes from the spouse.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:4072314

  20. Decision making by single women seeking abortion.

    Quinn, M


    30 single women attending the Auckland Medical Aid Center (AMAC) for an abortion during a 3-week period in May 1977 were interviewed about the factors leading up to the pregnancy, the impact of the pregnancy on their relationships with relevant others, and the process of obtaining an abortion. The prospective subjects were divided into 2 age groups, 16-20 and 21-25 years and 2 residence groups, Auckland city area or beyond this area. The proportion of the sample selected from each category was intended to approximate proportions as reported for all AMAC clientele. Of the 30 women interviewed, half were aged less than 20 years and half were more than 20. 24 of the women were European and the remainder Polynesian. 3 women had previously been married, in 2 cases resulting in children. 3 women had given birth; 2 of these women were solo parents while 1 woman had had her child adopted. All those who had either married or given birth were in the 21-25 year age group. In 20 cases the women had decided on abortion either before pregnancy even occurred or as soon as it was confirmed. This along with the fact that only 2 women in this sample actually made the decision to seek an abortion after arriving at the clinic suggests that counseling directed at helping women decide the future of the pregnancy after arrival at the hospital is largely superfluous. Other major problems of the women which caused considerable stress included obtaining a doctor's referral to AMAC, the physical difficulties in getting to AMAC, changes the pregnancy precipitated in relationships between women and those they confided in. 2/3 of the younger group made little or no use of contraception. None gave ignorance as a reason for nonuse. Women in the older age group tended to use more sophisticated techniques, such as oral contraception (OC), IUD, or diaphragm; the younger women relied on condoms or used nothing at all. In addition to the 7 women who had never used contraception, a further 12 women

  1. "Right tool," wrong "job": Manual vacuum aspiration, post-abortion care and transnational population politics in Senegal.

    Suh, Siri


    The "rightness" of a technology for completing a particular task is negotiated by medical professionals, patients, state institutions, manufacturing companies, and non-governmental organizations. This paper shows how certain technologies may challenge the meaning of the "job" they are designed to accomplish. Manual vacuum aspiration (MVA) is a syringe device for uterine evacuation that can be used to treat complications of incomplete abortion, known as post-abortion care (PAC), or to terminate pregnancy. I explore how negotiations over the rightness of MVA as well as PAC unfold at the intersection of national and global reproductive politics during the daily treatment of abortion complications at three hospitals in Senegal, where PAC is permitted but induced abortion is legally prohibited. Although state health authorities have championed MVA as the "preferred" PAC technology, the primary donor for PAC, the United States Agency for International Development, does not support the purchase of abortifacient technologies. I conducted an ethnography of Senegal's PAC program between 2010 and 2011. Data collection methods included interviews with 49 health professionals, observation of PAC treatment and review of abortion records at three hospitals, and a review of transnational literature on MVA and PAC. While MVA was the most frequently employed form of uterine evacuation in hospitals, concerns about off-label MVA practices contributed to the persistence of less effective methods such as dilation and curettage (D&C) and digital curettage. Anxieties about MVA's capacity to induce abortion have constrained its integration into routine obstetric care. This capacity also raises questions about what the "job," PAC, represents in Senegalese hospitals. The prioritization of MVA's security over women's access to the preferred technology reinforces gendered inequalities in health care. PMID:25948127

  2. Veterinary and medical aspects of abortion in Danish sheep

    Agerholm, Jørgen S.; Aalbæk, Bent; Fog-Larsen, Anne Marie;


    The Danish sheep population totals around 144,000 animals, but little is known of the causes and prevalance of diseases. This study focuses on the causes of abortion in Danish sheep. During one breeding season, aborted foetuses and stillbirths with signs of intrauterine death or malformation were...

  3. Demographic and clinical profile of patients with complicated unsafe abortion

    To describe the demographic and clinical profile of patients admitted as a result of complicated unsafe abortion. The study was carried out in the Department of Obstetrics and Gynaecology, Jinnah Hospital, Lahore from August 2001 to July 2002. Patients admitted with complicated unsafe abortion were evaluated regarding age, parity, marital and educational status, indication for abortion, method used, qualification of abortion providers, contraceptive usage, complications and death rate in abortion seekers. Descriptive statistics was used for describing variables. Fiftynine patients were admitted with complicated unsafe abortion. The mean age was 29 years, 95% were married and multiparous, 40% had secondary and higher education, 85% approached unqualified abortion providers who used instrumentation in more than 40% of cases for termination of pregnancy resulting in visceral trauma. More than 50% were using contraception and 5% died due to postabortion complications. Unsafe abortion is a major health problem. The associated morbidity is much higher than mortality. This study focus on the need of postabortion care and easy accessibility to contraception to improve quality of health. (author)

  4. International comparison of regulations on abortion after radiation exposure

    Possible factors to consider when assessing the necessity of an abortion are: 1) Exposure in the highly sensitive phase (e.g. organogenesis); 2) after intake of radioactive substances, accumulation of this radioactive substance in critical organs; 3) doses higher than the dose limit of 1 rem; 4) the wish of the pregnant woman to have an abortion. (orig.)

  5. Grief and Elective Abortion: Breaking the Emotional Bond?

    Peppers, Larry G.


    Used maternal-infant bonding as theoretical framework to examine grief and elective abortion in 80 women who terminated their pregnancies either by vacuum aspiration, dilitation and evacuation, or intrauterine induction. Found grief associated with elective abortion to be symptomatically similar to grief experienced following involuntary…

  6. The American abortion debate: culture war or normal discourse?

    Dillon, M


    This paper investigates whether James Hunter's culture war thesis is an apt characterization of the American abortion debate. The author focuses on three arguments central to Hunter's analysis: 1) that the abortion debate involves two paradigmatically opposed world views; 2) that debate about abortion, since it involves moral discourse, is structurally different than other political debates; and 3) that the new alignments in abortion politics are culturally significant. Examining existing research in each of these three domains, the author finds that the debate over abortion is more complex than suggested by Hunter. World views of pro-life and pro-choice activists, for example, share a commitment to some overlapping values; the argumentative structure of abortion discourse has a pattern rather similar to that of political debate more generally, and new alignments on abortion, such as that between the Catholic Church and the Southern Baptist Convention, do not displace historically embedded differences in symbolic resources and cultural orientation. As suggested by the author, it may be more helpful, therefore, to think of the abortion debate as an ongoing public conversation about America's cultural tradition and how it should be variously expressed in contemporary laws and practices. PMID:12320388

  7. The incidence of gonorrhea in an abortion population

    Querido, L.; Haspels, A.A.


    The incidence of gonorrhea was investigated in an abortion population. A total of 1021 women participated in this study. Three asymptomatic cases of gonorrhea were detected. None of these women had had gonorrhea before or had a previous abortion. No relation was found between the incidence of gonorr

  8. Abortion-Related Services: Value Clarification through "Difficult Dialogues" Strategies

    Mpeli, Moliehi Rosemary; Botma, Yvonne


    Midwives play a pivotal role in women's health in the face of increased deaths related to backyard abortions. Since the commencement in South Africa of the Name of the Act No. 92 of 1996 that allows abortion services, there has been a moral divide among healthcare workers in South Africa. This article reflects the opinions of preregistration…

  9. Pine needle abortion biomarker detected in bovine fetal fluids

    Pine needle abortion is a naturally occurring condition in free-range cattle caused by the consumption of pine needles from select species of cypress, juniper, pine, and spruce trees. Confirmatory diagnosis of pine needle abortion has previously relied on a combined case history of pine needle cons...

  10. Regulating Abortion: Impact on Patients and Providers in Texas

    Colman, Silvie; Joyce, Ted


    The State of Texas began enforcement of the Woman's Right to Know (WRTK) Act on January 1, 2004. The law requires that all abortions at or after 16 weeks' gestation be performed in an ambulatory surgical center (ASC). In the month the law went into effect, not one of Texas's 54 nonhospital abortion providers met the requirements of a surgical…

  11. Abortion in Young Women and Subsequent Mental Health

    Fergusson, David M.; Horwood, L. John; Ridder, Elizabeth M.


    Background: The extent to which abortion has harmful consequences for mental health remains controversial. We aimed to examine the linkages between having an abortion and mental health outcomes over the interval from age 15-25 years. Methods: Data were gathered as part of the Christchurch Health and Development Study, a 25-year longitudinal study…

  12. Medicine and abortion law: complicating the reforming profession.

    McGuinness, Sheelagh; Thomson, Michael


    The complicated intra-professional rivalries that have contributed to the current contours of abortion law and service provision have been subject to limited academic engagement. In this article, we address this gap. We examine how the competing interests of different specialisms played out in abortion law reform from the early twentieth-century, through to the enactment of the Abortion Act 1967, and the formation of the structures of abortion provision in the early 1970s. We demonstrate how professional interests significantly shaped the landscape of abortion law in England, Scotland, and Wales. Our analysis addresses two distinct and yet related fields where professional interests were negotiated or asserted in the journey to law reform. Both debates align with earlier analysis that has linked abortion law reform with the market development of the medical profession. We argue that these two axes of debate, both dominated by professional interests, interacted to help shape law's treatment of abortion, and continue to influence the provision of abortion services today. PMID:25995361

  13. Space shuttle three main engine return to launch site abort

    Carter, J. F.; Bown, R. L.


    A Return-to-Launch-Site (RTLS) abort with three Space Shuttle Main Engines (SSME) operational was examined. The results are trajectories and main engine cutoff conditions that are approximately the same as for a two SSME case. Requiring the three SSME solution to match the two SSME abort eliminates additional crew training and is accomplished with negligible software impact.

  14. Making legal abortion available in Brazil: partnerships in practice.

    Villela, W V; Araújo, M J


    This article describes the participation of feminist groups who work in the area of women's reproductive health and rights in campaigns for the provision of legal abortion in public hospitals in Brazil. Brazilian criminal law permits therapeutic abortion in cases where pregnancy is the result of rape or poses a serious risk to the life of the woman. Today, as a result of the combined efforts of feminists, health professionals and policymakers, more than 20 hospitals in Brazil are officially permitted to perform therapeutic abortions within the existing law. A model programme has also been developed to train service providers to do legal abortions, where the agreement of a hospital board can be obtained. This training has also improved care for illegally obtained, incomplete abortions in those hospitals but not in hospitals where doctors have not been trained. Problems with lack of access and concerns about the lack of public acceptance of abortion remain. Women not only need the right to abortion but also more services and health professionals who are trained to perform abortions across the whole country. PMID:11424253

  15. Kernel abortion in maize. II. Distribution of 14C among kernel carboydrates

    This study was designed to compare the uptake and distribution of 14C among fructose, glucose, sucrose, and starch in the cob, pedicel, and endosperm tissues of maize (Zea mays L.) kernels induced to abort by high temperature with those that develop normally. Kernels cultured in vitro at 309 and 350C were transferred to [14C]sucrose media 10 days after pollination. Kernels cultured at 350C aborted prior to the onset of linear dry matter accumulation. Significant uptake into the cob, pedicel, and endosperm of radioactivity associated with the soluble and starch fractions of the tissues was detected after 24 hours in culture on atlageled media. After 8 days in culture on [14C]sucrose media, 48 and 40% of the radioactivity associated with the cob carbohydrates was found in the reducing sugars at 30 and 350C, respectively. Of the total carbohydrates, a higher percentage of label was associated with sucrose and lower percentage with fructose and glucose in pedicel tissue of kernels cultured at 350C compared to kernels cultured at 300C. These results indicate that sucrose was not cleaved to fructose and glucose as rapidly during the unloading process in the pedicel of kernels induced to abort by high temperature. Kernels cultured at 350C had a much lower proportion of label associated with endosperm starch (29%) than did kernels cultured at 300C (89%). Kernels cultured at 350C had a correspondingly higher proportion of 14C in endosperm fructose, glucose, and sucrose

  16. [Sexology and abortion with respect to their psychological and socioeconomic repercussions].

    De Leonardis, A


    The reasons that are given to justify abortion (such as short intervals between pregnancies, presence of other young children in the family who require full attention, excessive number of children, financial difficulties, poor health of 1 or both parents) are discussed. It is concluded, however, that unwanted pregnancies are always the result of an act which, at the time, was wanted by both partners, and from which they derived some pleasure, even though for a short time only; therefore, they should bear the consequences. With respect to the problem of clandestine induced abortion, according to the author, it could be controlled simply by applying the laws that are already in force. Rather than legalizing induced abortion, the penalties against it should become more severe. Unwanted pregnancies should be prevented by providing better sex education, but physicians should always pursue their mission, which is to heal, and refuse to prevent the development of an embryo, which has a right to develop as a human being. PMID:1012608

  17. Social and psychological consequences of abortion in Iran.

    Hosseini-Chavoshi, Meimanat; Abbasi-Shavazi, Mohammad Jalal; Glazebrook, Diana; McDonald, Peter


    Iran has had replacement fertility since 2000. Upholding a small family size has led some couples to terminate unwanted pregnancies. Abortion is, however, permitted only on medical grounds in Iran. Using data from the Iran Low Fertility Survey, this study assessed sociodemographic correlates of abortion among a random sample of 5526 ever-married women aged 15-54 years, and used in-depth interviews to explore reasons for and psychological consequences of abortion among 40 women who had experienced an unintended pregnancy. Although social and economic concerns were the main reasons cited for seeking abortion, women experienced anxiety and depression when seeking pregnancy termination and thereafter. Social stigmatization arose from a belief that abortion is sinful and that misfortune experienced thereafter is punishment. Inadequate knowledge and misunderstanding of relevant Sharia laws discouraged women from seeking care when they experienced complications. Iran's reproductive health policies should be revised to integrate pre- and postabortion counseling. PMID:22920623

  18. Self-management of medical abortion: a qualitative evidence synthesis.

    Wainwright, Megan; Colvin, Christopher J; Swartz, Alison; Leon, Natalie


    Medical abortion is a method of pregnancy termination that by its nature enables more active involvement of women in the process of managing, and sometimes even administering the medications for, their abortions. This qualitative evidence synthesis reviewed the global evidence on experiences with, preferences for, and concerns about greater self-management of medical abortion with lesser health professional involvement. We focused on qualitative research from multiple perspectives on women's experiences of self-management of first trimester medical abortion (administration of medical abortion. We highlight particular considerations when offering self-management options, and identify key areas for future research. Further qualitative research is needed to strengthen this important evidence base. PMID:27578349

  19. Stumbling on status: abortion, stem cells, and faulty reasoning.

    Lebacqz, Karen


    Common arguments from the abortion debate have set the stage for the debate on stem cell research. Unfortunately, those arguments demonstrate flawed reasoning-jumping to unfounded conclusions, using value laden language rather than careful argument, and ignoring morally relevant aspects of the situation. The influence of flawed abortion arguments on the stem cell debate results in failures of moral reasoning and in lack of attention to important morally relevant differences between abortion and human embryonic stem cells. Among those differences are whose interests are at stake and the difference between an embryo in and out of the womb. Stem cell research differs from abortion in morally relevant ways and should be freed from the abortion debate and its flawed reasoning. PMID:22209889

  20. Surrogate Motherhood and Abortion for Fetal Abnormality.

    Walker, Ruth; van Zyl, Liezl


    A diagnosis of fetal abnormality presents parents with a difficult - even tragic - moral dilemma. Where this diagnosis is made in the context of surrogate motherhood there is an added difficulty, namely that it is not obvious who should be involved in making decisions about abortion, for the person who would normally have the right to decide - the pregnant woman - does not intend to raise the child. This raises the question: To what extent, if at all, should the intended parents be involved in decision-making? In commercial surrogacy it is thought that as part of the contractual agreement the intended parents acquire the right to make this decision. By contrast, in altruistic surrogacy the pregnant woman retains the right to make these decisions, but the intended parents are free to decide not to adopt the child. We argue that both these strategies are morally unsound, and that the problems encountered serve to highlight more fundamental defects within the commercial and altruistic models, as well as in the legal and institutional frameworks that support them. We argue in favour of the professional model, which acknowledges the rights and responsibilities of both parties and provides a legal and institutional framework that supports good decision-making. In particular, the professional model acknowledges the surrogate's right to decide whether to undergo an abortion, and the intended parents' obligation to accept legal custody of the child. While not solving all the problems that arise in surrogacy, the model provides a framework that supports good decision-making. PMID:25688455

  1. Making legal abortion accessible in Brazil.

    Faúndes, Anibal; Leocádio, Elcylene; Andalaft, Jorge


    Abortion is legal in Brazil if it is the only means to save the woman's life or if the pregnancy is the result of rape. Although this has been the law for over 60 years, it has almost never been applied until recent years. In the past five years, the number of hospitals providing care to women victims of sexual violence has increased from 4 to 63, of which 40 are currently providing legal abortions. This paper describes a sensitization project and advocacy work carried out from within the obstetric and gynaecology establishment which has succeeded in motivating many key individuals and hospital staff to provide services for pregnancy termination in cases of rape. The dialogue between medical leaders and women's rights advocates and the emphasis on comprehensive care of women who have suffered sexual violence are key elements in the success of this initiative. The support of medical professionals, the organization and strength of the women's health and rights movement, the political support at federal, state and city government levels, including from the Federal Ministry of Health, and ongoing advocacy within the medical establishment have all been important elements in making the provision of services a reality. PMID:12369314

  2. Pine needle abortion in cattle update: Metabolite detection in sera and fetal fluids from abortion case samples

    Cattle abortions associated with consumption of pine needles during late gestation are a serious poisonous plant problem in the Western US. Most cases of abortion have been associated with consumption of ponderosa pine (Pinus ponderosa) and the causative agent was identified as the labdane diterpen...

  3. Awareness and views of the law on termination of pregnancy and reasons for resorting to an abortion among a group of women attending a clinic in Colombo, Sri Lanka.

    Abeyasinghe, N L; Weerasundera, B J; Jayawardene, P A; Somarathna, S D


    In Sri Lanka, induced abortion is a criminal offence except to save the life of the mother. This study determined the awareness and views of the law on abortion among women seeking an abortion. Three hundred and thirteen women were interviewed. The characteristics of the study group are discussed. 65.8% of the respondents stated they knew the current law, 25.6% stated they did not and 8.3% were unsure. On detailed analysis of each respondent's knowledge regarding the situations where abortion is legalized including those who stated that they did not know the law, only 11.2% had an accurate knowledge. More than 75% stated that abortion should be legalized when the mother's life was in danger, where there was pregnancy after rape or incest, when there was psychiatric illness in the mother and when there were fetal anomalies. Reasons for resorting to an abortion are discussed. Although 11.2% were aware of the law, there was no difference in the reasons for resorting to an abortion when compared with those who were unaware of the law. This study highlights the fact that availability of abortion services to women depend not only on the law and its awareness, but on how it is interpreted and enforced. PMID:19239963

  4. House vote on Hyde changes dynamic of Congressional abortion debate.


    US Congressional action is summarized for actions taken on abortion amendments and abortion funding amendments during the month of July 1993. The Hyde Amendment was passed in the House on July 1, 1993; by a margin of 255 to 178; the Senate version will be voted on in August. The amendment was a victory for anti-abortion supporters, because it limited coverage of abortions under Medicaid to cases involving only life endangerment, rape, or incest. Both sides of the abortion debate were energized by the vote. The national Campaign for Abortion and Reproductive Equity (CARE) was launched on July 13 through support from a coalition of 130 organizations and Representatives Maxine Waters, Cynthia McKinney, and Nita Lowey. CARE aims to restore federal funding of abortion services for poor women and others using federally funded health care. The Freedom of Choice Act (FOCA) leaves abortion funding and parental involvement to the discretion of individual states. FOCA was characterized by Senator Carol Moseley-Braun, who withdrew her sponsorship of the bill, as not meeting the needs of the "marginalized, disrespected, and ignored population." 4 other Democratic women senators followed suit and promised to very strongly oppose all efforts to restrict abortions through amendments to appropriations bills. Senate appropriations bills were also considered during July. On July 15 the Senate Veterans Affairs (VA) Committee defeated an amendment that would have barred the use of federal funds for abortion services at VA hospitals, except in cases of rape, incest, or the saving of maternal life. Senate Committee members John Rockefeller and Tom Daschle contributed to the bill's defeat. Federal employee health insurance plans will continue to ban the coverage of abortion services due to passage by the Subcommittee on Treasury, Postal Service, and General Government. An amendment introduced by Senator Bond to allow abortions in cases of rape, incest, or risk to maternal life was adopted

  5. Women's experiences with the use of medical abortion in a legally restricted context: the case of Argentina.

    Ramos, Silvina; Romero, Mariana; Aizenberg, Lila


    This article presents the findings of a qualitative study exploring the experiences of women living in Buenos Aires Metropolitan Area, Argentina, with the use of misoprostol for inducing an abortion. We asked women about the range of decisions they had to make, their emotions, the physical experience, strategies they needed to use, including seeking health care advice and in dealing with a clandestine medical abortion, and their overall evaluation of the experience. An in-depth interview schedule was used. The women had either used misoprostol and sought counselling or care at a public hospital (n=24) or had used misoprostol based on the advice of a local hotline, information from the internet or from other women (n=21). Four stages in the women's experiences were identified: how the decision to terminate the pregnancy was taken, how the medication was obtained, how the tablets were used, and reflections on the outcome whether or not they sought medical advice. Safety and privacy were key in deciding to use medical abortion. Access to the medication was the main obstacle, requiring a prescription or a friendly drugstore. Correct information about the number of pills to use and dosage intervals was the least easy to obtain and caused concerns. The possibility of choosing a time of privacy and having the company of a close one was highlighted as a unique advantage of medical abortion. Efforts to improve abortion law, policy and service provision in Argentina in order to ensure the best possible conditions for use of medical abortion by women should be redoubled. PMID:25702064

  6. Unsuccessful prior attempts to terminate pregnancy among women seeking first trimester abortion at registered facilities in Bihar and Jharkhand, India.

    Kumar, Rajesh; Zavier, A J Francis; Kalyanwala, Shveta; Jejeebhoy, Shireen J


    Many abortion seekers in India attempt to induce abortion on their own, by accessing oral medication/preparations from a chemist without a prescription or from an unauthorized provider, and present at registered facilities if these attempts fail. However, little is known about those whose efforts fail or the ways in which programmes and policies may address the needs of such women. This paper explores the experiences of women whose efforts failed, including their socio-demographic profile, the preparations they used, and the extent to which they experienced serious complications, delayed seeking care from an authorized provider, or delayed abortion until the second trimester of pregnancy. Data come from a larger study assessing the feasibility of the provision of medical abortion by non-physicians; a total of 3394 women who sought medical abortion from selected clinical settings in Bihar and Jharkhand between 2008 and 2010 constitute the sample. Prior to visiting the clinic, nearly a third of these women (31%) had made at least one unsuccessful attempt to terminate the unwanted pregnancy by using a range of oral medications/preparations available over-the-counter in medical shops. Logistic regression analysis suggests that educated women (OR 1.6-1.7), those from urban areas (OR 6.2) and those from Bihar (OR 1.6) were significantly more likely than women with no education, rural women and those from Jharkhand to have used such medication. Also notable is that the average gestational age of women who had made a previous attempt to terminate their pregnancy was almost identical to that of women who had not done so when they presented at the registered facility. These findings may inform policies and programmes that seek to identify and reduce the potential risks associated with unauthorized abortion-seeking practices, and highlight the need to fully inform women, chemists and providers about oral medications, what works and what does not, and how effective medication

  7. Constructing the meaning of ultrasound viewing in abortion care.

    Kimport, Katrina; Weitz, Tracy A


    As ultrasound scanning becomes increasingly routine in abortion care, scholars and activists have forwarded claims about how viewing the ultrasound image will affect pregnant women seeking abortion, speculating that it will dissuade them from abortion. These accounts, however, fail to appreciate how viewing is a social process. Little research has investigated how ultrasound workers navigate viewing in abortion care. We draw on interviews with twenty-six ultrasound workers in abortion care for their impressions and practices around ultrasound viewing. Respondents reported few experiences of viewing dissuading women from abortion, but did report that it had an emotional effect on patients that they believed was associated with gestational age. These impressions informed their practices, leading many to manage patient viewing based on the patient's gestational age. Other aspects of their accounts, however, undercut the assertion that the meaning of ultrasound images is associated with gestation and show the pervasiveness of cultural ideas associating developing foetal personhood with increasing gestational age. Findings demonstrate the social construction of ultrasound viewing, with implications in the ongoing contestation over abortion rights in the US. PMID:25688650

  8. Legal abortion services in Brazil--a national study.

    Madeiro, Alberto Pereira; Diniz, Debora


    This article presents the results of a mixed methods study of 68 legal abortion services in Brazil. The services were analyzed in two stages. The first stage was a census, in which all the institutions were sent an electronic questionnaire about the organization of the legal abortion services. The second stage was conducted in a sample of 5 reference services, one for each region of the country. In this stage, a form was used to collect data about the women and the abortions in the medical records, and 82 interviews with health professionals were conducted. Thirty-seven of the services informed they performed legal abortions, and the services were inactive in 7 states. Police reports, forensic reports, and court orders were required by 14%, 8% and 8% of the services, respectively. Women who underwent abortions were predominantly aged 15-29, single and Catholic. Most abortions were performed until 14 weeks in the case of rape-related pregnancy, by means of manual vacuum aspiration. According to the health professionals, the main difficulties faced in the services are the low availability of physicians to perform abortions and the insufficient training of the staff. The data reveal a discrepancy between the legal provision and the reality of the services. The implementation of more services and the strengthening of the existing services available are necessary. PMID:26910163




    Full Text Available OBJECTIVE: To assess the Outcome of pregnancy in patients with threatened abortion. METHODS: A Prospective observational study was done on 106 pregnant women with threatened abortion. Out comes in the form of antenatal complications, mode of delivery and postnatal co mplications were noted. Analysis of the data was done using SPSS version 13. RESULTS: In the study of 106 patients 18% had spontaneous abortion. Pre - labour rupture of membranes were seen in 20% of patients and 21% had preterm labour. Threatened abortion di d not affect mode of delivery. PPROM, preterm births were more in women presenting with first trimester bleeding; PIH, PROM, and postpartum complications were more in women presenting beyond 20 weeks gestation though statistically not significant. 13.2% of women had heavy bleeding at admission out of which 50% aborted subsequently – significantly higher than the light bleeding group. CONCLUSION: The overall maternal and perinatal outcome in women with threatened abortion is suboptimal. Women with heavy blee ding are more likely to abort than women with light bleeding. Among the prognostic factors, only the amount of bleeding had significant prognostic accuracy

  10. The individual level cost of pregnancy termination in Zambia: a comparison of safe and unsafe abortion.

    Leone, Tiziana; Coast, Ernestina; Parmar, Divya; Vwalika, Bellington


    Zambia has one of the most liberal abortion laws in sub-Saharan Africa. However, rates of unsafe abortion remain high with negative health and economic consequences. Little is known about the economic burden on women of abortion care-seeking in low income countries. The majority of studies focus on direct costs (e.g. hospital fees). This article estimates the individual-level economic burden of safe and unsafe abortion care-seeking in Zambia, incorporating all indirect and direct costs. It uses data collected in 2013 from a tertiary hospital in Lusaka, (n = 112) with women who had an abortion. Three treatment routes are identified: (1) safe abortion at the hospital, (2) unsafe clandestine medical abortion initiated elsewhere with post-abortion care at the hospital and (3) unsafe abortion initiated elsewhere with post-abortion care at the hospital. Based on these three typologies, we use descriptive analysis and linear regression to estimate the costs for women of seeking safe and unsafe abortion and to establish whether the burden of abortion care-seeking costs is equally distributed across the sample. Around 39% of women had an unsafe abortion, incurring substantial economic costs before seeking post-abortion care. Adolescents and poorer women are more likely to use unsafe abortion. Unsafe abortion requiring post-abortion care costs women 27% more than a safe abortion. When accounting for uncertainty this figure increases dramatically. For safe and unsafe abortions, unofficial provider payments represent a major cost to women.This study demonstrates that despite a liberal legislation, Zambia still needs better dissemination of the law to women and providers and resources to ensure abortion service access. The policy implications of this study include: the role of pharmacists and mid-level providers in the provision of medical abortion services; increased access to contraception, especially for adolescents; and elimination of demands for unofficial provider

  11. The Impact of Legalized Abortion on High School Graduation through Selection and Composition

    Whitaker, Stephan


    This analysis examines whether the legalization of abortion changed high school graduation rates among the children selected into birth. Unless women in all socio-economic circumstances sought abortions to the same extent, increased use of abortion must have changed the distribution of child development inputs. I find that higher abortion ratios…

  12. First-trimester medical abortion practices in Canada

    Guilbert, Edith R.; Hayden, Althea S.; Jones, Heidi E.; White, Katharine O’Connell; Steven Lichtenberg, E.; Paul, Maureen; Norman, Wendy V.


    Abstract Objective To understand the current availability and practice of first-trimester medical abortion (MA) in Canada. Design Using public sources and professional networks, abortion facilities across Canada were identified for a cross-sectional survey on medical and surgical abortion. English and French surveys were distributed by surface or electronic mail between July and November 2013. Setting Canada. Participants A total of 94 abortion facilities were identified. Main outcome measures Descriptive statistics on MA practice and facility and provider characteristics, as well as comparisons of MA practice by facility and provider characteristics using χ2 and t tests. Results A total of 78 of 94 (83.0%) facilities responded. Medical abortion represented 3.8% of first-trimester abortions reported (2706 of 70 860) in 2012. Among the facilities offering MA, 45.0% performed fewer than 500 first-trimester abortions a year, while 35.0% performed more than 1000. More MAs were performed in private offices or ambulatory health centres than in hospitals. Sixty-two physicians from 28 of 78 facilities reported providing first-trimester MA; 87.1% also provided surgical abortion. More than three-quarters of MA physicians were female and 56.5% were family physicians. A preponderance (85.2%) of providers offered methotrexate with misoprostol. Nearly all physicians (90.3%) required patients to have an ultrasound before MA, and 72.6% assessed the completion of the abortion with ultrasonography. Most physicians (74.2%) offered MA through 49 days after the onset of the last menstrual period, and 21.0% offered MA through 50 to 56 days; 37.1% reported providing MA to patients who lived more than 2 hours away. Four physicians from 1 site provided MA via telemedicine. Conclusion In Canada, MA provision using methotrexate and misoprostol is consistent with best-practice guidelines, but MA is rare and its availability is unevenly distributed.

  13. Response to Wisniewski on Abortion, Round Two

    Walter E. Block


    Full Text Available The two main views on the abortion controversy are pro life and pro choice. In my many previous writings on this subject (Block, 1977, 1978, 2001, 2004, 2008, 2010A, 2010B, 2010C, forthcoming; Block and Whitehead, 2005 I have offered a third alternative, evictionism. Wisniewski (2010A has offered criticisms of this perspective. In Block (2010C I argued against Wisniewski (2010A, claiming that evictionism was the correct libertarian analysis of this vexing question. Wisniewski (2010B constituted a rejoinder to Block (2010C, insisting that evictionism constituted an incorrect analysis. The present paper is a response to Wisniewski (2010B, in which I again attempt to defend evictionism against his attacks on this doctrine.

  14. Septic abortion caused by Campylobacter jejuni bacteraemia.

    Skuhala, Tomislava; Škerk, Višnja; Markotić, Alemka; Bukovski, Suzana; Desnica, Boško


    A 20-year-old female patient, 14 weeks pregnant, was admitted to hospital with anamnestic and clinical features of acute pyelonephritis. Clinical signs of septic abortion developed and after obstetric examination the therapy was changed to ampicillin, gentamicin and clindamycin. Campylobacter jejuni was isolated from blood cultures. Pathohistological findings confirmed diagnosis of purulent chorioamnionitis. After 2 weeks of ciprofloxacin administration the patient fully recovered. Campylobacter jejuni was not isolated from stool culture and no signs of acute enteritis were registered during the illness. Invasive forms of Campylobacter disease without enteritis are not unusual in immunocompromised hosts but they are restricted to C. fetus rather than C. jejuni isolates. PMID:25872616

  15. Shuttle abort landing site emergency medical services

    Mckenas, David K.; Jennings, Richard T.


    NASA and DOD studies of medical-planning and logistical problems are reviewed as applicable to providing emergency medical care at remote transoceanic abort landing (TAL) sites. Two options are analyzed including a modified surgical response team and a combination physician/medical technician team. The two concepts are examined in terms of cost-effectiveness, specific types of medical support such as blood procurement, and search-and-rescue requirements. It is found that the physician/technician team is more economically efficient, and the description of the concept permits the development of an effective TAL-site astronaut medical-support system. A balance is struck between the competing problems of cost and medical capability by planning for on-scene medical stabilization and air evacuation to DOD tertiary medical centers.

  16. Response to Block on Abortion, Round Three

    Jakub Bożydar Wiśniewski


    Full Text Available Block (2011 has offered a second round of counterarguments to my criticisms (Wisniewski 2010a, 2010b of the claim that his theory of evictionism is compatible with libertarianism. In this paper I attempt to demonstrate that my critique still stands. In particular, I focus on analyzing the argumentative weight of such issues mentioned in Block’s latest response as, among others, the distinction between proper ex post punishment and proper ex ante defense, the question of whether my causal analyses of trespass imply a commitment to positive obligations, Rothbard’s distinction between contracts and premises, the supposed irrelevance of the principle of pacta sunt servanda in the context of abortion, and the extent to which custom can qualify the ambit of applicability of the non-aggression principle.

  17. Sodium kinetics in hypertonic saline abortion

    The sodium kinetics of hypertonic saline abortions have been followed by measuring the radioactivity and the sodium concentrations in amniotic fluid, maternal plasma, urine, the foetus and placenta after intrauterine installation of 20% hypertonic saline labelled with 22Na in order to determine the reason for abortion of a dead foetus in 24 to 48 hours, and reasons for sodium reactions. There is dilution of the 300 ml of amniotic fluid to a maximum of 1.5 to 2.0 litres in an exponential fashion, by the influx of mainly maternal water, slowing after 8 hours. There is an exponential type of increase in plasma radioactivity, also slowing after 8 hours. However, equilibration is never reached, the specific activity of the amniotic fluid remaining 10 times that of the plasma, and the sodium concentration 3 times that of the plasma. The urine equilibrates with the plasma, and about 3% of the administered dose is lost in 22 hours. The largest foetus and placenta picked up the least radioactivity. Thus, a more mature foetus may be protected to some degree against the hypertonic saline action; this has been observed clinically. Hyperkaliaemia was found in all four subjects, and hypoglycaemia occurred sporadically. These were not accompanied by any symptoms. Factors associated with expulsion of the dead foetus are dehydration and decreased circulation associated with fibrinoid necrosis of the placenta, which may also account for cessation of equilibration between maternal plasma and amniotic fluid. Although no saline reactions occurred, the role of extrauterine deposition of hypertonic saline, as shown in one subject, might be considered. (author)

  18. Induction of abortion with aglepristone in cats on day 45 and 46 after mating.

    Georgiev, P; Bostedt, H; Goericke-Pesch, S; Dimitrov, M; Petkov, P; Stojanthev, K; Tsoneva, V; Wehrend, A


    The aim of this study was to test for the efficacy and safety of the use of aglepristone for pregnancy termination on day 45 in cats. Six healthy cats were treated with 10 mg/kg aglepristone sc on day 45 and 46 after mating; six other cats served as untreated controls. The effect of treatment was monitored by general examination, vaginal cytology, ultrasonography and blood sampling for haematology and progesterone determination. Besides, interoestrus interval and next pregnancy including litter size were recorded. The efficacy of treatment was approximately 67% (4/6) with abortion occurring 4-7 days after the first injection and a sanguineous discharge and erythrocytes in vaginal smears for at least 6 days afterwards. The two treated cats that did not abort gave birth to two kittens on day 67 and had a stillbirth of a single kitten on day 71, respectively. As expected enlargement of the mammary glands and lactation were observed in all treated cats. No other treatment-induced side effects were observed. Progesterone levels at abortion were high (30-140 nmol/l), but were decreased on day 55. Aglepristone treatment did not affect fertility in following cycles. Finally, it can be concluded that late-term pregnancy termination with aglepristone is possible but due to a success rate of 67% an ultrasonographical examination 7 days after treatment is an inherent necessity to control the effect of treatment. PMID:19961554

  19. The 'more-abortions' objection to fetal tissue transplantation.

    Gillam, L


    One common objection to fetal tissue transplantation (FTT) is that, if it were to become a standard form of treatment, it would encourage or entrench the practice of abortion. This claim is at least factually plausible, although it cannot be definitively established. However, even if true, it does not constitute a compelling ethical argument against FTT. The harm allegedly brought about by FTT, when assessed by widely accepted non-consequentialist criteria, has limited moral significance. Even if FTT would cause more abortions to be performed, and abortion is taken to be a serious moral wrong, this is not sufficient in itself to make FTT wrong. PMID:9831285


    Suman Saurabh; Sitanshu Sekhar Kar; Dhruv Kumar Pandey


    Sex- selective abortions have been known to be a problem in India. A study titled “Trends in selective abortions of girls in India: analysis of nationally representative birth histories from 1990 to 2005 and census data from 1991 to 2011” by Jha P et al was published in Lancet in May 2011 presented the first nationally representative analysis of trends in sex-selective abortions in India. It came as an aftermath of the provisional 2011 census release which showed a fall in 0-6 year sex ratio ...

  1. Orion Launch Abort System Performance During Exploration Flight Test 1

    McCauley, Rachel; Davidson, John; Gonzalez, Guillo


    The Orion Launch Abort System Office is taking part in flight testing to enable certification that the system is capable of delivering the astronauts aboard the Orion Crew Module to a safe environment during both nominal and abort conditions. Orion is a NASA program, Exploration Flight Test 1 is managed and led by the Orion prime contractor, Lockheed Martin, and launched on a United Launch Alliance Delta IV Heavy rocket. Although the Launch Abort System Office has tested the critical systems to the Launch Abort System jettison event on the ground, the launch environment cannot be replicated completely on Earth. During Exploration Flight Test 1, the Launch Abort System was to verify the function of the jettison motor to separate the Launch Abort System from the crew module so it can continue on with the mission. Exploration Flight Test 1 was successfully flown on December 5, 2014 from Cape Canaveral Air Force Station's Space Launch Complex 37. This was the first flight test of the Launch Abort System preforming Orion nominal flight mission critical objectives. The abort motor and attitude control motors were inert for Exploration Flight Test 1, since the mission did not require abort capabilities. Exploration Flight Test 1 provides critical data that enable engineering to improve Orion's design and reduce risk for the astronauts it will protect as NASA continues to move forward on its human journey to Mars. The Exploration Flight Test 1 separation event occurred at six minutes and twenty seconds after liftoff. The separation of the Launch Abort System jettison occurs once Orion is safely through the most dynamic portion of the launch. This paper will present a brief overview of the objectives of the Launch Abort System during a nominal Orion flight. Secondly, the paper will present the performance of the Launch Abort System at it fulfilled those objectives. The lessons learned from Exploration Flight Test 1 and the other Flight Test Vehicles will certainly

  2. Q-feber som årsag til spontan abort

    Nielsen, Stine Yde; Mølbak, Kåre; Hjøllund, Niels Henrik


    Q-fever is a zoonotic infection. Pregnant women constitute a specific risk group as the infection may cause spontaneous abortion, intrauterine death, growth retardation, oligohydramnios and premature birth. A 39 year-old veterinarian had a spontaneous abortion in pregnancy week seven. During the...... first weeks of her pregnancy, she handled birth by-products from cows with Q-fever. The Q-fever titres revealed that she was most likely infected in very early pregnancy. According to the literature, infection in the first trimester constitutes a specific risk of spontaneous abortion....

  3. Abortion Law Reform in Ireland: A Model for Change

    Enright, Máiréad; de Londras, Fiona; Conway, Vicky; Donnelly, Mary; Fletcher, Ruth; Murray, Claire; McGuinness, Sheelagh; Ring, Sinead; Ui Chonnachtaigh, Sorcha


    Ireland has some of the most restrictive abortion laws in the world. Abortion has been criminalised since 1861, and the passage of the 8th Amendment in 1983 introduced ‘the right to life of the unborn’ into the Constitution. The effects of the 8th Amendment are felt on a daily basis by women leaving Ireland for abortion, by pregnant women receiving maternal care, by doctors caring for pregnant women, and by lawyers working for the health service. As predicted by the then-Attorney General Pete...

  4. Correlates of Social Work Students' Abortion Knowledge and Attitudes: Implications for Education and Research.

    Begun, Stephanie; Bird, Melissa; Ramseyer Winter, Virginia; Massey Combs, Katie; McKay, Kimberly


    Researchers have established that individuals' abortion knowledge is positively associated with their support of abortion rights. However, social workers' personal beliefs regarding abortion are under-researched, even though social workers are often employed in health promotion and education roles in which the topic of abortion is encountered. The current study examines the results of a nationwide survey of social work students (N = 504) and explores the relationship between social work students' abortion knowledge and abortion attitudes. Less abortion knowledge was significantly associated with antichoice attitude endorsement. Implications for social work research, training, and education are subsequently discussed. PMID:27092856

  5. Brazilians have different views on when abortion should be legal, but most do not agree with imprisoning women for abortion.

    Faúndes, Aníbal; Duarte, Graciana Alves; de Sousa, Maria Helena; Soares Camargo, Rodrigo Paupério; Pacagnella, Rodolfo Carvalho


    Unsafe abortions remain a major public health problem in countries with very restrictive abortion laws. In Brazil, parliamentarians - who have the power to change the law - are influenced by "public opinion", often obtained through surveys and opinion polls. This paper presents the findings from two studies. One was carried out in February-December 2010 among 1,660 public servants and the other in February-July 2011 with 874 medical students from three medical schools, both in São Paulo State, Brazil. Both groups of respondents were asked two sets of questions to obtain their opinion about abortion: 1) under which circumstances abortion should be permitted by law, and 2) whether or not women in general and women they knew who had had an abortion should be punished with prison, as Brazilian law mandates. The differences in their answers were enormous: the majority of respondents were against putting women who have had abortions in prison. Almost 60% of civil servants and 25% of medical students knew at least one woman who had had an illegal abortion; 85% of medical students and 83% of civil servants thought this person(s) should not be jailed. Brazilian parliamentarians who are currently reviewing a reform in the Penal Code need to have this information urgently. PMID:24315072




    Full Text Available ABSTRACT: OBJECTIVES : To know the efficacy and outcome of single dose o f vaginal Misoprostol 800Ug in first trimester abortion. MATERIAL AND METHODS : This study was conducted over a period of 3 yrs at Adichunchanagir i institute of medical sciences. A total of 200 pregnant women upto 12 wks of gestation wanting termi nation of pregnancy was recruited in this study. The efficacy, outcome, and induction ab ortion interval was studied in these cases. RESULTS: In our case study 76% of the patients had complete a bortion with single dose of 800ug Misoprostol and 4 % underwent check curettage due to profuse bleeding and retained products in uterus on USG. 20% of the cases needed s econd dose of 200ug of Misoprostol. The mean induction to abortion interval was 11.38hrs. 9 6% of the patients had complete abortion with medical method and only 4% underwent surgical curettage due to profuse bleeding after the single dose. The mean haemoglobin prior to induc tion was 9.76gm% and post expulsion was 9.59gm % respectively. No statistical difference was noted .The incidence of side effects like nausea, vomiting and diarrhoea was minimal and tran sitory. No major complications noted. CONCLUSION: Vaginal PGE 1 analogue is very safe and effective method of term ination of first trimester pregnancy. Single high dose of vaginal Mis oprostol 800ug is found to be cost -effective with minimal side effects, shorter Induction Aborti on interval and a day care procedure with good success rate and can be adopted at community an d primary health care units to reduce the maternal morbidity and mortality in developing count ries like India due to unwanted pregnancies and unsafe abortions

  7. A Necessary Evil? : Continuity and Change in Russian and Soviet Abortion Discourse, 1910-1930


    The widespread reliance on abortion in the Soviet Union, occasionally even referred to as an “abortion culture”, has been documented in a number of studies. However, the notoriously high abortion rates are not the only reason why the Soviet case stands out in the global history of abortion. Having decriminalised abortion by decree in 1920, Soviet Russia became the first country in the world where the termination of pregnancy was discussed as a legalised phenomenon. Russian discussions on ...

  8. Incidence of legal abortions and congenital abnormalities in Hungary

    The annual and monthly distributions of congenital abnormalities and pregnancy outcomes as confounding factors were evaluated in Hungary in reflection of the accident at the Chernobyl reactor. The different congenital abnormality entities and the components of fetal radiation syndrome did not show a higher rate after the Chernobyl accident in the data-set of the Hungarian Congenital Abnormality Registry. Among confounding factors, the rate of induced abortions did not increase after the Chernobyl accident in Hungary. In the 9th month after the peak of public concern (May and June, 1986) the rate of livebirths decreased. Three indicator conditions: 15 sentinel anomalies as indicators of germinal dominant gene mutations, Down syndrome as an indicator of germinal numerical and structural chromosomal mutations, and unidentified multiple congenital abnormalities as indicators of germinal dominant gene and chromosomal mutations were selected from the material of the Hungarian Congenital Abnormality Registry. Diagnoses were checked, familial and sporadic cases were separated and only the sporadic cases were evaluated. The analysis of indicator conditions did not reveal any measurable germinal mutagenic effect of the Chernobyl accident in Hungary

  9. Flight Performance Feasibility Studies for the Max Launch Abort System

    Tarabini, Paul V.; Gilbert, Michael G.; Beaty, James R.


    In 2007, the NASA Engineering and Safety Center (NESC) initiated the Max Launch Abort System Project to explore crew escape system concepts designed to be fully encapsulated within an aerodynamic fairing and smoothly integrated onto a launch vehicle. One objective of this design was to develop a more compact launch escape vehicle that eliminated the need for an escape tower, as was used in the Mercury and Apollo escape systems and what is planned for the Orion Multi-Purpose Crew Vehicle (MPCV). The benefits for the launch vehicle of eliminating a tower from the escape vehicle design include lower structural weights, reduced bending moments during atmospheric flight, and a decrease in induced aero-acoustic loads. This paper discusses the development of encapsulated, towerless launch escape vehicle concepts, especially as it pertains to the flight performance and systems analysis trade studies conducted to establish mission feasibility and assess system-level performance. Two different towerless escape vehicle designs are discussed in depth: one with allpropulsive control using liquid attitude control thrusters, and a second employing deployable aft swept grid fins to provide passive stability during coast. Simulation results are presented for a range of nominal and off-nominal escape conditions.

  10. Orion Pad Abort 1 GN and C Design and Development

    Medina, Edgar A.; Stachowiak, Susan J.


    The first flight test of the Orion Abort Flight Test project is scheduled to launch in Spring 2010. This flight test is known as Pad Abort 1 (PA-1) and it is intended to accomplish a series of flight test objectives, including demonstrating the capability of the Launch Abort System (LAS) to propel the Crew Module (CM) to a safe distance from a launch vehicle during a pad abort. The PA-1 Flight Test Article (FTA) is actively controlled by a guidance, navigation, and control (GN&C) system for much of its flight. The purpose of this paper is to describe the design, development, and analysis of the PA-1 GN&C system. A description of the technical solutions that were developed to meet the challenge of satisfying many competing requirements is presented. A historical perspective of how the Orion LAV compares to the Apollo Launch Escape Vehicle (LEV) design will also be included.

  11. Incidence of legal abortion in Sweden after the Chernobyl accident

    The number of legal abortions in Sweden increased around the time of the Chernobyl accident, particularly in the summer and autumn of 1986. Although there was no recording of reasons for legal abortions, one might have suspected this increase to be a result of fear and anxiety after the accident. However, seen over a longer time perspective, the increase in the number of abortions started before and continued far beyond the time of the accident. There was also a simultaneous and pronounced increase in the number of births during the years subsequent to the accident. Therefore, it seems unlikely that fear of the consequences of radioactive fall-out after the Chernobyl accident resulted in any substantial increase of the number of legal abortions in Sweden

  12. Cigarette, alcohol, and caffeine consumption: risk factors for spontaneous abortion

    Rasch, Vibeke


    OBJECTIVE: To study the association between cigarette, alcohol, and caffeine consumption and the occurrence of spontaneous abortion. METHODS: The study population consisted of 330 women with spontaneous abortion and 1168 pregnant women receiving antenatal care. A case-control design was utilized......; cases were defined as women with a spontaneous abortion in gestational week 6-16 and controls as women with a live fetus in gestational week 6-16. The variables studied comprise age, parity, occupational situation, cigarette, alcohol, and caffeine consumption. The association between cigarette, alcohol......, and caffeine consumption was studied using logistic regression analyzes while controlling for confounding variables. In addition stratified analyzes of the association between caffeine consumption and spontaneous abortion on the basis of cigarette and alcohol consumption were performed. RESULTS: Women...

  13. Integrated Flight Performance Analysis of a Launch Abort System Concept

    Tartabini, Paul V.


    This paper describes initial flight performance analyses conducted early in the Orion Project to support concept feasibility studies for the Crew Exploration Vehicle s Launch Abort System (LAS). Key performance requirements that significantly affect abort capability are presented. These requirements have implications on sizing the Abort Motor, tailoring its thrust profile to meet escape requirements for both launch pad and high drag/high dynamic pressure ascent aborts. Additional performance considerations are provided for the Attitude Control Motor, a key element of the Orion LAS design that eliminates the need for ballast and provides performance robustness over a passive control approach. Finally, performance of the LAS jettison function is discussed, along with implications on Jettison Motor sizing and the timing of the jettison event during a nominal mission. These studies provide an initial understanding of LAS performance that will continue to evolve as the Orion design is matured.

  14. Orion Pad Abort 1 Flight Test - Ground and Flight Operations

    Hackenbergy, Davis L.; Hicks, Wayne


    This paper discusses the ground and flight operations aspects to the Pad Abort 1 launch. The paper details the processes used to plan all operations. The paper then discussions the difficulties of integration and testing, while detailing some of the lessons learned throughout the entire launch campaign. Flight operational aspects of the launc are covered in order to provide the listener with the full suite of operational issues encountered in preparation for the first flight test of the Orion Launch Abort System.

  15. Study on Aerobic Bacterial flora in Canine abortions

    B.E Shambulingappa; G. Anand Manegar and K. J. Ananda


    Of the 125 bitches with reproductive disorder, 10 bitches which were aborted at different stages of gestation and presented to Veterinary hospitals for treatments were included in the present study. Total thirteen isolates were recovered from the aborted samples. The frequency of bacterial isolates in descending order were Escherichia coli (38.46%), Streptococcus canis (38.46%), Staphylococcus epidermedis (15.38%) and Staphylococcus aureus (7.69%). [Vet. World 2010; 3(3.000): 111-112

  16. Study on Aerobic Bacterial flora in Canine abortions

    B. E. Shambulingappa


    Full Text Available Of the 125 bitches with reproductive disorder, 10 bitches which were aborted at different stages of gestation and presented to Veterinary hospitals for treatments were included in the present study. Total thirteen isolates were recovered from the aborted samples. The frequency of bacterial isolates in descending order were Escherichia coli (38.46%, Streptococcus canis (38.46%, Staphylococcus epidermedis (15.38% and Staphylococcus aureus (7.69%. [Vet. World 2010; 3(3.000: 111-112

  17. Acquired Immune Deficiency Syndrome, Risky Sexual Behavior and Abortion

    Marshall H. Medoff


    Problem statement: incidence of abortion in the United States has steadily declined since 1990. The question is why? Approach: This study, using multiple linear regression, examines whether womens unprotected sexual activity is deterred by the risk of contracting AIDS as reflected in decreased abortion rates. Results: The empirical evidence consistently finds that the prevalence of AIDS reduces the risky (unprotected) sexual activity of women of childbearing ages 15-44 as reflected in their a...

  18. The abortion debate: can this chronic public illness be cured?

    Callahan, D


    Abortion has provided one of the most noxious, disturbing, and unending of all American moral and legal struggles. The issue forces us to think about the most difficult kind of ethical issues, e.g., the moral status of the fetus and the meaning of human "life" and "personhood." The win-at-all-costs attitude among the leading advocacy groups has created gross stereotypes. While most arguments heard today were also heard prior to the Roe vs. Wade decision, the tone has radically changed. Better organization has meant hotter rhetoric and a nastier public style. We need to move the abortion debate along; it is now as stagnate as it is nasty. We need creative discussion and realistic compromise. The pre-Roe arguments in favor of choice have changed. Then, the movement to legalize abortion rested on the following: 1) illegal abortions were killing and maiming women; 2) women should have a backup to ineffective contraception; 3) the number of unwanted pregnancies should be reduced; only wanted children should be born, as a matter of child welfare; 4) women should have the right to make the abortion decision; 5) everything possible should be done to change the economic and domestic circumstances forcing women into unwanted pregnancies. The argument benefited women, children, and society. The many abortion myths that have since taken prominence cloud an already difficult issue. The ongoing tension rests with the conflict between the moral and legal issues. Is it possible to combine legal freedom and seriousness about the moral questions? Only if we recognize the equality of both positions' moral traditions, accept public discussion, the need for compromise, the need to do everything possible to change the economic and social circumstance leading to the abortion choice, and the need for meaningful counseling of women considering abortion. PMID:1451361

  19. The abortion-crime link: evidence from England and Wales

    Simmons, R.; L H Kahane; Paton, D.


    Using data from England and Wales, we test the hypothesis that legalizing abortion reduces crime. The timing of changes in crime rates in aggregate data is generally inconsistent with this hypothesis. Using panel data on recorded crime from 1983 to 2001, we are able to replicate the negative association between abortion rates and reported crime that J. J. Donohue and S. D. Levitt found for the United States. However, this association breaks down under the scrutiny of robustness checks and is ...

  20. Testing the Perturbation Sensitivity of Abortion-Crime Regressions

    Michał Brzeziński; Maria Halber


    The hypothesis that the legalisation of abortion contributed significantly to the reduction of crime in the United States in 1990s is one of the most prominent ideas from the recent “economics-made-fun” movement sparked by the book Freakonomics. This paper expands on the existing literature about the computational stability of abortion-crime regressions by testing the sensitivity of coefficients’ estimates to small amounts of data perturbation. In contrast to previous studies, we use a new da...