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. 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...

  9. 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...

  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. 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...

  10. 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

  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. 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...

  13. 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...

  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. 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...

  2. 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 ...

  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. 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

  11. 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

  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. 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.

  15. 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...

  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. 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.

  1. 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

  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



    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.

  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



    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。

  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. 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 ...

  16. 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

  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. 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

  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. 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

  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. 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

  6. 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. .

  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, 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

  3. 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

  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. [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

  17. 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...

  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. 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

  6. 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.

  7. 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)

  8. 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.

  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. 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...

  2. 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

  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. 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...

  1. 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)

  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...