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Sample records for abortion threatened

  1. DEVELOPMENT OF ACUPUNCTURE TREATMENT AND CLINICAL RESEARCH OF THREATENED ABORTION

    Institute of Scientific and Technical Information of China (English)

    LI Jing-xia; XIE Gan-gong

    2005-01-01

    In the present paper, the authors review recent development of acupuncture treatment of threatened abortion from 1) clinical application of "Linggui Bafa"(灵龟八法Eight Methods of Intelligent Turtle), 2) body acupoints, and 3) acupuncture combined with Chinese materia medica, and clinical study from 1) effect of acupuncture on the blood flow of uterus, and 2) effect of acupuncture on plasma progesterone level. In addition, acupuncture therapy is also used to help women in gestation and can effectively raise the pregnant rate. "Linggui Bafa" is rather effective in preventing threatened abortion and should be studied further.

  2. THREATENED ABORTION: A RISK FACTOR FOR POOR PREGNANCY OUTCOME

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    F Davari-Tanha

    2008-08-01

    Full Text Available "nThe scientific literature regarding threatened abortion is relatively limited on the subject of outcomes and viability at term. To investigate prospectively the risk of adverse pregnancy outcome in women presenting with first-trimester threatened miscarriage, a prospective case control study was performed on 600 subjects, 150 women presenting with bleeding in the first trimester and 450 asymptomatic age-matched controls. Main outcome measures included gestational age and weight at delivery as well as incidence of adverse pregnancy outcome such as preterm labor, preterm prelabor rupture of membranes (PPROM, placental abruption, and low birth weight (LBW. The first-trimester miscarriage rate in the threatened miscarriage group was 42.7%. Compared with controls, women presenting with threatened miscarriage were more likely to deliver prematurely, 14.7% compared with 52.9%, respectively (relative risk 3.6, 95% confidence interval [CI] 2.4-4.8. They were also more likely to have PPROM, 6.4% compared with 27.5%, respectively (relative risk 4.2, 95% CI 2.6-6.9 and placental abruption, 5.7% compared with 1.5% respectively (relative risk 3.6, 95% CI 1.2-11.3, and LBW, 14.9% compared with 7.1% respectively (relative risk 2.1, 95% CI 1.1-3.8, low lying placenta 1.1% compared with 18.2% respectively, birth weight 2866 ± 523.3 g compared with 312.45± 591.4 respectively, gestational age 35.71 ± 4.3 compared with 38.07 ± 3.2 respectively. First-trimester vaginal bleeding is an independent risk factor for adverse obstetric outcome and this risk factor should be taken into consideration when deciding upon antenatal surveillance and management of their pregnancies.

  3. Nitric oxide levels in women with missed and threatened abortion: results of a pilot study.

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    Paradisi, Roberto; Fabbri, Raffaella; Battaglia, Cesare; Facchinetti, Fabio; Venturoli, Stefano

    2007-09-01

    The aim of this study was to evaluate the systemic production of nitric oxide (NO) in missed and threatened abortion and in nonpregnant and regular pregnant controls with the purpose of defining its role in the mechanisms regulating the first-trimester pregnancy toward either positive or negative evolution. Patients with missed abortion showed serum NO levels clearly decreased compared with nonpregnant patients and patients with regular pregnancy and threatened abortion, supporting a direct functional role of the NO mediator in early embryonic development and confirming its importance in the uterus and cervix during abortion. PMID:17349639

  4. Clinical usefulness of dynamic determination of serum progesterone and HCG levels in patients with threatened abortion, inevitable abortion and ectopic pregnancy

    International Nuclear Information System (INIS)

    Objective: To study the clinical differential diagnostic usefulness of dynamic determinations of serum progesterone and HCG levels in patients with abortion and ectopic pregnancy. Methods: Serum progesterone (with CLIA) and HCG (with RIA) levels were determined twice (48h apart) in 98 patients with threatened abortion, 75 patients with inevitable abortion, 52 patients with ectopic pregnancy, and 83 controls. Results: Among the three groups of patients, the serum progesterone levels were highest in the patients with threatened abortion, being significantly higher than those in the other two groups (P<0.05, P<0.01). The progesterone levels were lowest in the patients with ectopic pregnancy, being significantly less than those in other two groups (P<0.05, P<0.01). The serum HCG levels were also significantly higher in the patients with threatened abortion than those in the other two groups (P < 0.05 ), but there were no significant differences between the levels in patients with inevitable abortion and patients with ectopic pregnancy. The differences between the first and second determination HCG levels, either increased or decreased, in patients with ectopic pregnancy were significantly less than those in patients with inevitable abortion (P<0.05). Conclusion: Dynamic determination of serum progesterone and HCG levels might be of differential diagnostic help in patients with threatened abortion, inevitable abortion and ectopic pregnancy. (authors)

  5. Maternal and perinatal outcome in women with threatened abortion in first trimester

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    Meenal S. Sarmalkar

    2016-05-01

    Conclusions: Pregnant women with first trimester threatened abortion are at increased risk for spontaneous loss and adverse pregnancy outcomes. Knowledge of these risks may help the obstetricians to manage these cases vigorously in the antepartum period and do timely interventions as needed for a healthy mother and baby. [Int J Reprod Contracept Obstet Gynecol 2016; 5(5.000: 1438-1445

  6. Maternal level of pregnancy-associated plasma protein A as a predictor of pregnancy failure in threatened abortion.

    Science.gov (United States)

    Hanita, O; Roslina, O; Azlin, M I Nor

    2012-12-01

    Threatened miscarriage is a common complication of pregnancy. Despite initial viability confirmation by ultrasound scan, some of these patients had further spontaneous abortion. A highly sensitive and specific biomarker would be useful to determine the outcome of pregnancy and to prevent emotional impact to these women. A prospective 14-month cohort study was conducted in the Obstetrics and Gynaecology Department of Universiti Kebangsaan Malaysia Medical Centre to determine whether low serum levels of pregnancy-associated plasma protein A (PAPP-A) measured in early pregnancy can predict the outcome of threatened abortion. 42 pregnant women between 6 to 22 weeks of gestation with threatened abortion and 40 controls were enrolled. Serum samples were collected at presentation and PAPP-A was assayed by electrochemiluminescent immunoassay technique. Pregnancies were followed-up until 22 weeks of gestations and the outcome documented. Nine patients (11%) developed spontaneous abortion and 73 patients (89%) had successful pregnancy. The median PAPP-A level was significantly lower in patients with spontaneous abortion compared to those who had successful pregnancies in the threatened abortion group: 0.78 MoM (0.41-1.00 MoM) vs 1.00 MoM (1.00-2.0 MoM) respectively (p threatened abortion women is associated with pregnancy failure, although the use of PAPP-A as a one-time single marker has limited value. PMID:23424777

  7. Abortion

    Science.gov (United States)

    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.

  8. OUTCOME OF PREGNANCIES COMPLICATED BY THREATENED ABORTION IN THE SECOND TRIMESTER OF PREGNANCY - PROSPECTIVE STUDY

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    Rajeswary

    2015-11-01

    Full Text Available AIM: To compare the outcome of pregnancies complicated by bleeding per vaginum between 14- 20 weeks with those not complicated by bleeding per vaginum before 20 weeks. To evaluate the potential determinants of outcome such as gestational age at bleeding, number of bleeding episodes, extent of placental separation or sub chorionic bleed, incidence of complications as placenta previa, abruptio placenta, development of gestational hypertension and pre eclampsia, intra uterine growth restriction, and neonatal outcomes as birth weight, mode of delivery, neonatal ICU admission, and congenital anomalies. SETTINGS AND DESIGN: This was a prospective, comparative study, for a duration of one year. STUDY POPULATION: Cases- 100 women admitted in IMCH with first episode of bleeding per vaginum between 14- 20 weeks and continuing their pregnancy after 20 weeks. CONTROLS: 200 uncomplicated pregnancies attending antenatal outpatient clinic which were followed up till delivery. EXCLUSION CRITERIA: 1. Women with history of threatened abortion in first trimester were not included in the study. 2. Subjects age more than 35 years. 3. Previous history of abortion. 4. Any significant medical, surgical or gynecological history. RESULTS: When patients who presented with bleeding pv after completion of 1st trimester were analyzed by USS, a significant number of them had evidence of sub chorionic bleed, heavier the bleed, more the likelihood of presence of sub placental hematoma. There was no significant difference in prevalence of development of hypertensive disorders of pregnancy in both study groups. There was no significant rise in ante partum hemorrhage between cases and controls. Incidence of IUGR, PPROM, PRE TERM LABOR was significantly increased in study group. LSCS rate was not significantly different in both groups. In this study, there was no significant difference in incidence of congenital anomalies in both groups. STUDY AREA: Tertiary health center

  9. Abortion.

    Science.gov (United States)

    Churchill, M

    1979-09-15

    I would like to take issue with Dr Colin Brewer's statements concerning intrauterine contraceptive devices and abortion (11 August, p 389). I agree that logically there is no distinction between IUCDs, and other abortifacients used early in pregnancy, and abortion methods used later in pregnancy. However, I disagree with his statement that to make illegal IUCDs and similar methods out of an "obsessive concern for microscopic forms of life" would be "absurd." Firstly, size has never been a criterion for the presence or absence of life, or of its importance. Surely Dr Brewer, MPs, and the public would be outraged by anything less than obsessively careful handling of, say, rabies or smallpox viruses in laboratories. Do not the products of conception, with the full potential of a human being unless actively interfered with by other men (neglecting normal fetal wastage), deserve any less concern? Secondly, mortality should not be determined by practicalities; rather morality should determine one's actions. The question of whether IUCDs and other such procedures should remain legal or be made illegal should not be determined by their efficacy, popularity, or economy. I agree fully with Dr Brewer--abortion is a moral issue and it is a pity that the BMF has not raised the moral issues at stake. Particularly so, as Lord Denning put it "...without morality there can be no law." I personally subscribe to the Hippocratic Oath. PMID:497769

  10. Plasma β-Endorphin Levels in Women with Early Threatened Abortion before and after the Treatment of Integrated Chinese and Western Medicine

    Institute of Scientific and Technical Information of China (English)

    孙斐; 俞瑾

    1999-01-01

    To observe plasma β-endorphin(β-EP)and gonadotrophin releasing hormone(GnRM),human chorionic gonadotrophin(hCG),progesterone (P4) levels in women with early threatened abortion and with a history of recurrent spontaneous abortions(RSA).Twenty patients with threatened abortion at 7-8 weeks of gestation were re-cruited,all of them had a history of 3 or more recurrent unexplained abortions.They were treated with psychological consultation accompanied by traditional Chinese herbs.Blood samples were taken to measure β-EP,GnRM,hCG and P4 levels by radioim-munoassay(RIA).The treatments were continued till 10-12 weeks,blood was taken during this period to compare changes in these peptides/hormones.Twenty normal pregnant women at 7-8 and 10-12weeks and 20patients with incomplete abortion at 10- 12weeks were recruited for comparative studies.Results:(1)In normal pregnant women,plasma β-EP,GnRH,hCG and P4 levels at 10-12 weeks were significantly higher than that at 7-8 weeks(P0.05).(3)Plasma β-EP levels in patients with incomplete abortions at 10-12 weeks were dramatically higher and GnRH,hCG and P4levels were lower than in normal pregnant women(P<0.01).β-EP might play a role in the pathophysiology of spontaneous abortion.

  11. Comparison of Risk of Preterm Labor between Vaginal Progesterone and17-Alpha-Hydroxy-Progesterone Caproate in Women with Threatened Abortion: A Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    Beigi Abootaleb

    2016-07-01

    Full Text Available Objective Threatened miscarriage is a common complication in pregnancy that leads to adverse pregnancy outcomes such as preterm labor. This study aimed to compare the vaginal progesterone (Cyclogest versus 17-alpha-hydroxyprogesterone caproate (Proluton on preventing preterm labor in pregnant women with threatened abortion at less than 34 weeks’ gestational age. Materials and methods This balanced randomized, double-blind, single-center controlled clinical trial included 190 women with threatened abortion. They were then randomly allocated into Cyclogest (n=95 and 17-alpha-hydroxyprogesterone caproate (Proluton, n=95 groups. Interested outcome was preterm labor less than 34 weeks. The Pearson chi-square and Student’s t test were used to compare two groups. The data were analyzed by Stata software version 13. Results The risks of preterm labor less than 34 weeks in Proluton and Cyclogest groups were 8.6 and 6.52%, respectively. There was no significant difference for risk of preterm labor less than 34 weeks [relative ratio (RR: 1.31, 95% confidence interval (CI: 0.47- 3.66, P=0.59] between two groups. Conclusion Risk of preterm labor in the vaginal progesterone group and 17-alpha-hydroxyprogesterone caproate group in pregnant women with threatened abortion is the same (Registration Number: IRCT2014123120504N1.

  12. Role of progesterone and progestin therapy in threatened abortion and preterm labour.

    Science.gov (United States)

    Szekeres-Bartho, Julia; Wilczynski, Jacek R; Basta, Pawel; Kalinka, Jaroslaw

    2008-01-01

    Progesterone (P) has been widely used in an attempt to prevent threatened miscarriage, recurrent miscarriage and pre-term labour. Successful pregnancy depends on maternal tolerance of the fetal "semi-allograft". Along with its endocrine effects, P also acts as an "immunosteroid", by controlling the bias towards a pregnancy protective immune milieu. A protein called progesterone-induced blocking factor (PIBF), by inducing a Th2 dominant cytokine production mediates the immunological effects of progesterone. Progesterone plays a role in uterine homing of NK cells and up-regulates HLA-G gene expression, the ligand for various NK inhibitory receptors. At high concentrations, progesterone is a potent inducer of Th2-type cytokines as well as of LIF and M-CSF production by T cells. The possible mechanisms by which progesterone contributes to the maintenance of early and late pregnancy are discussed. PMID:17981685

  13. Clinical efficacy of the combination of yukang syrup and progesterone on treatment of threatened abortion and habitual abortion%孕康糖浆治疗先兆性流产和习惯性流产临床观察

    Institute of Scientific and Technical Information of China (English)

    姜洪苗

    2013-01-01

    Objective It is to investigate the clinical efficacy of the combination of yukang syrup and progesterone on treatment of threatened abortion and habitual abortion. Methods 220 patients with threatened abortion were randomly divided into two equal groups. 80 patients with habitual abortion were randomly divided into two equal groups. The treatment group were treated with the combination of yukang syrup and progesterone. The control group were treated with progesterone. The clinical efficacy was observed and recorded adverse reactions on the treatment. Results By the treatment group compared to the control group, the cure rate,the effective rate was significantly higher(P<0.01).Conclusion the clinical efficacy of the combination of yukang syrup and progesterone on treatment of threatened abortion and habitual abortion is reliable,safe,effective and worthy of clinical use.%目的 探讨孕康糖浆结合黄体酮治疗先兆性流产和习惯性流产的临床疗效.方法 选择2009年6月至2012年6月在医院治疗先兆性流产220例患者和习惯性流产80例患者,随机分为对照组和治疗组各110例先兆性流产患者和各40例习惯性流产患者,对照组予黄体酮治疗,治疗组加服孕康糖浆,观察临床疗效并记录治疗中的不良反应.结果 与对照组比较,治疗组治愈率、有效率均明显较高(P<0.01).结论 孕康糖浆结合黄体酮治疗先兆流产和习惯性流产疗效可靠,安全有效,值得临床使用.

  14. 先兆流产孕妇的心理特征和护理研究%Psychological Characteristics and Nursing of Pregnant Women with Threatened Abortion

    Institute of Scientific and Technical Information of China (English)

    武万珍

    2014-01-01

    目的分析先兆流产孕妇的心理特点并探讨具体的护理方法。方法将我院在2011年6月~2012年6月收治的96例先兆流产孕妇平均分为对照组与实验组。对照组患者采用常规护理方法,实验组患者则选用综合性护理方法,并采用回顾性调查分析的方法,分析及总结先兆流产孕妇的心理特点及两种护理方法的具体应用。结果实验组经综合性护理后继续妊娠人数明显高于对照组,且流产人数明显低于对照组。结论针对患者心理进行综合性护理可改善患者心理情况,进而减少孕妇由于先兆流产而出现的心理异常现象。%Objective To analyze the psychological characteristic of threatened abortion pregnant women and the nursing methods of concrete is discussed in this paper. Methods Our hospital from June 2011 to June 2012 treated 96 cases of threatened abortion of pregnant women during an average divided into control group and experimental group. Control group were treated by routine nursing methods, experimental group patients choose comprehensive nursing methods, and using the methods of retrospective investigation and analysis, the analysis and summary of threatened abortion pregnant women's psychological characteristics and the application of the two methods of nursing care. Results The number is significantly higher than the control group after comprehensive nursing continue to pregnancy, abortion was significantly less than the control group. Conclusion For patients with psychological comprehensive nursing care can improve patients psychological situation, and thus reduce the pregnant women with threatened abortion, abnormal psychological phenomenon.

  15. Expression of CA-125 in threatened abortion, inevitable abortion, missed abortion and its clinical significance%CA-125在先兆流产、难免流产、稽留流产中的表达及其临床意义

    Institute of Scientific and Technical Information of China (English)

    姬超; 张书艳; 宋芳霞; 买苗

    2016-01-01

    Objective To investigate the expression of carbohydrate antigen 125 (CA-125) and its prognostic value in patients with threatened abortion, inevitable abortion, missed abortion. Methods A total of 120 patients who received tocolytic therapy in Department of Gynaecology and Obstetrics in our hospital from March 2013 to March 2015 were selected as subjects, which were divided into normal control group (n=48), abortion observation group (n=72) ac-cording to the pregnancy outcome. The expression of CA-125 in two groups were detected, and the comparative analysis was performed. Results The expression of CA-125 of patients in abortion observation group was (56.33±11.22) kU/L, which was significantly higher than that in control group of (16.18±7.88) kU/L, with statistically significant differ-ence (P0.05). The expression levels of CA-125 showed statistically significant difference between threatened abortion and missed abortion (P0.05),而先兆流产与稽留流产患者CA-125表达水平比较差异则具有统计学意义(P<0.05)。结论先兆流产、难免流产、稽留流产患者CA-125的表达较正常妊娠妇女高,CA-125表达水平随着流产的严重程度逐渐升高,这对患者病情的诊治具有一定的指导作用。

  16. Clinical Experience to Treat Threatened Abortion with Chen ’s Miscarriage Prevention Method%陈氏安胎法治疗先兆流产的临床体会

    Institute of Scientific and Technical Information of China (English)

    陈学奇; 葛蓓芬

    2015-01-01

    Objective] To summarize the clinical experience to treat threatened abortion with Zhejiang Chen Mushan Gynecology calming fetus. [Method] By analyzing the understanding of Chen’s Gynecology to etiology and pathogenesis of threaten abortion, to review typical cases and summarize its characteristic of treatment, to sum up the clinical experience of threatened abortion. [Result]The etiology of threaten abortion of Chen ’s Gynecology is due to fetus fire flaring up, qi and blood deficiency, spleen and kidney insufficiency, therefor causing fetus yuan qi not solid, fetus unease and/or threatened abortion. The paper introduces Chen’s miscarriage prevention and proposes to treat threatened abortion by focusing on tonifying qi and blood, strengthening kidney and spleen, clearing heat and cooling blood, integrating prevention with treatment, emphasizing in harmonizing in the treatment. [Conclusion] Chen’s treating method for threatened abortion by calming fetus has accumulated rich clinical experiences with strong characteristics, it is worth to inheritance and popularizing.%[目的]总结浙江陈木扇女科陈氏安胎法治疗先兆流产的临床体会。[方法]分析陈氏对先兆流产病因病机的认识,总结陈氏安胎的治疗用药特色,分析临床典型案例,概括出陈氏安胎的临床经验体会。[结果]对先兆流产,陈氏认为其主要病机是胎火上炎,气血虚弱,脾肾不足,而至胎元不固,或胎动不安,或胎漏不止。治疗上陈氏安胎倡导清热凉血、补益气血、健脾补肾的方法。陈氏安胎“防”“治”结合,安胎用药以“调和”为主。[结论]陈氏安胎法治疗先兆流产特色明显,临床经验丰富,值得传承推广。

  17. 黄体酮胶囊治疗先兆流产35例%Progesterone Capsules for Treating 35 Cases of Threatened Abortion

    Institute of Scientific and Technical Information of China (English)

    惠敏

    2014-01-01

    Objective To observe the clinical efficacy of progesterone by different administration modes for treating threatened abortion. Methods 70 cases of threatened abortion were divided into two groups randomly and equally. The treatment group took oral Proges-terone Capsule and the control group was given Progesterone Injection by intramuscular injection. The clinical curative effects were com-pared between the two groups. Results 32 cases ( 91. 43% ) in the treatment group and 29 cases ( 82. 86% ) in the control group were successful in prevent miscarriages, no statistically significant differences existed between the two groups (χ2=0. 517, P=0. 517 );the clinical symptoms alleviation time in the treatment group were less than that in the control group, the difference was statistically signifi-cant ( t=10. 732, 10. 645, 10. 732, P=0. 000 );serum progesterone level after treatment were higher than before treatment ( P=0. 000 ) , the difference of serum progesterone levels before and after treatment between the two groups was statistically significant ( t=2. 293, P=0. 027 ) , indicating that the treatment group was better than the control group. Conclusion Oral Progesterone Capsule has better curative effect in treating threatened abortion than the intramuscular injection, which possesses the characteristics of safety, reliability, fast effect onset and has the important clinical value.%目的:观察黄体酮通过不同给药方式治疗先兆流产的临床疗效。方法将70例诊断为先兆流产的患者随机均分为两组,治疗组给予口服黄体酮胶囊治疗,对照组予黄体酮注射液肌肉注射治疗,比较两组的临床疗效。结果治疗组保胎成功32例(91.43%),对照组29例(82.86%),两组比较差异无统计学意义(χ2=0.517,P=0.482);治疗组腰痛、止血、腹痛3个临床症状缓解时间均少于对照组,差异有统计学意义( t=10.732,10.645,5.973,P=0.000);两组治疗后血清孕

  18. The Clinical Efifcacy Comparation of Progesterone Capsules and Dydrogesterone in Treatment of Threatened Abortion%黄体酮胶丸与地屈孕酮治疗先兆流产的临床疗效比较

    Institute of Scientific and Technical Information of China (English)

    刘云武

    2015-01-01

    Objective To analyze the progesterone capsules and dydrogesterone treatment of threatened abortion clinical efifcacy.Methods 100 cases of threatened abortion patients were divided into control group and observation group, 50 patients were treated with progesterone capsules and dydrogesterone treatment.ResultsThe success rate of 92% miscarriage, adverse reaction rates 4%, control group, 88% success rate of miscarriage, adverse reaction rates 6%,P>0.05, two different gestational age serum progesterone levels contrast,P>0.05.ConclusionThe progesterone capsules and dydrogesterone treatment of threatened abortion a signiifcant effect, can be used as the main drug treatment of threatened abortion.%目的:分析黄体酮胶丸与地屈孕酮治疗先兆流产的临床疗效。方法将100例先兆流产患者分为对照组和观察组各50例,分别给予黄体酮胶丸与地屈孕酮治疗。结果观察组保胎成功率92%,不良反应发生率4%;对照组保胎成功率88%,不良反应发生率6%,P>0.05;两组不同孕周血清孕酮水平对比,P>0.05。结论黄体酮胶丸与地屈孕酮治疗先兆流产疗效显著,可作为治疗先兆流产的主要药物。

  19. Induced Abortion

    Science.gov (United States)

    ... 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 ...

  20. Abortion - medical

    Science.gov (United States)

    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 ...

  1. A preliminary study on effect of psychological intervention on immune mechanism of threatened abortion%心理干预对先兆流产患者免疫机制影响的初步研究

    Institute of Scientific and Technical Information of China (English)

    刘亚莉; 林虹; 刘昉

    2013-01-01

    Objective:To explore the clinical curative effect of psychological intervention in treatment of threatened abortion and the impact on immune mechanism.Methods:Eighty patients with threatened abortion who were treated with routine therapy and psychological intervention were selected as study group,eighty patients with threatened abortion who were treated with routine therapy were selected as control A group,and eighty normal pregnant women without abortion history during the same period were selected as control B group.SCL 90 was used to evaluate the effect of psychological intervention on psychological status and curative effect of patients with threatened abortion,the levels of Cortisol,IL-2,IL-10 and TGF-β1 in the three groups were detected,the effect on endocrine of patients was analyzed.Results:Compared with non-abortion group,SCL-90 score,Cortisol and IL-2 levels in threatened abortion group increased significantly,while the levels of IL-10 and TGF-β1 decreased significantly; compared with routine therapy group,SCL-90 score,Cortisol and IL-2 levels in psychological intervention group decreased significantly,the levels of IL-10 and TGF-β1 and successful rate of pregnancy increased significantly.Conclusion:Psychological intervention may play a curative role by affecting the immune mechanism of threatened abortion.%目的:探讨心理干预在先兆流产治疗中的临床疗效及其对免疫机制的影响.方法:以先兆流产孕妇施行常规治疗+心理干预80例作为研究组,以先兆流产孕妇施行常规治疗80例作为对照组A,以同期无流产病史的早孕妇女80例作为对照组B.以SCL-90症状自评量表评估心理干预对先兆流产孕妇心理状况及疗效的影响,测定各组考的松(Cortisol)、IL-2、IL-10及TGF-β1水平,分析其对先兆流产患者内分泌的影响.结果:先兆流产组与无流产病史组相比,SCL-90评分、Cortisol及IL-2水平显著增高,IL-10和TGF-β1水平显著降低;心理干预

  2. 血清孕酮、β-HCG联合检测在早期先兆流产中的诊断价值%Clinical value of serum progesterone, β-HCG joint detection in early threatened abortion

    Institute of Scientific and Technical Information of China (English)

    孙晶

    2015-01-01

    目的:探讨血清孕酮、β-HCG联合检测在早期先兆流产中的临床价值。方法根据妊娠结果将本院收治的140例早期先兆流产患者分为2组,即先兆流产组(孕早期出现先兆流产症状,经过保胎治疗后顺利分娩者)90例和流产组(孕早期出现先兆流产症状,但经过保胎治疗后保胎失败,妊娠终止者)50例,并选取同期于本院进行孕期检查的90例正常孕妇作为对照组,分别检测3组患者的血清孕酮和β-HCG含量,并加以分析。结果 Western blot结果发现,流产组的血清孕酮值明显低于其他2组,流产组的β-HCG低于对照组和先兆流产组,差异具有统计学意义( P<0.05);先兆流产组与对照组之间的血清孕酮和β-HCG值差异无统计学意义。 Western blot结果发现,流产组孕酮和β-HCG的表达低于对照组和先兆流产组,差异具有统计学意义(P<0.05)。血清孕酮值>12.2 ng/mL的产妇继续妊娠的机率大于自然流产,差异具有统计学意义( P<0.05);β-HCG>5000 IU/mL的产妇继续妊娠的机率大于自然流产,差异具有统计学意义(P<0.05)。对孕酮、β-HCG的单独检测及孕酮与β-HCG联合检测在妊娠结局中的特异性和敏感度的分析可知,2者联合检测的敏感度(87.09%)高于孕酮、β-HCG的单独检测(76.33%和60.34%)(均P<0.05)。孕酮、β-HCG的单独检测及孕酮与β-HCG联合检测的特异性分别为85.00%、100.00%和90.00%,其特异性差异不具有统计学意义。结论血清孕酮联合β-HCG检测对于早期先兆流产的诊断具有指导意义,可提高检测结果的准确性和敏感度,可有效指导临床。%Objective To investigate the clinical value of serum progesterone, β-HCG combined detection in early threatened abortion. Methods According to the result of pregnancy in the hospital, 140 cases of early threatened abortion

  3. Abortion - surgical

    Science.gov (United States)

    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. ...

  4. 胚胎移植术后先兆流产临床证型分布特点的临床研究%Analysis on Distribution Characteristic of Syndromes of Threatened Abortion Patients after Embryo Transplantation

    Institute of Scientific and Technical Information of China (English)

    吴晓婷; 付萍

    2012-01-01

    Objective: According to the clinical symptoms of threatened abortion patients after embryo transplantation, to explore its syndrome types and distribution characteristics of syndrome. Method :The clinical symptoms of 128 cases were made statistical classification, observing the syndrome types and distribution characteristics of threatened abortion patients after the embryo transplantation. Results: The syndrome distribution results showed blood - heat syndrome accounted for 42. 96% , kidney deficiency syndrome accounted for 23. 44% , spleen - kidney deficiency syndrome accounted for 17. 96% ,blood stasis syndrome accounted for 12. 5% ,Qi and blood deficiency syndrome accounted for 3. 13% . Conclusion: Blood - heat syndrome and kidney deficiency syndrome are the basic syndromes for threatened abortion patients after embryo transplantation, with liver and kidney yin deficiency as the root.%目的:根据胚胎移植术后先兆流产患者的临床症状,探讨其证型、证候分布特点.方法:对128例患者的临床症状进行统计分类,观察胚胎移植术后先兆流产患者证型、证候分布特点.结果:证型分布研究结果显示,血热型占42.96%,肾虚型占23.44%,脾肾两虚型占17.96%,血瘀型占12.5%,气血两虚型占3.13%.结论:血热型及肾虚型是胚胎移植术后先兆流产的主要证型,以肝肾阴虚为本.

  5. 当归散治疗先兆流产的实验研究%Experimental Research on Danggui Powder for Treating Threatened Abortion

    Institute of Scientific and Technical Information of China (English)

    张建英; 聂坚; 梁玲; 楚更五

    2013-01-01

    Objective: To investigate the effects of Danggui powder on preventing miscarriage in rat models. Methods: Establish the threatening miscarriage in the rat models by intragastric infusion of Mifepristone and Misoprostol, Monitor rats vaginal bleeding time, put the pregnant rats to death to observe all groups' number of litters, the weight of fetus, the weight of uterus and the weight of placenta, observe uterine blood stasis, and fetal malformation, realize the growth and development of embryo;determinate levels of progesterone and estradiol. Results: The model group had vaginal bleeding and the time for 52 hours or more, the treatment groups were certain degree of ease separately. Compared with normal group, the model group had no change on number of litters, but less obviously on the weight of all fetus and average fetus , the weight of uterus and the weight of placenta, the difference had a statistical significance (P <0.05). 20.02% of all model fetus had blood stasis, 17. 62% of all model fetus were fetal malformation. Danggui powder could dwindle these numbers. Levels of progesterone and estradiol between all groups had no significant difference. Conclusion: Therapy of Danggui powder for threatened abortion deserves affirmation, and further experiments are necessary.%目的:探讨当归散对先兆流产大鼠模型的安胎作用.方法:采用药物米非司酮加米索前列醇的方法建立先兆流产的大鼠模型,监测大鼠阴道出血时间,观察各组的平均胎仔数、胎仔重量、子宫重、胎盘重量等情况,观察子宫瘀血、胎仔畸形或死胎情况,以了解胚胎生长和发育情况;测定孕酮、雌二醇水平.结果:模型组大鼠出现阴道出血症状,持续时间全部长达52h以上,治疗组分别有一定程度的减轻.模型组与正常组比较,平均胎仔数无明显变化;但胎仔总重、平均每胎重、子宫重量和胎盘重量明显减轻(P<0.05),差异有显著性意义;

  6. Clinical Analysis of Pregnancy Outcome of Threatened Abortion After Treatment to Miscarriage%先兆流产保胎治疗后继续妊娠结局的临床分析

    Institute of Scientific and Technical Information of China (English)

    李国华

    2015-01-01

    目的:探究先兆流产保胎经治疗后继续妊娠的结局。方法选取我院2012年7月~2014年9月期间收治的256例孕妇,并按照先兆流产以及同期内无先兆流产征象将其分为观察组以及对照组,对两组孕妇的妊娠结局进行对比。结果两组孕妇在产后出血、新生儿结局等进行对比,差异并不显著,不具有统计学意义(P>0.05)。而前置胎盘以及胎盘粘连等发生现象两组具有显著差异。具有统计学意义(P<0.05)。结论先兆流产保胎治疗后继续妊娠并未对妊娠结局造成不良影响。%Objective To explore the fetus protection of threatened abortion after treatment to pregnancy outcome.Methods Selected in our hospital in 2012 July~2014 year in September during the treated 256 cases of pregnant women, and in accordance with the threatened abortion and threatened abortion during the same period without signs will be divided into the observation group and the control group, the pregnancy outcome of two groups of pregnant women were compared.Results The two groups of pregnant women were compared in postpartum hemorrhage, neonatal outcome, the difference is not signiifcant, was not statistically signiifcant (P>0.05). The placenta previa and Placenta Adhesion occurred the phenomenon of two groups with significant differences. With statistical signiifcance (P<0.05).ConclusionThe treatment of threatened abortion Baotai continue after pregnancy did not cause adverse effect on pregnancy outcome.

  7. 血清孕酮测定在预测早期先兆流产妊娠结局中的价值%The value of serum progesterone measurement in predicting pregnancy outcome of threatened abortion

    Institute of Scientific and Technical Information of China (English)

    林菊芳

    2014-01-01

    Objective To explore the predictive value of serum progesterone in early pregnancy outcome of threatened abortion.MethodsSelected 80 cases of threatened abortion in early pregnancy treated in our hospital from March 2012 to March 2014 for the study,according to the success of prevent miscarriage it would be divided into prevent miscarriage success group (n=50) and prevent miscarriage failure group (n=30),and selected 90 cases of normal pregnant women corresponding period interrogation as a control group,and determined and compared maternal serum progesterone levels of three groups.Results Serum progesterone values of prevent miscarriage success group and normal pregnant women were significantly higher than the group prevent miscarriage failure,the difference was statistically significant(P0.05).In addition, 15.68ng/mL serum progesterone could be used as threatened abortion prevent miscarriage threshold of success.Conclusion Serum progesterone measurement in the prediction of early threatened abortion has a larger value in the pregnancy outcome.%目的:探讨血清孕酮测定在预测早期先兆流产妊娠结局中的价值。方法选取我院2012年3月~2014年3月收治的80例早孕先兆流产患者为研究对象,根据保胎成功与否将其分为保胎成功组(n=50)与保胎失败组(n=30),并选择同期问诊的90例正常妊娠孕妇为对照组,测定并比较三组孕妇血清孕酮水平。结果保胎成功组、正常妊娠组孕妇血清孕酮值均明显高于保胎失败组,差异有统计学意义(P<0.05)。保胎成功组与正常妊娠组血清孕酮值差异无统计学意义(P>0.05)。此外,血清孕酮15.68ng/mL可作为先兆流产保胎成功与否的临界值。结论血清孕酮测定在预测早期先兆流产妊娠结局中有较大的价值。

  8. 间苯三酚联合中药治疗早期先兆流产的临床探讨%Clinical study of the treatment for threatened abortion by phloroglucinol and chinese herb

    Institute of Scientific and Technical Information of China (English)

    李洪菊; 卢培玲; 靳桂香

    2014-01-01

    目的:探讨间苯三酚联合中药治疗早期先兆流产的临床效果。方法:将妊娠8~12周的86例先兆流产的孕妇随机分为实验组(45例)和对照组(41例)。实验组给予间苯三酚联合中药及黄体酮治疗,对照组仅给予黄体酮及中药治疗。结果:实验组保胎成功有效率明显高于对照组(91.11% VS 78.04%,P<0.05)。治疗期间未见明显不良反应。结论:早期先兆流产患者出现宫缩时,可首选间苯三酚,间苯三酚联合中药及黄体酮治疗孕8~12周的先兆流产安全有效。%Objective:To study the clinical efficacy of phloroglucinol and chinese herb for threatened abortion. Methods:86 patients with threatened abortion between 8-12 weeks of gestation were randomly divided into experimental group(45 cases) and control group(41 cases).The experimental group were given phloroglucinol and Chinese herb and progesterone,the control group were given progesterone and Chinese herb.Results: The experimental group had more significantly statistical difference than the control group in the effect of prevent miscarriage(91.11% VS 78.04%,P<0.05).There is no untoward effect during the treatment.Conclusion:If patients with early threatened abortion have contractions, phloroglucinol is the first to be selected.It is safe and effective to treat threatened abortion between 8-12 weeks of gestation by phloroglucinol and chinese herb and progesterone.

  9. 地屈孕酮治疗94例先兆流产的疗效观察%Observation on Curative Effect of 94 Cases With Abortion Threatened by Drogesterone

    Institute of Scientific and Technical Information of China (English)

    吕向红; 王彩霞; 陈楠

    2016-01-01

    Objective To investigate 94 cases of threatened abortion pregnant women dydrogesterone therapy.Methods Selected 188 cases as research subjects were divided into group A and group B, each group had 94 cases, the group A pregnant women using the given dydrogesterone treatment given to pregnant women progesterone treatment group B, compared two groups of pregnant women, the abortion, pregnancy and continuing adverse events.Results Two pregnant women, the incidence of adverse reactions contrast, no signiifcant difference (P>0.05), group A of pregnant women miscarriage success rate was 93.62%, higher than group B in pregnant women 81.91%, group A of pregnant women abortion rate was 6.38%, lower than group B in pregnant women 18.09%, the difference was signiifcant (P<0.05).Conclusion Abortion pregnant women dydrogesterone treatment, can effectively improve the situation of pregnant women threatened abortion, miscarriage improve its success rate.%目的:探究先兆流产94例孕妇使用地屈孕酮治疗的效果。方法在我院治疗的先兆流产孕妇中选取188例作为研究对象,将其分为A组和B组,各94例。A组使用地屈孕酮治疗,B组使用黄体酮治疗,对比两组孕妇流产情况、继续妊娠情况以及不良反应发生情况。结果两组孕妇的不良反应发生率对比,无明显差异(P>0.05)。A组孕妇的保胎成功率93.62%,高于B组孕妇81.91%,A组孕妇流产率6.38%,低于B组孕妇18.09%,差异显著(P<0.05)。结论为先兆流产孕妇使用地屈孕酮治疗,能够有效改善孕妇先兆流产情况,提升其保胎成功率。

  10. 心理咨询对先兆流产保胎患者焦虑情绪的影响%Effect of psychological intervention on anxiety of threatened abortion patients

    Institute of Scientific and Technical Information of China (English)

    黎荔; 石俏萍; 秦惠玲; 张森兰; 朱金鸽

    2011-01-01

    目的 探讨心理咨询对孕早期先兆流产患者焦虑及保胎的影响.方法 在患者入院时采用焦虑自评量表时进行问卷测评,将100例有明显焦虑的孕早期先兆流产保胎患者分为对照组和研究组,各50例.对照组采用传统健康宣教方法,研究组采用心理咨询方法;出院时运用焦虑自评量表进行焦虑评估.结果 出院时研究组焦虑得分低于对照组,差异具有统计学意义(P<0.01);孕12周时研究组流产率低于对照组,差异具有统计学意义(P<0.05).结论 心理咨询干预能消除或减轻孕早期先兆流产保胎患者的焦虑情绪,降低流产率.%Objective To identify the effect of psychological intervention on anxiety and outcomes of preventing miscarriage among threatened abortion patients. Methods At admission,patients with threatened abortion in first trimester of pregnancy were assessed with Self- Rating Anxiety Scale (SAS). According to the results of assessment, 100 cases with anxiety were divided into two groups. The control group received the conventional health education. The experimental group received psychological counseling intervention. They were both assessed with SAS when they discharged from hospital. Results At discharge, the score of SAS in the experimental group was significantly lower than the control group ( P < 0.01 ). The rate of 12 weeks miscarriage in the experimental group was lower than the control group ( P < 0.05). Conclusion Psychological counseling intervention can weaken or eliminate anxious emotion of threatened abortion patients in first trimester of pregnancy and reduce the abortion rate.

  11. Analysis of Risk Factors and Nursing Countermeasure of Threatened Abortion%先兆流产的相关危险因素分析与护理对策

    Institute of Scientific and Technical Information of China (English)

    陈芳

    2015-01-01

    Objective:To summarize the related risk factors of threatened abortion patients, to observe the key success factors related to drug tocolytic therapy and nursing care of patients.Method:The epidemiology and the clinical features of 130 patients with threatened abortion from January 2010 to December 2013 in our hospital were retrospectively analyzed ,after treatment and nursing measures of tocolysis for patients, they were made statistical analysis of risk factors with the aid of statistical software SPSS 20.0.Result: The average age of the successful group was (27.13±5.46) years old, it was significantly lower than (36.31±6.89) years old of in the control group, there was significant difference(P<0.05); the successful group and the failed group,s patients were compared with the infection of the reproductive system, history of abortion, birth history, had the history of cesarean section, abdominal operation history, the application of IUD ,the history of ectopic pregnancy, emergency contraception history, history of assisted reproductive technology, the successful group were significantly lower than the failure group, there were statistically significant differences(P<0.05).Conclusion: The incidence of threatened abortion is the result of many factors, and the infection of reproductive system, history of abortion, fallopian tube operation, the application of IUD, cesarean section and emergency contraception and other factors, combined with the above risk factors for patients, tocolytic therapy should be closely observed, to avoid long-term medicine theraphy blindly causing missed abortion.%目的:总结先兆流产患者发病的相关危险因素,观察药保胎治疗与护理患者的成功与否的关键因素。方法:回顾性分析2010年1月-2013年12月在笔者所在医院妇产科收治的130例先兆流产患者的流行病学和临床特征资料,对患者进行保胎治疗与护理措施,并采用统计软件SPSS 20.0对危险因素进行

  12. Study on the Significance of the Application of Dydrogesterone in the Treatment of Threatened Abortion%地屈孕酮治疗先兆流产的应用意义研究

    Institute of Scientific and Technical Information of China (English)

    高艳

    2016-01-01

    目的:研究地屈孕酮治疗先兆流产的应用意义。方法选取2013年8月~2016年1月我院收治的174例先兆流产患者作为观察目标,按照抽签法法分为对照组(n=87,采用黄体酮进行治疗)和实验组(n=87,采用地屈孕酮进行治疗),比较两组保胎成功率。结果实验组保胎成功率和失败率分别为84.4%、12.6%,对照组保胎成功率和失败率分别为70.1%、29.9%,两组统计比较,差异有统计学意义(P<0.05)。结论地屈孕酮治疗先兆流产效果优于黄体酮,可提高保胎成功率。%Objective To study the significance of the application of dydrogesterone in the treatment of threatened abortion.MethodsThe 174 cases of threatened abortion in our hospital from August 2013 to January 2016 were selected as the observation target. According to the draw method were divided into control group(n=87,treated with progesterone treatment) and experimental group(n=87,using dydrogesterone treatment),compared two groups of miscarriage success rate.Results The experimental group of spuc success rate and failure rate were 84.4% and 12.6%,the spuc success rate and failure rate were 70.1%,29.9% in the control group,and two group of statistical comparisons,the difference was statisticaly significant (P<0.05). Conclusion Dydrogesterone in the treatment of threatened abortion,the effect is better than that of progesterone and it can significantly improve tocolysis success rate.

  13. The Clinical Curative Effect of Phloroglucinol Combined with Progesterone on Threatened Abortion%间苯三酚联合黄体酮治疗先兆流产的临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    邓彩霞; 黄秋明; 周小英

    2014-01-01

    Objective To study the clinical curative effect of phloroglucinol combined with progesterone in the treatment of threat-ened abortion. Methods 96 pregnancy women with threatened abortion diagnosed and treated in our hospital from September 2011 to July 2013 were selected and randomly divided into two groups, treated by intramuscular injection of phloroglucinol combined with progesterone, and intramuscular injection of simple progesterone, respectively. The symptoms remission and disappearance time, blood progesterone levels, success rate of miscarriage and incidence of adverse reactions of the two groups were counted. Results The symptoms remission and disappearance time of the combined treatment group was much shorter than that of the pro-gesterone group (P0.05). Conclusion Phloroglucinol combined with progesterone in the treatment of threatened abortion has good curative effect, which can improve the success rate of miscarriage with good safety.%目的:探讨间苯三酚联合黄体酮治疗先兆流产的临床疗效。方法选择2011年9月—2013年7月间于该院就诊并治疗的先兆流产妊娠期妇女96例,采用随机数字表法分组,分别采用苯三酚联合黄体酮及单纯黄体酮肌注治疗,统计两组妊娠期妇女症状缓解及消失时间、血孕酮水平、保胎成功率及不良反应发生情况。结果联合治疗组患者的症状缓解时间及消失时间均较黄体酮组显著缩短(P0.05)。结论采用间苯三酚联合黄体酮治疗先兆流产具有良好的疗效,提高了保胎成功率,且安全性好。

  14. The application of health education in patients with threatened abortion%健康教育在先兆流产患者中的应用效果分析

    Institute of Scientific and Technical Information of China (English)

    陈凯瑶; 胡爱兰

    2014-01-01

    Objective To analyze the clinical effect of health education in patients with threatened abortion.Methods 122 patients with threatened abortion sign in our hospital from January 2011 to December 2012 were randomly divided into observation group (62 cases) and control group (60 cases).Conventional nursing was adopted in control group,while programmatic,normative and systematic health education was adopted in observation group.Compared the clinical effect of two groups.Result The success rate of preventing miscarriages in observation group was significantly higher than that in control group (93.5% vs.80.0%),with statistically significant difference between two groups.Conclusion Health education can make patients with threatened abortion receive high-quality nursing,with obvious clinical effect,worthy of widespread clinical application.%目的 分析健康教育在先兆流产患者中应用的临床效果.方法 将2011年1月至2012年12月到本院治疗的122例有先兆流产迹象的患者,随机分为观察组62例和对照组60例,对照组采用一般的护理方法,观察组采用计划性、规范性、系统性的健康教育,比较两组患者的临床应用效果.结果 观察组的保胎成功率(93.5%)明显高于对照组(80.0%),差异具有统计学意义.结论 健康教育能让先兆流产患者获得更好的护理质量,临床应用效果明显,值得广泛推广使用.

  15. Nursing of ritodrine hydrochloride in treatment of placenea previa state of threatened abortion%利托君治疗胎盘前置状态先兆流产的护理

    Institute of Scientific and Technical Information of China (English)

    沈志娟

    2012-01-01

    Objective:To discuss the nursing measures of placenta previa with threatened abortion using hydrochloric acid ritodrine therapy. Methods :32 cases of placenta previa in our state threatened abortion pregnant women,ritodrine hydrochloride 100 mg join 5% glucose intravenous infusion of 500 ml,maintain the uterine contraction after the change to oral,and well before medication pursing assessment, psychological nursing care,close observation in the medication process condition changes,drug reaction,giving life,diet nursing care. Results:32 cases of vaginal bleeding after drug use in pregnant women reduced, adverse reactions-have been eased .more than 30 cases of maternal gestational age 36 -weeks extension,strengthening mucle success rate 93.75%. Conclusion:Rational use of-ritodrine hydrochloride,could reduced the placenta previa threatened abortion bleeding,prolonged pregnancy cycle,improved the success rate of fetus.%目的:探讨胎盘前置状态先兆流产使用盐酸利托君治疗时的护理措施.方法:对我院胎盘前置状态先兆流产32例孕妇,给予100 mg盐酸利托君加入5%葡萄糖500 ml静脉滴注,维持宫缩消失后改为口服,并在用药前做好护理评估、心理护理,用药过程中严密观察病情变化、用药反应,给予生活、饮食护理.结果:32例孕妇用药后阴道出血减少,不良反应得到缓解,30例孕妇延长孕龄36周以上,保胎成功率为93.75%.结论:盐酸利托君的合理使用,可以减少胎盘前置状态先兆流产的出血,延长妊娠周数,提高保胎成功率.

  16. Application of clinical nursing path in threatened abortion after IVF-ET%IVF-ET术后先兆流产患者中临床护理路径的应用

    Institute of Scientific and Technical Information of China (English)

    林红梅

    2015-01-01

    Objective To investigate the value of clinical caring path in threatened abortion patients after IVF-ET. Methods 60 cases of threatened abortion after IVF-ET surgery treated in our hospital from September 2012 to September 2014 were randomly divided into an observation group and a control group, the control group received routine care, the observation group received clinical nursing path, quality of life scores, abortion rate and nursing satisfaction between the two groups of patients were compared. Results The care quality of life scores of study group were higher, with obvious difference, had statistical significance (P < 0.05); the number of observation group to continue the pregnancy was higher than that of the control group, miscarriage rate was significantly lower than the control group, the difference was significant, with statistics significance (P<0.05);care satisfaction of the observation group reached 86.67%, nursing satisfaction in the control group was 56.67%, significant differences between the two groups, with statistical significance (P<0.05). Conclusion The clinical nursing path is applied in threatened abortion after IVF-ET, it can greatly improve the quality of life of patients and reduce the abortion rate, improve care and satisfaction rate, it is recommended in clinical practice.%目的:研究IVF-ET术后先兆流产患者中临床护理路径的应用价值。方法选取2012年9月~2014年9月于我院接受治疗的60例IVF-ET术后先兆流产患者,随机分为观察组和对照组,对照组实行常规护理,观察组实行临床护理路径护理,比较两组患者的生活质量评分、流产率及护理满意度。结果观察组护理后生活质量评分高于对照组,差异明显,具有统计学意义(P<0.05);观察组继续妊娠人数高于对照组,流产率明显低于对照组,差异明显,具有统计学意义(P<0.05);观察组护理满意度达86.67%,对照组护理满意度56.67%,

  17. 先兆流产相关影响因素及妊娠结局的病例对照研究%Case-control Study of Threatened Abortion-related Factors and Pregnancy Outcome

    Institute of Scientific and Technical Information of China (English)

    李淑娟

    2015-01-01

    Objective To investigate factors threatened abortion and pregnancy outcome controls.Methods The 90 cases were selected threatened abortion patients, both from May 2012to May 2014 were treated, follow-up survey of clinical information, and influencing factors were analyzed, comparing pregnancy outcome.Results The selected case good pregnancy outcomes 50cases , 40 cases of adverse pregnancy outcomes, compared to a good outcome, adverse out-comes trimester vaginal bleeding, hematoma, uterine, vaginal bleeding often, old age pregnancy, drug abuse, alcohol, abortion rate in the history of a high level (P0.05) , this group of 80 cases of miscarriage success.Conclusions When to reduce the abortion rate, maintaining a healthy fetus, pregnant women need to strengthen the prevention and treatment of gynecological diseases, maintain a healthy living environment and physical and mental state, threatened abortion, analyze influencing factors, and positive and effective treatment, can significantly improve the prognosis.%目的:探讨先兆流产影响因素及妊娠结局对照。方法选取90例先兆流产患者,均为2012年5月~2014年5月收治,跟踪调查临床资料,并对影响因素进行分析,对比妊娠结局。结果选取病例良好妊娠结局50例,不良妊娠结局40例,相较良好结局,不良结局孕早期阴道出血、子宫血肿、阴道经常出血、高龄妊娠、吸毒、嗜酒、流产史率居较高水平( P<0.05),故为主要影响不良妊娠结局因素。而从事污染行业、低收入、吸烟、夫妻关系不融洽相较无明显差异( P>0.05),本组保胎成功80例。结论为降低流产率、维护胎儿健康,妊娠妇女需加强妇科疾病的防治,保持健康的生活环境及身心状态,有先兆流产发生时,分析影响因素,并积极有效治疗,可显著改善预后。

  18. 不同剂量孕酮针治疗先兆流产临床效果探讨%Clinical effect of different doses of progesterone in treating threatened abortion

    Institute of Scientific and Technical Information of China (English)

    李承碧; 唐春梅

    2016-01-01

    Objective To explore the effect of different doses of progesterone (P) in the treatment of threatened abortion. Methods A total of 126 cases of early pregnancy threatened abortion in our hospital from January 2012 to December 2014 were selected and divided into the group A,B and C according to the random number table,42 cases in each group. The three groups were intramuscularly injected by 20,40,60 mg/d of P. The serum P and β-HCG levels after treatment were compared among 3 groups. The cases number of full term pregnancy,adverse reactions and the occurrence rates of missed abortion and complete abortion were compared too. Results The serum P andβ-HCG levels were(49.67±9.62) ng/mL and(5 053.40±90.67)mU/mL for the group A,(50.23±8.24)ng/mL and(5 052.30±88.43)mU/mL for the group B,and(48.54±12.64)ng/mL and(5 054.50±87.65) mU/mL for the group C,the differences among 3 groups were not statistically significant(P>0.05);the cases number of full term pregnancy,occurrence rate of adverse reactions and complete abortion had no statistical differences among 3 groups (P>0.05);the occurrence rate of missed abortion in the group C was significantly higher than that in the group A and B ,the difference was statis-tically significant(P<0.05). Conclusion The pregnancy outcome after P miscarriage prevention treatment in the patients with threatened abortion has no obvious relation with P dose ,but large dose of P could increase the occurrence rate of missed abortion.%目的:探讨不同剂量孕酮(P)治疗先兆流产的临床效果。方法选取该院2012年1月至2014年12月收治的早孕先兆流产患者126例作为研究对象,采用随机数字表法分为A、B、C三组,每组42例,分别给予肌内注射P针每天20、40、60 mg,比较三组患者治疗后血清P、血清β-人绒毛膜促性腺激素(β-HCG)水平,三组患者妊娠至足月例数、不良反应、稽留流产及完全流产发生率。结果 A组:P(49.67±9.62

  19. Achados Ultra-Sonográficos em Pacientes com Ameaça de Abortamento no Primeiro Trimestre da Gestação Ultrasound Findings in First-trimester Threatened Abortion

    Directory of Open Access Journals (Sweden)

    Luiz Carlos Watanabe

    2000-06-01

    Full Text Available Objetivo: avaliar os achados ultra-sonográficos nas gestantes com ameaça de abortamento no primeiro trimestre da gestação. Métodos: exames de ultra-som obstétrico transabdominal e transvaginal foram realizados nas pacientes com sangramento vaginal e teste de gravidez positivo. Foram incluídas as gestantes entre 6 a 14 semanas de gestação pela data da última menstruação ou pelo exame ultra-sonográfico, que apresentavam colo do útero impérvio ao exame clínico. Foram excluídas as gestações múltiplas ou aquelas que realizaram tentativa de abortamento por meio de drogas ou manipulação. Resultados: em 132 dos 247 casos (53.4% foi diagnosticada gestação viável e em 46.6% (115/247, gestação inviável. Abortamento incompleto foi identificado em 19% (47/247, abortamento completo em 8,5% (21/247, abortamento retido em 7,7% (19/247, gestação anembrionada em 6,1% (15/247, gestação ectópica em 4,5% (11/247 e mola hidatiforme em 0,8% (2/247. Conclusão: aproximadamente metade (46,6% das gestações com ameaça de abortamento no primeiro trimestre apresentaram diagnóstico de inviabilidade da gestação. O exame ultra-sonográfico pode ajudar a definir esta condição e a conduta obstétrica.Objective: to evaluate ultrasound findings in pregnant women with threatened abortion in the first trimester of pregnancy. Methods: transabdominal and transvaginal ultrasound scans were performed in patients with vaginal bleeding with previous positive pregnancy test. Patients with 6-14-week gestation (by the last menstrual period or ultrasound scan, with closed cervix on clinical evaluation were included. Multiple pregnancies and those patients who have tried abortion by using abortive drugs or manipulation were excluded. Results: in 132 of 247 (53.4% the pregnancy was viable and in 46.6% (115/247 the pregnancy was nonviable. Incomplete miscarriage was found in 19% (47/247, complete miscarriage in 8.5% (21/247, missed abortion in 7.7% (19

  20. 黄体酮与绒毛膜促性腺激素对先兆流产的效果分析%The Application Effectiveness Analysis of Progesterone and Chorionic Gonadotrophin in Threatened Abortion

    Institute of Scientific and Technical Information of China (English)

    孙晓海; 李东升

    2013-01-01

    目的:通过观察黄体酮和绒毛膜促性腺激素(HCG)对先兆流产的治疗效果,探讨两种药物对妊娠结局的影响。方法:选取门诊诊断为早期先兆流产的孕妇279例,分为三组,A 组给予黄体酮20mg 肌内注射,1次/d ;B 组给予HCG 2000IU 肌内注射,1次/d ;C 组为对照组,仅予卧床休息,阴道出血停止后维持用药1周。追踪随访观察对象的妊娠成功率、足月分娩率、流产率、早产率、新生儿畸形率、新生儿并发症、新生儿体重等指标。结果:A 组与 B 组在妊娠成功率及流产率方面差异无统计学意义,但是同 C 组比较差异均有统计学意义。 A 组、B 组新生儿体重高于 C 组,差异有统计学意义。三组新生儿畸形率、新生儿并发症比较,差异均无统计学意义。结论:黄体酮与 HCG 均能改善先兆流产患者的预后,且对母儿无不良影响。%Objective :To observe the efficacy of Progesterone and Chorionic Gonadotrophin in the treatment of threat-ened abortion ,and approach the effective of two kinds of medicine in the treatment of pregnancy outcome .Methods :The patients was diagnosed as threatened abortion in early pregnant women 279 cases ,divided into 3 groups ,intramuscular injection of Progesterone 20mg ,1 times/day for group A ;intramuscular injection of HCG 2 000IU ,1 times/day for group B ;group C was control group ,only to be bed rest .The deadline for the treatment was vaginal bleeding 1 week af-ter the cessation of maintenance medication .Followed up the success rate of pregnancy observed objects ,full-term de-livery rate ,miscarriage rate ,premature delivery rate ,neonatal malformation rate ,neonatal complications ,neonatal weight and other indicators .Results :The successful pregnancy rate and abortion rate were not significance of difference between group A and group B ,but compared with the C group ,there were significant differences .The neonatal weight

  1. 血清CA125水平与先兆流产预后的关系%The relationship between the serum carbohydrate antigen 125 level and the prognosis of the threatened abortion

    Institute of Scientific and Technical Information of China (English)

    支佩颖; 王雪舟; 林素云; 张雷

    2012-01-01

    Objective To explore the value of serum CA125 in prediction of the first-trimester threatened abortion.Methods The serum CA125 level of 78 patients with threatened abortionand( miscarriage success group and failure group) and 40 normal early pregnant women before treatment and after 1 ~ 4 weeks were tested by chemiluminescent immunoassay(CLIA) methods and the results were compared.Results The serum CA125 level of the failure group was significantly higher than that of the miscarriage success group[ (28.52 ± 19.12) x 103 U/L] and normal early pregnant women group [ (20.45 ± 9.55) × 103 U/L] ( t =- 1.28,- 1.24,all P < 0.05 ),and it increased by degree and by time,and the sensitivity and specificity of detection was 93.1% and 87.85% respectively.Conclusion Monitoring of serum CA125 had highly clinical value in predicting the prognosis of threatened abortion.%目的 探讨血清CA125水平在预测早期先兆流产妊娠预后的价值.方法 对78例早期先兆流产(保胎失败组和保胎成功组)及40例正常早孕妇女治疗前及治疗后1~4周的血清CA125进行测定并比较.结果 保胎失败组妇女血清CA125水平为(28.52±19.12)×103U/L,显著高于保胎成功组的(28.52±19.12)×103 U/L、正常孕妇组的(20.45±9.55)×103 U/L(t=- 1.28,-1.24,均P<0.05),且随着时间的推移而递增,检测敏感性为93.10%,特异性为87.85%.结论 血清CA125水平的监测对早孕先兆流产的预后判断具有较高的临床应用价值.

  2. 不同给药方式黄体酮治疗先兆流产临床效果研究%Clinical effect of different drug-delivery ways of progesterone in the treatment of threatened abortion

    Institute of Scientific and Technical Information of China (English)

    袁艺

    2015-01-01

    ObjectiveTo analyze the clinical effects of different doses of oral and intramuscular injection progesterone in the treatment of threatened abortion.MethodSelected from February 2012 to July 2014, 124 patients with threatened abortion in our hospital, randomly divided into 4 groups, 31 cases in each group, patients in group A were treated with progesterone capsules orally, 100 mg/time, 2 times/day, patients in group B were treated with progesterone capsules orally, 200 mg/time, 2 times/day, patients in group C were treated with progesterone intramuscular injection, 1 time/day, 20 mg/times, until the clinical symptoms disappeared, patients in group D were treated with intramuscular progesterone, 2 times/day, 20 mg/times, until the clinical symptoms disappeared the dose reduced to 20 mg/day, 1 week later withdrawal. Compared the clinical effect of different doses and different drug-delivery ways; progesterone in the treamented of threatened abortion. ResultFetus protection success rate of group A was 80.65%, group B was 83.87% group C was 83.87%, group D was 87.10% (χ2=0.48,P>0.05). Clinical symptom remission time of group C, D was shorter than group A, B (P0.05). ConclusionOral and intramuscular injection progesterone have similar miscarriage rate, but intramuscular injection can alleviate clinical symptoms in a short time.%目的:分析口服与肌内注射不同剂量黄体酮治疗先兆流产的临床效果。方法选取本院2012年2月2014年7月明确诊断为先兆流产患者124例为研究对象,将其随机分为四组,每组各31例。A组患者口服黄体酮胶囊,100 mg/次,2次/天;B组患者口服黄体酮胶囊,200 mg/次,2次/天;C组患者肌内注射黄体酮,20 mg/次,1次/天,至症状消失停药;D组患者肌内注射黄体酮,20 mg/次,2次/天,至症状消失后减量为20 mg/d,1周后停药。比较不同给药方式、不同剂量黄体酮对先兆流产的治疗效果。结果 A

  3. 早期先兆流产患者的心理护理效果观察%Effect observation of psychological nursing care on patients with early threatened abortion

    Institute of Scientific and Technical Information of China (English)

    宋爱玲; 刘东彦

    2016-01-01

    目的 探讨心理护理干预对早期先兆流产患者的应用效果.方法 收集本院2014年10月至2015年3月入院的80例早期先兆流产患者按是否愿意接受心理护理干预分为两组.对照组患者给予常规护理,实验组患者加施心理护理干预,比较两组患者干预前后焦虑与抑郁情绪程度、围产期不良反应与妊娠结局、护理满意度等.结果 实验组患者干预后SAS评分(22.38±4.62)与SDS评分(21.05±4.11)组间比较显著低于对照组[(35.49±5.77),(33.37±5.17)],两组比较差异具有统计学意义(P<0.01);实验组患者总体不良反应发生率(15.0%)显著低于对照组(50.0%),保胎成功率(90.0%)显著高于对照组(67.5%),两组比较差异具有统计学意义(P< 0.01);实验组患者护理满意度显著优于对照组,差异具有统计学意义(P<0.01).结论 心理护理干预对早期先兆流产患者的应用效果显著,可提高满意度,具有借鉴性.%Objective To investigate the application effect of psychological nursing care intervention in patients with early threatened abortion.Methods 80 patients with early threatened abortion admitted in our hospital from October 2014 to March 2015 were collected,and divided into two groups according to whether psychological nursing care intervention would be used on patients or not.Control group was treated with conventional nursing;experimental group was treated with psychological nursing intervention on the basis of conventional nursing.The anxiety and depression score before and after intervention,perinatal adverse reactions,pregnancy outcome,nursing satisfaction were compared.Results SAS score and SDS score of experimental group were significantly lower than those of control group after intervention [(22.38±4.62)vs.(35.49±5.77),(21.05±4.11)vs.(33.37±5.17)],with statistically significant differences between two groups (P<0.01).The incidence of adverse reactions of experimental group was significantly

  4. Clinical Analysis of Different Dose of Progesterone for The Treatment of Threatened Abortion%不同剂量黄体酮治疗早孕先兆流产的临床分析

    Institute of Scientific and Technical Information of China (English)

    韦佩佳

    2014-01-01

    Objective:To explore the relationship between progesterone dose and pregnancy outcome in early pregnancy with threatened abortion. Methods:We selected 120 patients with threatened abortion for the first pregnancy and natural conception from June 2009 to June 2011 in our hospital,they were received miscarriage treatment of early pregnancy (6~12 weeks) .Those patients were randomly divided into three groups, 40 cases in each group . Before treatments, all patients were confirmed at early pregnancy with live births by ultrasound. Immunohistochemical chemiluminescence were used to detect serum progesterone (P) level and the level of serumβ-HCG, and All samples were within the normal range. Group A:progesterone (20mg/day) was admised by intramuscular injection until the symptoms disappeared; Group B; progesterone (40mg/day) was admised by intramuscular injection until the symptoms disappear, then reduction to 20mg/day for a week;Group C:progesterone(60mg/day) was admised by intramuscular injection until the symptoms disappear, then reduction to 40mg/day, and a week later was reduced to 20mg/day for a week. After drug withdrawal, if the three groups of patients emergenced abortion signs again, they were still used the original treatment. Results:(1) No significant differences were among the three groups patients’ pregnancy outcome. (2) The side effects caused by the progesterone were maxlmum in group C, and group A were minimum. (3) Three miscarriage winners groups had successful delivery, and their newborns showed no obvious deformity. (4) The highest incidence of missed abortion were finded among miscarriage patients in Group C. Conclusion:The pregnancy outcomes have no direct correlation with the dose of progesterone, and the incidence of missed abortion were increased after the use of high-dose progesterone in early pregnancy with threatened abortion.%目的:探讨黄体酮剂量与早孕先兆流产妊娠结局的关系。方法:选择2009年6月~2011年6月

  5. Efect of Bushen Jianpi Ningxin Decoction for Treating Threatened Abortion with Deficiency of Spleen and Kidney%补肾健脾宁心方治疗脾肾亏虚型先兆流产30例

    Institute of Scientific and Technical Information of China (English)

    付灵梅; 尤昭玲; 陈宗光

    2011-01-01

    Objective: To observe the effect of Bushen Jianpi Ningxin decoction on the threatened abortion with deficieng of spleen and kidney. Method:Sixty patients were divided into two groups at random:the treatment group (30cases, treated with Bushen Jianpi Ningxin decoction) and the control group (treated with progesterone and chorionic gonadotropin). Result: The total effeetive rate of the treatment group and the control group were 93.33% and 83.33%. There was significant difference between the two groups (P <0. 05 ). Both could significantly depress the integral of clinical symptom after the treatment. There was significant difference between these two groups on these symptoms improvement after the treatment ( P < 0. 05 ). Conclusion: Bushen Jianpi Ningxin decoction is a safe and effective recipe in treating of the threatened abortion with deficiency of spleen and kidney. And it can distinctly improve the correlated symptoms.%目的:观察补肾健脾宁心方治疗脾肾亏虚型先兆流产的临床疗效.方法:将60例脾肾亏虚型先兆流产患者随机分为两组:治疗组30例,用补肾健脾宁心方治疗;对照组30例,用黄体酮、绒促性素治疗.比较两组综合疗效及治疗前后临床症状、体征的改善情况.结果:治疗组痊愈率40.00%,显效率43.33%,总有效率93.33%,对照组痊愈率23.33%,显效率33.33%,总有效率83.33%,两组疗效有显著性差异(P<0.05);两组患者治疗前后中医证候积分比较均有显著性差异(P<0.05),治疗后两组间相比有显著性差异(P<0.05),治疗组优于对照组.结论:补肾健脾宁心方能显著改善患者中医症状,是治疗脾肾亏虚型先兆流产的安全有效方药.

  6. Management of abortion complications at a rural hospital in Uganda

    DEFF Research Database (Denmark)

    Mellerup, Natja; Sørensen, Bjarke Lund; Kuriigamba, Gideon K.;

    2015-01-01

    BACKGROUND: Complications of unsafe abortion are a major contributor to maternal deaths in developing countries. This study aimed to evaluate the clinical assessment for life-threatening complications and the following management in women admitted with complications from abortions at a rural...... abortion and by trimester. Actual management was compared to the audit criteria and presented by descriptive statistics. RESULTS: Fifty six per cent of the women were in second trimester. Abortion complications were distributed as follows: 53 % incomplete abortions, 28 % threatened abortions, 12...... % inevitable abortions, 4 % missed abortions and 3 % septic abortions. Only one of 238 cases met all criteria of optimal clinical assessment and management. Thus, vital signs were measured in 3 %, antibiotic criteria was met in 59 % of the cases, intravenous fluid resuscitation was administered to 35...

  7. 血清β-HCG 及孕酮检测在先兆流产的临床应用研究%Research on the clinical application of serumβ-HCG and progesterone detections in threatened abortion

    Institute of Scientific and Technical Information of China (English)

    袁秀红; 罗晓梅; 薛娟; 张媛媛

    2015-01-01

    Objectivechorionic gonadotropin (β-HCG) and progesterone detect human observation and analysis of serum β-clinical value for threatened abortion. Methods Bank of early pregnancy prenatal 150 cases of pregnant women for the study, based on clinical characteristics and pregnancy outcomes in patients with different patients were divided into three groups of 50 patients in group A normal pregnant women, 42 patients in group B for threatened abortion pregnant women, 52 patients in group C was inevitable abortion in pregnant women, when observed and compared three groups of patients enrolled in serum progesterone and β-HCG level differences by ROC curve analysis of the sensitivity and specificity of the data analysis, testing and joint detection of a single critical value.Results Compared with normal pregnancy group A and group B and group C serumβ-HCG and progesterone levels were lower than the A group, the difference was statistically significant. Combined detection of progesterone and AUC values above detection of β-HCG individual AUC value, the value of combined detection of progesterone progesterone values 20.34ng/mL, β-HCG values 12814.3mIU / mL maximum Youden index was 0.83, sensitivity 95.3%, the specificity was 87.6%. Conclusion The low serum progesterone and β-HCG levels may indicate poor women with threatened abortion increases the risk of pregnancy outcomes, combined detection of these two indicators can improve the prediction of ad-verse pregnancy outcomes specificity, help improve forecast accuracy sex.%目的:观察和分析血清β-人绒毛膜促性腺激素(β-HCG)及孕酮检测对于先兆流产的临床应用价值。方法:选取行孕期检查的早期妊娠孕妇150例为研究对象,根据患者临床特点和妊娠结局不同将患者分为三组,其中 A 组患者50例为正常妊娠孕妇,B 组患者42例为先兆流产孕妇,C 组患者52例为难免流产孕妇,观察比较三组患者

  8. Prognóstico de Gestações com Ameaça de Abortamento entre a 6ª e a 13ª Semana que Apresentam Embrião/Feto Vivo ao Exame Ultra-sonográfico Prognosis of Pregnancy with Threatened Abortion between 6 and 13 weeks Presenting Embryo/Fetus Alive at Ultrasound Scan

    Directory of Open Access Journals (Sweden)

    Luiz Carlos Watanabe

    2002-06-01

    Full Text Available Objetivos: comparar resultados entre gestações com e sem ameaça de abortamento que apresentaram embrião/feto vivo ao exame ultra-sonográfico em idade gestacional entre 6 e 13 semanas. Métodos: trata-se de estudo retrospectivo, caso-controle, realizado no período de fevereiro de 1998 a dezembro de 1999. Os critérios de inclusão foram: gestação tópica e única, atividade cardíaca embrionária/fetal presente no exame ultra-sonográfico, realização de exame ultra-sonográfico entre 6 semanas completas e 13 semanas e 6 dias, ausência de alteração morfológica fetal, ausência de tentativa de abortamento por uso de drogas ou manipulação, ausência de doença materna e resultado conhecido da gestação. Preencheram os critérios de inclusão 1531 gestações, sendo 257 casos com ameaça de abortamento (grupo estudo e 1274 sem ameaça de abortamento (grupo controle. Estes dois grupos foram comparados quanto à evolução da gestação para: abortamento, óbito intra-uterino, prematuridade e crescimento intra-uterino restrito. Resultados: os porcentuais de abortamento (11,7% e prematuridade (17,8% foram estatisticamente superiores nas pacientes do grupo estudo (pPurpose: to compare the outcome of pregnancies with and without threatened abortion presenting alive embryo/fetus between 6 and 13 weeks at sonographic evaluation. Method: this was a retrospective case-control study, carried out from February 1998 to December 1999. Criteria for inclusion were: topic and single pregnancy; embryo/fetus cardiac activity present in the ultrasound scan; gestational age between 6 weeks and 13 weeks and 6 days, absence of fetal anomalies, absence of attempt of abortion by drugs or manipulation, absence of maternal disease, known pregnancy result. A total of 1531 pregnancies were examined, of which 258 with threatened abortion (case group and 1273 without threatened abortion (control group. The two groups were compared regarding outcome such as

  9. 黄体酮胶囊治疗早期先兆流产63例%The Analysis Application of Progesterone Capsules in the Treatment of Early Threatened Abortion

    Institute of Scientific and Technical Information of China (English)

    张丽丽

    2013-01-01

    目的 观察黄体酮胶囊治疗早期先兆流产的临床疗效及安全性分析.方法 选择2010年6月至2012年6月收治的黄体功能不全所致的早期先兆流产孕妇126例,随机分成两组,各63例.对照组给予肌肉注射2000U绒毛膜促性腺激素,每日1次;治疗组给予口服黄体酮胶囊,2粒/次,每日2次,均7 d为1个疗程,均使用2个疗程.观察两组患者临床疗效、治疗前后血清孕酮值、临床症状缓解时间及不艮反应发生情况.结果 对照组保胎成功率为76.19%,治疗组保胎成功率为93.65%,两组差异有统计学意义(P<0.05);治疗组临床症状缓解时间显著早于对照组,治疗后血清孕酮值显著高于对照组,两组差异有统计学意义(P<0.05);在用药过程中,对照组发生轻度头痛3例,轻度恶心5例,治疗组出现轻度头痛2例,轻度恶心2例,均不影响继续治疗.两组孕妇用药前后检查肝肾功能、血尿常规、血压均未发生异常.结论 黄体酮胶囊治疗早期先兆流产安全有效,可有效提高血清孕酮值,改善临床症状,且不良反应少,值得临床推广.%Objective To study the clinical efficacy and safety analysis of progesterone capsule for treatment of threatened abortion. Methods A hurdred and twenty - six cases early threatened abortion pregnant women from June 2010 to June 2012 in our hospital were randomly divided into two groups, each grouphad 63 cases, the control group given intramuscular 2 000 U choriomc gonadotropin once daily, 7 d for a course of treatment, the treatment group given oral progesterone capsule, 2 times/d, 7 d for a course of treatment, patients treatmented for the two courses, and clinical efficacy of the two groups. Serum progesterone values before and after treatment, the clinical symptoms time and adverse events were observed. Results The miscarriage rate of the treatment group was 76. 19% , success rate of the treatment group was 93. 65% , the difference was statistically

  10. 当归散对先兆流产小鼠模型作用的实验研究%Experimental Research on Dang Gui San for Treating Threatened Abortion of Mice Models

    Institute of Scientific and Technical Information of China (English)

    张建英; 刘秀萍; 梁玲

    2015-01-01

    目的:探索当归散对先兆流产小鼠模型的作用。方法:采用针刺三阴交穴位联合肌注缩宫素复制小鼠先兆流产模型,通过观察孕鼠阴道出血情况、胎仔数、胎仔质量、平均每胎质量、子宫质量、胎盘质量、子宫瘀血、胎仔畸形等情况,评价当归散的安胎作用。结果:与正常组比较模型组孕鼠首次刺激4h后便均出现阴道出血症状,解剖后观察胎仔数无显著差异,但胎仔质量、平均每胎质量、子宫质量、胎盘质量明显减少,差异有统计学意义(P<0.05)。与模型组比较,当归散可减少阴道出血动物数,延缓孕鼠出现阴道出血的时间,随剂量增加而加强;并且当归散能够增加胎仔质量、平均每胎质量、子宫质量、胎盘质量,差异有统计学意义( P<0.05)。结论:当归散对针刺联合肌注缩宫素所致先兆流产小鼠模型具有一定的安胎作用,对该方的全面研究有待于进一步加强。%Objective:To investigate the effect of Dang Gui San on preventing miscarriage in mice models.Methods:Es-tablish the threatening miscarriage in the mice models by“Sanyinjiao” meridians acupuncture joint oxytocin i.m;monitor mice vaginal bleeding time;observe all groups’ number of litters,the weight of fetus, the weight of uterus and the weight of placenta;observe uterine blood stasis and fetal malformation,and all of these were for evaluating the effects of Dang Gui San.Results:The model group showed vaginal bleeding at 4h after oxytocin i.m, and had no difference on number of litters,but became less obviously on the weight of all fetus and average fetus , on the weight of uterus and the weight of placenta, and the difference had a statistical significance(P<0.05).Dang Gui San could increase the data of those which had a statistical significance(P<0.05).Conclusion:Dang Gui San for treating threatened abortion in mice mod-els deserves affirmation

  11. Abortion ethics.

    Science.gov (United States)

    Fromer, M J

    1982-04-01

    Nurses have opinions about abortion, but because they are health professionals and their opinions are sought as such, they are obligated to understand why they hold certain views. Nurses need to be clear about why they believe as they do, and they must arrive at a point of view in a rational and logical manner. To assist nurses in this task, the ethical issues surrounding abortion are enumerated and clarified. To do this, some of the philosophic and historic approaches to abortion and how a position can be logically argued are examined. At the outset some emotion-laden terms are defined. Abortion is defined as the expulsion of a fetus from the uterus before 28 weeks' gestation, the arbitrarily established time of viability. This discussion is concerned only with induced abortion. Since the beginning of recorded history women have chosen to have abortions. Early Jews and Christians forbade abortion on practical and religious grounds. A human life was viewed as valuable, and there was also the practical consideration of the addition of another person to the population, i.e., more brute strength to do the necessary physical work, defend against enemies, and ensure the continuation of the people. These kinds of pragmatic reasons favoring or opposing abortion have little to do with the Western concept of abortion in genaeral and what is going on in the U.S. today in particular. Discussion of the ethics of abortion must rest on 1 or more of several foundations: whether or not the fetus is a human being; the rights of the pregnant woman as opposed to those of the fetus, and circumstances of horror and hardship that might surround a pregnancy. Viability is relative. Because viability is not a specific descriptive entity, value judgments become part of the determination, both of viability and the actions that might be taken based on that determination. The fetus does not become a full human being at viability. That occurs only at conception or birth, depending on one's view

  12. [Chemical methods of abortion].

    Science.gov (United States)

    Schmidt-Matthiesen, H

    1979-07-20

    Medicaments are used to prepare for instrument abortions in the 1st trimester and as inducers of abortion in the 2nd trimester. The effects, side effects, and dangers depend on the substances used and the route of application, which can be vaginal, cervical, injection, instillation, extraamniotic, intraamniotic, intravenous, or intramuscular. In the past, intraamniotic instillation of a 20% salt solution was the most common 2nd trimester method in Japan, the US, and Eastern Europe, giving a success rate of 90%. Serious side effects prompted substitution of extraamniotic instillation, which rarely produces serious side effects. Instillation of a 60% urea solution into the amniotic fluid in combination with oxytocin or prostaglandin produces an abortion in 13-21 hours, with a failure rate of 3% and a frequency of cervical laceration of under 1%. Extraamniotic use of a .1% solution of rivanol yields a success rate of about 85%, with a relatively long average time to explusion of 24-41 hours. In case of failure the procedure can be repeated. The advantage of the Rivanol method is the rarity of infectious complications. Alcohol is not used as a human abortifacient because it produces necrosis in the decidua and placenta. Prostaglandins are used in most 2nd trimester abortions. Research is underway to identify derivatives that will have an extended uterine impact without serious side effects. Different routes of administration have different effectiveness rates and dangers. All prostaglandins cause side effects including pain during uterine contractions, gastro-intestinal reactions, nausea, vomiting, fever, and headaches. Specific preparations are associated with other effects, some of them life-threatening. Emergency treatment should be available when these substances are used. Adjuvant measures may be employed before adminstration of an abortifacient agent to soften the cervix, or after administration to hasten the procedure. The choice of procedure depends upon the

  13. 联合检测血清β-HCG、雌二醇、孕酮及抗心磷脂抗体预测先兆流产妊娠结局%Study on combined detection of serum β-HCG, estradiol, progesterone and antiphospholipid antibodies in predicting the outcome of threatened abortion in early pregnancy

    Institute of Scientific and Technical Information of China (English)

    夏书琴; 马宏生; 王维琴; 贾海琴; 刘举珍

    2015-01-01

    Objective To explore the clinical value of combined detection of serum beta human chorionic gonadotropin (β-hCG),estradiol (E2),progesterone (P) and antiphospholipid antibodies (ACA) in predicting the outcomes of early threatened abortion.Methods 80 pregnant women were chosen from six to eight weeks singleton pregnancies,50 cases of threatened abortion and 30 cases of normal pregnancy.The serum levels of β-HCG,estradiol,progesterone and ACA-IgG,ACA-IgM and ACA-IgA were detected.The threatened abortion patients were given intramuscular progesterone 20 mg/day/time for 1 week,then,the pregnancy outcomes were analyzed and the serum levels of β-HCG,estradiol and progesterone were explored.Results The serum β-HCG,estradiol and progesterone of the threatened abortion group [(5 140.77 ± 2 365.47) IU/L,(680.28 ± 306.06) pg/mL,(15.59 ± 3.65) pg/L]were lower than those of the normal pregnant women [(14 520.4 ± 11 016.24) IU/L,(1 142.81 ± 670.57) pg/mL,(27.6 ± 4.78) pg/L] (t =3.224,P =0.003 ; t =2.43,P =0.022 ; t =7.72,P =0.001).According to pregnancy outcome,patients with threatened miscarriages were divided into the two groups,including 45 patients with continuing pregnancies and 5 patients with inevitable miscarriages.The serum levels of β-HCG,estradiol and progesterone in ongoing pregnancies group [(10 829.42 ± 6 926.28) IU/L,(832.9 ± 397.91) pg/mL,(25.62 ± 4.51) pg/L] were higher than those in inevitable miscarriages [(6 310.14 ± 2 593.19) IU/L,(487.14 ± 275.47) pg/mL,(13.6 ±4.84) pg/L] (P < 0.05) ;The serum levels of ACA-IgG,ACA-IgM and ACA-IgA in 80 cases tested,only 2 cases who appeared in the threatened abortion group were detected with the positive of serum ACA-IgG,accounted for 4% (2/50) (x2 =68.05,P =0.000),occurred spontaneous abortion in the end.Conclusion Combined detection of serum ACA,β-HCG,estradiol and progesterone may be helpful for prognosis of threatened abortion.However,the clinical predictive value of ACA needs further study in the

  14. 连方教授治疗体外受精-胚胎移植后先兆流产40例经验总结%LIAN Fang Professor's Treatment Experience of 40 Example Threatened Abortion Patients after IVF-ET

    Institute of Scientific and Technical Information of China (English)

    刘啸风; 连方; 王瑞霞

    2011-01-01

    Objective: To observe the clinical effect of miscarriage prevention of Shenqi Shoutai Wan on threatened abortion after IVF-ET. Methods: 40 example threatened abortion patients after IVF-ET are regular given progesterone to support yellow bodies. On this basis, the patients are given Shenqi Shoutai Wan (tusizi 15g, sangjisheng 15g, dangshen 15g, huangqi 15g, duzhong 15g, chuanduan 15g, baishao 12g, chaobaizhu 12g, huangqin 12g ). Results: After the treatment, the curative rate was 87.5% ( 35/40 ),improvement rate was 95%. Conclusion: Miscarriage prevention of Shenqi Shoutai Wan has good treatment to threatened abortionl.%目的:现察参芪寿胎丸方治疗体外受精-胚胎移植后先兆流产的疗效.方法:行体外受精-胚胎移植后常规给予黄体酮支持黄体,上述治疗的基础上辨证施治予以参芪寿胎丸方(菟丝子15g,桑寄生15g,党参15g,黄芪15g,杜仲15g,川断15g,白芍12g,炒白术12g,黄苓12g等)加减治疗先兆流产40例.结果:40例患者中,治愈35例,有效3例,无效2例,治愈率87.5%,总有效率95.0%.结论:参芪寿胎丸方对先兆流产患者有显著疗效,并总结导师的治疗经验,弘扬祖国医学.

  15. Health benefits of legal abortion: an analysis.

    Science.gov (United States)

    Tyrer, L B

    1985-01-01

    The abolition of legal abortion in the US would seriously threaten the health, and even the lives, of women and children. Statistics on the relationship between abortion and health attained before and after abortion was legalized were used to project some of the probable consequences of reversing the US Supreme Court's 1973 Roe v. Wade decision. Abortion has been widely practiced throughout US history, but the actual number of procedures performed before some states legalized abortion is unknown. Few legal procedures were performed for medical reasons, yet many illegal abortions took place. In 1955, a panel of experts could only provide a "best estimate" of between 200,000 and 1,200,000 illegally induced abortions occurring annually in the US. The actual number was most likely closer to the higher figure. The complication rates for illegal abortions, most of which were performed by unskilled practitioners in unsafe settings, were much higher than the rates for legal abortion now. Complications were related to ineffective or unsafe methods, Sepsis, particularly with the bacterium "Clostridium prefringens," which causes gas gangrene, was a major problem that has virtually disappeared. Each year prior to the 1970s, more than 100 women in the US died of abortion complications. Due to the fact that vital statistics reflect an incomplete ascertainment of deaths, the actual number of deaths is probably larger, possibly by as much as 50%. In 1983 more than 1.3 million procedures were performed -- a figure close to the estimated number of illegal abortions performed before 1970. In comparison, 672,000 hysterectomies and 424,000 tonsillectomy operations were performed the same year. The number of abortion-related deaths in the US decreased between 1972 and 1980, from 90 to 16. Most of this decrease resulted from the availability and safety of legal abortion. Legal abortion carries an especially low risk of death, particularly when performed in the 1st trimester. For the 1972

  16. The Clinical Effect Observation of Bend Progesterone for Early Threatened Abortion of Pregnant Women in Rural Areas%地屈孕酮用于治疗农村孕妇早期先兆流产保胎治疗的临床效果观察

    Institute of Scientific and Technical Information of China (English)

    闫少甫

    2012-01-01

      Objective To explorethe clinical effect of bend progesterone for early threatened abortion of pregnant women in rural areas. Methods 120 cases of rural patients with threatened abortion were randomly divided into study group and control group, 60 cases in each group. The study groupwas treated with oral bend progesterone, and the control group with progesterone intramuscular. The clinical efficacy and adverse reactions of the two groups of patients were observed. Results 53 cases (88.3%) of the study group were treated successful y with the occurrence of adverse reactions 1 case (1.7%); 48 cases (80.0%) of the study group were treated successful y with the occurrence of adverse reactions 3 case (5.0%). Conclusion Oral dydrogesterone with intramuscular injections of progesterone in the treatment of pregnant women in rural areas early threatened abortion have a bet er effect, but easy oral dydrogesterone treatment, adverse reactions, patients receiving high, more conducive to miscarriage, the disadvantage isthe drug prices Shaopian expensive, and appropriate areas in the rural areas can gradual y promote the use of.%  目的探讨地屈孕酮用于农村孕妇早期先兆流产保胎治疗的临床效果.方法将120例早期先兆流产的农村孕妇随机地分为研究组和对照组各60例.研究组予口服地屈孕酮,对照组予黄体酮肌内注射,观察两组患者的临床疗效及不良反应.结果研究组保胎成功53例(88.3%),发生不良反应1例(1.67%);对照组保胎成功48例(80.0%),发生不良反应3例(5%).结论口服地屈孕酮与肌内注射黄体酮治疗农村孕妇早期先兆流产均有较好疗效,但口服地屈孕酮治疗简单方便,不良反应少,患者接受度高,更有利于保胎,缺点是药品价格稍偏贵,在农村适宜地区可逐步推广使用.

  17. 安子合剂对ACA阳性先兆流产患者CD4+CD25+FOXP3+Treg细胞免疫调节的影响%TheEffect of Anzi Mixture on Immune Regulation of CD4+CD25+FOXP3+Treg Cells in ACA-positive Patients with Threatened Abortion

    Institute of Scientific and Technical Information of China (English)

    朱姝; 陆启滨

    2012-01-01

    目的:观察安子合剂对ACA阳性先兆流产患者CD4+ CD25+ FOXP3+ Treg细胞免疫调节的影响.方法:选取ACA阳性先兆流产患者为治疗组(27例),给服中药安子合剂,125ml,2次/日,连服4周;选取正常孕妇为对照组(15例).检测患者治疗前后及正常孕妇外周血CD4+ CD25+ FOXP3+ Treg细胞的比例,并测定患者治疗前后血清ACA指标、B超检查胚胎发育情况等.结果:治疗组患者治疗前CD4+CD25+FOXP3+Treg细胞的比例显著低于正常妊娠对照组(P<0.01);治疗后,其细胞比例显著高于治疗前(P<0.01).27例患者中20例ACA阳性的转阴率达85.00%,7例ACA定量滴度较治疗前显著下降(P<0.0l).保胎的成功率达92.59%.结论:ACA阳性先兆流产患者外周血CD4+CD25+ FOXP3 +Treg细胞的比例低于正常妊娠妇女,存在免疫调节异常;安子合剂治疗ACA阳性先兆流产的作用机理之一与增加CD4+ CD25+ FOXP3+ Treg细胞的比例、调节妊娠期机体免疫功能有关.%Objective; To observe the effect of Anzi Mixture on immune regulation of CD4+CD25+FOXP3+Treg cells in ACA -positive patients with threatened abortion. Methods: Selecting ACA-positive patients with threatened abortion as treatment group (27cases) , 125ml Anzi Mixture were given, 2 times a day, consecutive administrated for 4 weeks; selecting normal pregnant women as the control group ( 15cases). Detecting the percentage of peripheral blood CD4+CD25+FOXP3+Treg cells in the two groups, detecting the indicators of ACA before and after treatment by Anzi Mixture, B-ultrasound embryo development and so on. Results; Before treatment, the proportion of CD4+CD25+FOXP3+Treg cells in ACA-positive patients with threatened abortion was significantly lower than the control group (P<0. 01) ; after treatment of Anzi Mixture, the proportion of CD4+CD25+FOXP3+ Treg cells was significantly higher than before treatment (P<0. 01 ). The ACA negative rate of the qualitative indicators was 85. 00% , 7 cases of

  18. Conceptualising abortion stigma

    NARCIS (Netherlands)

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

    2009-01-01

    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

  19. [Abortion and rights. Legal thinking about abortion].

    Science.gov (United States)

    Perez Duarte, A E

    1991-01-01

    Analysis of abortion in Mexico from a juridical perspective requires recognition that Mexico as a national community participates in a double system of values. Politically it is defined as a liberal, democratic, and secular state, but culturally the Judeo-Christian ideology is dominant in all social strata. This duality complicates all juridical-penal decisions regarding abortion. Public opinion on abortion is influenced on the 1 hand by extremely conservative groups who condemn abortion as homicide, and on the other hand by groups who demand legislative reform in congruence with characteristics that define the state: an attitude of tolerance toward the different ideological-moral positions that coexist in the country. The discussion concerns the rights of women to voluntary maternity, protection of health, and to making their own decisions regarding their bodies vs. the rights of the fetus to life. The type of analysis is not objective, and conclusions depend on the ideology of the analyst. Other elements must be examined for an objective consideration of the social problem of abortion. For example, aspects related to maternal morbidity and mortality and the demographic, economic, and physical and mental health of the population would all seem to support the democratic juridical doctrine that sees the clandestine nature of abortion as the principal problem. It is also observed that the illegality of abortion does not guarantee its elimination. Desperate women will seek abortion under any circumstances. The illegality of abortion also impedes health and educational policies that would lower abortion mortality. There are various problems from a strictly juridical perspective. A correct definition of the term abortion is needed that would coincide with the medical definition. The discussion must be clearly centered on the protected juridical right and the definition of reproductive and health rights and rights to their own bodies of women. The experiences of other

  20. Progesterone treatment of threatened abortion,maternal serum levels of progesterone -induced blocking fac-tor and its clinical significance%黄体酮治疗先兆流产时孕妇血清孕酮诱导的封闭因子水平变化及临床意义

    Institute of Scientific and Technical Information of China (English)

    石纳玉; 石瑞生

    2015-01-01

    目的:探讨黄体酮治疗先兆流产时孕妇血清孕酮诱导的封闭因子(PIBF)水平变化及临床意义,为黄体酮治疗先兆流产提供理论参考。方法选取先兆流产孕妇(观察组)及无先兆流产孕妇(对照组)各50例。观察组给予黄体酮治疗,采用酶联免疫吸附法(ELISA)检测观察组治疗前及治疗2周后、对照组入选时及入选2周后血清孕酮及 PIBF 水平变化。结果观察组黄体酮治疗后47例患者保胎成功,保胎成功率94.00%,保胎流血停止时间8.42 d,腹痛消失时间11.32 d;观察组 PIBF(313.52±90.43)mmol/L,低于对照组的(398.47±104.25)mmol/L,差异有统计学意义(t =10.90,P <0.05);观察组治疗2周后孕酮(92.35±20.85)mmol/L,高于治疗前的(74.49±14.22)mmol/L,较对照组同一时点孕酮水平[(83.26±20.14)mmol/L和(78.05±15.38)mmol/L]高,差异有统计学意义(t =7.96、8.11,均 P <0.05);PIBF 观察组治疗2周后(510.73±87.49)mmol/L,高于对照组同一时点的(498.26±69.88)mmol/L,差异有统计学意义(t =4.35,P <0.05)。随访观察组保胎成功孕妇足月分娩率为95.74%,分娩胎儿未见畸形发生,对照组孕妇足月分娩率为94.00%,分娩胎儿未见畸形发生,足月分娩率比较差异无统计学意义(P >0.05)。结论妊娠早期 PIBF 降低可能是引起先兆流产的原因之一,采用黄体酮治疗能上调 PIBF 的表达,可能通过此途径起到了保胎作用,因此在采用黄体酮保胎时监测 PIBF 水平变化有助于评估保胎疗效。%Objective To investigate the treatment of threatened abortion progesterone maternal serum pro-gesterone -induced blocking factor (PIBF)levels and clinical significance,in order to be able to provide theoretical references of progesterone treatment of threatened

  1. Abortion - surgical - aftercare

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000658.htm 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 ...

  2. Abortion among Adolescents.

    Science.gov (United States)

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

    2003-01-01

    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…

  3. Late-term abortion.

    Science.gov (United States)

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

    1998-08-26

    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

  4. 345例早期先兆流产中西医结合保胎后患者产前筛查结果分析%Antenatal Screening Result Analysis on 345 Patients Prevented Miscarriage with Combination of TCM and WM owing to Threatened Abortion

    Institute of Scientific and Technical Information of China (English)

    周璐; 赵珊琼; 林昌

    2011-01-01

    [目的]探讨先兆流产孕妇经中西医结合治疗保胎后产前筛检与新生儿畸形的关系.[方法]随机选取2008年6月至2009年10月间345例经我科中西医保胎后的先兆流产孕妇作保胎组,并随机选取同期分娩、早期无先兆流产及无其他高危因素的孕妇350例作为对照组,对照分析两组孕妇产前筛查结果.[结果]先兆流产孕妇经中西医结合保胎后继续妊娠者,产前筛查异常率与正常孕妇比较无显著性差异(P>0.05).[结论]妊娠早期先兆流产患者经中西医结合保胎后,不会增加产前筛查异常率及新生儿畸形风险.%[Objective]To explore the relation between antenatal screening and new malformed baby after preventing miscarriage with combination ofTCM and WM to threatened abortion. [Method] Select 345 cases randomly for delivery, compared with other 350 pregnant women without riskyfactors; analyse and compare both antenatal screening results. [Result] For the threatened aborth women, after prevented miscarriage with combinationof TCM and WM for continual pregnancy, there's no marked difference from normal pregnant women. [Conclusion] The preventing miscarriage withthe combination of TCM and WM doesn't increase antenatal creening abnormality rate or new-born baby malformed risk.

  5. The moral significance of spontaneous abortion.

    OpenAIRE

    Murphy, T F

    1985-01-01

    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 ...

  6. [Bioethics and abortion. Debate].

    Science.gov (United States)

    Diniz, D; Gonzalez Velez, A C

    1998-06-01

    Although abortion has been the most debated of all issues analyzed in bioethics, no moral consensus has been achieved. The problem of abortion exemplifies the difficulty of establishing social dialogue in the face of distinct moral positions, and of creating an independent academic discussion based on writings that are passionately argumentative. The greatest difficulty posed by the abortion literature is to identify consistent philosophical and scientific arguments amid the rhetorical manipulation. A few illustrative texts were selected to characterize the contemporary debate. The terms used to describe abortion are full of moral meaning and must be analyzed for their underlying assumptions. Of the four main types of abortion, only 'eugenic abortion', as exemplified by the Nazis, does not consider the wishes of the woman or couple--a fundamental difference for most bioethicists. The terms 'selective abortion' and 'therapeutic abortion' are often confused, and selective abortion is often called eugenic abortion by opponents. The terms used to describe abortion practitioners, abortion opponents, and the 'product' are also of interest in determining the style of the article. The video entitled "The Silent Scream" was a classic example of violent and seductive rhetoric. Its type of discourse, freely mixing scientific arguments and moral beliefs, hinders analysis. Within writings about abortion three extreme positions may be identified: heteronomy (the belief that life is a gift that does not belong to one) versus reproductive autonomy; sanctity of life versus tangibility of life; and abortion as a crime versus abortion as morally neutral. Most individuals show an inconsistent array of beliefs, and few groups or individuals identify with the extreme positions. The principal argument of proponents of legalization is respect for the reproductive autonomy of the woman or couple based on the principle of individual liberty, while heteronomy is the main principle of

  7. Nursing intervention of Chinese medical sticking on acupoint shenque combined with progestin on earlier threatened abortion due to kidney deficiency%中药神阙穴贴敷联合黄体酮对肾虚型早期先兆流产患者的护理干预

    Institute of Scientific and Technical Information of China (English)

    沈桂琴; 陈俊敏

    2014-01-01

    目的:探讨中药神阙穴贴敷联合黄体酮护理干预肾虚型早期先兆流产患者的临床疗效。方法将60例肾虚型早期先兆流产患者随机分为对照组和治疗组,2组在实施先兆流产常规护理的基础上,对照组30例单纯采用黄体酮肌肉注射治疗,治疗组30例给予中药神阙穴贴敷联合黄体酮治疗,然后对2组治疗后的临床疗效及阴道出血和腰痛、腹痛的消失时间进行比较,同时动态监测血清黄体酮和β-HCG 水平。结果治疗组临床治疗有效率显著优于对照组(P <0.05);治疗组临床症状的消失时间显著短于对照组(P <0.05);治疗组、对照组血清黄体酮水平与治疗前相比差异有统计学意义(P <0.05),治疗后2组间比较差异无统计学意义(P >0.05);治疗组、对照组β-HCG 水平与治疗前相比差异有统计学意义(P <0.05),治疗后2组间比较差异有统计学意义(P <0.05)。结论中药穴位贴敷联合黄体酮治疗早期先兆流产可以缩短治疗时间,提高孕激素水平,改善黄体功能,能够有效避免流产的继续发展,提高了保胎成功率。%ABSTRACT:Objective To explore the nursing intervention of Chinese medical sticking on acupoint shenque combined with progestin on earlier threatened abortion due to kidney deficiency. Methods 60 threatened abortion patients due to kidney deficiency were randomly divided into con-trol group and observation group.On the basis of traditional nursing,the patients in the control group(30 cases)were only given intramuscular progestin injection treatment while the patients in the observation group(30 cases)were given Chinese medical sticking on acupoint shenque combined with progestin.Clinical efficacy,disappearance time of vaginal bleeding,back and abdominal pain of both groups were compared.Levels of progesterone andβ-HCG of both groups were dynamic monitored.Results The

  8. "Conservative" views of abortion.

    Science.gov (United States)

    Devine, P E

    1997-01-01

    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

  9. Abortion in Zambia

    OpenAIRE

    Coast, Ernestina; Freeman, Emily

    2015-01-01

    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.

  10. Abortion in Adolescence.

    Science.gov (United States)

    Campbell, Nancy B.; And Others

    1988-01-01

    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…

  11. Access to legal abortion.

    Science.gov (United States)

    1993-10-01

    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

  12. Abortion; 1 : 2 000 000

    International Nuclear Information System (INIS)

    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)

  13. Legalized abortion in Japan.

    Science.gov (United States)

    Hart, T M

    1967-10-01

    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

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

    OpenAIRE

    Medoff, Marshall H.

    2012-01-01

    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...

  15. Increase of tumor necrosis factor receptor 1 expression in women with unexplained early spontaneous abortion

    Institute of Scientific and Technical Information of China (English)

    YAN Chun-fang; YU Xue-wen; JIN Hui; LI Xu

    2004-01-01

    To investigate membrane tumor necrosis factor receptor 1 protein expression level in decidua andconcentration of soluble tumor necrosis factor receptor 1 in serum in women with unexplained early spontaneous abortion,threatened abortion, and compare the levels with healthy pregnant women. Methods: Thirty-seven women with unexplainedearly spontaneous abortion, 27 women with threatened abortion, and 34 healthy pregnant women undergoing artificial abortionof pregnancy at 6 - 10 weeks of gestation were selected. Decidual samples were collected when women were undergoing arti-ficial abortion, and blood samples were collected at the same time. The level of membrane tumor necrosis factor receptor 1 indecidua was detected by flow cytometer, and the concentration of soluble tumor necrosis factor receptor 1 in sera was mea-sured with an enzyme-linked immunosorbent assay. Results: The ercentages of membrane tumor necrosis factor receptor 1positive decidual cells were 16.42 ± 7.10 Mean ± SD for women with unexplained early spontaneous abortion and 13.14 ±6.30 for healthy pregnant women ( P < 0.05). Serum oncentration of soluble tumor necrosis factor receptor 1 was signifi-cantly higher in women with unexplained early spontaneous abortion than in healthy pregnant women and in women withthreatened abortion, and no difference was found between healthy pregnant women and women with threatened abortion.Conclusion: Women with unexplained early spontaneous abortion present significantly higher expression of tumor necrosisfactor receptor 1 than healthy pregnant women, suggesting that over-expression of tumor necrosis factor receptor 1 may cont-ribute to the development of early spontaneous abortion.

  16. Induced abortion in Indonesia.

    Science.gov (United States)

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

    1993-01-01

    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

  17. Who makes the abortion decision?: law, practice, and the limits of the liberal solution.

    Science.gov (United States)

    Lamanna, M A

    1991-01-01

    Since abortion is an important aspect of women's control over reproduction, barriers to abortion threaten women's efforts to attain equality. The ensuing discussion rests upon 2 assumptions: 1) That women want and need control over their reproductive capacity, and 2) that women want personal access to abortion and desire the availability of abortion to women generally. Under Roe v. Wade, abortions can only be performed if physicians choose to do them; this has left 4/5ths of US counties without an abortion provider. Roe neither compelled the availability of abortion services to all interested women, nor did it establish a "women's entitlement to an abortion based on her decision... "While the liberal solution in the Law may provide formal new rights, these rights are often ineffective because they fail to address attitudes firmly rooted in the social structure. Feminists' radical, self-help approach of becoming their own abortion providers offers a limited solution because of 1) geography and regional culture: the "paucity of abortion providers is likely to be replicated for feminist health collectives"; 2) the legal risk in underground institutions; and 3) the woman's choice, i.e., will the tradition-minded women use an alternative medical facility? Finally, "the woman's own decision-making process may be the ultimate barrier to abortion." The high visibility and intense emotions brought to contemporary abortion discussions in the post-Roe era may be far more chilling to individual decision than the relative silence of the 1950s. Psychological, as well as physical, availability of abortion must be kept in mind. For the future, social scientists can provide awareness of the social context in which the legal definition of abortion rights confronts the lives of women. PMID:12317577

  18. Abortion law in Muslim-majority countries: an overview of the Islamic discourse with policy implications.

    Science.gov (United States)

    Shapiro, Gilla K

    2014-07-01

    Religion plays a significant role in a patient’s bioethical decision to have an abortion as well as in a country’s abortion policy. Nevertheless, a holistic understanding of the Islamic position remains under-researched. This study first conducted a detailed and systematic analysis of Islam’s position towards abortion through examining the most authoritative biblical texts (i.e. the Quran and Sunnah) as well as other informative factors (i.e. contemporary fatwas, Islamic mysticism and broader Islamic principles, interest groups, and transnational Islamic organizations). Although Islamic jurisprudence does not encourage abortion, there is no direct biblical prohibition. Positions on abortion are notably variable, and many religious scholars permit abortion in particular circumstances during specific stages of gestational development. It is generally agreed that the least blameworthy abortion is when the life of the pregnant woman is threatened and when 120 days have not lapsed; however, there is remarkable heterogeneity in regards to other circumstances (e.g. preserving physical or mental health, foetal impairment, rape, or social or economic reasons), and later gestational development of the foetus. This study secondly conducted a cross-country examination of abortion rights in Muslim-majority countries. A predominantly conservative approach was found whereby 18 of 47 countries do not allow abortion under any circumstances besides saving the life of the pregnant woman. Nevertheless, there was substantial diversity between countries, and 10 countries allowed abortion ‘on request’. Discursive elements that may enable policy development in Muslim-majority countries as well as future research that may enhance the study of abortion rights are discussed. Particularly, more lenient abortion laws may be achieved through disabusing individuals that the most authoritative texts unambiguously oppose abortion, highlighting more lenient interpretations that exist in

  19. Over the counter sale of abortion pills - time to act now

    Directory of Open Access Journals (Sweden)

    Ritu Sharma

    2015-08-01

    Results: 70 patients who bought abortion pills over the counter were included in the study group. 90% (63/70 patients were not using any kind of contraceptive method. Only 55.71% (39/70 patients took the abortion pills as per the recommended standard protocol. Gestational age was < 8 weeks in 45.71% (32/70 patients only. Most common presenting complaint was varying amount of bleeding per vaginum followed by abdominal pain met in 97.14% (68/70 and 30% (21/70 patients respectively. 7.14% (5/70 patients presented to emergency in shock. Final diagnosis was complete abortion in 21.42% (15/70 patients, incomplete abortion in 47.14% (33/70, missed abortion in 11.42% ( 8/70, septic abortion in 7.14% ( 5/70 , threatened abortion in 5.71% ( 4/70, ectopic pregnancy in 5.71% ( 4/70 and molar pregnancy in 1.42% ( 1/70 patients and they were managed accordingly as per standard guidelines. Conclusion: The women in India should be aware of their legal right to safe abortion. They should stop buying the drug without prescription as medical abortion facilities are being made easily available, accessible and affordable to all. However strict ban on over the counter availability of abortion pills can make the situation worse. [Int J Reprod Contracept Obstet Gynecol 2015; 4(4.000: 1053-1056

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

    Science.gov (United States)

    Medoff, Marshall H.

    2008-01-01

    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…

  1. Unsafe abortion in rural Tanzania

    DEFF Research Database (Denmark)

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

    2014-01-01

    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...

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

    Science.gov (United States)

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

    1990-12-01

    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

  3. Analysis of the treatment of threatened abortion caused by corpus luteum insufficiency and the correlation between serum progesterone levels and pregnancy outcomes%黄体功能不全先兆流产的治疗及血清孕酮值与治疗结局的相关性分析

    Institute of Scientific and Technical Information of China (English)

    王丽君; 胡晨; 吴江平

    2015-01-01

    目的:比较两种不同方式治疗黄体功能不全先兆流产的疗效及其血清孕酮值与治疗结局的相关性。方法:将301例患者分为两组:口服组217例(口服黄体酮胶囊100mg/次,2次/d)和肌注组84例(肌肉注射黄体酮20mg/次,1次/d)。每周复查血清孕酮值、β-HCG及B超。两组患者均治疗2~3周,随访至停经12周。结果:两组患者的血清孕酮值、治疗成功率比较,差异无统计学意义(P﹥0.05)。当孕酮界限值设为10ng/ml,口服组的敏感性和特异性分别为11.43%和97.25%,肌注组分别为41.67%和97.22%。当孕酮界限值设为15ng/ml,口服组的敏感性和特异性分别为85.71%和95.60%,肌注组分别为91.67%和94.44%。当孕酮界限值设为20ng/ml,口服组的敏感性和特异性分别为91.43%和23.08%,肌注组分别为91.67%和41.67%。结论:治疗妊娠早期黄体功能不全先兆流产,口服和肌注黄体酮均是有效且易于为阴道流血患者接受的黄体支持方法,口服比肌注方便、无疼痛刺激。黄体支持虽可升高血清孕酮水平,但血清孕酮值仍是一个较为可靠的预测治疗结局的指标,血清孕酮<15 ng/ml对自然流产的预测性更好。%Objective:To compare the efficacy of two different routes of administration of progesterone in threatened abortion caused by corpus luteum insufficiency and the correlation between the serum progesterone levels and pregnancy outcomes. Methods:A total of 301 pa-tients were divided into two groups, 217 patients received oral micronized progesterone 2í100mg. 84 patients received intramuscular injection of progesterone 20mg daily. Review proges-terone serum levels,β-HCG and ultrasound weekly. Two groups of patients were treated for 2 to 3 weeks,follow-up to 12 weeks of pregnancy. Results:No differences were found in terms of progesterone serum levels and the rate of successful treatments(P﹥0. 05). When the thresh-old value was set at 10ng/ml,in the oral

  4. A Shiite perspective toward abortion

    OpenAIRE

    Kiarash Aramesh

    2006-01-01

    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...

  5. Abortion and compelled physician speech.

    Science.gov (United States)

    Orentlicher, David

    2015-01-01

    Informed consent mandates for abortion providers may infringe the First Amendment's freedom of speech. On the other hand, they may reinforce the physician's duty to obtain informed consent. Courts can promote both doctrines by ensuring that compelled physician speech pertains to medical facts about abortion rather than abortion ideology and that compelled speech is truthful and not misleading.

  6. Pregnancy outcome following spontaneous abortions

    Directory of Open Access Journals (Sweden)

    Swati Agrawal

    2015-12-01

    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

  7. Abortion and compelled physician speech.

    Science.gov (United States)

    Orentlicher, David

    2015-01-01

    Informed consent mandates for abortion providers may infringe the First Amendment's freedom of speech. On the other hand, they may reinforce the physician's duty to obtain informed consent. Courts can promote both doctrines by ensuring that compelled physician speech pertains to medical facts about abortion rather than abortion ideology and that compelled speech is truthful and not misleading. PMID:25846035

  8. Prematurity and Abortion

    Directory of Open Access Journals (Sweden)

    Francisco Jover-Díaz

    2001-01-01

    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

  9. BENEFICIARIES VIEW POINT AND FACTORS INFLUENCING IN DUCED ABORTIONS IN A RURAL COMMUNITY OF WEST BENGAL.

    Directory of Open Access Journals (Sweden)

    Debabrata

    2012-09-01

    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.

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

    Science.gov (United States)

    Pirhonen, J; Hulkko, S

    1986-01-01

    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

  11. Abortion: taking the debate seriously.

    Science.gov (United States)

    Kottow Lang, Miguel Hugo

    2015-01-01

    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

  12. Drug combination adds fuel to US abortion debate.

    Science.gov (United States)

    Rutter, T L

    1995-09-16

    A recent study in the US showed that abortion was achieved in 171/178 women aged 18 to 47 with pregnancies of 63 days or less duration through the administration of an intramuscular injection of methotrexate (a drug used to treat cancer) followed five to seven days later with a dose of misoprostol (used to treat ulcers). The report of this study prompted the founder of the anti-abortion group Operation Rescue to threaten the report's author with being "hunted down and tried for genocide" should abortion ever be made illegal. While the National Abortion Rights Action League urged that the procedure be judged on medical not political terms, a spokesperson for the National Right to Life Committee expressed concern for the reproductive and psychological health of women undergoing medical abortions. The Population Council is currently completing clinical trials of the regimen which employs RU-486 to achieve medical abortion and expects to file a new drug application with the US Food and Drug Administration (FDA) in 1996. The methotrexate/misoprostol combination would be much less expensive than RU-486 (approximately $10 compared to $250 at current prices), and a pharmaceutical company is currently attempting to raise the six million dollars necessary to fund the large-scale clinical trials which must precede FDA approval. While the availability of medical abortions would make the procedure much more accessible and private for women, proper counseling must be given to the women to avoid unwanted side effects and so that the women know what to expect. PMID:7549678

  13. Abortion Performance and Politics

    OpenAIRE

    Candelario, Rosemary

    2012-01-01

    “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...

  14. The abortion debate in Australia.

    Science.gov (United States)

    Read, Christine Margaret

    2006-09-01

    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

  15. Abortion in a just society.

    Science.gov (United States)

    Hunt, M E

    1993-01-01

    A female Catholic theologian imagines a just society that does not judge women who decide to undergo an abortion. The Church, practitioners, and the courts must trust that women do make person-enhancing choices about the quality of life. In the last 15 years most progress in securing a woman's right to abortion has been limited to white, well-educated, and middle or upper middle class women. A just society would consider reproductive options a human right. Abortion providers are examples of a move to a just society; they are committed to women's well-being. There are some facts that make one pessimistic about achieving abortion in a just society. The US Supreme Court plans to review important decisions establishing abortion as a civil right. Further, some men insist on suing women who want to make their own reproductive decisions--an anti-choice tactic to wear away women's right to reproductive choice. Bombings of abortion clinics and harassment campaigns by anti-choice groups are common. These behaviors strain pro-choice proponents emotionally, psychically, and spiritually. Their tactics often lead to theologians practicing self-censorship because they fear backlash. Abortion providers also do this. Further, the reaction to AIDS is that sex is bad. Anti-abortion groups use AIDS to further their campaigns, claiming that AIDS is a punishment for sex. Strategies working towards abortion in a just society should be education and persuasion of policymakers and citizens about women's right to choose, since they are the ones most affected by abortion. Moreover, only women can secure their rights to abortion. In a just society, every health maintenance organization, insurance company, and group practice would consider abortion a normal service. A just society provides for the survival needs of the most marginalized.

  16. Anti-abortion movement.

    Science.gov (United States)

    Wilson, K

    1985-01-01

    At the same time that American women celebrate the freedoms won thus far for so many Americans, American women must realize they face some of the greatest threats to liberty in recent memory. To understand this movement against American women, it is necessary to first understand the roots of the historic movement for women's rights. Reproductive freedom for many years topped the agenda of the modern women's movement. At a time and in a land where rights were being enriched and liberty prized, choice took a prominent role, specifically, the right to abortion but also generally to repdocuctive freedom and the many underlying issues involved. This is why the various efforts to criminalize abortion effect every citizen, because they pose a serious threat to the constitutional rights of each individual. This is the intellectual view, or the "head" argument. The Constitution states that: "Congress shall make no laws respecting an establishment of religion, or prohibiting the free exercise thereof; the enumeration in the Constitution, of certain rights, shall not be construed to deny or disparage others retained by the people; and no state shall make or enforce any laws which shall abridge the privileges or immunities of citizens of the US." Each of these clauses expresses the philosophy on which the Constitution was founded -- individual liberty. While there has been some legitimate disagreement over what constitutes an inalienable right, the concept is clear: the government should not become involved in personal philosophical or religious matters, except to permit the freedom of personal philosophical or religious expression. The anti-abortion contignent makes its case by claiming that a fertilized egg is a cona fide person and should, therefore, be guaranteed the Constitution's full roster of protections. In its landmark Roe v. Wade opinion, the Supreme Court held what pro-choice activities have been claiming for years. Since there is no empirical test by which measure

  17. A Shiite perspective toward abortion

    Directory of Open Access Journals (Sweden)

    Kiarash Aramesh

    2006-03-01

    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.

  18. Abortion, Miscarriage, and Breast Cancer Risk

    Science.gov (United States)

    ... 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), ...

  19. Abortion - a philosophical perspective

    OpenAIRE

    MN Jali

    2001-01-01

    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. [Organising an instrumental elective abortion].

    Science.gov (United States)

    Brûlé, Annie

    2015-12-01

    Family planning centres are structures designed to receive and care for women requesting elective abortions. Here the specially trained, dedicated teams offer personalised care. The instrumental elective abortion is prepared in the same way as a surgical procedure and is subject to the same monitoring. PMID:26654497

  1. Sociocultural determinants of induced abortion

    International Nuclear Information System (INIS)

    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)

  2. Birth, meaningful viability and abortion.

    Science.gov (United States)

    Jensen, David

    2015-06-01

    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

  3. Medical Abortion and Surgical Abortion for Comparison and Analysis the Influence of Again Pregnancy%药物流产与手术流产对再次妊娠的影响对比分析

    Institute of Scientific and Technical Information of China (English)

    李素美

    2015-01-01

    目的:比较药物流产和手术流产对再次妊娠的影响,为医院选择合适的流产方式提供科学依据。方法选择药物流产史的108例健康妇女和手术流产史的108例健康妇女,分别设为药物流产组和手术流产组,观察两组妊娠期的先兆流产、早产、胎盘前置和产后出血等并发症,并进行比较分析。结果手术流产组再次妊娠的先兆流产、胎盘粘连、胎盘前置及产后出血率较药物流产组高,有显著差异(P<0.01),药物流产组较手术流产组产后出血率低(P<0.05)。结论药物流产对再次妊娠的不良影响较手术流产低得多,因此意外妊娠可首选药物流产。%Objective To compare the medical abortion and surgical abortion impact on subsequent pregnancy, the hospital provides a scientiifc basis for selecting the appropriate abortion method. Methods 108 cases of abortion history of drug 108 cases of healthy women and women's health history surgical abortion, medical abortion groups were set and surgical abortion groups were observed during pregnancy threatened abortion, premature birth, placenta previa and postpartum hemorrhage complications, and comparative analysis. Results The surgical abortion group again threatened abortion pregnancy, placenta accreta, placenta previa and postpartum hemorrhage rate higher medical abortion group, a signiifcant difference (P<0.01), medical abortion group compared with the low rate of postpartum hemorrhage surgical abortion group (P<0.05). Conclusion Adverse effects of abortion on subsequent pregnancy is much lower than the surgical abortion, unwanted pregnancy and therefore abortion can be the drug of choice.

  4. Abortion in Croatia and Slovenia.

    Science.gov (United States)

    1992-01-01

    In Slovenia abortion will continue to be available during the first 10 weeks of pregnancy as it has been since 1978. The Slovenian Constitutional Court passed this decision in December, 1991 calling the right to abortion a basic human right. T he ruling was a setback both for the government's conservative parties and the Catholic church. In Croatia, where the Catholic church is campaigning against abortion, the situation is quite different. Zagreb is full of stickers and posters with anti-abortion messages branding abortion murder and spreading inaccurate information in announcements. In 1990, there were 56,000 abortions. For every child that was born, one was aborted. The largest Croatian newspaper publicizes the Catholic view. They want pro-choice women of the volunteer group Tresnjevka to stop their struggle. The church and conservative women's groups press for inclusion of abortion in the Constitution. They are very powerful, and the fear is that might soon succeed in restricting or outlawing abortion. Tresnjevka is making efforts to organize a coordination and information center for women in Zagreb where there are 350,000 women and children refugees. Informative brochures are printed on natural healing methods in gynecology, as drugs are very scarce, and addresses for gynecological emergency care are also provided. Abortion has been legally available on demand during the 1st 10 weeks of pregnancy since 1978. Fore year Tresnjevka has worked for women, trying to raise funds from personal donations and from the government for their activities. Funds from foreign countries have never been received. At present many of the group's activities are on hold because of lack of funds, nevertheless the determination to continue fighting is alive. PMID:12285925

  5. Teenage pregnancies and abortion.

    Science.gov (United States)

    Morgenthau, J E

    1984-01-01

    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. Characteristic analysis and design of near moon abort trajectory for manned lunar landing mission

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The safety of astronauts would be severely threatened if the lunar-landing spacecraft were under an emergency during the near moon phase of flight, which was far from the Earth. For the problem of mission abort caused by the main engine (service propulsion system, SPS) failure during lunar orbit insertion, firstly, the family of trajectories resulted from SPS premature shutdown and corresponding abort trajectories were analyzed; then an algorithm that can be applied to the near moon abort trajectories was proposed using patched-conic technique. The characteristics of the abort trajectory, such as energy consumption and return time of flight, were analyzed and presented. Finally, simulation examples were given to demonstrate various cases of near moon SPS failure. The results of the simulation have validated the approach proposed.

  7. 28 CFR 551.23 - Abortion.

    Science.gov (United States)

    2010-07-01

    ... 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...

  8. Abortion: Strong's counterexamples fail

    DEFF Research Database (Denmark)

    Di Nucci, Ezio

    2009-01-01

    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...... wrong even though that human being is not being deprived of a "valuable future". So Marquis would be wrong in thinking that what is essential about the wrongness of killing an adult human being is that they are being deprived of a valuable future. This paper shows that whichever way the concept...... of "valuable future" is interpreted, the proposed counterexamples fail: if it is interpreted as "future like ours", the proposed counterexamples have no bearing on Marquis's argument. If the concept is interpreted as referring to the patient's preferences, it must be either conceded that the patients in Strong...

  9. [Umberto Eco and abortion].

    Science.gov (United States)

    1997-09-01

    The Cardinal of Milan and the linguist and writer Umberto Eco maintained a correspondence in the mid-1990s in connection with the Italian magazine ¿Liberal¿. One of the issues discussed was the conflict between belief in the value of human life and existing abortion legislation. Umberto Eco stated that he would do all in his power to dissuade a woman pregnant with his child from having an abortion, regardless of the personal cost to the parents, because the birth of a child is a miracle. He would not, however, feel capable of imposing his ethical position on anyone else. Terrible moments occur in which women have a right to make autonomous decisions concerning their bodies, their feelings, their futures. Those who disagree cite the right to life, a rather vague concept about which even atheists can be enthusiastic. The moment at which a new human being is formed has been brought to the center of Catholic theology, despite its uncertainty; the beginning of a new life may always need to be understood as a process whose end result is the newborn. Only the mother should decide at what moment the process may be interrupted. The cardinal¿s response distinguished between psychic and physical life, on the one hand, and life participating in the life of God on the other. The threshold is the moment of conception, reflecting a continuity of identity. The new being is worthy of respect. Any violation of the affection and care owed to the being can only be experienced as a profound suffering and painful laceration that may never heal. The response of Eco is unknown.

  10. The Question of Abortion in Serbia

    OpenAIRE

    Rasevic, Mirjana

    2009-01-01

    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...

  11. Participation of nurses in abortions.

    Science.gov (United States)

    Neustatter, P L

    1980-11-29

    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

  12. Kvinners reaksjoner etter spontan abort

    OpenAIRE

    2012-01-01

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

  13. Safe abortion: a woman's right.

    Science.gov (United States)

    Sangala, Vanessa

    2005-07-01

    Complications of induced abortion sadly remain significant causes of maternal mortality and morbidity around the world, but only in countries that do not provide access to safe abortion services. This article presents a brief account of how high maternal mortality from induced abortion became history in the UK and the dire consequences to women's health that unsafe abortion still has in many countries of the world. It gives a brief overview of the methods available to evacuate the uterus, with particular reference to manual vacuum aspiration. The status of the law in different countries is discussed, together with the need for health professionals to interpret repressive laws in ways that enables them to care for women who seek their help. Safe abortion services are cost effective, essential services for women. Men are part and parcel of the reason women resort to terminating a pregnancy, and, together with the countless children whose lives are dependent on a healthy caring mother, are also beneficiaries of safe abortion services. There can be no excuse for continuing to deny these services to so many women around the world.

  14. Abortion - a philosophical perspective

    Directory of Open Access Journals (Sweden)

    MN Jali

    2001-09-01

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

  15. Coendangered hard-ticks: threatened or threatening?

    Science.gov (United States)

    Mihalca, Andrei Daniel; Gherman, Călin Mircea; Cozma, Vasile

    2011-01-01

    The overwhelming majority of animal conservation projects are focused on vertebrates, despite most of the species on Earth being invertebrates. Estimates state that about half of all named species of invertebrates are parasitic in at least one stage of their development. The dilemma of viewing parasites as biodiversity or pest has been discussed by several authors. However, ticks were omitted. The latest taxonomic synopses of non-fossil Ixodidae consider valid 700 species. Though, how many of them are still extant is almost impossible to tell, as many of them are known only from type specimens in museums and were never collected since their original description. Moreover, many hosts are endangered and as part of conservation efforts of threatened vertebrates, a common practice is the removal of, and treatment for external parasites, with devastating impact on tick populations. There are several known cases when the host became extinct with subsequent coextinction of their ectoparasites. For our synoptic approach we have used the IUCN status of the host in order to evaluate the status of specifically associated hard-ticks. As a result, we propose a number of 63 coendangered and one extinct hard-tick species. On the other side of the coin, the most important issue regarding tick-host associations is vectorial transmission of microbial pathogens (i.e. viruses, bacteria, protozoans). Tick-borne diseases of threatened vertebrates are sometimes fatal to their hosts. Mortality associated with pathogens acquired from ticks has been documented in several cases, mostly after translocations. Are ticks a real threat to their coendangered host and should they be eliminated? Up to date, there are no reliable proofs that ticks listed by us as coendangered are competent vectors for pathogens of endangered animals. PMID:21554736

  16. Coendangered hard-ticks: threatened or threatening?

    Directory of Open Access Journals (Sweden)

    Cozma Vasile

    2011-05-01

    Full Text Available Abstract The overwhelming majority of animal conservation projects are focused on vertebrates, despite most of the species on Earth being invertebrates. Estimates state that about half of all named species of invertebrates are parasitic in at least one stage of their development. The dilemma of viewing parasites as biodiversity or pest has been discussed by several authors. However, ticks were omitted. The latest taxonomic synopses of non-fossil Ixodidae consider valid 700 species. Though, how many of them are still extant is almost impossible to tell, as many of them are known only from type specimens in museums and were never collected since their original description. Moreover, many hosts are endangered and as part of conservation efforts of threatened vertebrates, a common practice is the removal of, and treatment for external parasites, with devastating impact on tick populations. There are several known cases when the host became extinct with subsequent coextinction of their ectoparasites. For our synoptic approach we have used the IUCN status of the host in order to evaluate the status of specifically associated hard-ticks. As a result, we propose a number of 63 coendangered and one extinct hard-tick species. On the other side of the coin, the most important issue regarding tick-host associations is vectorial transmission of microbial pathogens (i.e. viruses, bacteria, protozoans. Tick-borne diseases of threatened vertebrates are sometimes fatal to their hosts. Mortality associated with pathogens acquired from ticks has been documented in several cases, mostly after translocations. Are ticks a real threat to their coendangered host and should they be eliminated? Up to date, there are no reliable proofs that ticks listed by us as coendangered are competent vectors for pathogens of endangered animals.

  17. House subcmte. tightens abortion language.

    Science.gov (United States)

    1978-05-10

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

  18. Abortion applicants in Arkansas.

    Science.gov (United States)

    Henker, F O

    1973-03-01

    The article reports upon the characteristics of 300 abortion applicants in Arkansas manifesting significant stress from unwanted pregnancy between May 1, 1970 and June 30, 1971. The sample is limited by the fact that all of these women had been willing to seek medical aid. Patients ranged from ages 13-47, 131 of them ages 17-21. 35% had had some college education; another 29% were high school graduates. 50.6%, 20.6%, and 27.3% were single, divorced, and married, respectively. 59.6% of the patients were primiparas. 18.3%, 9.6%, and 12.3% were classified as being neurotic, having psychophysiologic tendencies (gastrointestinal problems, obesity, chronic headaches), and having sociopathic features (passive-aggressive, frankly rebellious, delinquent, antisocial, alcoholic), respectively. 12 women had noticeable schizoid features; 4 women had mildly active schizophrenia. Fathers of the women were usually blue-collar workers (55.3%) or white-collar workers (24.6%). The most frequent ordinal sibling position among the women was oldest child (38%). Parental instability (1 or both parents lost through death, divorce, father usually away working, chronic alcoholism, etc.) was reported by 39.6% of the patients. Patients' attitudes toward the unwanted pregnancy included dislike of inexpediency of the situation (82.6%), self-depreciation (55.6%), and aversion (28.6%). Precipitated psychiatric disorders were for the greatest part mild. Manifesting symptoms included depression (66.7%), anxiety (21%), and mixed anxiety and depression (12.2%). Suicidal threats and gestures were made by 22 and 8 patients, respectively. In summary, the study reveals a group of predominantly Caucasian women from unstable, middle-class urban families who were going through an adjustment reaction to adolescence or adult life.

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

    Science.gov (United States)

    Marsh, F H

    1997-01-01

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

  20. Four Residents' Narratives on Abortion Training: A Residency Climate of Reflection, Support, and Mutual Respect.

    Science.gov (United States)

    Singer, Janet; Fiascone, Stephen; Huber, Warren J; Hunter, Tiffany C; Sperling, Jeffrey

    2015-07-01

    The decision on the part of obstetrics and gynecology residents to opt in or out of abortion training is, for many, a complex one. Although the public debate surrounding abortion can be filled with polarizing rhetoric, residents often discover that the boundaries between pro-choice and pro-life beliefs are not so neatly divided. We present narratives from four residents, training at a 32-resident program in the Northeast, who have a range of views surrounding abortion. Their stories reveal how some struggle with the real-life experience of providing abortions, while others feel angst over lacking the skills to terminate a life-threatening pregnancy. These residents have found that close relationships with coworkers from all sides of this issue, along with a residency program that encourages open conversation, have fostered understanding. Their narratives demonstrate that reasonable providers can disagree fundamentally and still work effectively with one another and that the close relationships formed in residency can allow both sides to see beyond the black and white of the public abortion debate. Our objectives in this commentary are to encourage a more nuanced discussion of abortion among obstetrician-gynecologists, to describe the aspects of our residency program that facilitate open dialogue and respect across diverse viewpoints, and to demonstrate that the clear distinction between being pro-life and pro-choice often breaks down when one is immediately responsible for the care of pregnant women. PMID:26241256

  1. Remembering Aborted Foetuses in a Japanese Shrine

    OpenAIRE

    Macfarlane, Alan

    2004-01-01

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

  2. Abortion, Moral Maturity and Civic Journalism.

    Science.gov (United States)

    Patterson, Maggie Jones; Hall, Megan Williams

    1998-01-01

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

  3. Abortion and Mental Health: Evaluating the Evidence

    Science.gov (United States)

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

    2009-01-01

    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…

  4. A study on pregnancy outcome following previous one spontaneous abortion

    Directory of Open Access Journals (Sweden)

    Archana Chandna

    2015-12-01

    Full Text Available Background: Pregnancy plays a unique role in the transformation of women towards completeness. Pregnancy should be considered a unique normal physiological episode in a woman's life. However in some cases many twists and turns occur which alter the good outcome of pregnancy into a disaster. For those women who have had a previous unsuccessful outcome, pregnancy may bring a lot of inevitable negative emotions. The main objective of our study was to determine pregnancy outcome following previous one spontaneous abortion Methods: A prospective study was done on 756 patients. There were 252 patients in the case group consisting of pregnant females with the history of previous one spontaneous abortion (group A. There were two control groups - primigravida women (group B and second gravida with history of previous successful pregnancy outcome (group C who delivered subsequent to our study group. All the antenatal, post natal complications and modes of delivery were noted and compared between the three groups. Results: Pregnancy complications included: threatened miscarriage, premature rupture of membranes (PROM, preterm delivery, intra uterine growth restriction (IUGR, diabetes mellitus, abruption, placenta praevia, preeclampsia, eclampsia and postpartum hemorrhage (PPH. Statistical analysis was carried out using Statistical Package for Social Scientists (SPSS version 20. Statistical analysis showed that all the complications except preeclampsia, eclampsia, placenta praevia and diabetes were more in the study group than both the control groups (p<0.05. Risk of preeclampsia was more in primigravidae. Rate of caesarean section and instrumental delivery was also significantly increased in women with previous one spontaneous abortion. Conclusions: Women with a history of previous one spontaneous abortion are at an increased risk of complications in the next pregnancy. So careful surveillance should be provided to such women and not to be restricted only

  5. Abortion, infanticide and moral context.

    Science.gov (United States)

    Porter, Lindsey

    2013-05-01

    In 'After-birth abortion: why should the baby live?', Giubilini and Minerva argue that infanticide should be permitted for the same reasons as abortion. In particular, they argue that infanticide should be permitted even for reasons that do not primarily serve the interests (or would-be best interests) of the newborn. They claim that abortion is permissible for reasons that do not primarily serve the interests (or would-be interests) of the fetus because fetuses lack a right to life. They argue that newborns also lack a right to life, and they conclude that therefore, the same reasons that justify abortion can justify infanticide. This conclusion does not follow. The lack of a right to life is not decisive. Furthermore, the justificatory power of a given reason is a function of moral context. Generalisations about reasons across dissimilar moral contexts are invalid. However, a similar conclusion does follow-that fetus-killing and newborn-killing are morally identical in identical moral contexts-but this conclusion is trivial, since fetuses and newborns are never in identical moral contexts.

  6. Sundhedspersonales holdninger til sene provokerede aborter varierer

    DEFF Research Database (Denmark)

    Christensen, Anne Vinggaard; Petersson, Birgit

    2012-01-01

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

  7. PROTECTION OF THREATENED WITNESSES

    Directory of Open Access Journals (Sweden)

    Nadia Claudia CANTEMIR-STOICA

    2016-05-01

    Full Text Available First, I wish to make a presentation of historically institution and subsequently parallels between past and current regulators to expose whether the legislature has reached desire - namely ensuring effective protection of witnesses threatened and vulnerable. Also, I decided to analyze the topic from the perspective of the criminal procedural provisions of Law 682/2002 and witness protection, which are republished to expose the conditions and criteria by which to ensure this status. I also want to present besides theoretical and practical ways in which the National Office for Witness Protection gives effective legal provisions. Not least, I will bring criticism of current regulation and not by law ferenda proposals.

  8. Induced abortion--a global health problem.

    Science.gov (United States)

    Odlind, V

    1997-01-01

    Every year around 500,000 women are estimated to die from pregnancy-related causes, the majority in the developing world and many as a consequence of unsafe abortion. Around 25 per cent of maternal deaths in Asia and 30-50 per cent of maternal deaths in Africa and Latin America occur as a result of induced abortion. Data on abortion related maternal morbidity is less reliable than mortality but suggests that for every maternal death 10-15 women suffer significant pregnancy-related morbidity, i.e. infertility, genito-urinary problems and/or chronic pain. Induced abortion occurs in practically every society in the world but only 40 per cent of the women in the world live in countries where abortion is legally free. A permissive legislation is an important prerequisite for medically safe and early abortion. Oppositely, with a restrictive law, abortion is difficult to obtain, costly and possibly unsafe, in particular to the least affluent women in the society. Induced abortion in a developed country with legal and easy access to services is a safe procedure with hardly any mortality and very low morbidity. The best strategy to reduce the number of unsafe abortions is prevention of unwanted pregnancy. The consequences of unsafe abortion on women's health need to be acknowledged by everybody in the society in order to improve abortion care. It is necessary to adjust legal and other barriers to medically safe abortion in order to follow the declaration at the UN conference on population in Cairo, 1994, which stated that abortion, wherever legal, should be safe. It is also necessary to introduce preventive measures where abortions are performed, i.e. good and easily accessible family planning services.

  9. Application of Fault Management Theory to the Quantitative Selection of a Launch Vehicle Abort Trigger Suite

    Science.gov (United States)

    Lo, Yunnhon; Johnson, Stephen B.; Breckenridge, Jonathan T.

    2014-01-01

    , the abort triggers must have low false negative rates to be sure that real crew-threatening failures are detected, and also low false positive rates to ensure that the crew does not abort from non-crew-threatening launch vehicle behaviors. The analysis process described in this paper is a compilation of over six years of lessons learned and refinements from experiences developing abort triggers for NASA's Constellation Program (Ares I Project) and the SLS Program, as well as the simultaneous development of SHM/FM theory. The paper will describe the abort analysis concepts and process, developed in conjunction with SLS Safety and Mission Assurance (S&MA) to define a common set of mission phase, failure scenario, and Loss of Mission Environment (LOME) combinations upon which the SLS Loss of Mission (LOM) Probabilistic Risk Assessment (PRA) models are built. This abort analysis also requires strong coordination with the Multi-Purpose Crew Vehicle (MPCV) and SLS Structures and Environments (STE) to formulate a series of abortability tables that encapsulate explosion dynamics over the ascent mission phase. The design and assessment of abort conditions and triggers to estimate their Loss of Crew (LOC) Benefits also requires in-depth integration with other groups, including Avionics, Guidance, Navigation and Control(GN&C), the Crew Office, Mission Operations, and Ground Systems. The outputs of this analysis are a critical input to SLS S&MA's LOC PRA models. The process described here may well be the first full quantitative application of SHM/FM theory to the selection of a sensor suite for any aerospace system.

  10. Direct and indirect abortion in the Roman Catholic tradition: a review of the Phoenix case.

    Science.gov (United States)

    Coleman, Gerald D

    2013-06-01

    In Roman Catholic Moral Theology, a direct abortion is never permitted. An indirect abortion, in which a life threatening pathology is treated, and the treatment inadvertently leads to the death of the fetus, may be permissible in proportionately grave situations. In situations in which a mother's life is endangered by the pregnancy before the fetus is viable, there is some debate about whether the termination of the pregnancy is a direct or indirect abortion. In this essay a recent case from a Roman Catholic sponsored hospital in Phoenix is reviewed along with the justifications for and arguments against viewing the pregnancy termination as an indirect abortion. After review of several arguments on both sides of the debate, it is concluded that termination of the pregnancy itself as the means of saving the mother cannot be considered an indirect abortion and that the principle of "double effect" does not justify the termination. In addition, the importance of a breakdown in communication between the local bishop and the administration of the hospital is shown to have contributed to the ultimate loss of Catholic sponsorship of the hospital. PMID:23539470

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

    Science.gov (United States)

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

    1976-12-18

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

  12. Abortion Counselling in Britain: Understanding the Controversy

    OpenAIRE

    Hoggart, Lesley

    2015-01-01

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

  13. Abortion in Iranian legal system: a review.

    Directory of Open Access Journals (Sweden)

    Mahmoud Abbasi

    2014-02-01

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

  14. The abortion battle: the Canadian scene.

    Science.gov (United States)

    Sachdev, P

    1994-01-01

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

  15. Abortion in Iranian legal system: a review.

    Science.gov (United States)

    Abbasi, Mahmoud; Shamsi Gooshki, Ehsan; Allahbedashti, Neda

    2014-02-01

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

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

    Science.gov (United States)

    Allanson, Susie

    2007-01-01

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

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

    NARCIS (Netherlands)

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

    2008-01-01

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

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

    Science.gov (United States)

    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 ...

  19. The abortion debate in South Africa.

    Science.gov (United States)

    Rees, H

    1991-01-01

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

  20. J-2X Abort System Development

    Science.gov (United States)

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

    2008-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

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

    2004-01-01

    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.

  2. Abortion and infant mortality before and after the 1973 US Supreme Court decision on abortion.

    Science.gov (United States)

    Robertson, L S

    1981-07-01

    The 50 states of the US were compared in 1971-72 and 1974-75 with respect to percentage apparent conceptions aborted and infant mortality rates attributed to various causes. Only nonvehicle accidental deaths were consistently related to abortion. The correlation is nonlinear; nonvehicle accidental deaths were especially high in states with little or no abortion. A decline in nonvehicle accidental deaths from before to after the Supreme Court decision was most pronounced in states where there were fewest abortions before the decision and where increases in abortion followed the decision.

  3. Strategies for the prevention of unsafe abortion.

    Science.gov (United States)

    Faúndes, Anibal

    2012-10-01

    Unsafe abortion is one of the main causes of maternal mortality and severe morbidity in countries with restrictive abortion laws. In 2007, the International Federation of Gynecology and Obstetrics (FIGO) created a Working Group on the Prevention of Unsafe Abortion and its Consequences (WGPUA). This led to a FIGO initiative with that aim which has the active participation of 43 FIGO member societies. The WGPUA has recommended that the plans of action of the countries participating in the initiative consider several levels of prevention shown to have the potential to successfully reduce unsafe abortions: (1) primary prevention of unintended pregnancy and induced abortion; (2) secondary prevention to ensure the safety of an abortion procedure that could not be avoided; (3) tertiary prevention of further complications of an unsafe abortion procedure that has taken place already, through high-quality postabortion care; and (4) quaternary prevention of repeated abortion procedures through postabortion family planning counseling and contraceptive services. This paper reviews these levels of prevention and the evidence that they can be effective.

  4. Provokeret abort og stratificeret reproduktion i Danmark

    DEFF Research Database (Denmark)

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

    2007-01-01

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

  5. Group A Streptococcus endometritis following medical abortion.

    Science.gov (United States)

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

    2014-07-01

    Medical abortion is not recognized as a high-risk factor for invasive pelvic infection. Here, we report two cases of group A Streptococcus (GAS; Streptococcus pyogenes) endometritis following medical abortions with a protocol of oral mifepristone and misoprostol. PMID:24829245

  6. The abortion culture issue in Serbia

    Directory of Open Access Journals (Sweden)

    Rašević Mirjana

    2011-01-01

    Full Text Available The problem of a large number of abortions in our country was first pointed out as far back as 1935 at the 17th Congress of Yugoslav Physicians. The abortion problem in Serbia is still present today, even though modern science has provided new methods and means which are a logical solution to the dilemma on birth control methods from the health and social aspect. Namely, total abortion rate in Serbia was estimated at 2.76 in the year 2007. It is very high; double the number of the total fertility rate and among the highest in Europe and the world. The term abortion culture was first used, as far as we know, by Henry David in the introduction of the book From Abortion to Contraception - A Resource to Public Policies and Reproductive Behavior in Central and Eastern Europe from 1917 to the Present in 1999, without specifically determining it. The aim of this paper is to identify the most important factors of the deterministic basis of endemic induced abortions in Serbia together with indirectly estimating their connection with the existence, namely nonexistence, of the abortion culture in our country. In that sense, potential factors of abortion incidence in Serbia which emerge from the social system and those connected to the individual level have been considered. In other words, a series of laws and other legal and political documents have been analyzed which are significant for perceiving the abortion matter, as well as institutional frameworks for family planning, health services, educating the youth regarding reproductive health, including findings of numerous researches carried out among women of various age and doctors from 1990 till present day in Serbia. The following most significant factors for the long duration of the abortion problem have been singled out: insufficient knowledge of modern contraception, a belief that modern contraceptive methods are harmful to health and a number of psychological barriers as well as those arising from

  7. Abortion 1982: the Supreme Court once again.

    Science.gov (United States)

    Healey, J M

    1982-11-01

    Clearly, abortion in the US continues to be a major medico-legal issue which will not go away. 5 major abortion cases are scheduled for review by the US Supreme Court during its 1982-83 term. Taken together, these 5 cases challenge several of the key conclusions of the Court's review of the abortion question. The primary focus of the cases is the state's power to regulate the abortion decision during the 1st and 2nd trimester of the pregnancy. 2 cases involve ordinances passed by the City of Akron regulating access to abortion in areas such as consent and notification requirements and the location of abortions after the 1st trimester. 2 of the cases involve a Missouri statute also dealing with the requirement that abortions after the 1st trimester be performed in a hospital. The final case involves a Virginia criminal prosecution of a physician accused of violating the state's requirement of in-hospital performance of a 2nd trimester abortion. In the case of Roe v. Wade, the Court had established the "trimester trilogy" governing state regulation of the abortion procedure. For the stage of the pregnancy prior to the end of the 1st trimester, the Court held that the abortion decision and its effectuation must be left to the medical judgment of the pregnant women's attending physician. For the stage of the pregnancy subsequent to the end of the 1st trimester, the Court ruled that the state may promote its interest in the health of the mother by regulating the abortion procedure in ways reasonably related to maternal health. For the stage of pregnancy subsequent to viability, the state may promote its interest in the potentiality of human life by regulation, even prohibiting abortion, except where it is necessary to preserve the mother's life or health. These 5 cases challenge the role of the Court in determining the scope of appropriate state regulation at various stages of the pregnancy. Suffering a loss of prestige in the 10 years since the Roe v. Wade and Doe v

  8. Ultrasonographic findings of early abortion: suggested predictors

    International Nuclear Information System (INIS)

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

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

    Science.gov (United States)

    Chávez-Alvarado, Susana

    2013-07-01

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

  10. Aborter

    DEFF Research Database (Denmark)

    Schütze, Laura Maria; Warburg, Margit

    2008-01-01

    Mens nogle hospitaler nedgraver aborterede fostre på kirkegården, bortskaffer andre dem som vævsaffald. Tvetydig lovgivning er årsagen. Udgivelsesdato: 15. oktober......Mens nogle hospitaler nedgraver aborterede fostre på kirkegården, bortskaffer andre dem som vævsaffald. Tvetydig lovgivning er årsagen. Udgivelsesdato: 15. oktober...

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

    Science.gov (United States)

    Requena, M

    1991-03-01

    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

  12. Ireland: child rape case undermines abortion ban.

    Science.gov (United States)

    1992-11-01

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

  13. Bills to decriminalize abortion in Brazil.

    Science.gov (United States)

    1994-01-01

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

  14. Abortion stigma: a reconceptualization of constituents, causes, and consequences.

    Science.gov (United States)

    Norris, Alison; Bessett, Danielle; Steinberg, Julia R; Kavanaugh, Megan L; De Zordo, Silvia; Becker, Davida

    2011-01-01

    Stigmatization is a deeply contextual, dynamic social process; stigma from abortion is the discrediting of individuals as a result of their association with abortion. Abortion stigma is under-researched and under-theorized, and the few existing studies focus only on women who have had abortions. We build on this work, drawing from the social science literature to describe three groups whom we posit are affected by abortion stigma: Women who have had abortions, individuals who work in facilities that provide abortion, and supporters of women who have had abortions, including partners, family, and friends, as well as abortion researchers and advocates. Although these groups are not homogeneous, some common experiences within the groups--and differences between the groups--help to illuminate how people manage abortion stigma and begin to reveal the roots of this stigma itself. We discuss five reasons why abortion is stigmatized, beginning with the rationale identified by Kumar, Hessini, and Mitchell: The violation of female ideals of sexuality and motherhood. We then suggest additional causes of abortion stigma, including attributing personhood to the fetus, legal restrictions, the idea that abortion is dirty or unhealthy, and the use of stigma as a tool for anti-abortion efforts. Although not exhaustive, these causes of abortion stigma illustrate how it is made manifest for affected groups. Understanding abortion stigma will inform strategies to reduce it, which has direct implications for improving access to care and better health for those whom stigma affects.

  15. 21 CFR 884.5050 - Metreurynter-balloon abortion system.

    Science.gov (United States)

    2010-04-01

    ... 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...

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

    Science.gov (United States)

    Medoff, Marshall

    2010-01-01

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

  17. The abortion debate: measuring gestational age.

    Science.gov (United States)

    Santee, B; Henshaw, S K

    1992-01-01

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

  18. SOCIO-DEMOGRAPHIC PROFILES OF SEPTIC ABORTION

    Directory of Open Access Journals (Sweden)

    Manoj

    2014-05-01

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

  19. Abort Gap Cleaning for LHC Run 2

    CERN Document Server

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

    2015-01-01

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

  20. How technology is reframing the abortion debate.

    Science.gov (United States)

    Callahan, D

    1986-02-01

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

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

    OpenAIRE

    Abolghasem Pourreza; Aziz Batebi

    2011-01-01

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

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

    OpenAIRE

    Pourreza, Abolghasem; Batebi, Aziz

    2011-01-01

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

  3. Thatcher condemns attacks on abortion mp.

    Science.gov (United States)

    1987-12-19

    The Prime Minister, Mrs Margaret Thatcher, has stepped in to condemn a series of violent attacks on Liberal MP David Alton who is trying to reduce the [Illegible word] limit on abortions from 28 to 18 weeks.

  4. Sex-Selective Abortions to Be Outlawed

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

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

  5. Influential Factors in American Abortion Issue

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

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

  6. Influential Factors in American Abortion Issue

    Institute of Scientific and Technical Information of China (English)

    裴培

    2015-01-01

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

  7. 先兆流产保胎的护理%Nursing of threatened abortion miscarriage

    Institute of Scientific and Technical Information of China (English)

    李淑景; 赵艳丽

    2015-01-01

    目的:探讨先兆流产患者的有效护理方法,保证妊娠顺利进行,减少产科并发症,获得满意妊娠结局。方法运用基础护理、专科护理、心理护理和健康教育指导等形式,有针对性地制定护理方法,观察患者的效果并进行总结分析。结果102例患者保胎成功者80例(83.3%),效果反复6例(1%),失败16例(15.7%),总有效率达84.3%。结论加强先兆流产患者的专科护理、心理护理和健康教育指导,对提高效果具有重要的意义。

  8. SEPTIC ABORTION: AN AVOIDABLE TRAGIC COMPLICATION

    Directory of Open Access Journals (Sweden)

    Neelam

    2015-03-01

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

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

    Science.gov (United States)

    Goodkind, D

    1994-01-01

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

  10. The abortion debate in the Dominican Republic.

    Science.gov (United States)

    1992-01-01

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

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

    Science.gov (United States)

    Steinberg, Julia Renee; Russo, Nancy F

    2008-07-01

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

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

    Science.gov (United States)

    Goodkind, D

    1994-01-01

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

  13. Induced abortion and subsequent pregnancy duration

    DEFF Research Database (Denmark)

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

    1999-01-01

    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...

  14. Cross-cultural attitudes toward abortion--Greeks versus Americans.

    Science.gov (United States)

    Bahr, Stephen J; Marcos, Anastasios C

    2003-04-01

    Using data from 1,494 Greeks and 1,993 Americans, this study finds that social abortion attitudes are a separate dimension from physical abortion attitudes. According to our structural equation model, abortion attitudes are influenced significantly by religiosity and sexual liberalism. The model explains social abortion attitudes significantly better than physical abortion attitudes. Although the model is applicable to both countries, there are three major differences between Greece and the United States. First, in Greece religiosity has a smaller impact on sexual liberalism, and sexual liberalism has a much weaker impact on both types of abortion attitudes, particularly social abortion attitudes. Second, in Greece religiosity is more strongly related to abortion attitudes than in the United States, particularly to social abortion attitudes. Third, education has a weaker influence in Greece than in the United States.

  15. Unsafe abortion and postabortion care-An overview

    DEFF Research Database (Denmark)

    Rasch, Vibeke

    2011-01-01

    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 estimated 66...

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

    Science.gov (United States)

    Herold, Stephanie; Kimport, Katrina; Cockrill, Kate

    2015-01-01

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

  17. Effect of Medical Abortion and Surgical Abortion on Subsequent Pregnancy%药物流产和手术流产对再次妊娠的影响

    Institute of Scientific and Technical Information of China (English)

    李虹娇; 岳阳

    2016-01-01

    Objective To analyze the impact of medical abortion and surgical abortion on subsequent pregnancy. Methods 70 cases of hospital medical abortion maternal(drug group),70 cases of surgical abortion pregnant women(surgery group)were retrospectively analyzed,compared two groups of pregnant women during pregnancy again during pregnancy and childbirth complications Happening. Results The surgical group threatened miscarriage during pregnancy were significantly higher than the medication group,data were significantly different(P <0.05),surgery group delivery of placenta accreta,placenta residue and other complications were higher than the medication group,data were significantly different(P < 0.05). Conclusion Compared with surgical abortion,medical abortion on subsequent pregnancy affect considerably smaller,and more secure.%目的:分析药物流产和手术流产对再次妊娠的影响。方法对我院70例药物流产孕产妇(药物组)、70例手术流产孕产妇(手术组)的临床资料进行回顾性分析,对比两组孕产妇再次妊娠时妊娠期及分娩期并发症发生情况。结果手术组妊娠期先兆流产发生率高于药物组,数据差异具有统计学意义(P<0.05);手术组分娩期胎盘粘连、胎盘残留等并发症发生率均高于药物组,数据差异具有统计学意义(P<0.05)。结论与手术流产相比,药物流产对再次妊娠的影响相当较小,安全性更高。

  18. Medical students' attitudes toward abortion education: Malaysian perspective.

    Directory of Open Access Journals (Sweden)

    Nai-peng Tey

    Full Text Available BACKGROUND: Abortion is a serious public health issue, and it poses high risks to the health and life of women. Yet safe abortion services are not readily available because few doctors are trained to provide such services. Many doctors are unaware of laws pertaining to abortion. This article reports survey findings on Malaysian medical students' attitudes toward abortion education and presents a case for including abortion education in medical schools. METHODS AND RESULTS: A survey on knowledge of and attitudes toward abortion among medical students was conducted in two public universities and a private university in Malaysia in 2011. A total of 1,060 students returned the completed questionnaires. The survey covered about 90% of medical students in Years 1, 3, and 5 in the three universities. About 90% of the students wanted more training on the general knowledge and legal aspects of abortion, and pre-and post-abortion counseling. Overall, 75.9% and 81.0% of the students were in favor of including in medical education the training on surgical abortion techniques and medical abortion, respectively. Only 2.4% and 1.7% were opposed to the inclusion of training of these two methods in the curriculum. The remaining respondents were neutral in their stand. Desire for more abortion education was associated with students' pro-choice index, their intention to provide abortion services in future practice, and year of study. However, students' attitudes toward abortion were not significantly associated with gender, type of university, or ethnicity. CONCLUSIONS: Most students wanted more training on abortion. Some students also expressed their intention to provide abortion counseling and services in their future practice. Their desire for more training on abortion should be taken into account in the new curriculum. Abortion education is an important step towards making available safe abortion services to enable women to exercise their reproductive rights.

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

    Science.gov (United States)

    Serrano Gil, A; García Casado, M L

    1992-03-01

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

  20. Self Medication of Abortion Pill: Women’s Health in Jeopardy

    Directory of Open Access Journals (Sweden)

    Rajal Thaker

    2014-01-01

    Full Text Available Background: Federation of Obstetrics and Gynaecological Societies of India (FOGSI recommends close monitoring of distribution of drugs that are used for medical abortion and that the medical profession and pharmaceutical industry should exercise due diligence in the promotion and usage of drugs that are used for medical abortion. Despite this, it has been perceived by the society that, medical abortions are extremely safe option even in hands of untrained personnel, leading to its over the counter dispensing and possibly increase in unsupervised terminations and life threatening complications. Objective: To study consequences of self medication of Abortion pill on women’s health Study Design: Retrospective Observational Study Duration of Study: One Year: August 2012 to July 2013 Material and Methods: After due permission from authority, data was collected from patients who had come for follow-up and treatment after self medication (purchased over the counter by self/family member without medical guidance/supervision for Medical method of Medical Termination of Pregnancy (MTP. Results: Data was collected in 37 patients, who had history of self medication of abortion pill. More than half, 20 (54% women were in age group of 20-29 years and married women were 35 (94.5%. Uneducated women were 12 (32.4%. Majority 33(89.1% of women had complaint of bleeding per vaginum. On Ultrasonography (USG, 26(70.2% women had incomplete abortion, 4 (10.8% women had intrauterine gestational sac with cardiac activity, 2(5.4% women had complete abortion and 1(2.7% woman had missed abortion. Surgical curettage was performed in 28(75.6% women. In 2(5.4% women, there was complete abortion after oxytocin and misoprostol. One woman (2.7% wanted to continue the pregnancy. Laparotomy was performed in 2 (5.4% women having ectopic pregnancy and in 1(2.7% woman who had perforation of uterus while undergoing surgical curettage at private hospital. Moderate and severe anaemia

  1. [Abortion-related mortality in Brazil: decrease in spatial inequality].

    Science.gov (United States)

    Lima, B G

    2000-03-01

    Abortion is not only a major cause of obstetric hospitalization in poor countries, but it also represents the failure of the public health system to provide enough information about contraceptive methods and thus prevent pregnancies. In Brazil, the high utilization rates of health facilities due to abortions reflect the ongoing difficulties with family planning and contraception. In addition, mortality resulting from abortions serves as an indicator of the quality of abortion procedures, an important point in a country where the practice is illegal and therefore done clandestinely. In this study, we analyzed the rates of mortality resulting from abortions among women 10 to 54 years old, including women who died from spontaneous and induced abortion, from 1980 to 1995, for the various regions of the country. The information we used came from the mortality data bank of the public health system of the Ministry of Health. Population data were obtained from the Brazilian Institute for Geography and Statistics. We studied 2,602 deaths, 15% of which were due to missed abortion, spontaneous abortion, or legally permitted induced abortion. The other 85% of the deaths were due to illegal induced abortions or to nonspecified abortions. The mortality rates from abortion-related causes have steadily decreased in all the regions of Brazil, but this improvement has been unevenly distributed in the country. The region with the smallest decrease in this rate (38% over 15 years) was the Northeast. The age of women dying from abortions progressively declined over the period studied.

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

    Science.gov (United States)

    Guedes, A C

    2000-11-01

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

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

    Science.gov (United States)

    Guedes, A C

    2000-11-01

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

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

    Institute of Scientific and Technical Information of China (English)

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

    2007-01-01

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

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

    Science.gov (United States)

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

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

    Science.gov (United States)

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

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

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_159500.html Abortion Rates Rising in Zika-Affected Countries, Study Shows ... from mosquito-borne Zika may be driving up abortion rates in Latin American countries affected by the ...

  8. Development of abort trigger system for SuperKEKB

    International Nuclear Information System (INIS)

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

  9. Socioeconomic position and the risk of spontaneous abortion

    DEFF Research Database (Denmark)

    Norsker, Filippa Nyboe; Espenhain, Laura; A Rogvi, Sofie;

    2012-01-01

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

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

    DEFF Research Database (Denmark)

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

    2011-01-01

    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....

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

    DEFF Research Database (Denmark)

    Virk, Jasveer; Zhang, Jun; Olsen, Jørn

    2007-01-01

    BACKGROUND: The long-term safety of surgical abortion in the first trimester is well established. Despite the increasing use of medical abortion (abortion by means of medication), limited information is available regarding the effects of this procedure on subsequent pregnancies. METHODS: We...... identified all women living in Denmark who had undergone an abortion for nonmedical reasons between 1999 and 2004 and obtained information regarding subsequent pregnancies from national registries. Risks of ectopic pregnancy, spontaneous abortion, preterm birth (at ... weight (abortion were compared with risks in women who had had a first-trimester surgical abortion. RESULTS: Among 11,814 pregnancies in women who had had a previous first-trimester medical abortion (2710 women...

  12. Medical abortion. defining success and categorizing failures

    DEFF Research Database (Denmark)

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

    2003-01-01

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

  13. The politics of abortion and contraception

    Directory of Open Access Journals (Sweden)

    Drezgić Rada

    2004-01-01

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

  14. Catholic options in the abortion debate.

    Science.gov (United States)

    Maguire, D C

    1990-01-01

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

  15. Abortion laws in African Commonwealth countries.

    Science.gov (United States)

    Cook, R J; Dickens, B M

    1981-01-01

    This paper provides an overview of the range of current (1981) abortion laws in the African Commonwealth countries, traces the origins of the laws to their colonial predecessors, and discusses legal reform that would positively provide for legal termination of pregnancy. The authors claim that the range of these laws demonstrates an evolution that leads from customary/common law (Lesotho and Swaziland) to basic law (Botswana, The Gambia, Malawi, Mauritius, Nigeria's Northern States and Seychelles) to developed law (Ghana, Kenya, Nigeria's Southern States, Sierra Leone, and Uganda), and, finally, to advanced law (Zambia and Zimbabwe). The authors call for treating abortion as an issue of health and welfare as opposed to one of crime and punishment. Since most of the basic law de jure is treated and administered as developed law de facto, the authors suggest decriminalizing abortion and propose ways in which to reform the law: clarifying existing law; liberalizing existing law to allow abortion based upon certain indications; limiting/removing women's criminal liability for seeking an abortion; allowing hindsight contraception; protecting providers treating women in good faith; publishing recommended fees for services to protect poor women; protecting providers who treat women with incomplete abortion; and punishing providers who fail to provide care to women in need, with the exception of those seeking protection under a conscience clause. The authors also suggest clarifying the means by which health services involving pregnancy termination may be delivered, including: clarification of the qualifications of practitioners who may treat women; specification of the facilities that may treat women, perhaps broken down by gestational duration of the pregnancy; specifying gestational limits during which the procedure can be performed; clarifying approval procedures and consents; and allowing for conscientious objections to performing the procedure.

  16. Misoprostol and illegal abortion in Fortaleza, Brazil.

    Science.gov (United States)

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

    1993-05-15

    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

  17. Abortion Costs, Separation and Non-Marital Childbearing

    OpenAIRE

    Andrew Beauchamp

    2012-01-01

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

  18. Effectiveness of Family Planning Policies: The Abortion Paradox

    OpenAIRE

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

    2014-01-01

    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...

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

    OpenAIRE

    Robins, Melanie

    2013-01-01

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

  20. Analysis of the Spontaneous Abortion in Chinese Married Women

    Institute of Scientific and Technical Information of China (English)

    高尔生; 邓新清; 何更生; 方可娟; 唐威; 楼超华

    1994-01-01

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

  1. INFLUENCE OF ELECTROACUPUNCTURE ON ARTIFICIAL ABORTION-INDUCED SIDE EFFECTS

    Institute of Scientific and Technical Information of China (English)

    田丽颖

    2001-01-01

    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.

  2. Abortion and contraceptive practices in eastern Europe.

    Science.gov (United States)

    Kovács, L

    1997-07-01

    In countries of the CCEE region (Countries of Central and Eastern Europe) the very high incidence of pregnancy termination is characteristic of family planning and the notion 'contraception instead of abortion' has not yet been achieved. The causes and consequences of this unfortunate situation will be reviewed: the reproductive health indicators in the area; the status of contraceptive use and of abortion; the impact of legislation in the different countries; and the efforts to achieve changes. The conclusions of the 'Szeged Declaration' which led to an increase in contraceptive prevalence will be discussed.

  3. Social forces and the abortion law.

    OpenAIRE

    Francome, Colin

    1980-01-01

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

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

    Science.gov (United States)

    Ladriere, P

    1982-01-01

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

  5. Medical abortion. defining success and categorizing failures

    DEFF Research Database (Denmark)

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

    2003-01-01

    Medical abortion was performed in 461 consecutive women with gestational age LT /= 63 days using a regimen of mifepristone 600 mg followed 2 days later by gemeprost 1 mg vaginally. Success, defined as no surgical intervention, declined from 98.7% after 2 weeks to 94.6% after 15 weeks. The differe......Medical abortion was performed in 461 consecutive women with gestational age LT /= 63 days using a regimen of mifepristone 600 mg followed 2 days later by gemeprost 1 mg vaginally. Success, defined as no surgical intervention, declined from 98.7% after 2 weeks to 94.6% after 15 weeks...

  6. [The decision process in induced abortion].

    Science.gov (United States)

    Ytterstad, T S; Tollan, A

    1990-06-20

    This study describes the pattern of decision as reported by women undergoing elective abortion. The results are based on interviews with 45 of 67 women admitted to the Department of Obstetrics and Gynecology, University Hospital of Tromsø, during a two month period in 1988. All women had informed, and most often consulted, at least one person before making the decision, usually their partner and/or a female friend. The majority of the persons consulted supported her, whatever her decision. According to the women, they made the women, the final decision themselves. Two women were persuaded by their partner to decide to have an elective abortion.

  7. Spontaneous abortion and physical strain around implantation

    DEFF Research Database (Denmark)

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

    2000-01-01

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

  8. The Expression of Experience: Code's Critique of Gilligan's Abortion Study.

    Science.gov (United States)

    Pitt, Alice

    1991-01-01

    Presents a response to Lorraine Code's critique of Carol Gilligan's abortion study. Urges that abortion be read as a socially constructed experience based on more than women's moral decisions. Discusses language and experience to present abortion as an area of contested meaning in historical and ideological constructions of social life. (DK)

  9. 21 CFR 884.5070 - Vacuum abortion system.

    Science.gov (United States)

    2010-04-01

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

  10. ANTISPERM ANTIBODY IS A POSSIBLE CAUSE OF SPONTANEOUS ABORTION

    Institute of Scientific and Technical Information of China (English)

    XUChong; CHENFu; LIULi; ZHAOFei-Sha

    1989-01-01

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

  11. Validation of spontaneous abortion diagnoses in the Danish National Registry of Patients

    Directory of Open Access Journals (Sweden)

    Sarah Rytter Lohse

    2010-10-01

    Full Text Available Sarah Rytter Lohse1, Dóra Körmendiné Farkas1, Nicolai Lohse1, Sven Olaf Skouby2, Finn Erland Nielsen3, Timothy L Lash1, Vera Ehrenstein11Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark; 2Department of Obstetrics and Gynecology, 3Department of Cardiology, Herlev University Hospital, Herlev, DenmarkPurpose: The purpose of this study is to validate the diagnosis of spontaneous abortion (SA recorded in the Danish National Registry of Patients (DNRP.Methods: We randomly selected patients registered in the DNRP with a diagnosis of SA between 1980 and 2008 from hospitals in the county of North Jutland and searched for their discharge records in hospital files. We estimated positive predictive value (PPV of the DNRP diagnosis and stratified the analysis by period (1980–1994 versus 1995–2008, hospital type (regional versus local, and International Classification of Diseases revisions (ICD-8 versus ICD-10.Results: We could identify hospital files of 117/174 (67% sampled registration records. Of those, the diagnosis was confirmed in 114 patients, yielding a PPV of 97.4% (95% confidence interval = 92.7%–99.5%. The PPV did not markedly vary by period, hospital type, or ICD revision. Among the three patients with available data who did not fulfill the criteria for SA, one had an induced abortion and two had threatened abortion but did not miscarry.Conclusion: Registration of SA in the DNRP accurately reflects the diagnoses recorded in medical charts. The DNRP is a suitable source of data on SAs for epidemiologic research.Keywords: spontaneous abortion, validation, diagnosis, Danish National Registry of Patients, positive predictive value

  12. Spontaneous abortion and physical strain around implantation

    DEFF Research Database (Denmark)

    Hjøllund, Niels Henrik Ingvar; Jensen, T.K.; Bonde, J.P.;

    2000-01-01

    pregnancy the women recorded physical strain prospectively in a structured diary. Physical strain around the time of implantation was associated with later spontaneous abortion. The adjusted risk ratio for women who reported physical strain higher than average at day 6 to 9 after the estimated date...

  13. Debate: Should Abortion Be Available on Request?

    Science.gov (United States)

    Nathanson, Bernard; Lawrence, George

    1971-01-01

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

  14. Abortion Legalization and Childbearing in Mexico.

    Science.gov (United States)

    Gutiérrez Vázquez, Edith Y; Parrado, Emilio A

    2016-06-01

    In 2007 abortion was legalized in the Federal District of Mexico, making it the largest jurisdiction in Latin America, outside of Cuba, to allow women to have abortions on request during the first trimester of pregnancy. While the implications of the law for women's health and maternal mortality have been investigated, its potential association with fertility behavior has yet to be assessed. We examine metropolitan-area differences in overall and parity-specific childbearing, as well as the age pattern of childbearing between 2000 and 2010 to identify the contribution of abortion legalization to fertility in Mexico. Our statistical specification applies difference-in-difference regression methods that control for concomitant changes in other socioeconomic predictors of fertility to assess the differential influence of the law across age groups. In addition, we account for prior fertility levels and change to better separate the effect of the law from preceding trends. Overall, the evidence suggests a systematic association between abortion legalization and fertility. The law appears to have contributed to lower fertility in Mexico City compared to other metropolitan areas and prior trends. The influence is mostly visible among women aged 20-34 in connection with the transition to first and second child, with limited impact on teenage fertility. There is some evidence that its effect might be diffusing to the Greater Mexico City Metropolitan area.

  15. Abortion Legalization and Life-Cycle Fertility

    Science.gov (United States)

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

    2007-01-01

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

  16. Review on abort trajectory for manned lunar landing mission

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

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

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

    Science.gov (United States)

    Zakharchenko, E M; Popov, V E

    1988-02-01

    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

  18. An alternate mechanism of abortive release marked by the formation of very long abortive transcripts.

    Science.gov (United States)

    Chander, Monica; Austin, Karyn M; Aye-Han, Nwe-Nwe; Sircar, Piya; Hsu, Lilian M

    2007-11-01

    The Esigma70-dependent N25 promoter is rate-limited at promoter escape. Here, RNA polymerase repeatedly initiates and aborts transcription, giving rise to a ladder of short RNAs 2-11 nucleotides long. Certain mutations in the initial transcribed sequence (ITS) of N25 lengthen the abortive initiation program, resulting in the release of very long abortive transcripts (VLATs) 16-19 nucleotides long. This phenomenon is completely dependent on sequences within the first 20 bases of the ITS since altering sequences downstream of +20 has no effect on their formation. VLAT formation also requires strong interactions between RNA polymerase and the promoter. Mutations that change the -35 and -10 hexamers and the intervening 17 base pair spacer away from consensus decrease the probability of aborting at positions +16 to +19. An unusual characteristic of the VLATs is their undiminished levels in the presence of GreB, which rescues abortive RNAs (abortive release at VLAT positions.

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

    Directory of Open Access Journals (Sweden)

    Abolghasem Pourreza

    2011-01-01

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

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

    Science.gov (United States)

    Hopkins, Nick; Zeedyk, Suzanne; Raitt, Fiona

    2005-07-01

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

  1. Herbal infusions used for induced abortion.

    Science.gov (United States)

    Ciganda, Carmen; Laborde, Amalia

    2003-01-01

    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

  2. Herbal infusions used for induced abortion.

    Science.gov (United States)

    Ciganda, Carmen; Laborde, Amalia

    2003-01-01

    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.

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

    Science.gov (United States)

    Janiak, Elizabeth; Goldberg, Alisa B

    2016-02-01

    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

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

    Science.gov (United States)

    Link, G

    2000-01-01

    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

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

    Science.gov (United States)

    Link, G

    2000-01-01

    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.

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

    DEFF Research Database (Denmark)

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

    2011-01-01

    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......-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....... Results The incidence rates of first psychiatric contact per 1000 person-years among girls and women who had a first abortion were 14.6 (95% confidence interval [CI], 13.7 to 15.6) before abortion and 15.2 (95% CI, 14.4 to 16.1) after abortion. The corresponding rates among girls and women who had a first...

  7. [Reproduction, sexuality and power: the struggles and disputes over abortion and contraception in Rio de Janeiro, 1890-1930].

    Science.gov (United States)

    Silva, Marinete Dos Santos

    2012-12-01

    This article examines the debate among physicians over abortion, from the turn of the nineteenth century through to the 1930s, especially in the Academia Nacional de Medicina (National Academy of Medicine). Considered a crime, abortion was seen as something that threatened the dominance of husbands over wives and the control over medical practice in relation to the female body. Midwives, seen as the propagators of the techniques of medical termination of pregnancy, were opposed as a serious threat to the established gender order. Ten theses of the Faculdade de Medicina do Rio de Janeiro were analyzed, as well as the bulletins of the Academia Nacional de Medicina and articles published in the Correio da Manhã and O Globo newspapers. PMID:23184238

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

    Science.gov (United States)

    Joffe, C

    1991-01-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Alberto Pereira Madeiro

    2015-02-01

    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.

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

    Science.gov (United States)

    Madeiro, Alberto Pereira; Diniz, Debora

    2015-02-01

    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.

  11. Exploring the pathways of unsafe abortion in Madhya Pradesh, India.

    Science.gov (United States)

    Banerjee, Sushanta K; Andersen, Kathryn

    2012-01-01

    Nearly 40 years after enactment of the Medical Termination of Pregnancy Act of 1971, unsafe abortion continues to be a neglected women's health issue in India. This prospective study of women presenting for post-abortion care in 10 selected hospitals in Madhya Pradesh, India, aimed to understand the incidence, types and severity of post-abortion complications, probable causes of complications and consequences to women in terms of hospitalisation and incurred costs. Among 1565 women presenting for induced abortion-related services between July and November 2007, 381 women with post-abortion complications consented to participate. Data reveal a high prevalence of post-abortion complications (29%). Approximately half of women originally attempted to induce abortion at home using medication, home-made concoctions or traditional methods. Ninety percent sought care from either qualified (37%) or unqualified providers. More than half of the women were hospitalised as a result of post-abortion complications. This study suggests that supporting access to safely induced abortion services and improving community awareness on legal aspects, safe methods and approved providers are all necessary to reduce morbidity associated with unsafe abortion.

  12. [The modern indications for abortion (author's transl)].

    Science.gov (United States)

    Stucki, D

    1980-01-15

    Within the Swiss legal code, somatic and psychiatric indications for interruption of pregnancy are very well indicated and codified. These days, however, only 8% of indications for abortion are based on purely medical reasons; the great majority of indications are "modern", a clear manifestation of a slipping away from classical indications toward a much more liberal intervention which often has nothing to do with the corporal integrity of the mother, but with that of the child, or which simply takes into consideration the future quality of life of everybody involved. This evolution is a reflection of the new role of women in society, and also the result of the recent progresses of the science of neonatology. Such enlarged indications for abortion are accepted by most doctors concerned with these problems, and they include such different reasons as IUD failure, hormonal contraception failure, very young or too old age, exposure to X-rays, divorce and exposure to chemotherapy.

  13. [A glossary for discussion about abortion].

    Science.gov (United States)

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

    2014-11-01

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

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

    Science.gov (United States)

    Canário, Catarina; Figueiredo, Bárbara; Ricou, Miguel

    2011-12-01

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

  15. Residential Exposure to Traffic and Spontaneous Abortion

    OpenAIRE

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

    2009-01-01

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

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

    OpenAIRE

    Canário, Catarina; Figueiredo, Bárbara; Ricou, Miguel

    2011-01-01

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

  17. Endogenous Candida endophthalmitis after induced abortion.

    Science.gov (United States)

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

    1998-06-01

    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. US poised to outlaw late abortion technique.

    Science.gov (United States)

    Bozalis, D

    1995-11-18

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

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

    Science.gov (United States)

    Struck, D

    1994-09-01

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

  20. Late abortion and the European convention for human rights.

    Science.gov (United States)

    te Braake, T A

    1999-01-01

    National abortion laws usually do not allow abortion when a foetus is independently viable, i.e. from a gestational age of about 24 weeks. Fetal anomalies, which may be a reason to seek abortion, are sometimes detected only in an advanced stage of pregnancy. National legislatures who want to allow 'late' abortion need to account for the protection the fetus may derive from the European Convention for the protection of human rights. As yet it remains unclear to what extent the fetus can in fact derive protection from the Convention, although several national abortion laws have been tested against it by the European Commission. The significance of the reports of the Commission on the question whether national legislation allowing abortion of a viable fetus is in conflict with the Convention, is explored. It is concluded that there is no European legal standard in terms of duration of pregnancy to which national legislatures are committed.

  1. Diagnostic studies of abortion in Danish dairy herds

    DEFF Research Database (Denmark)

    Agerholm, J.S.; Willadsen, C. M.; Nielsen, Thomas Krogh;

    1997-01-01

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

  2. Maternal smoking predicts the risk of spontaneous abortion

    DEFF Research Database (Denmark)

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

    2006-01-01

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

  3. How Danes evaluate moral claims related to abortion

    DEFF Research Database (Denmark)

    Uldall, Sigurd Wiingaard

    2015-01-01

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

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

    Science.gov (United States)

    Tardiff, Robert G

    2015-08-01

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

  5. Climate change may threaten habitat suitability of threatened plant species within Chinese nature reserves

    OpenAIRE

    Wang, Chunjing; Liu, Chengzhu; Wan, Jizhong; Zhang, Zhixiang

    2016-01-01

    Climate change has the potential to alter the distributions of threatened plant species, and may therefore diminish the capacity of nature reserves to protect threatened plant species. Chinese nature reserves contain a rich diversity of plant species that are at risk of becoming more threatened by climate change. Hence, it is urgent to identify the extent to which future climate change may compromise the suitability of threatened plant species habitats within Chinese nature reserves. Here, we...

  6. Subclinical abortions in patients treated with clomiphene citrate

    International Nuclear Information System (INIS)

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

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

    OpenAIRE

    Georgi Kocharkov

    2010-01-01

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

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

    OpenAIRE

    Naina Kumar

    2014-01-01

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

  9. Abortion among young women and subsequent life outcomes

    OpenAIRE

    Casey, Patricia R.

    2010-01-01

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

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

    OpenAIRE

    de Londras, Fiona; Graham, Laura

    2013-01-01

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

  11. We Should Protect Women’s Right of Abortion

    Institute of Scientific and Technical Information of China (English)

    李玉萍

    2015-01-01

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

  12. Coverage of abortion controversial in both public and private plans.

    Science.gov (United States)

    Sollom, T

    1996-09-01

    During 1995-96, 17 of 50 US states used their own resources, either voluntarily or under state court order, to pay for all or most abortions for low-income women. Alaska, Maryland, New York, and Washington are the only states to voluntarily pay for these abortions. Anti-choice legislators in California, Illinois, New York, and West Virginia tried unsuccessfully to cut funding for these abortions. Arkansas is the only state to circumvent direct payment for abortions for low-income women. Alabama, Mississippi, and South Dakota still are not complying with the court order but remain in the Medicaid program. Massachusetts has passed legislation to allow health insurance to cover abortions for state and city employees, thereby undoing a 17-year ban on the use of public funds for abortions for employees or their spouses. On the other hand, Virginia's governor has unilaterally, via an executive order, eliminated health insurance coverage for most abortions for state employees and their dependents. Anti-choice legislators have shepherded legislation that prohibit private insurance coverage for abortion unless women pay an extra premium in Idaho, Kentucky, Missouri, and North Dakota. Legislators in Illinois and Minnesota have passed state subsidized health care reform programs that exclude abortion from coverage except when the mother's life is endangered. There appears to be a loophole in the MinnesotaCare program that allows women to obtain state-financed abortions for other reasons, so antifunding lawmakers will introduce a bill in 1997 to close the loophole. The loophole is a result of a conflict between state and federal laws as a result of a 1995 federal waiver granted to Minnesota. The waiver allows pregnant women who earn up to 275% of the federal poverty level to be eligible for either MinnesotaCare or Medicaid. Abortion-rights legislators find MinnesotaCare's exclusion of abortion coverage to be a violation of the court order. They plan to submit a bill in 1997 to

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

    Directory of Open Access Journals (Sweden)

    Fatima Shanthini Navis

    2015-08-01

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

  14. José Barzelatto lecture: Vision on unsafe abortion.

    Science.gov (United States)

    Faúndes, Anibal

    2010-04-01

    José Barzelatto first distinguished himself as a leader with a vision in his years as a medical student. Later, principally as Director of the Reproductive Health Program at the World Health Organization and of the Ford Foundation program for women's sexual and reproductive rights, he contributed immensely toward the recognition of women's sexual and reproductive rights as part of their basic human rights. José Barzelatto's vision on abortion reflects his drive to promote social justice and respect individual rights, respect diversity, and promote a social consensus for a peaceful society. He believed that the fetus has moral value and did not accept abortion as a method of fertility control, but understood that abortion is a social phenomenon that cannot be changed with legal or moral condemnation. He accepted that condemning women who abort does not prevent abortion, is unfair, and causes great human suffering at a high social cost. José proposed nine points to form the basis for an overlapping consensus on abortion, on which to base a practical consensus that would allow societies to reduce the number of abortions and minimize their consequences. If we can agree on all or most of those points we would achieve the common objectives of: fewer women confronting the dilemma of how to deal with an unwanted pregnancy; fewer induced abortions; and fewer women suffering the consequences of unsafe abortion.

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

    OpenAIRE

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

    2005-01-01

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

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

    Science.gov (United States)

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

    1998-09-01

    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.

  17. Bowel injury: a rare but dreaded complication of unsafe abortion

    Directory of Open Access Journals (Sweden)

    Monika Ramola

    2016-09-01

    Full Text Available Unsafe abortions represent a preventable yet major cause of maternal mortality and morbidity in India. Intestinal perforation is a rare dreaded complication of unsafe abortion. It is commonly seen in countries in which abortions are performed by people without proper training and proper instruments. Bowel perforation occurs when the posterior vaginal wall or the uterine wall is perforated. The ileum and the sigmoid colon are the most commonly injured portion of the bowel. Here, we report a case of ileal perforation following induced unsafe abortion which was managed successfully. [Int J Reprod Contracept Obstet Gynecol 2016; 5(9.000: 3223-3225

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

    Science.gov (United States)

    1993-12-01

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

  19. Treatment options for threatened miscarriage.

    Science.gov (United States)

    Qureshi, N S

    2009-12-01

    Threatened miscarriage, as demonstrated by vaginal bleeding with or without abdominal cramps, is a common complication of pregnancy. It occurs in about 20% of recognised pregnancies. Risk of miscarriage is increased in older women and those with a history of miscarriage. Low serum levels of progesterone or human chorionic gonadotrophin (hCG) are a risk factor for miscarriage. Other risk factors include heavy bleeding, early gestational age and an empty gestational sac of >15-17 mm diameter. Clinical history and examination, maternal serum biochemistry and ultrasound findings provide valuable information about the prognosis and are important to establish in order to determine potential treatment options. Although bed rest is the most common choice of treatment, there is little evidence of its value. Other options include luteal support with progesterone, dydrogesterone or hCG. There is some evidence from clinical studies indicating that progesterone or dydrogesterone may reduce the rate of miscarriage, although further data from double-blind, randomised-controlled trials are necessary to confirm efficacy. PMID:19945236

  20. Are all abortions equal? Should there be exceptions to the criminalization of abortion for rape and incest?

    Science.gov (United States)

    Cohen, I Glenn

    2015-01-01

    Politics, public discourse, and legislation restricting abortion has settled on a moderate orthodoxy: restrict abortion, but leave exceptions for pregnancies that result from rape and incest. I challenge that consensus and suggest it may be much harder to defend than those who support the compromise think. From both Pro-Life and Pro-Choice perspectives, there are good reasons to treat all abortions as equal.

  1. Open Tracheostomy after Aborted Percutaneous Approach due to Tracheoscopy Revealing Occult Tracheal Wall Ulcer

    Directory of Open Access Journals (Sweden)

    John Schweiger

    2013-01-01

    Full Text Available Tracheostomy is a common procedure for intensive care patients requiring prolonged mechanical ventilation. In this case report, we describe a 78-year-old female patient admitted for an aneurysm of the cerebral anterior communicating artery. Following immediate endovascular coiling, she remained ventilated and was transferred to the neurological intensive care unit. On postoperative day ten, a percutaneous tracheostomy (PCT was requested; however, a large ulcer or possible tracheoesophageal fistula was identified on the posterior tracheal wall following bronchoscopic assessment of the trachea. Therefore, the requested PCT procedure was aborted. An open tracheostomy in the operating room was completed; however, due to the position and depth of the ulcer, a reinforced endotracheal tube (ETT was placed via the tracheostomy. Four days later, the reinforced ETT was replaced with a Shiley distal extended tracheostomy tube to bypass the ulceration. Careful inspection and evaluation of the tracheostomy site before PCT prevented a potentially life-threatening issue in our patient.

  2. Effects of abortion legalization in Nepal, 2001-2010.

    Directory of Open Access Journals (Sweden)

    Jillian T Henderson

    Full Text Available 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

  3. [Abortion in unsafe conditions. Concealment, illegality, corruption and negligence].

    Science.gov (United States)

    Ortiz Ortega, A

    1993-01-01

    "Abortion practiced under conditions of risk" is a phrase used to refer to illegal abortion. The phrase does not highlight the disappearance of risk when legislation changes. Rather, it calls attention to the fact that legal restrictions significantly increase dangers while failing to discourage women determined to terminate pregnancies. The International Planned Parenthood Federation defines abortion under conditions of risk as the use of nonoptimal technology, lack of counseling and services to orient the woman's decision and provide postabortion counseling, and the limitation of freedom to make the decision. The phrase encompasses concealment, illegality, corruption, and negligence. It is designed to impose a reproductive health perspective in response to an unresolved social conflict. Steps have been developed to improve the situation of women undergoing abortion even without a change in its legal status. Such steps include training and purchase of equipment for treatment of incomplete abortions and development of counseling and family planning services. The central difficulty of abortion induced in conditions of risk derives from the laws imposing the need for secrecy. In Mexico, the abortion decision belongs to the government and the society, while individual absorb the consequences of the practice of abortion. Public decision making about abortion is dominated by the concept that the female has an obligation to carry any pregnancy to term. Women who interfere with male descendency and practice a sexuality distinct from reproduction are made to pay a price in health and emotional balance. Resolution of the problem of abortion will require new concepts in terms of legal status, public health issues, and the rights of women. The problem becomes more pressing as abortion becomes more common in a country anxious to advance in the demographic transition. Only a commitment to the reproductive health of women and the full development of their rights as citizens will

  4. Abortion in the United States' bible belt: organizing for power and empowerment

    Directory of Open Access Journals (Sweden)

    Castle Mary

    2011-01-01

    Full Text Available Abstract Over the last 30 years, conservative power in the United States, financed and organized by Christian fundamentalist sects, the Catholic Church, and conservative corporate and political leadership, has become more threatening and potentially destabilizing of progressive democratic principles and practices. Powerful interlocking political, financial and social forces are arrayed against women in many Southern and Western states. They are having destructive effects on women's ability to control their fertility and maintain bodily integrity and health. Poor women and women of color are disproportionately affected by restrictions on abortion services. Strategically developed interventions must be initiated and managed at every level in these localities. It is urgent to coordinate and empower individuals, multiple organizations and communities to engender effective changes in attitudes, norms, behavior and policies that will enable women to obtain reproductive health services, including abortion care. This paper describes contextual factors that continue to decimate U.S. women's right to health and, then, describes a community organizing-social action project in a number of US' states aimed at reversing the erosion of women's right to have or not to have children.

  5. Abortion in the United States' Bible Belt: organizing for power and empowerment.

    Science.gov (United States)

    Castle, Mary Ann

    2011-01-01

    Over the last 30 years, conservative power in the United States, financed and organized by Christian fundamentalist sects, the Catholic Church, and conservative corporate and political leadership, has become more threatening and potentially destabilizing of progressive democratic principles and practices. Powerful interlocking political, financial and social forces are arrayed against women in many Southern and Western states. They are having destructive effects on women's ability to control their fertility and maintain bodily integrity and health. Poor women and women of color are disproportionately affected by restrictions on abortion services. Strategically developed interventions must be initiated and managed at every level in these localities. It is urgent to coordinate and empower individuals, multiple organizations and communities to engender effective changes in attitudes, norms, behavior and policies that will enable women to obtain reproductive health services, including abortion care. This paper describes contextual factors that continue to decimate U.S. women's right to health and, then, describes a community organizing-social action project in a number of US' states aimed at reversing the erosion of women's right to have or not to have children.

  6. [Prevention of habitual abortion by buffycoat transfusions].

    Science.gov (United States)

    Neumeyer, H; Kuhn, W; Götze, O; Hinney, B

    1985-01-01

    From an immunological point of view the product of pregnancy may be regarded as a haplo-different allotransplant. A system possibly closely linked to the HLA-region is postulated to lead to the immunological recognition of the fetus by the mother and, paradoxically, to a take of the "transplant". The postulated system apparently codes for antigens present on both trophoblast and adult lymphocytes (TLX = trophoblast-lymphocyte-crossreacting). The prevention of rejection is thought to be effected by blocking factors (BF) present in the serum or plasma of the mother. There may be different kinds of BF: a specific BF (detectable only in an autologous assay system), appearing late in pregnancy, which inhibits several lymphocyte-dependent reactions (e.g. production of MIF, MLC). This BF has been identified as an IgG-class antibody. a nonspecific BF, appearing early in pregnancy which inhibits the MLC in vitro. c) may be a third BF, also specific, which is found only in plasma but not in serum. All described BF-activities were absent in women with habitual abortions. HLA-identity or partial identity could imply TLX-identity. The consequence of such an identity could be: non-detection of the trophoblast by the immune system of the mother, no production of BF, abortion. However several investigators could not find any HLA-identity of the partners with habitual abortions. A protective effect on the fetus has been seen when pregnant women were immunised with adult leukocytes, using either buffycoats from various HLA-different but bloodgroup-compatible donors or isolated leukocytes from the spouse.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:4072314

  7. Tooley's immodest proposal: Abortion and Infanticide.

    Science.gov (United States)

    Sommers, Christina Hoff

    1985-06-01

    Sommers takes strong issue with the thesis of Michael Tooley's book, Abortion and Infanticide (New York: Oxford University Press; 1984)--that there is nothing seriously wrong with painlessly killing human infants, even those that are healthy and normal. She reviews Tooley's arguments about what constitutes personhood and his contention that human infants first become "quasi-persons" at the age of three months, then recommmends that opponents of infanticide meet his challenge on different grounds--that the human infant is distinctive in being the product of responsible persons who are morally committed to its care "on arrival."

  8. Demographic and clinical profile of patients with complicated unsafe abortion

    International Nuclear Information System (INIS)

    To describe the demographic and clinical profile of patients admitted as a result of complicated unsafe abortion. The study was carried out in the Department of Obstetrics and Gynaecology, Jinnah Hospital, Lahore from August 2001 to July 2002. Patients admitted with complicated unsafe abortion were evaluated regarding age, parity, marital and educational status, indication for abortion, method used, qualification of abortion providers, contraceptive usage, complications and death rate in abortion seekers. Descriptive statistics was used for describing variables. Fiftynine patients were admitted with complicated unsafe abortion. The mean age was 29 years, 95% were married and multiparous, 40% had secondary and higher education, 85% approached unqualified abortion providers who used instrumentation in more than 40% of cases for termination of pregnancy resulting in visceral trauma. More than 50% were using contraception and 5% died due to postabortion complications. Unsafe abortion is a major health problem. The associated morbidity is much higher than mortality. This study focus on the need of postabortion care and easy accessibility to contraception to improve quality of health. (author)

  9. International comparison of regulations on abortion after radiation exposure

    International Nuclear Information System (INIS)

    Possible factors to consider when assessing the necessity of an abortion are: 1) Exposure in the highly sensitive phase (e.g. organogenesis); 2) after intake of radioactive substances, accumulation of this radioactive substance in critical organs; 3) doses higher than the dose limit of 1 rem; 4) the wish of the pregnant woman to have an abortion. (orig.)

  10. Medicine and abortion law: complicating the reforming profession.

    Science.gov (United States)

    McGuinness, Sheelagh; Thomson, Michael

    2015-01-01

    The complicated intra-professional rivalries that have contributed to the current contours of abortion law and service provision have been subject to limited academic engagement. In this article, we address this gap. We examine how the competing interests of different specialisms played out in abortion law reform from the early twentieth-century, through to the enactment of the Abortion Act 1967, and the formation of the structures of abortion provision in the early 1970s. We demonstrate how professional interests significantly shaped the landscape of abortion law in England, Scotland, and Wales. Our analysis addresses two distinct and yet related fields where professional interests were negotiated or asserted in the journey to law reform. Both debates align with earlier analysis that has linked abortion law reform with the market development of the medical profession. We argue that these two axes of debate, both dominated by professional interests, interacted to help shape law's treatment of abortion, and continue to influence the provision of abortion services today. PMID:25995361

  11. Regulating Abortion: Impact on Patients and Providers in Texas

    Science.gov (United States)

    Colman, Silvie; Joyce, Ted

    2011-01-01

    The State of Texas began enforcement of the Woman's Right to Know (WRTK) Act on January 1, 2004. The law requires that all abortions at or after 16 weeks' gestation be performed in an ambulatory surgical center (ASC). In the month the law went into effect, not one of Texas's 54 nonhospital abortion providers met the requirements of a surgical…

  12. Abortion in Young Women and Subsequent Mental Health

    Science.gov (United States)

    Fergusson, David M.; Horwood, L. John; Ridder, Elizabeth M.

    2006-01-01

    Background: The extent to which abortion has harmful consequences for mental health remains controversial. We aimed to examine the linkages between having an abortion and mental health outcomes over the interval from age 15-25 years. Methods: Data were gathered as part of the Christchurch Health and Development Study, a 25-year longitudinal study…

  13. Abortion-Related Services: Value Clarification through "Difficult Dialogues" Strategies

    Science.gov (United States)

    Mpeli, Moliehi Rosemary; Botma, Yvonne

    2015-01-01

    Midwives play a pivotal role in women's health in the face of increased deaths related to backyard abortions. Since the commencement in South Africa of the Name of the Act No. 92 of 1996 that allows abortion services, there has been a moral divide among healthcare workers in South Africa. This article reflects the opinions of preregistration…

  14. Pine needle abortion biomarker detected in bovine fetal fluids

    Science.gov (United States)

    Pine needle abortion is a naturally occurring condition in free-range cattle caused by the consumption of pine needles from select species of cypress, juniper, pine, and spruce trees. Confirmatory diagnosis of pine needle abortion has previously relied on a combined case history of pine needle cons...

  15. The American abortion debate: culture war or normal discourse?

    Science.gov (United States)

    Dillon, M

    1995-01-01

    This paper investigates whether James Hunter's culture war thesis is an apt characterization of the American abortion debate. The author focuses on three arguments central to Hunter's analysis: 1) that the abortion debate involves two paradigmatically opposed world views; 2) that debate about abortion, since it involves moral discourse, is structurally different than other political debates; and 3) that the new alignments in abortion politics are culturally significant. Examining existing research in each of these three domains, the author finds that the debate over abortion is more complex than suggested by Hunter. World views of pro-life and pro-choice activists, for example, share a commitment to some overlapping values; the argumentative structure of abortion discourse has a pattern rather similar to that of political debate more generally, and new alignments on abortion, such as that between the Catholic Church and the Southern Baptist Convention, do not displace historically embedded differences in symbolic resources and cultural orientation. As suggested by the author, it may be more helpful, therefore, to think of the abortion debate as an ongoing public conversation about America's cultural tradition and how it should be variously expressed in contemporary laws and practices. PMID:12320388

  16. Factors affecting attitudes towards medical abortion in Lithuania

    DEFF Research Database (Denmark)

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

    2006-01-01

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

  17. The incidence of gonorrhea in an abortion population

    NARCIS (Netherlands)

    Querido, L.; Haspels, A.A.

    1980-01-01

    The incidence of gonorrhea was investigated in an abortion population. A total of 1021 women participated in this study. Three asymptomatic cases of gonorrhea were detected. None of these women had had gonorrhea before or had a previous abortion. No relation was found between the incidence of gonorr

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

    NARCIS (Netherlands)

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

    2011-01-01

    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

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

    Science.gov (United States)

    Costa, S H

    1998-12-01

    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

  20. Making legal abortion available in Brazil: partnerships in practice.

    Science.gov (United States)

    Villela, W V; Araújo, M J

    2000-11-01

    This article describes the participation of feminist groups who work in the area of women's reproductive health and rights in campaigns for the provision of legal abortion in public hospitals in Brazil. Brazilian criminal law permits therapeutic abortion in cases where pregnancy is the result of rape or poses a serious risk to the life of the woman. Today, as a result of the combined efforts of feminists, health professionals and policymakers, more than 20 hospitals in Brazil are officially permitted to perform therapeutic abortions within the existing law. A model programme has also been developed to train service providers to do legal abortions, where the agreement of a hospital board can be obtained. This training has also improved care for illegally obtained, incomplete abortions in those hospitals but not in hospitals where doctors have not been trained. Problems with lack of access and concerns about the lack of public acceptance of abortion remain. Women not only need the right to abortion but also more services and health professionals who are trained to perform abortions across the whole country. PMID:11424253

  1. Social and psychological consequences of abortion in Iran.

    Science.gov (United States)

    Hosseini-Chavoshi, Meimanat; Abbasi-Shavazi, Mohammad Jalal; Glazebrook, Diana; McDonald, Peter

    2012-09-01

    Iran has had replacement fertility since 2000. Upholding a small family size has led some couples to terminate unwanted pregnancies. Abortion is, however, permitted only on medical grounds in Iran. Using data from the Iran Low Fertility Survey, this study assessed sociodemographic correlates of abortion among a random sample of 5526 ever-married women aged 15-54 years, and used in-depth interviews to explore reasons for and psychological consequences of abortion among 40 women who had experienced an unintended pregnancy. Although social and economic concerns were the main reasons cited for seeking abortion, women experienced anxiety and depression when seeking pregnancy termination and thereafter. Social stigmatization arose from a belief that abortion is sinful and that misfortune experienced thereafter is punishment. Inadequate knowledge and misunderstanding of relevant Sharia laws discouraged women from seeking care when they experienced complications. Iran's reproductive health policies should be revised to integrate pre- and postabortion counseling. PMID:22920623

  2. Induced abortion and placenta complications in the subsequent pregnancy

    DEFF Research Database (Denmark)

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

    2001-01-01

    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...... the control cohort. By register linkage all subsequent pregnancies were identified from 1980 to 1994. Only women who had a non-terminated pregnancy following the index pregnancy were selected to the study. Placenta complications were identified using either the Hospital Discharge Registry ICD-8 codes...... or 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...

  3. Stumbling on status: abortion, stem cells, and faulty reasoning.

    Science.gov (United States)

    Lebacqz, Karen

    2012-02-01

    Common arguments from the abortion debate have set the stage for the debate on stem cell research. Unfortunately, those arguments demonstrate flawed reasoning-jumping to unfounded conclusions, using value laden language rather than careful argument, and ignoring morally relevant aspects of the situation. The influence of flawed abortion arguments on the stem cell debate results in failures of moral reasoning and in lack of attention to important morally relevant differences between abortion and human embryonic stem cells. Among those differences are whose interests are at stake and the difference between an embryo in and out of the womb. Stem cell research differs from abortion in morally relevant ways and should be freed from the abortion debate and its flawed reasoning. PMID:22209889

  4. Mexican women seeking safe abortion services in San Diego, California.

    Science.gov (United States)

    Grossman, Daniel; Garcia, Sandra G; Kingston, Jessica; Schweikert, Suzanne

    2012-01-01

    Except for in Mexico City, abortion is legally restricted throughout Mexico, and unsafe abortion is prevalent. We surveyed 1,516 women seeking abortions in San Diego, California. Of these, 87 women (5.7%) self-identified as Mexican residents. We performed in-depth interviews with 17 of these women about their experiences seeking abortions in California. The Mexican women interviewed were generally well-educated and lived near the U.S.-Mexican border; most sought care in the United States due to mistrust of services in Mexico, and the desire to access mifepristone, a drug registered in the United States for early medical abortion. Several reported difficulties obtaining health care in Mexico or reentering the United States when they had postabortion complications. Several areas for improvement were identified, including outreach to clinics in Mexico. PMID:23066967

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

    Directory of Open Access Journals (Sweden)

    Marshall H. Medoff

    2012-01-01

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

  6. Making legal abortion accessible in Brazil.

    Science.gov (United States)

    Faúndes, Anibal; Leocádio, Elcylene; Andalaft, Jorge

    2002-05-01

    Abortion is legal in Brazil if it is the only means to save the woman's life or if the pregnancy is the result of rape. Although this has been the law for over 60 years, it has almost never been applied until recent years. In the past five years, the number of hospitals providing care to women victims of sexual violence has increased from 4 to 63, of which 40 are currently providing legal abortions. This paper describes a sensitization project and advocacy work carried out from within the obstetric and gynaecology establishment which has succeeded in motivating many key individuals and hospital staff to provide services for pregnancy termination in cases of rape. The dialogue between medical leaders and women's rights advocates and the emphasis on comprehensive care of women who have suffered sexual violence are key elements in the success of this initiative. The support of medical professionals, the organization and strength of the women's health and rights movement, the political support at federal, state and city government levels, including from the Federal Ministry of Health, and ongoing advocacy within the medical establishment have all been important elements in making the provision of services a reality. PMID:12369314

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

    Institute of Scientific and Technical Information of China (English)

    Xiao-chun QIAO

    2007-01-01

    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.

  8. Threatened and Endangered Terrestrial Animal Species Richness

    Data.gov (United States)

    U.S. Environmental Protection Agency — These data represent predicted current distributions of all U.S. listed threatened and endangered mammals, birds, reptiles, and amphibians in the Middle-Atlantic...

  9. Pine needle abortion in cattle update: Metabolite detection in sera and fetal fluids from abortion case samples

    Science.gov (United States)

    Cattle abortions associated with consumption of pine needles during late gestation are a serious poisonous plant problem in the Western US. Most cases of abortion have been associated with consumption of ponderosa pine (Pinus ponderosa) and the causative agent was identified as the labdane diterpen...

  10. Effects of land use on threatened species.

    Science.gov (United States)

    Lenzen, Manfred; Lane, Amanda; Widmer-Cooper, Asaph; Williams, Moira

    2009-04-01

    There is widespread agreement that biodiversity loss must be reduced, yet to alleviate threats to plant and animal species, the forces driving these losses need to be better understood. We searched for explanatory variables for threatened-species data at the country level through land-use information instead of previously used socioeconomic and demographic variables. To explain the number of threatened species in one country, we used information on land-use patterns in all neighboring countries and on the extent of the country's sea border. We carried out multiple regressions of the numbers of threatened species as a function of land-use patterns, and we tested various specifications of this function, including spatial autocorrelation. Most cross-border land-use patterns had a significant influence on the number of threatened species, and land-use patterns explained the number of threatened species better than less proximate socioeconomic variables. More specifically, our overall results showed a highly adverse influence of plantations and permanent cropland, a weaker negative influence of permanent pasture, and, for the most part, a beneficial influence of nonarable lands and natural forest. Surprisingly, built-up land also showed a conserving influence on threatened species. The adverse influences extended to distances between about 250 km (plants) and 2000 km (birds and mammals) away from where the species threat was recorded, depending on the species. Our results highlight that legislation affecting biodiversity should look beyond national boundaries. PMID:19183200

  11. House vote on Hyde changes dynamic of Congressional abortion debate.

    Science.gov (United States)

    1993-07-27

    US Congressional action is summarized for actions taken on abortion amendments and abortion funding amendments during the month of July 1993. The Hyde Amendment was passed in the House on July 1, 1993; by a margin of 255 to 178; the Senate version will be voted on in August. The amendment was a victory for anti-abortion supporters, because it limited coverage of abortions under Medicaid to cases involving only life endangerment, rape, or incest. Both sides of the abortion debate were energized by the vote. The national Campaign for Abortion and Reproductive Equity (CARE) was launched on July 13 through support from a coalition of 130 organizations and Representatives Maxine Waters, Cynthia McKinney, and Nita Lowey. CARE aims to restore federal funding of abortion services for poor women and others using federally funded health care. The Freedom of Choice Act (FOCA) leaves abortion funding and parental involvement to the discretion of individual states. FOCA was characterized by Senator Carol Moseley-Braun, who withdrew her sponsorship of the bill, as not meeting the needs of the "marginalized, disrespected, and ignored population." 4 other Democratic women senators followed suit and promised to very strongly oppose all efforts to restrict abortions through amendments to appropriations bills. Senate appropriations bills were also considered during July. On July 15 the Senate Veterans Affairs (VA) Committee defeated an amendment that would have barred the use of federal funds for abortion services at VA hospitals, except in cases of rape, incest, or the saving of maternal life. Senate Committee members John Rockefeller and Tom Daschle contributed to the bill's defeat. Federal employee health insurance plans will continue to ban the coverage of abortion services due to passage by the Subcommittee on Treasury, Postal Service, and General Government. An amendment introduced by Senator Bond to allow abortions in cases of rape, incest, or risk to maternal life was adopted

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

    Directory of Open Access Journals (Sweden)

    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.

  13. Ectopic pregnancy: a life-threatening gynecological emergency

    Directory of Open Access Journals (Sweden)

    Lawani OL

    2013-08-01

    Full Text Available Osaheni L Lawani, Okechukwu B Anozie, Paul O Ezeonu Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Nigeria Background: Ectopic pregnancy is a life-threatening gynecological emergency, and a significant cause of maternal morbidity and mortality in Nigeria. Objective: The aim of this work was to determine and evaluate the incidence, clinical presentation, risk factors, and management outcomes of ectopic pregnancies at Ebonyi State University Teaching Hospital (EBSUTH in Abakaliki. Methods: This was a retrospective, descriptive study of ectopic pregnancies managed in EBSUTH during the study period (June 1, 2002 to May 31, 2012. The medical records of the patients managed for ectopic pregnancy as well as the total birth record and gynecological admission records during the period under review were retrieved, and data were collected with the aid of data-entry forms designed for this purpose. There were 4,610 gynecological admissions and 9,828 deliveries, with 215 cases of ectopic pregnancies. A total of 205 cases were suitable for analysis after excluding cases with incomplete records. The relevant data collected were analyzed with SPSS version 15.0 for Windows. Results: Ectopic pregnancy constituted 4.5% of all gynecological admissions, and its incidence was 2.1%. The mean age of the patients was 27 ± 2 years, 196 of 205 (95.6% had ruptured ectopic pregnancies, and the remaining nine (4.4% were unruptured. The commonest (166 of 205, 80.0% clinical presentation was abdominal pain, and the commonest (105 of 205, 51.2% identified risk factor was a previous history of induced abortion. Three deaths were recorded, giving a case-fatality rate of 1.4% (three of 205. Conclusion: Ectopic pregnancy is a recognized cause of maternal morbidity and mortality and has remained a reproductive health challenge to Nigerian women, as well as a threat to efforts in achieving the UN's Millennium Development Goal 5 in sub-Saharan Africa

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

    Directory of Open Access Journals (Sweden)

    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.

  15. Legal abortion services in Brazil--a national study.

    Science.gov (United States)

    Madeiro, Alberto Pereira; Diniz, Debora

    2016-02-01

    This article presents the results of a mixed methods study of 68 legal abortion services in Brazil. The services were analyzed in two stages. The first stage was a census, in which all the institutions were sent an electronic questionnaire about the organization of the legal abortion services. The second stage was conducted in a sample of 5 reference services, one for each region of the country. In this stage, a form was used to collect data about the women and the abortions in the medical records, and 82 interviews with health professionals were conducted. Thirty-seven of the services informed they performed legal abortions, and the services were inactive in 7 states. Police reports, forensic reports, and court orders were required by 14%, 8% and 8% of the services, respectively. Women who underwent abortions were predominantly aged 15-29, single and Catholic. Most abortions were performed until 14 weeks in the case of rape-related pregnancy, by means of manual vacuum aspiration. According to the health professionals, the main difficulties faced in the services are the low availability of physicians to perform abortions and the insufficient training of the staff. The data reveal a discrepancy between the legal provision and the reality of the services. The implementation of more services and the strengthening of the existing services available are necessary. PMID:26910163

  16. The individual level cost of pregnancy termination in Zambia: a comparison of safe and unsafe abortion.

    Science.gov (United States)

    Leone, Tiziana; Coast, Ernestina; Parmar, Divya; Vwalika, Bellington

    2016-09-01

    Zambia has one of the most liberal abortion laws in sub-Saharan Africa. However, rates of unsafe abortion remain high with negative health and economic consequences. Little is known about the economic burden on women of abortion care-seeking in low income countries. The majority of studies focus on direct costs (e.g. hospital fees). This article estimates the individual-level economic burden of safe and unsafe abortion care-seeking in Zambia, incorporating all indirect and direct costs. It uses data collected in 2013 from a tertiary hospital in Lusaka, (n = 112) with women who had an abortion. Three treatment routes are identified: (1) safe abortion at the hospital, (2) unsafe clandestine medical abortion initiated elsewhere with post-abortion care at the hospital and (3) unsafe abortion initiated elsewhere with post-abortion care at the hospital. Based on these three typologies, we use descriptive analysis and linear regression to estimate the costs for women of seeking safe and unsafe abortion and to establish whether the burden of abortion care-seeking costs is equally distributed across the sample. Around 39% of women had an unsafe abortion, incurring substantial economic costs before seeking post-abortion care. Adolescents and poorer women are more likely to use unsafe abortion. Unsafe abortion requiring post-abortion care costs women 27% more than a safe abortion. When accounting for uncertainty this figure increases dramatically. For safe and unsafe abortions, unofficial provider payments represent a major cost to women.This study demonstrates that despite a liberal legislation, Zambia still needs better dissemination of the law to women and providers and resources to ensure abortion service access. The policy implications of this study include: the role of pharmacists and mid-level providers in the provision of medical abortion services; increased access to contraception, especially for adolescents; and elimination of demands for unofficial provider

  17. The Impact of Legalized Abortion on High School Graduation through Selection and Composition

    Science.gov (United States)

    Whitaker, Stephan

    2011-01-01

    This analysis examines whether the legalization of abortion changed high school graduation rates among the children selected into birth. Unless women in all socio-economic circumstances sought abortions to the same extent, increased use of abortion must have changed the distribution of child development inputs. I find that higher abortion ratios…

  18. [Nursing care of clients in an abortion clinic].

    Science.gov (United States)

    Corstiaensen, J; Kruiswijk, C

    1981-08-25

    The nursing care of clients visiting an abortion clinic for induced abortion is discussed. Generally good care of patients, psychosocially as well as somatically, is essential. For clients in an abortion clinic it is important that psychosocial care is optimal and technical procedures are medically responsible. The initial contact is very important to the client because first impressions of the clinic can be significant in the further course of the entire treatment. Both nurse and doctor are usually involved in the admission interview and preliminary examination. After the physician's anamnesis and internal examination to determine gestational age, patient and doctor determine future contraception. Both abortion and contraception problems are discussed and the treatment procedure explained. It is important to recognize possible patient coercion or ambivalence in which case the client is sometimes advised to think things over. The actual intervention is generally fairly short, from 5 to 15 minutes. The abortion can be emotionally taxing for the client. The nurse's role in providing reassurance and understanding is important. 30 to 60 minutes following intervention the patient can go home. Follow-up, usually 3-5 weeks after intervention, is the final phase of treatment. During this check-up and internal examination the client can discuss her experience and progress in contraception. Case studies are included giving insight into the background of abortion seekers. Abortion clinic nurses must possess specific characteristics and attitudes, such as: 1) a nonjudgmental attitude towards sexuality and induced abortion; 2) empathy in her relationship with clients; 3) personal warmth and ability to help client overcome fear; 4) ability to discuss sexuality and abortion sympathetically; 5) assessment of possible interpersonal relational problems of client; 6) ability to relate to and understand different ethnic groups; 7) be informed on contraceptive methods and agents; and 8

  19. Septic abortion caused by Campylobacter jejuni bacteraemia.

    Science.gov (United States)

    Skuhala, Tomislava; Škerk, Višnja; Markotić, Alemka; Bukovski, Suzana; Desnica, Boško

    2016-08-01

    A 20-year-old female patient, 14 weeks pregnant, was admitted to hospital with anamnestic and clinical features of acute pyelonephritis. Clinical signs of septic abortion developed and after obstetric examination the therapy was changed to ampicillin, gentamicin and clindamycin. Campylobacter jejuni was isolated from blood cultures. Pathohistological findings confirmed diagnosis of purulent chorioamnionitis. After 2 weeks of ciprofloxacin administration the patient fully recovered. Campylobacter jejuni was not isolated from stool culture and no signs of acute enteritis were registered during the illness. Invasive forms of Campylobacter disease without enteritis are not unusual in immunocompromised hosts but they are restricted to C. fetus rather than C. jejuni isolates. PMID:25872616

  20. Advocacy for legal reform for safe abortion.

    Science.gov (United States)

    Ashenafi, Meaza

    2004-04-01

    In Ethiopia, violation of women's reproductive rights is both a cause and a manifestation of women's disempowerment. Obstacles to full realisation of Ethiopian women's reproductive health and rights include the persistence of harmful traditional practices such as female genital mutilation, early marriage and abduction, as well as the disturbing prevalence of rape and HIV/AIDS. Unsafe abortion represents a particularly serious threat to women's health and lives. Ethiopia's status as a signatory to the Convention to Eliminate all Forms of Discrimination Against Women (CEDAW) and its constitutional guarantee of women's equality demand more aggressive action to eradicate such practices and inequities. After years of lobbying by women's organisations, parliamentarians are now reviewing a draft of the 1957 penal code, which includes numerous provisions addressing some of these practices and other conditions that underlie women's poor social and health status. PMID:15487618

  1. Climate change may threaten habitat suitability of threatened plant species within Chinese nature reserves.

    Science.gov (United States)

    Wang, Chunjing; Liu, Chengzhu; Wan, Jizhong; Zhang, Zhixiang

    2016-01-01

    Climate change has the potential to alter the distributions of threatened plant species, and may therefore diminish the capacity of nature reserves to protect threatened plant species. Chinese nature reserves contain a rich diversity of plant species that are at risk of becoming more threatened by climate change. Hence, it is urgent to identify the extent to which future climate change may compromise the suitability of threatened plant species habitats within Chinese nature reserves. Here, we modelled the climate suitability of 82 threatened plant species within 168 nature reserves across climate change scenarios. We used Maxent modelling based on species occurrence localities and evaluated climate change impacts using the magnitude of change in climate suitability and the degree of overlap between current and future climatically suitable habitats. There was a significant relationship between overlap with current and future climate suitability of all threatened plant species habitats and the magnitude of changes in climate suitability. Our projections estimate that the climate suitability of more than 60 threatened plant species will decrease and that climate change threatens the habitat suitability of plant species in more than 130 nature reserves under the low, medium, and high greenhouse gas concentration scenarios by both 2050s and 2080s. Furthermore, future climate change may substantially threaten tree plant species through changes in annual mean temperature. These results indicate that climate change may threaten plant species that occur within Chinese nature reserves. Therefore, we suggest that climate change projections should be integrated into the conservation and management of threatened plant species within nature reserves.

  2. Sodium kinetics in hypertonic saline abortion

    International Nuclear Information System (INIS)

    The sodium kinetics of hypertonic saline abortions have been followed by measuring the radioactivity and the sodium concentrations in amniotic fluid, maternal plasma, urine, the foetus and placenta after intrauterine installation of 20% hypertonic saline labelled with 22Na in order to determine the reason for abortion of a dead foetus in 24 to 48 hours, and reasons for sodium reactions. There is dilution of the 300 ml of amniotic fluid to a maximum of 1.5 to 2.0 litres in an exponential fashion, by the influx of mainly maternal water, slowing after 8 hours. There is an exponential type of increase in plasma radioactivity, also slowing after 8 hours. However, equilibration is never reached, the specific activity of the amniotic fluid remaining 10 times that of the plasma, and the sodium concentration 3 times that of the plasma. The urine equilibrates with the plasma, and about 3% of the administered dose is lost in 22 hours. The largest foetus and placenta picked up the least radioactivity. Thus, a more mature foetus may be protected to some degree against the hypertonic saline action; this has been observed clinically. Hyperkaliaemia was found in all four subjects, and hypoglycaemia occurred sporadically. These were not accompanied by any symptoms. Factors associated with expulsion of the dead foetus are dehydration and decreased circulation associated with fibrinoid necrosis of the placenta, which may also account for cessation of equilibration between maternal plasma and amniotic fluid. Although no saline reactions occurred, the role of extrauterine deposition of hypertonic saline, as shown in one subject, might be considered. (author)

  3. Cigarette, alcohol, and caffeine consumption: risk factors for spontaneous abortion

    DEFF Research Database (Denmark)

    Rasch, Vibeke

    2003-01-01

    OBJECTIVE: To study the association between cigarette, alcohol, and caffeine consumption and the occurrence of spontaneous abortion. METHODS: The study population consisted of 330 women with spontaneous abortion and 1168 pregnant women receiving antenatal care. A case-control design was utilized...... or more caffeine per day were 4.84 (2.87-8.16) and 2.21 (1.53-3.18), respectively. Women who smoked 10-19 cigarettes and 20 or more cigarettes per day did not have significantly increased ORs for having spontaneous abortions, after adjusting for other risk factors. CONCLUSION: Consumption of 5 or more...

  4. Q-feber som årsag til spontan abort

    DEFF Research Database (Denmark)

    Nielsen, Stine Yde; Mølbak, Kåre; Hjøllund, Niels Henrik

    2011-01-01

    Q-fever is a zoonotic infection. Pregnant women constitute a specific risk group as the infection may cause spontaneous abortion, intrauterine death, growth retardation, oligohydramnios and premature birth. A 39 year-old veterinarian had a spontaneous abortion in pregnancy week seven. During the...... first weeks of her pregnancy, she handled birth by-products from cows with Q-fever. The Q-fever titres revealed that she was most likely infected in very early pregnancy. According to the literature, infection in the first trimester constitutes a specific risk of spontaneous abortion....

  5. Abortion Law Reform in Ireland: A Model for Change

    OpenAIRE

    Enright, Máiréad; de Londras, Fiona; Conway, Vicky; Donnelly, Mary; Fletcher, Ruth; Murray, Claire; McGuinness, Sheelagh; Ring, Sinead; Ui Chonnachtaigh, Sorcha

    2015-01-01

    Ireland has some of the most restrictive abortion laws in the world. Abortion has been criminalised since 1861, and the passage of the 8th Amendment in 1983 introduced ‘the right to life of the unborn’ into the Constitution. The effects of the 8th Amendment are felt on a daily basis by women leaving Ireland for abortion, by pregnant women receiving maternal care, by doctors caring for pregnant women, and by lawyers working for the health service. As predicted by the then-Attorney General Pete...

  6. SEX-SELECTIVE ABORTIONS IN INDIA: A BEHAVIOURAL EPIDEMIC

    OpenAIRE

    Suman Saurabh; Sitanshu Sekhar Kar; Dhruv Kumar Pandey

    2012-01-01

    Sex- selective abortions have been known to be a problem in India. A study titled “Trends in selective abortions of girls in India: analysis of nationally representative birth histories from 1990 to 2005 and census data from 1991 to 2011” by Jha P et al was published in Lancet in May 2011 presented the first nationally representative analysis of trends in sex-selective abortions in India. It came as an aftermath of the provisional 2011 census release which showed a fall in 0-6 year sex ratio ...

  7. Second-trimester abortions and sex-selection of children in Hanoi, Vietnam.

    Science.gov (United States)

    Bélanger, Danièle; Oanh, Khuat Thi Hai

    2009-07-01

    Because sex-selective abortions are generally conducted during the second term of the pregnancy, timing of abortion can be used as an indirect way of studying sex-selection by abortion. We examined the likelihood of having a first-trimester vs. second-trimester abortion among a group of 885 married women who had an abortion in an obstetric hospital in Hanoi in 2003. In the absence of sex-selection by abortion, the number and sex of living children should not affect the timing of abortion. Results indicate that women with more children, particularly those with more daughters or without a son, were more likely to undergo a second-term abortion than a first-term abortion. We estimate that, in 2003, 2 per cent of all abortions to women with at least one living child were intended to avoid the birth of a female.

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

    Science.gov (United States)

    Diniz, Debora; Medeiros, Marcelo

    2010-06-01

    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.

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

    Science.gov (United States)

    Diniz, Debora; Medeiros, Marcelo

    2010-06-01

    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. A Necessary Evil? : Continuity and Change in Russian and Soviet Abortion Discourse, 1910-1930

    OpenAIRE

    2012-01-01

    The widespread reliance on abortion in the Soviet Union, occasionally even referred to as an “abortion culture”, has been documented in a number of studies. However, the notoriously high abortion rates are not the only reason why the Soviet case stands out in the global history of abortion. Having decriminalised abortion by decree in 1920, Soviet Russia became the first country in the world where the termination of pregnancy was discussed as a legalised phenomenon. Russian discussions on ...

  11. Stigma in abortion care: application to a grounded theory study.

    Science.gov (United States)

    Lipp, Allyson

    2011-02-01

    A recent research study found that being more directly involved in medical abortion places greater demands on the nurses. The demands required by nurses working in abortion care may be increased by the stigma attached to such an antisocial action. This paper presents an application of stigma theory, as espoused by Goffman, based on a qualitative research study on abortion. It is argued that women attending for abortion are stigmatised and nurses, although 'wise', have an affiliate stigma through their close association with the procedure. It is proposed that the situation can be ameliorated by addressing stigma at policy, local and personal levels. Examples from other areas of practice are outlined for possible application to practice.

  12. Veterinary and medical aspects of abortion in Danish sheep

    DEFF Research Database (Denmark)

    Agerholm, Jørgen S.; Aalbæk, Bent; Fog-Larsen, Anne Marie;

    2006-01-01

    pathogens were the most prevalent cause of abortion. Several of the abortifacients were zoonotic microorganisms, for example Listeria monocytogenes, Campylobacter fetus subsp. fetus, Yersinia pseudotuberculosis and Toxoplasma gondii. The identified microorganisms probably represent the most common causes...

  13. Incidence of legal abortion in Sweden after the Chernobyl accident

    International Nuclear Information System (INIS)

    The number of legal abortions in Sweden increased around the time of the Chernobyl accident, particularly in the summer and autumn of 1986. Although there was no recording of reasons for legal abortions, one might have suspected this increase to be a result of fear and anxiety after the accident. However, seen over a longer time perspective, the increase in the number of abortions started before and continued far beyond the time of the accident. There was also a simultaneous and pronounced increase in the number of births during the years subsequent to the accident. Therefore, it seems unlikely that fear of the consequences of radioactive fall-out after the Chernobyl accident resulted in any substantial increase of the number of legal abortions in Sweden

  14. Do Induced Abortions Affect the First Birth Probability?

    DEFF Research Database (Denmark)

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

    and methods: The data are obtained by linking several national public registers in Denmark, using the unique personal identification number. Initially, a logistic regression analysis is employed in order to model the first birth probability in a given year. Secondly, the long-term effect of an induced......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...... 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...

  15. Integrated Flight Performance Analysis of a Launch Abort System Concept

    Science.gov (United States)

    Tartabini, Paul V.

    2007-01-01

    This paper describes initial flight performance analyses conducted early in the Orion Project to support concept feasibility studies for the Crew Exploration Vehicle s Launch Abort System (LAS). Key performance requirements that significantly affect abort capability are presented. These requirements have implications on sizing the Abort Motor, tailoring its thrust profile to meet escape requirements for both launch pad and high drag/high dynamic pressure ascent aborts. Additional performance considerations are provided for the Attitude Control Motor, a key element of the Orion LAS design that eliminates the need for ballast and provides performance robustness over a passive control approach. Finally, performance of the LAS jettison function is discussed, along with implications on Jettison Motor sizing and the timing of the jettison event during a nominal mission. These studies provide an initial understanding of LAS performance that will continue to evolve as the Orion design is matured.

  16. Cigarette, alcohol, and caffeine consumption: risk factors for spontaneous abortion

    DEFF Research Database (Denmark)

    Rasch, Vibeke

    2003-01-01

    OBJECTIVE: To study the association between cigarette, alcohol, and caffeine consumption and the occurrence of spontaneous abortion. METHODS: The study population consisted of 330 women with spontaneous abortion and 1168 pregnant women receiving antenatal care. A case-control design was utilized......; cases were defined as women with a spontaneous abortion in gestational week 6-16 and controls as women with a live fetus in gestational week 6-16. The variables studied comprise age, parity, occupational situation, cigarette, alcohol, and caffeine consumption. The association between cigarette, alcohol......, and caffeine consumption was studied using logistic regression analyzes while controlling for confounding variables. In addition stratified analyzes of the association between caffeine consumption and spontaneous abortion on the basis of cigarette and alcohol consumption were performed. RESULTS: Women who had...

  17. Study on Aerobic Bacterial flora in Canine abortions

    OpenAIRE

    B.E Shambulingappa; G. Anand Manegar and K. J. Ananda

    2010-01-01

    Of the 125 bitches with reproductive disorder, 10 bitches which were aborted at different stages of gestation and presented to Veterinary hospitals for treatments were included in the present study. Total thirteen isolates were recovered from the aborted samples. The frequency of bacterial isolates in descending order were Escherichia coli (38.46%), Streptococcus canis (38.46%), Staphylococcus epidermedis (15.38%) and Staphylococcus aureus (7.69%). [Vet. World 2010; 3(3.000): 111-112

  18. Study on Aerobic Bacterial flora in Canine abortions

    Directory of Open Access Journals (Sweden)

    B. E. Shambulingappa

    2010-06-01

    Full Text Available Of the 125 bitches with reproductive disorder, 10 bitches which were aborted at different stages of gestation and presented to Veterinary hospitals for treatments were included in the present study. Total thirteen isolates were recovered from the aborted samples. The frequency of bacterial isolates in descending order were Escherichia coli (38.46%, Streptococcus canis (38.46%, Staphylococcus epidermedis (15.38% and Staphylococcus aureus (7.69%. [Vet. World 2010; 3(3.000: 111-112

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

    OpenAIRE

    Marshall H. Medoff

    2012-01-01

    Problem statement: incidence of abortion in the United States has steadily declined since 1990. The question is why? Approach: This study, using multiple linear regression, examines whether womens unprotected sexual activity is deterred by the risk of contracting AIDS as reflected in decreased abortion rates. Results: The empirical evidence consistently finds that the prevalence of AIDS reduces the risky (unprotected) sexual activity of women of childbearing ages 15-44 as reflected in their a...

  20. "After birth" abortion: a biomedical and conceptual nonsense.

    Science.gov (United States)

    Benagiano, Giuseppe; Landeweerd, Laurens; Brosens, Ivo

    2013-07-01

    Recently, two authors suggested that killing a healthy newborn might be morally permissible, subsuming it under the heading of 'after birth abortion'. Their proposed new definition implies that infanticide should be permitted whenever II trimester abortion for social reasons is. The suggestion stirred public outcry; nonetheless it needs to be analyzed since some 20% of countries allow II trimester abortion for social reasons and 5% do this on demand. A proper delimitation of the definition of "abortion" is thus very important to ensure careful application; for this reason we have attempted a critical analysis of their arguments. In the area of pregnancy termination different moral standards are apparently applied in different countries, but many reasons exist why the equation between II trimester abortion for social reasons and the killing of healthy neonates is to be morally rejected in all cases. The "inversed reification" of the concept of infanticide as a more abstract, euphemistic 'after birth abortion' blurs the fundamental difference between a non-viable fetus and a viable neonate. The best-known and most widely utilized (although illegal) "social reason" for "late abortion" and "infanticide" is a pregnancy with a female fetus or neonate. If infanticide for neonates were to be considered morally permissible, specifically it is this practice that would be applied. And this should be rejected on two levels: conceptual, through a critique of the exclusive use of one specific notion of personhood, and pragmatic through refusal of gender-discriminatory forms of infanticide (the killing of female neonates). In conclusion, having investigated the new concept we have concluded that the term "after birth abortion" is biologically and conceptually nonsensical.

  1. Tickborne fever associated with abortion outbreak in dairy cows.

    Science.gov (United States)

    2016-08-20

    Anaplasma phagocytophilum detected in aborting cows on rough grazingLead poisoning in bullocksPersistent bovine viral diarrhoea virus infection and colisepticaemia in a 20-hour-old calfAbortion due to bovine herpesvirus 1 in a four-year-old cowTickborne fever in lambsInfectious sinusitis due to Mycoplasma gallisepticum in pheasants These are among matters discussed in the disease surveillance report for May 2016 from SAC Consulting: Veterinary Services (SAC C VS). PMID:27550334

  2. Abortion in America: A Consumer-Behavior Perspective.

    OpenAIRE

    Patterson, Maggie Jones; Hill, Ronald Paul; Maloy, Kate

    1995-01-01

    Abortion is the most frequently performed surgical procedure in this country, yet its provision to consumers remains one of the most contentious issues within our society. The purpose of this article is to broaden our understanding of this problem by examining abortion from a consumer-behavior perspective. The phenomenological study described in this article revealed that (1) a wide gap exists between the language of the public debate and that of private decision making, (2) the language of p...

  3. The Abortion Issue in the Development Agenda of Latin American

    OpenAIRE

    Marta Lamas

    2008-01-01

    This article, which offers a regional overview of the feminist struggle for abortion rights in Latin America, begins by reminding the reader of the context, characterized by poverty and marginalization, in which the region's women become mothers, as well as the deadly consequences of illegal abortion. It subsequently outlines the political tension between some state governments and feminists, particularly the friction that results from interference by the Catholic church hierarchy. The articl...

  4. Human rights and the right to abortion in Latin America

    OpenAIRE

    Alejandra Zúñiga-Fajuri

    2014-01-01

    The scope of this study is to question the fact that in some countries in Latin America (Chile, El Salvador, Nicaragua, Honduras and the Dominican Republic) abortion is still forbidden in all situations. Even after all the debate on this thorny issue, the theory of human rights is not often used in the defense of abortion. This is clearly related to the pervasive, albeit unspoken belief that, due to their condition, pregnant women inherently lose their full human rights and should surrender a...

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

    OpenAIRE

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

    2012-01-01

    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 ...

  6. Future healthcare professionals’ knowledge about the Argentinean abortion law

    Science.gov (United States)

    Oizerovich, Silvia; Stray-Pedersen, Babill

    2016-01-01

    Objectives We assessed healthcare students’ knowledge and opinions on Argentinian abortion law and identified differences between first- and final-year healthcare students. Methods In this cross-sectional study, self-administered anonymous questionnaires were administered to 760 first- and 695 final-year students from different fields of study (medicine, midwifery, nursing, radiology, nutrition, speech therapy, and physiotherapy) of the School of Medicine at the University of Buenos Aires, in 2011-2013. Results Compared to first-year students, a higher percentage of final-year students knew that abortion is legally restricted in Argentina (p < 0.001). A significantly higher percentage of final-year students could correctly identify the circumstances in which abortion is legal: woman´s life risk (87.4% last vs. 79.1% first year), rape of a woman with developmental disability (66.2% first vs. 85.4% last-year; p < 0.001). More final-year students chose severe foetal malformations (37.3% first year vs. 57.3% final year) despite its being illegal. Conclusions Although most final-year students knew that abortion is legally restricted in Argentina, misconceptions regarding circumstances of legal abortion were observed; this may be due to the fact that abortion is inadequately covered in the medical curricula. Medical schools should ensure that sexual and reproductive health topics are an integral part of their curricula. Healthcare providers who are aware of the legality of abortion are more likely to provide the public with sound information and ensure abortions are appropriately performed. PMID:27018552

  7. The abortion debate: can this chronic public illness be cured?

    Science.gov (United States)

    Callahan, D

    1992-12-01

    Abortion has provided one of the most noxious, disturbing, and unending of all American moral and legal struggles. The issue forces us to think about the most difficult kind of ethical issues, e.g., the moral status of the fetus and the meaning of human "life" and "personhood." The win-at-all-costs attitude among the leading advocacy groups has created gross stereotypes. While most arguments heard today were also heard prior to the Roe vs. Wade decision, the tone has radically changed. Better organization has meant hotter rhetoric and a nastier public style. We need to move the abortion debate along; it is now as stagnate as it is nasty. We need creative discussion and realistic compromise. The pre-Roe arguments in favor of choice have changed. Then, the movement to legalize abortion rested on the following: 1) illegal abortions were killing and maiming women; 2) women should have a backup to ineffective contraception; 3) the number of unwanted pregnancies should be reduced; only wanted children should be born, as a matter of child welfare; 4) women should have the right to make the abortion decision; 5) everything possible should be done to change the economic and domestic circumstances forcing women into unwanted pregnancies. The argument benefited women, children, and society. The many abortion myths that have since taken prominence cloud an already difficult issue. The ongoing tension rests with the conflict between the moral and legal issues. Is it possible to combine legal freedom and seriousness about the moral questions? Only if we recognize the equality of both positions' moral traditions, accept public discussion, the need for compromise, the need to do everything possible to change the economic and social circumstance leading to the abortion choice, and the need for meaningful counseling of women considering abortion. PMID:1451361

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

    Science.gov (United States)

    1994-01-01

    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

  9. Women's Awareness and Knowledge of Abortion Laws: A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Anisa R Assifi

    Full Text Available Incorrect knowledge of laws may affect how women enter the health system or seek services, and it likely contributes to the disconnect between official laws and practical applications of the laws that influence women's access to safe, legal abortion services.To provide a synthesis of evidence of women's awareness and knowledge of the legal status of abortion in their country, and the accuracy of women's knowledge on specific legal grounds and restrictions outlined in a country's abortion law.A systematic search was carried for articles published between 1980-2015. Quantitative, mixed-method data collection, and objectives related to women's awareness or knowledge of the abortion law was included. Full texts were assessed, and data extraction done by a single reviewer. Final inclusion for analysis was assessed by two reviewers. The results were synthesised into tables, using narrative synthesis.Of the original 3,126 articles, and 16 hand searched citations, 24 studies were included for analysis. Women's correct general awareness and knowledge of the legal status was less than 50% in nine studies. In six studies, knowledge of legalization/liberalisation ranged between 32.3%-68.2%. Correct knowledge of abortion on the grounds of rape ranged from 12.8%-98%, while in the case of incest, ranged from 9.8%-64.5%. Abortion on the grounds of fetal impairment and gestational limits, varied widely from 7%-94% and 0%-89.5% respectively.This systematic review synthesizes literature on women's awareness and knowledge of the abortion law in their own context. The findings show that correct general awareness and knowledge of the abortion law and legal grounds and restrictions amongst women was limited, even in countries where the laws were liberal. Thus, interventions to disseminate accurate information on the legal context are necessary.

  10. Cytogenetic analysis in 61 couples with spontaneous abortions

    Institute of Scientific and Technical Information of China (English)

    江静; 傅曼芬; 王德芬

    2001-01-01

    Objective To examine the relationship between spontaneous abortion and chromosomal abnormalities. Methods Couples who had one or more consecutive spontaneous abortions and had normal genitals were enrolled for cytogenetic karyotype analysis. Results In the 61 couples, the detected incidence was 11.5%, with five Robertsonian translocations, one reciprocal translocation, and one pericentric inversion of chromosome 7. Conclusion Chromosomal abnormalities may play an important role in fetal wastage.

  11. Abortion in Brazil: Contending Discourses and Women's Experiences

    OpenAIRE

    Tussi, Fernanda P.

    2010-01-01

    It is a common practice for anthropologists to explore connections where scholars from different disciplines do not expect to search and find them. This is the theoretical and methodological orientation in which I was trained as an anthropologist and from which I approach the practice of abortion in Brazil in hope to reach an understanding of the constituent dimensions of this social fact. Before I move on the to discussion, I would like to provide some background on the practice of abortion ...

  12. Medical abortion and manual vacuum aspiration for legal abortion protect women's health and reduce costs to the health system: findings from Colombia.

    Science.gov (United States)

    Rodriguez, Maria Isabel; Mendoza, Willis Simancas; Guerra-Palacio, Camilo; Guzman, Nelson Alvis; Tolosa, Jorge E

    2015-02-01

    The majority of abortions in Colombia continue to take place outside the formal health system under a range of conditions, with the majority of women obtaining misoprostol from a thriving black market for the drug and self-administering the medication. We conducted a cost analysis to compare the costs to the health system of three approaches to the provision of abortion care in Colombia: post-abortion care for complications of unsafe abortions, and for legal abortions in a health facility, misoprostol-only medical abortion and vacuum aspiration abortion. Hospital billing records from three institutions, two large maternity hospitals and one specialist reproductive health clinic, were analysed for procedure and complication rates, and costs by diagnosis. The majority of visits (94%) were to the two hospitals for post-abortion care; the other 6% were for legal abortions. Only one minor complication was found among the women having legal abortions, a complication rate of less than 1%. Among the women presenting for post-abortion care, 5% had complications during their treatment, mainly from infection or haemorrhage. Legal abortions were associated not only with far fewer complications for women, but also lower costs for the health system than for post-abortion care. We calculated based on our findings that for every 1,000 women receiving post-abortion care instead of a legal abortion within the health system, 16 women experienced avoidable complications, and the health system spent US $48,000 managing them. Increasing women's access to safe abortion care would not only reduce complications for women, but would also be a cost-saving strategy for the health system.

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

    Science.gov (United States)

    Umaña, A O

    1973-01-01

    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

  14. From pragmatism to politics: a qualitative study of abortion providers.

    Science.gov (United States)

    Wear, Delese

    2002-01-01

    Twenty-eight years after the United State Supreme Court issued its landmark Roe v. Wade, the struggle continues to ensure that all women have the full range of reproductive choices, including abortion. While the struggle can be addressed through its political, religious, and medical dimensions, it also can be examined through the perspectives of those who actually provide abortions. This paper examines the perspectives of physician abortion providers to understand more fully their motivations, the quality of their personal and professional lives, their views on the future of abortion services, and their recommendations for undergraduate and residency medical education. Such questions are often best answered through qualitative inquiry, particularly when the subject at hand has had little interpretive scrutiny, lacks theoretical understandings, and remains in general an under-investigated phenomenon. Because abortion providers and the work they do fit those criteria, a qualitative study of physician providers in Ohio was undertaken. This paper is divided into the following sections: a literature review of abortion services in the United States, methods, interview data and discussion, and last, recommendations and conclusions. PMID:12555805

  15. The effect of abortion on outcome of subsequent pregnancy

    Directory of Open Access Journals (Sweden)

    Abortion

    1999-08-01

    Full Text Available In a historical cohort study we evaluated the effects of spontaneous abortion on subsequent pregnancy outcome. 1693 pregnant women were classifield in three groups: 1100: without any prior pregnancy, group 1; 550: with history of one spontaneous abortion (G2A1, group 2; 43: with two or more prior spontaneous abortions and no other prior pregnancies, group 3. We collected data through interview, patient's records and physical examination. We matched the patients according to their age subgroups, history of chronic disease, drug administration and radiation during current pregnancy and familial marriage. Then we compared adverse outcome of present pregnancy in group 1 and 2 with the women without prior pregnancy. We analysed the data with Chi-square and Fisher's exact methods. In this study we concluded that history of one spontaneous abortion had no effect on subsequent pregnancy except on prolonged ROM (P<0.000, but history of two or more abortions significantly affects occurrence of stillbirth (RR=29, P=0.003 and placenta previa (RR=8.5, P=0.03. These findings suggest that pregnant women with history of two or more spontaneous abortion need special prenatal care.

  16. Abortion in Chile: the practice under a restrictive regime.

    Science.gov (United States)

    Casas, Lidia; Vivaldi, Lieta

    2014-11-01

    This article examines, from a human rights perspective, the experience of women, and the practices of health care providers regarding abortion in Chile. Most abortions, as high as 100,000 a year, are obtained surreptitiously and clandestinely, and income and connections play a key role. The illegality of abortion correlates strongly with vulnerability, feelings of guilt and loneliness, fear of prosecution, physical and psychological harm, and social ostracism. Moreover, the absolute legal ban on abortion has a chilling effect on health care providers and endangers women's lives and health. Although misoprostol use has significantly helped to prevent greater harm and enhance women's agency, a ban on sales created a black market. Against this backdrop, feminists have taken action in aid of women. For instance, a feminist collective opened a telephone hotline, Linea Aborto Libre (Free Abortion Line), which has been crucial in informing women of the correct and safe use of misoprostol. Chile is at a crossroads. For the first time in 24 years, abortion law reform seems plausible, at least when the woman's life or health is at risk and in cases of rape and fetal anomalies incompatible with life. The political scenario is unfolding as we write. Congressional approval does not mean automatic enactment of a new law; a constitutional challenge is highly likely and will have to be overcome. PMID:25555764

  17. Research on lidocaine in the application of induced abortion

    Institute of Scientific and Technical Information of China (English)

    Hai-Tao Tong

    2015-01-01

    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.

  18. Abortion in Chile: the practice under a restrictive regime.

    Science.gov (United States)

    Casas, Lidia; Vivaldi, Lieta

    2014-11-01

    This article examines, from a human rights perspective, the experience of women, and the practices of health care providers regarding abortion in Chile. Most abortions, as high as 100,000 a year, are obtained surreptitiously and clandestinely, and income and connections play a key role. The illegality of abortion correlates strongly with vulnerability, feelings of guilt and loneliness, fear of prosecution, physical and psychological harm, and social ostracism. Moreover, the absolute legal ban on abortion has a chilling effect on health care providers and endangers women's lives and health. Although misoprostol use has significantly helped to prevent greater harm and enhance women's agency, a ban on sales created a black market. Against this backdrop, feminists have taken action in aid of women. For instance, a feminist collective opened a telephone hotline, Linea Aborto Libre (Free Abortion Line), which has been crucial in informing women of the correct and safe use of misoprostol. Chile is at a crossroads. For the first time in 24 years, abortion law reform seems plausible, at least when the woman's life or health is at risk and in cases of rape and fetal anomalies incompatible with life. The political scenario is unfolding as we write. Congressional approval does not mean automatic enactment of a new law; a constitutional challenge is highly likely and will have to be overcome.

  19. Self-management of medical abortion: a qualitative evidence synthesis.

    Science.gov (United States)

    Wainwright, Megan; Colvin, Christopher J; Swartz, Alison; Leon, Natalie

    2016-05-01

    Medical abortion is a method of pregnancy termination that by its nature enables more active involvement of women in the process of managing, and sometimes even administering the medications for, their abortions. This qualitative evidence synthesis reviewed the global evidence on experiences with, preferences for, and concerns about greater self-management of medical abortion with lesser health professional involvement. We focused on qualitative research from multiple perspectives on women's experiences of self-management of first trimester medical abortion (legal and legally-restricted contexts whether medical abortion was accessed through formal or informal systems. A review team of four identified 36 studies meeting inclusion criteria, extracted data from these studies, and synthesized review findings. Review findings were organized under the following themes: general perceptions of self-management, preparation for self-management, logistical considerations, issues of choice and control, and meaning and experience. The synthesis highlights that the qualitative evidence base is still small, but that the available evidence points to the overall acceptability of self-administration of medical abortion. We highlight particular considerations when offering self-management options, and identify key areas for future research. Further qualitative research is needed to strengthen this important evidence base. PMID:27578349

  20. Why Governments That Fund Elective Abortion Are Obligated to Attempt a Reduction in the Elective Abortion Rate.

    Science.gov (United States)

    Dumsday, Travis

    2016-03-01

    If elective abortion is publicly funded, then the government is obligated to take active measures designed to reduce its prevalence. I present two arguments for that conclusion. The first argument is directed at those pro-choice thinkers who hold that while some or all elective abortions are morally wrong, they still ought to be legally permitted and publicly subsidized. The second argument is directed at pro-choice thinkers who hold that there is nothing morally wrong with elective abortion and that it should be both legally permitted and publicly subsidized. The second argument employs premises that generalize beyond the abortion debate and that may serve to shed light on broader questions concerning conscience and the requirements of political compromise in a democracy. PMID:26715048

  1. Profile of abortion seekers and decision makers of post abortion contraceptive acceptability in Andaman and Nicobar Islands, India

    Directory of Open Access Journals (Sweden)

    Anita Yadav

    2016-10-01

    Conclusions: All MTP seekers should be provided information and counseling for post abortal contraceptive use and enable these women and their spouse to make an informed and voluntary choice and thus avoid the need of a repeat abortion. Contraceptive services should also include emergency contraception to prevent unwanted pregnancy due to unprotected sex. [Int J Reprod Contracept Obstet Gynecol 2016; 5(10.000: 3491-3495

  2. Transgender Youth and Life-Threatening Behaviors

    Science.gov (United States)

    Grossman, Arnold H.; D'Augelli, Anthony R.

    2007-01-01

    Sexual minority status is a key risk factor for suicide among lesbian, gay, and bisexual youth; however, it has not been studied among transgender youth. Fifty-five transgender youth reported on their life-threatening behaviors. Nearly half of the sample reported having seriously thought about taking their lives and one quarter reported suicide…

  3. Threatened and Endangered Species: Tour Packet.

    Science.gov (United States)

    Coats, Victoria; Samia, Cory

    This resource unit contains a teacher information packet and a middle school student activity packet to be used in creating a threatened and endangered species unit. The packet of student activities is designed to help maximize a field trip to the zoo and build on students' zoo experience in the classroom. The teacher information packet covers the…

  4. Maternal mortality from septic abortions in University Hospital, Kuala Lumpur from March 1968 to February 1974.

    Science.gov (United States)

    Ng, K H; Sinnathuray, T A

    1975-09-01

    4 maternal deaths from abortion that took place during the 6-year period from March 1968 to February 1974 in the University Hospital, Kuala Lumpur are reviewed with focus on the avoidable causes and preventive aspects. The total maternal deaths from all causes for the 1699 admission was 13. The mortality rate from abortion during this period was 0.241/1000 pregnancies. The number of abortion cases admitted into the hospital during the 6-year period increased steadily. Of the 4 abortion deaths, 3 patients admitted to attempts at inducing abortion. 1 patient denied having induced abortion, although her husband felt that it could have occurred. All 4 cases of abortion deaths occurred in patients with septic abortions and were, theoretically, avoidable deaths. It is most important to prevent sepsis in a case of abortion. Patients with endotoxic shock are often given intravenous steroids in pharmacological doses every 4-6 hours.

  5. A project to improve the quality of abortion services in Moldova.

    Science.gov (United States)

    Comendant, Rodica

    2005-11-01

    Abortion has been available legally in Moldova since 1955, and since then the abortion rate has gradually declined. The quality of abortion care remains low, however, and there is a high level of maternal mortality related to unsafe abortion. The goals of the 2005-2015 National Reproductive Health Strategy are to reduce unwanted pregnancy, reduce abortion-related morbidity and mortality, improve access to and quality of abortion care, including the methods of vacuum aspiration and medical abortion. This paper presents information on the current abortion law, policy and services in Moldova. It describes a project whose aim is to improve the quality of abortion services, including the introduction of medical abortion through training of service providers and community education. Manual vacuum aspiration has also recently been introduced. The drugs for medical abortion are officially approved, a clinical study evaluating the efficacy and acceptability of medical abortion in a low-resource setting has been completed, and training of providers has been carried out. However, institutionalisation of medical abortion faces many problems in relation to organisation of service delivery, the higher cost of medical than aspiration abortion, and doctors' reluctance to use new methods.

  6. The political economy of abortion in India: cost and expenditure patterns.

    Science.gov (United States)

    Duggal, Ravi

    2004-11-01

    Access to abortion services is not difficult in India, even in remote areas. Providers of abortion range from traditional birth attendants to auxiliary nurse midwives and pharmacists, unqualified and qualified private doctors, to gynaecologists. Despite a well-defined law, there is a lack of regulation of abortion services or providers, and the cost to women is determined by supply side economics. The state is not a leading provider of abortions; services remain predominantly in the private sector. Abortions in the public sector are free only if the woman accepts some form of contraception; other fees may also be charged. The cost of abortion varies considerably, depending on the number of weeks of pregnancy, the woman's marital status, the method used, type of anaesthesia, whether it is a sex-selective abortion, whether diagnostic tests are carried out, whether the provider is registered and whether hospitalisation is required. A review of existing studies indicates that abortions cost a substantial amount--first trimester abortion averages Rs.500- 1000 and second trimester abortion Rs.2000-3000. Given the number of unqualified providers and with 15-20% of maternal deaths due to unsafe abortions, the costs of unsafe abortions must also be counted. It is imperative for the state to regulate the abortion economy in India, both to rationalise costs and assure safe abortions for women.

  7. Spontaneous abortions among women working in the pharmaceutical industry

    Energy Technology Data Exchange (ETDEWEB)

    Taskinen, H.; Lindbohm, M.L.; Hemminki, K.

    1986-03-01

    A register based study was conducted on the pregnancy outcome of female workers in eight Finnish pharmaceutical factories to determine whether they had a higher risk of spontaneous abortion than the general population or matched controls. Information about all female workers who had been employed in the factories during the years 1973 or 1975 (four factories) to 1980 was obtained from the employers. The workers' pregnancy data were collected from the nation wide hospital discharge register and polyclinic data of hospitals from 1973 to 1981. The total number of 1795 pregnancies included 1179 deliveries, 142 spontaneous abortions, and 474 induced abortions. The spontaneous abortion rate (the number of spontaneous abortions X 100, divided by the number of spontaneous abortions plus the number of births) during employment was 10.9% and before/after employment 10.6%. The rate for all the women in the corresponding central hospital districts was 8.5% during the study period. A case-control study was also carried out in which the cases were 44 women who had a spontaneous abortion during employment in the pharmaceutical factory. Three age matched female pharmaceutical factory workers who had given birth to a child were chosen as controls for every case. The information about occupational exposures was collected from questionnaires completed by the occupational physician or nurse at the factory. The response rate was 93%. Exposure to chemicals was more common among the cases than among the controls. For methylene chloride, a solvent commonly used in the pharmaceutical industry, the increase in odds ratio of borderline significance (odds ratio 2.3, p = 0.06). In a logistic regression model (which included oestrogen exposure, solvent exposure frequency of the usage, and heavy lifting) the odds ratio was increased for oestrogens and for heavy lifting.

  8. Aborting a malformed fetus: a debatable issue in saudi arabia.

    Science.gov (United States)

    Al-Alaiyan, Saleh; Alfaleh, Khalid M

    2012-01-01

    Congenital anomalies contribute a significant proportion of infant morbidity and mortality, as well as fetal mortality. They are generally grouped into three major categories: structural/metabolic, congenital infections, and other conditions. The most prevalent conditions include congenital heart defects, orofacial clefts, Down syndrome, and neural tube defects. Several prenatal diagnostic procedures have been introduced, both cytogenetic (such as chorion biopsy, amniocentesis and funiculocentesis) and biophysical (ultrasound 2-D, 3-D and 4-D, ultrasonography with Doppler, etc.). Insufficient data are currently available from Saudi Arabia on the epidemiology of the lethal congenital abnormalities which should be a priority due to high rate of consanguineous marriages among first cousins and their association with congenital anomalies. In terms of consanguinity and birth defects, a significant positive association has been consistently demonstrated between consanguinity and morbidity, and congenital defects with a complex etiology appear to be both more prevalent in consanguineous families and have a greater likelihood of recurrence. A debate regarding aborting a malformed fetus still exists among the senior Islamic scholars in many of the Islamic countries. The progressive interpretations of Islam have resulted in laws allowing for early abortion on request in two countries; six others permit abortion on health grounds and three more also allow abortion in cases of rape or fetal impairment. In Saudi Arabia, efforts to legalize abortion in certain circumstances have been recently discussed among Senior Religious Scholars and specialized physicians to permit abortions in certain circumstances. In this mini-review we discuss the current debate regarding aborting a malformed fetus in Saudi Arabia with a focus on the Islamic perspective. PMID:24027674

  9. Abortion and moral development theory: listening with different ears.

    Science.gov (United States)

    Smith, J E

    1989-01-01

    Listening to the reasons used by women to justify their action of having an abortion is a good way of determining its moral status. However, it must be remembered that the opinions one has about abortion cannot be separated from the manner in which questions are asked of these women. In fact the moral opinion of the researcher is interwoven with the methodology and questions used to interview women. This examination of the above mentioned issue takes place in the context of analyzing Carol Gilligan's book, In a Different Voice. This work will be used to illustrate how a researchers own opinions about abortion can be seen in the process of setting up a study to interview women to determine the moral value of abortion based on the moral justification of abortion seekers. There seems to be a difference of opinion about the use of the terms caring, responsible and non-violent by the women being interviewed. Gilligan states that the moral development of women occurs in 3 stages. Part of the transformation process involves women realizing the good does not necessarily involve self-sacrifice. Gilligan's treatment of the interviews is not always consistent with her own philosophical views; however, she routinely fails to ask rather obvious questions of women that may suggest that they did not reason well about their abortion decision. This ultimately is the weak link in Gilligan's analysis and theories. If you assume that women are the pivotal decision makers in determining the moral status of abortion, you must assume that they always reason correctly, which is of course not the case.

  10. Chromosomal rearrangements as the cause of habitual abortions

    Directory of Open Access Journals (Sweden)

    Petrović Bojana

    2007-01-01

    Full Text Available Introduction Habitual abortion is a spontaneous abortion occurring in three or more successive pregnancies with no intervening pregnancies. Chromosomal aberrations account for approximately 50% of fetal losses prior to 15 weeks. Objective The aim of this study was to determine the role of chromosomal rearrangements in etiology of habitual abortions in couples with a normal karyotype. Method We analyzed the karyotype of placental tissue, taken from spontaneously aborted fetuses from couples with normal karyotype and habitual abortions. The women tested were divided into two groups. In the first group, there were 23 women below 35, and in the second, 13 women above 35 years of age. Tissue samples were obtained from the abortions and processed using standard techniques. All specimens were G-banded using trypsin-Giemsa stain. Sixteen metaphase cells were analyzed for their chromosome constitution in each sample. For statistical analysis, we used χІ test. Results From 36 analyzed cases, there were 17 (47.2% with an abnormal chromosomal constitution and 19 (58.2% with a normal chromosomal constitution. Trisomy 16 was detected in 4 cases. Among sex chromosomal aberrations, only monosomy X was found in 3 cases. Two cases of triploidy and two cases of trisomy 8, 18 and 21 were detected. Trisomy 12 and trisomy 13 were found in one case each. In group of women under 35 (I group, the percentage of chromosomally abnormal fetuses was 34.8%, while in the group of women above 35 (II group, that percentage was 69.2, but there was no statistically significant difference between groups I and II (χІ=3.01< χІ(1 and 0.05=3.841. Conclusion Hereditary base defects are a significant cause of spontaneous abortions in early pregnancy. Detection of chromosomal abnormalities provides the opportunity to plan further treatment of reproduction disorders.

  11. States, Congress confront abortion services under Medicaid, health care plan.

    Science.gov (United States)

    1994-01-13

    Abortion coverage under various health care reform proposals has dominated the political reproductive rights debate, while poor women's access to abortion under Medicaid presents a current practical concern. Under the Clinton administration's proposed Health Security Act, abortion would be covered under "services for pregnant women," and Medicaid would eventually be incorporated into the national health plan. A final version is a long way off. For now, the Hyde amendment, limiting Medicaid coverage of abortion, controls the issue. Congress has made only negligible progress in freeing federal funds for Medicaid abortions: only in situations of life endangerment, rape, or incest. States are required to cover abortions that are medically necessary under the new guidelines, which now include pregnancy arising from rape and incest. The federal policy defers to state law on the definition of rape and incest, allowing for reasonable reporting or documentation requirements, while disallowing unduly burdensome regulations by allowing the treating physician reimbursement when the physician certifies that the patient was unable for physical or psychological reasons to comply with the requirement. States disagreeing with the new abortion policy immediately registered their opposition. Utah's health department, which has a "life only" law, has pledged not to implement the new federal policy until there is further clarification. The Health Care Financing Administrator responded by writing that "the decision to implement this policy nationwide was not discretionary." Congress chose not to add statutory language deferring to the states, and under U.S. Constitutional law, where state law or policy conflicts with federal law, federal law takes precedence. The next battle will certainly center on attempts to amend the Hyde amendment itself as well as health care legislation along the "states' option" lines. PMID:12345518

  12. Study quantifies problem of abortion in the region.

    Science.gov (United States)

    1994-10-01

    Findings of a multicenter study that was discussed during the 1993 Health Ministers' Conference showed that about 30% of maternal deaths in east, central, and southern Africa were associated with complications of unsafe abortion. The Commonwealth Regional Health Community Secretariat in collaboration with the Support for Analysis and Research in Africa, a project funded by USAID and the Johns Hopkins Program on Training in Reproductive Health, has coordinated a study that will help guide the development of better policies on unsafe abortion. One phase involved the collection and analysis of all published and unpublished information from computer data bases dealing with the problem. The other phase involved interviews with health care workers, patients, and managers of health care facilities in Zambia, Malawi, and Uganda. In each of the 3 countries primary data was collected from a tertiary care hospital in the capital city, a provincial hospital, and 2 rural district hospitals. The results of the primary data component showed that services for the prevention of unwanted pregnancy and treatment of complications of abortion in this region are inadequate. Unsafe abortion was also a major public health problem in the region, costing national governments a lot of resources. Findings revealed that unsafe abortion is an enormous public health problem with staggering consequences for women and the health care system, which spend an inordinate amount of money, time, and other resources to treat the consequences of unsafe abortion. Complications leading to acute and chronic injuries and sometimes death, as a result of unsafe abortion, affect women at the prime of their lives. Postabortion family planning services, health care facilities, and counseling are lacking. The Recommendations and Policy Implications of the study will be discussed by the 22nd Conference of Health Ministers with a view to developing specific actions to avert the problem.

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

    Science.gov (United States)

    Kalonda, J C Omba

    2012-01-01

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

  14. Exploring abortion knowledge and opinion among lawyers, an important yet overlooked stakeholder group in Mexico.

    Science.gov (United States)

    Wilson, Kate S; Garcia, Sandra G; Olavarrieta, Claudia Díaz; McMurtrie, Stephanie M; Valencia, Jorge Armando; Diaz de Leon, Fernanda; Sanchez Fuentes, Maria Luisa

    2012-01-01

    Lawyers are important actors shaping the abortion debate in Mexico. Of 250 private and public sector criminal lawyers surveyed from four regions, the majority knew about abortion laws in their states. At least 80% agreed with abortion in cases of rape, risk to a woman's life or health, and fetal malformations. Overall, 61% agreed with the Mexico City law and 84% would defend a woman denied a legal abortion. In multivariate analysis, being very knowledgeable of abortion laws was a significant predictor of more "progressive" abortion opinions, support for the Mexico City law, and support for the health indication. PMID:23066966

  15. Fundamental discrepancies in abortion estimates and abortion-related mortality: A reevaluation of recent studies in Mexico with special reference to the International Classification of Diseases.

    Science.gov (United States)

    Koch, Elard; Aracena, Paula; Gatica, Sebastián; Bravo, Miguel; Huerta-Zepeda, Alejandra; Calhoun, Byron C

    2012-01-01

    In countries where induced abortion is legally restricted, as in most of Latin America, evaluation of statistics related to induced abortions and abortion-related mortality is challenging. The present article reexamines recent reports estimating the number of induced abortions and abortion-related mortality in Mexico, with special reference to the International Classification of Diseases (ICD). We found significant overestimations of abortion figures in the Federal District of Mexico (up to 10-fold), where elective abortion has been legal since 2007. Significant overestimation of maternal and abortion-related mortality during the last 20 years in the entire Mexican country (up to 35%) was also found. Such overestimations are most likely due to the use of incomplete in-hospital records as well as subjective opinion surveys regarding induced abortion figures, and due to the consideration of causes of death that are unrelated to induced abortion, including flawed denominators of live births. Contrary to previous publications, we found important progress in maternal health, reflected by the decrease in overall maternal mortality (30.6%) from 1990 to 2010. The use of specific ICD codes revealed that the mortality ratio associated with induced abortion decreased 22.9% between 2002 and 2008 (from 1.48 to 1.14 deaths per 100,000 live births). Currently, approximately 98% of maternal deaths in Mexico are related to causes other than induced abortion, such as hemorrhage, hypertension and eclampsia, indirect causes, and other pathological conditions. Therefore, only marginal or null effects would be expected from changes in the legal status of abortion on overall maternal mortality rates. Rather, maternal health in Mexico would greatly benefit from increasing access to emergency and specialized obstetric care. Finally, more reliable methodologies to assess abortion-related deaths are clearly required.

  16. Insights from an expert group meeting on the definition and measurement of unsafe abortion.

    Science.gov (United States)

    Sedgh, Gilda; Filippi, Veronique; Owolabi, Onikepe O; Singh, Susheela D; Askew, Ian; Bankole, Akinrinola; Benson, Janie; Rossier, Clementine; Pembe, Andrea B; Adewole, Isaac; Ganatra, Bela; MacDonagh, Sandra

    2016-07-01

    Until recently, WHO operationally defined unsafe abortion as illegal abortion. In the past decade, however, the incidence of abortion by misoprostol administration has increased in countries with restrictive abortion laws. Access to safe surgical abortions has also increased in many such countries. An important effect of these trends has been that, even in an illegal environment, abortion is becoming safer, and an updated system for classifying abortion in accordance with safety is needed. Numerous factors aside from abortion method or legality should be taken into consideration in developing such a classification system. An Expert Meeting on the Definition and Measurement of Unsafe Abortion was convened in London, UK, on January 9-10, 2014, to move toward developing a classification system that both reflects current conditions and acknowledges the gradient of risk associated with abortion. The experts also discussed the types of research needed to monitor the incidence of abortion at each level of safety. These efforts are urgently needed if we are to ensure that preventing unsafe abortion is appropriately represented on the global public health agenda. Such a classification system would also motivate investment in research to accurately measure and monitor abortion incidence across categories of safety. PMID:27062249

  17. Insights from an expert group meeting on the definition and measurement of unsafe abortion.

    Science.gov (United States)

    Sedgh, Gilda; Filippi, Veronique; Owolabi, Onikepe O; Singh, Susheela D; Askew, Ian; Bankole, Akinrinola; Benson, Janie; Rossier, Clementine; Pembe, Andrea B; Adewole, Isaac; Ganatra, Bela; MacDonagh, Sandra

    2016-07-01

    Until recently, WHO operationally defined unsafe abortion as illegal abortion. In the past decade, however, the incidence of abortion by misoprostol administration has increased in countries with restrictive abortion laws. Access to safe surgical abortions has also increased in many such countries. An important effect of these trends has been that, even in an illegal environment, abortion is becoming safer, and an updated system for classifying abortion in accordance with safety is needed. Numerous factors aside from abortion method or legality should be taken into consideration in developing such a classification system. An Expert Meeting on the Definition and Measurement of Unsafe Abortion was convened in London, UK, on January 9-10, 2014, to move toward developing a classification system that both reflects current conditions and acknowledges the gradient of risk associated with abortion. The experts also discussed the types of research needed to monitor the incidence of abortion at each level of safety. These efforts are urgently needed if we are to ensure that preventing unsafe abortion is appropriately represented on the global public health agenda. Such a classification system would also motivate investment in research to accurately measure and monitor abortion incidence across categories of safety.

  18. Ultrasonographic findings of Myoma, H-mole and Missed abortion

    International Nuclear Information System (INIS)

    Ultrasonography is very important in the diagnosis of various kinds of diseases in Obsterics and Gynecology. It has high diagnostic accuracy in the diagnosis of pelvic masses and widely used for the detection of normal orpathologic pregnancy. But still it is difficult to differentiate degenerated myoma, H-mole and missed abortion by ultrasonography. So the authors analyzed the ultrasonographic findings of 81 patients with myoma(29 cases), H-mole(23 cases), and missed abortion(29 cases) and the results are as follows; 1. Diagnostic accuracy was 8.6% in myoma, 87% in H-mole and 89% in missed abortion. 2. The most typical ultrasonographic finding of myoma was obulated mass contour with nonhomogenous internal echo. 3. The most characteristic finding of H-mole was fine vesicular pattern internal echo with globular enlargement of uterus. 4. The most frequent finding of missed abortion was deformed gestational sac with or without remained fetal echo. 5. Clinical correlation was very important for accurate diagnosis, especially when differential diagnosis was very difficult between myoma with marked cystic degeneration, missed abortion with large distorted gestational sac and H-mole with severe degeneration

  19. Contextual determinants of induced abortion: a panel analysis

    Directory of Open Access Journals (Sweden)

    Mar Llorente-Marrón

    2016-01-01

    Full Text Available 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.

  20. Human rights and the right to abortion in Latin America.

    Science.gov (United States)

    Zúñiga-Fajuri, Alejandra

    2014-03-01

    The scope of this study is to question the fact that in some countries in Latin America (Chile, El Salvador, Nicaragua, Honduras and the Dominican Republic) abortion is still forbidden in all situations. Even after all the debate on this thorny issue, the theory of human rights is not often used in the defense of abortion. This is clearly related to the pervasive, albeit unspoken belief that, due to their condition, pregnant women inherently lose their full human rights and should surrender and even give up their lives in favor of the unborn child. This article seeks to show that an adequate reading of the theory of human rights should include abortion rights through the first two trimesters of pregnancy, based on the fact that basic liberties can only be limited for the sake of liberty itself. It also seeks to respond to those who maintain that the abortion issue cannot be resolved since the exact point in the development of the embryo that distinguishes legitimate from illegitimate abortion cannot be determined. There are strong moral and scientific arguments for an approach capable of reducing uncertainty and establishing the basis for criminal law reforms that focus on the moral importance of trimester laws. PMID:24714897

  1. Human rights and the right to abortion in Latin America

    Directory of Open Access Journals (Sweden)

    Alejandra Zúñiga-Fajuri

    2014-03-01

    Full Text Available The scope of this study is to question the fact that in some countries in Latin America (Chile, El Salvador, Nicaragua, Honduras and the Dominican Republic abortion is still forbidden in all situations. Even after all the debate on this thorny issue, the theory of human rights is not often used in the defense of abortion. This is clearly related to the pervasive, albeit unspoken belief that, due to their condition, pregnant women inherently lose their full human rights and should surrender and even give up their lives in favor of the unborn child. This article seeks to show that an adequate reading of the theory of human rights should include abortion rights through the first two trimesters of pregnancy, based on the fact that basic liberties can only be limited for the sake of liberty itself. It also seeks to respond to those who maintain that the abortion issue cannot be resolved since the exact point in the development of the embryo that distinguishes legitimate from illegitimate abortion cannot be determined. There are strong moral and scientific arguments for an approach capable of reducing uncertainty and establishing the basis for criminal law reforms that focus on the moral importance of trimester laws.

  2. Self-management of medical abortion: a qualitative evidence synthesis.

    Science.gov (United States)

    Wainwright, Megan; Colvin, Christopher J; Swartz, Alison; Leon, Natalie

    2016-05-01

    Medical abortion is a method of pregnancy termination that by its nature enables more active involvement of women in the process of managing, and sometimes even administering the medications for, their abortions. This qualitative evidence synthesis reviewed the global evidence on experiences with, preferences for, and concerns about greater self-management of medical abortion with lesser health professional involvement. We focused on qualitative research from multiple perspectives on women's experiences of self-management of first trimester medical abortion (data from these studies, and synthesized review findings. Review findings were organized under the following themes: general perceptions of self-management, preparation for self-management, logistical considerations, issues of choice and control, and meaning and experience. The synthesis highlights that the qualitative evidence base is still small, but that the available evidence points to the overall acceptability of self-administration of medical abortion. We highlight particular considerations when offering self-management options, and identify key areas for future research. Further qualitative research is needed to strengthen this important evidence base.

  3. Living through some giant change: the establishment of abortion services.

    Science.gov (United States)

    Schoen, Johanna

    2013-03-01

    This article traces the establishment of abortion clinics following Roe v Wade. Abortion clinics followed one of two models: (1) a medical model in which physicians emphasized the delivery of high quality medical services, contrasting their clinics with the back-alley abortion services that had sent many women to hospital emergency rooms prior to legalization, or (2) a feminist model in which clinics emphasized education and the dissemination of information to empower women patients and change the structure of women's health care. Male physicians and feminists came together in the newly established abortion services and argued over the priorities and characteristics of health care delivery. A broad range of clinics emerged, from feminist clinics to medical offices run by traditional male physicians to for-profit clinics. The establishment of the National Abortion Federation in the mid-1970s created a national forum of health professionals and contributed to the broadening of the discussion and the adoption of compromises as both feminists and physicians influenced each other's practices. PMID:23327251

  4. ABORTION IN BRAZIL: IMPACTS OF ILLEGALITY IN PUBLIC HEALTH

    Directory of Open Access Journals (Sweden)

    Vanessa Cruz Santos

    2013-12-01

    Full Text Available Abortion in Brazil provides public health impacts, mainly due to the high rate of maternal morbidity and mortality, because it most often occurs in an illegal practice and / or unsafe, because of the illegality of abortion in certain situations in the country. Therefore, it is an issue that refers to the various reflections, such as legal, moral, cultural, socio-economic and bioethical. Given the above, the study aims to address about abortion in Brazil and the impacts of illegality in public health. Study of literature review, descriptive and discursive, held in the database SciELO sites and governmental and non-governmental organizations. It was evident that the illegality of abortion in Brazil is harmful to the health of women who resort to unsafe practices and / or illegal, a violation of human rights, the women’s autonomy, as well as providing public health impacts, and sometimes this actually happens because the deficit in quality of care, specifically to sexual and reproductive health, as the actions of Family Planning. It is considered that the way of abortion in Brazil requires modifications, especially with regard to legislative and bioethics conflicts.

  5. The benefits of progesterone therapy in imminent abortion

    Directory of Open Access Journals (Sweden)

    A. Abadi

    2005-12-01

    Full Text Available The causes of imminent abortion are multi-factorial. The biggest causal factor is the low level of serum progesterone level. The lowest critical level of serum progesterone for survivability of pregnancy is 10 ng/ml. Eighty percent of patients experiencing abortion showed that their progesterone level was < 10 ng/ml. Patients who realized that their pregnancy would experience hemorrhage generally would suffer from depression. Stress was one of the factors responsible for the occurence of abortion. Administration of natural progesterone substitution (not  progestogen accelerates the disappearance of uterine contractions, and speeds up the stoppage of bleeding. In addition, progesterone has the effect of anti-anxiety. Adminstration of oral progesterone would result in metabolism in the intestine and liver, such that physiological level of serum progesterone could not be reached, while administration of suppositoria progesterone would result in physiological level of serum, such that it was effective to prevent imminent abortion. (Med J Indones 2005; 14:258-62Keywords: progesterone, imminent abortion

  6. Development of an abort gap monitor for the large hadroncollider

    Energy Technology Data Exchange (ETDEWEB)

    Beche, J.-F.; Byrd, J.; De Santis, S.; Placidi, M.; Turner, W.; Zolotorev, M.

    2004-07-01

    The Large Hadron Collider (LHC), presently under construction at CERN, requires monitoring the parasitic charge in the 3.3ms long gap in the machine fill structure. This gap, referred to as the abort gap, corresponds to the raise time of the abort kickers magnets. Any circulating particle present in the abort gap at the time of the kickers firing is lost inside the ring, rather than in the beam dump, and can potentially damage a number of the LHC components. CERN specifications indicate a linear density of 6 x 106 protons over a 100 ns interval as the maximum charge safely allowed to accumulate in the abort gap at 7 TeV. We present a study of an abort gap monitor, based on a photomultiplier tube with a gated microchannel plate, which would allow for detecting such low charge densities by monitoring the synchrotron radiation emitted in the dedicated diagnostics port. We show results of beam test experiments at the Advanced Light Source (ALS) using a Hamamatsu 5961U MCP-PMT, which indicate that such an instrument has the required sensitivity to meet LHC specifications.

  7. Contextual determinants of induced abortion: a panel analysis

    Science.gov (United States)

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

    2016-01-01

    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

  8. ACLU: strict anti-abortion law could also ban contraceptives.

    Science.gov (United States)

    1991-09-01

    In states that pass very restrictive abortion laws, contraceptives may be outlawed as well. A Louisiana law prohibits abortion, even to save the life of the mother, and defines the moment of conception to be contact between a spermatozoan and an ovum. The law carries a maximum 10 year prison sentence and a $100,000 maximum fine. According to this definition, oral contraceptives, IUDs and Norplant would all be considered abortifacient and would thus be illegal. The American Civil Liberties Union (ACLU) has filled a suit on behalf of the women seeking abortions, the physicians performing abortions, and abortion clinics. There appear to be some problem with banning the contraceptives because the law stipulates that you must terminate the pregnancy with intent and if you don't know you are pregnant, then you can't have intent. Thus contraceptives work without knowledge of pregnancy and should not be included. The ACLU also claims that the definition of conception is not medically or scientifically accepted and as such it is faulty.

  9. ACLU: strict anti-abortion law could also ban contraceptives.

    Science.gov (United States)

    1991-09-01

    In states that pass very restrictive abortion laws, contraceptives may be outlawed as well. A Louisiana law prohibits abortion, even to save the life of the mother, and defines the moment of conception to be contact between a spermatozoan and an ovum. The law carries a maximum 10 year prison sentence and a $100,000 maximum fine. According to this definition, oral contraceptives, IUDs and Norplant would all be considered abortifacient and would thus be illegal. The American Civil Liberties Union (ACLU) has filled a suit on behalf of the women seeking abortions, the physicians performing abortions, and abortion clinics. There appear to be some problem with banning the contraceptives because the law stipulates that you must terminate the pregnancy with intent and if you don't know you are pregnant, then you can't have intent. Thus contraceptives work without knowledge of pregnancy and should not be included. The ACLU also claims that the definition of conception is not medically or scientifically accepted and as such it is faulty. PMID:12317309

  10. Consultant choice across decision contexts: are abortion decisions different?

    Science.gov (United States)

    Finken, L L; Jacobs, J E

    1996-04-01

    A survey conducted among college students in the midwestern US indicated that abortion decision-making consultation patterns differ substantially from those associated with other types of decisions. Surveyed were 169 predominantly White, middle-income students (68 males and 101 females) 18-20 years of age recruited from an introductory psychology class. Participants were presented with vignettes that pertained to four types of decisions: abortion (unplanned pregnancy), medical (cancer treatment type), future (career move), and interpersonal (crisis with a friend). For each decision, students were asked who they would consult (specific family members, significant others, friends, various professionals) and the order in which they would consult them. The mean number of consultants selected was 3.72 for abortion, 5.54 for medical, 4.90 for future-oriented, and 2.41 for interpersonal decisions. Significant others were selected most often for all decision scenarios; however, the highest frequency of consultation and lowest mean rank order for the significant other was on the abortion decision. The next most important consultant for abortion decisions was friends, then family members, and, finally, professionals. The only gender difference was a greater tendency for females to consult their mothers. For every category of consultant (except best friend), the pattern differed depending on the type of decision. These findings underscore the importance of considering context and multifaceted approaches in the design of programs aimed at enhancing adolescents' decision-making skills. PMID:12347375

  11. Chlamydia pecorum: fetal and placental lesions in sporadic caprine abortion.

    Science.gov (United States)

    Giannitti, Federico; Anderson, Mark; Miller, Myrna; Rowe, Joan; Sverlow, Karen; Vasquez, Marce; Cantón, Germán

    2016-03-01

    Chlamydial abortion in small ruminants is usually associated with Chlamydia abortus infection. Although Chlamydia pecorum has been detected in aborted ruminants and epidemiological data suggests that C. pecorum is abortigenic in these species, published descriptions of lesions in fetuses are lacking. This work describes fetoplacental lesions in a caprine abortion with C. pecorum infection, and further supports the abortigenic role of C. pecorum in ruminants. A 16-month-old Boer goat aborted twin fetuses at ~130 days of gestation. Both fetuses (A and B) and the placenta of fetus A were submitted for postmortem examination and diagnostic workup. At autopsy, the fetuses had moderate anasarca, intermuscular edema in the hindquarters (A), and brachygnathia and palatoschisis (B). In the placenta, the cotyledons were covered by yellow fibrinosuppurative exudate that extended into the adjacent intercotyledonary areas. Histologically, there was severe suppurative and necrotizing placentitis with vasculitis (arteriolitis) and thrombosis, multifocal lymphohistiocytic and neutrophilic hepatitis (A), and fibrinosuppurative enteritis in both fetuses. Chlamydia antigen was detected in the placenta by the direct fluorescent antibody test and in fetal intestines by immunohistochemistry. Nested polymerase chain reaction of DNA extracted from formalin-fixed, paraffin-embedded sections of placenta and intestine amplified 400 bp of the Chlamydia 16S rRNA gene that was sequenced and found to be 99% identical to C. pecorum by BLAST analysis. Other known abortigenic infectious agents were ruled out by specific testing. It is concluded that C. pecorum infection is associated with fetoplacental lesions and sporadic abortion in goats. PMID:26965241

  12. Life-threatening intrathyroidal parathyroid adenoma

    OpenAIRE

    Dogan, Ugur; Koc, Umit; Mayir, Burhan; Habibi, Mani; Dogan, Berna; Gomceli, Ismail; BULBULLER, Nurullah

    2015-01-01

    Acute primary hyperparathyroidism and parathyroid crisis are characterized by life-threatening hypercalcemia, a rare disorder. A 69-year-old female patient presented at our hospital’s neurology clinic with weakness, nausea, vomiting, depression, and hypercalcemia. Treatment of hypercalcemia resulted in no improvement in neurological symptoms, indicating resistance to treatment. Thyroid ultrasonography and parathyroid scintigraphy revealed hypoechoic nodules in the right lobe, pieces of nodule...

  13. State obligations to implement African abortion laws: employing human rights in a changing legal landscape.

    Science.gov (United States)

    Ngwena, Charles G

    2012-11-01

    Women in the African region are overburdened with unsafe abortion. Abortion regimes that fail to translate any given abortion rights into tangible access are partly to blame. Historically, African abortion laws have been highly restrictive. However, the post-independence era has witnessed a change toward liberalizing abortion law, even if incremental for many jurisdictions. Furthermore, Article 14 of the Protocol to the African Charter on Human and Peoples' Rights on the Rights of Women in Africa has significantly augmented the regional trend toward liberalization by recognizing abortion as a human right in given circumstances. However, states are failing to implement abortion laws. The jurisprudence that is emerging from the European Court of Human Rights and United Nations treaty bodies is a tool that can be used to render African governments accountable for failure to implement domestic abortion laws. PMID:22944215

  14. 57.1% of Unmarried Women Undergoing Abortion Have RTI:Survey

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    A survey of 2,002 unmarried women under 24 years of age who requested abortions in four Chinese cities indicates that reproductive tract infection (RTI) has become a major factor affecting the reproductive health of unmarried women having abortions.

  15. Abortion and politics in Nicaragua: the women's movement in the debate on the Abortion Law Reform 1999-2002.

    Science.gov (United States)

    Heumann, Silke G

    2007-01-01

    This paper analyses discussion on a proposed reform to the abortion law in Nicaragua between 1999 and 2002, as a struggle between different actors - politicians, religious leaders, doctors and feminists - over the meaning of abortion, motherhood and sexuality, and ultimately the value of women's lives. It shows how the interplay of gender discourses and political practices shaped the process of discussion: on one hand by making a broad alliance against abortion possible, on the other by highlighting the contradictory role of the women's movement in this discussion, between a dominant leadership and a low mobilizing capacity. The paper argues for the need of an inwards oriented process within the women's movement, that departs from the recognition of the personal issues at stake for women in order to break the silence surrounding abortion, such as prevailing feelings of fear and guilt. This entails recognition of the limits of the liberal feminist claim to 'abortion as a free choice', as a discourse of rights that is disconnected from the everyday life conditions and constraints under which women make choices and develop their notions of rights.

  16. Association Study of Estrogen Receptor Alpha Gene Polymorphisms with Spontaneous Abortion: Is This a Possible Reason for Unexplained Spontaneous Abortion?

    Directory of Open Access Journals (Sweden)

    Negin Anousha

    2013-01-01

    Full Text Available Estrogen plays a crucial role in fetal and placental development through estrogen receptors. Association of estrogen receptor alpha gene (ESR1 polymorphisms with spontaneous abortion has been shown in some studies. Our main goal was to study the potential association of spontaneous abortion with the ESR1 gene variations (PvuII and XbaI in fetal tissue. Totally, 161 samples were recruited including 80 samples of formalin-fixed paraffin-embedded fetal tissue from spontaneous abortion and 81 samples of normal term placental tissue. The restriction fragment length polymorphism (RFLP method was performed for genotyping the rs2234693 (A/G XbaI and rs9340799 (T/C PvuII single nucleotide polymorphisms located in intron 1 of ESR1. The results have been confirmed by DNA sequencing analysis. The different genotypes distribution was detected in two study groups. Haplotype analysis indicated that ppxx is protective genotype against spontaneous abortion (P = 0.01. In conclusion, the potential role of ESR1 genetic variation in spontaneous abortion might be valuable in high-risk subjects, and that needs to be confirmed with future studies.

  17. Abortion and politics in Nicaragua: the women's movement in the debate on the Abortion Law Reform 1999-2002.

    Science.gov (United States)

    Heumann, Silke G

    2007-01-01

    This paper analyses discussion on a proposed reform to the abortion law in Nicaragua between 1999 and 2002, as a struggle between different actors - politicians, religious leaders, doctors and feminists - over the meaning of abortion, motherhood and sexuality, and ultimately the value of women's lives. It shows how the interplay of gender discourses and political practices shaped the process of discussion: on one hand by making a broad alliance against abortion possible, on the other by highlighting the contradictory role of the women's movement in this discussion, between a dominant leadership and a low mobilizing capacity. The paper argues for the need of an inwards oriented process within the women's movement, that departs from the recognition of the personal issues at stake for women in order to break the silence surrounding abortion, such as prevailing feelings of fear and guilt. This entails recognition of the limits of the liberal feminist claim to 'abortion as a free choice', as a discourse of rights that is disconnected from the everyday life conditions and constraints under which women make choices and develop their notions of rights. PMID:17457727

  18. The challenges procuring of safe abortion care in Botswana.

    Science.gov (United States)

    Smith, Stephanie Samantha

    2013-12-01

    Botswana's national healthcare system has experienced substantial investment as a result of a growing economy and stable government, and improvements in quality and access are notable. Despite these advances, women's reproductive health continues to suffer as a result of unsafe abortion. The personal, financial, and health costs of women seeking dangerous illegal terminations, or crossing national borders to procure a legal abortion, are evident. Twenty-one in-depth, qualitative interviews with Batswana were conducted to gain some insight into the factors which make terminating an unwanted pregnancy difficult in Botswana. This small study demonstrates that there are important socio-cultural constraints, in addition to the legal barriers, that make abortion problematic. These constraints are entrenched in the wider issue of women's rights and status in society. PMID:24558781

  19. The FIGO initiative for the prevention of unsafe abortion.

    Science.gov (United States)

    Shaw, Dorothy

    2010-07-01

    Unsafe abortion is a recognized public health problem that contributes significantly to maternal mortality. At least 13% of maternal mortality is caused by unsafe abortion, mostly in poor and marginalized women. The International Federation of Gynecology and Obstetrics (FIGO) launched an initiative in 2007 to prevent unsafe abortion and its consequences, building on its work on other major causes of maternal mortality. A Working Group was identified with collaborators from many international organizations and terms of reference provided direction from the FIGO Executive Board as to possible evidence-based interventions. A total of 54 member associations of FIGO, representing almost half its member societies, requested participation in the initiative, with 43 subsequently producing action plans that are country specific and involve the national government and multiple collaborators. Obstetrician/gynecologists have demonstrated the importance of the initiative by an unprecedented level of engagement in efforts to reduce maternal mortality and morbidity in country and by sharing experiences regionally.

  20. Divergent views on abortion and the period of ensoulment.

    Science.gov (United States)

    Khitamy, Badawy A B

    2013-02-01

    A Muslim woman in her sixteenth week of pregnancy was informed that her ultrasound scan showed spina bifida, and laboratory results confirmed the diagnosis. The child would have various complications and, most probably, would need medical care for life. With the consent of her husband she decided to terminate the pregnancy. Her decision sparked controversy among Muslim clerics in her community, sparking debate between those who would allow abortion for medical reasons and those who oppose abortion for any reason. This paper will review the philosophical and theological arguments of the pro-life and pro-choice groups as well as the Islamic perspective concerning a woman's autonomy over her reproductive system, the sanctity of the fetus and the embryo, therapeutic abortion, and ensoulment. PMID:23573379

  1. [Celiac disease and abortion: focusing on a possible relationship].

    Science.gov (United States)

    Caramaschi, P; Biasi, D; Carletto, A; Randon, M; Pacor, M L; Bambara, L M

    2000-02-01

    Celiac disease represents one of the most frequent chronic inflammatory diseases. In Italy the prevalence among school-age population has been calculated in 1:180 subjects. Along with typical forms of the disease characterized by overt symptoms and signs of malabsorption, many cases are undiagnosed because they are subclinical, atypical or even symptomless. In adults, the disease may present with infertility; in particular celiac disease may be responsible of multiple abortions. These manifestations, whose pathogenesis is unknown, are not related to the severity of the disease; the gluten-free diet strongly ameliorates the fertility. In this paper we have focused the connection between abortion and celiac disease. A better knowledge of this relationship may lead to correctly diagnose and consequently to treat the cause of some cases of abortion, previously labelled as cases of unidentified origin. PMID:10748651

  2. A study of the ethics of induced abortion in Korea.

    Science.gov (United States)

    Um, Y R

    1999-11-01

    The purposes of this study were to investigate the ethical aspects of induced abortion from the viewpoint of Korean women, and to compare and contrast their ethical considerations and values with the views of western ethical scholars. The two extremes of ethical arguments about induced abortion are pro-life and pro-choice. However, the Korean women who participated in this study showed that conflicting ethical values were raised between the principle of caring and the sanctity of life or the principle of respect for the person, not between the right of self-determination and the sanctity of life. The results of the study suggest that it would be better to include the viewpoints of women in any ethical discussion on abortion in order for ethicists and health professionals to understand more fully the dimensions of moral clinical problems and be in a better position to discuss them in a practical manner.

  3. Recurrent Spontaneous Abortions- An Update on Diagnosis and Management

    Directory of Open Access Journals (Sweden)

    Pildner von Steinburg S

    2009-01-01

    Full Text Available Recurrent spontaneous abortions (RSA, defined as three or more consecutive miscarriages, affect 1 % of couples trying to conceive. Risk of abortion is 15 % in every pregnancy, increasing with the number of previous miscarriages. While 50–70 % of sporadic abortions are attributed to chromosomal defects, mostly trisomies, in RSA there are different underlying disorders of uterine, genetic, infectious, endocrine, immune or thrombophilic etiology, but about 25–40 % are of still unknown etiology. While specific therapy for uterine, infectious, and endocrine disorders may be applied, treatment options for some immunologic and thrombophilic disturbances are still under examination. Careful counseling must be offered to patients with RSA of unknown etiology, as not all treatment options widely offered are based on sufficient evidence yet.

  4. [Abortion and misoprostol: health practices and scientific controversy].

    Science.gov (United States)

    Corrêa, Marilena Cordeiro Dias Villela; Mastrella, Miryam

    2012-07-01

    This article puts into perspective the controversy between the association of the use of misoprostol for abortion and teratogenicity studies of the type found in a case report. The use of herbal medicinal drugs and the medical-obstetric and national and international norms governing the registration and circulation of pharmaceutical products were examined. Official documents of ANVISA, the Ministry of Health and the World Health Organization on the use of misoprostol, as well as 68 articles such as case reports published in national journals, linking abortion, misoprostol and teratogenicity were reviewed, systematically filed and analyzed using the monographic method. The legal prohibition of abortion prevents the proper prescription and use of a drug such as misoprostol that is both safe and effective. Thus, the danger for the health of women is linked not to the intrinsic characteristics of the drug, but to the moral arguments that constitute negligence and disregard for the fundamental rights of women.

  5. The Abortion Issue in the Development Agenda of Latin American

    Directory of Open Access Journals (Sweden)

    Marta Lamas

    2008-01-01

    Full Text Available This article, which offers a regional overview of the feminist struggle for abortion rights in Latin America, begins by reminding the reader of the context, characterized by poverty and marginalization, in which the region's women become mothers, as well as the deadly consequences of illegal abortion. It subsequently outlines the political tension between some state governments and feminists, particularly the friction that results from interference by the Catholic church hierarchy. The article outlines a few paradigmatic cases that exemplify the Vatican's sensationalist strategy as well as feminist responses by means of networks and taking advantage of regional and international arenas. It argues that abortion rights are a question of social justice and public health and form part of aspirations for democracy. It also makes mention of the theoretical debate on how differences between the sexes are handled by legal systems.

  6. Alcohol consumption at the time of conception and spontaneous abortion

    DEFF Research Database (Denmark)

    Henriksen, Tine Brink; Hjollund, Niels Henrik; Jensen, Tina Kold;

    2004-01-01

    The authors studied the association between female and male alcohol intakes at the time of conception and the risk of spontaneous abortion, including early pregnancy loss detected by urinary human chorionic gonadotropin. After a nationwide mailing to about 50,000 members of four trade unions....... Women collected morning urine for 10 days from the first day of vaginal bleeding in each cycle. The authors detected 186 pregnancies: 131 resulted in childbirth, and 55 resulted in spontaneous abortion (34 detected by urinary human chorionic gonadotropin). Depending on the intake in the cycle...... of conception and the adjustment factors, female alcohol intake was associated with 2-3 times the adjusted risk of spontaneous abortion compared with no intake, and male alcohol intake was associated with 2-5 times the adjusted risk. Only the adjusted relative risks for 10 or more drinks/week compared...

  7. Study of karyotypes in Case of Recurrent Abortions in Gujarat

    Directory of Open Access Journals (Sweden)

    N. Parikh

    2015-06-01

    Full Text Available Introduction: - The biological definition of miscarriage is the expulsion of the conceptus before viability has been achieved. The definition of recurrent miscarriage is three or more consecutive spontaneous abortions. The risk factors for recurrent miscarriage are epidemiological, genetic, anatomical disorders, endocrinal, reproductive tract infections, thrombophilic disorders, disorders of materno-fetal alloimmune relationships, environmental effects and psychological causes. About 50% to 60% of all first trimester abortions are associated with derangement of one or more chromosomal complements. Aim: - The aim of this study was to assess frequency and increasing the awareness of physician about the nature of chromosomal aberration that contribute to the occurrence of repeated abortions. Material & Methods: - Patient of recurrent abortion was investigated by history taking, examination and investigations. For present study 20 women having two or more consecutive spontaneous abortions, who attended outdoor & indoor patient department, were selected and karyotyping was done. In 10 of the above cases karyotype study of both partners was done. So in total 30 individuals (20 females & 10 males were selected for Cytogenetic study. In all cases relevant history and clinical findings and other investigations were noted. Blood samples were obtained and karyotype study was performed at Genetic Laboratory, B. J. Medical College, Ahmedabad. Results and Conclusions: - Cytogenetic evaluation by karyotypes revealed robertsonian translocation in one (5% female; this patient had a history of 2 spontaneous abortions and two times IVF failure, she had history of chocolate cyst of ovary and family history of infertility. No numerical anomaly; mosaicism or inversions were found in this study; 23 cases had normal karyotype and remaining 6 cases came out inconclusive.

  8. Ultrasonographic findings of hydatidiform mole and missed abortion

    International Nuclear Information System (INIS)

    To establish the sonographic characteristics of the hydatidiform mole and the missed abortion with placental degeneration, we have retrospectively analyzed 12 cases of complete mole, 10 cases of partial mole, and 10 cases of missed abortion with placental hydropic degeneration, collected at Taegu Catholic General Hospital, from January 1986 to December 1989. The results were as follows : 1. Of 12 cases of complete mole, all demonstrated diffuse intrauterine vesicular pattern of internal echo without a gestational sac. Two cases were recurred after D and E. 2. The partial mole was characterized by focal (70%) or diffuse (20%) distribution of hydatidiform placental change and a gestational sac (100%) with or without a macerated fetus. But the striking hydatidiform placental change was not present in one cases of partial mole. 3. The uterus was larger for dates in 9 cases (90%) of complete mole, but smaller for dates in 7 cases (70%) of partial mole. 4. The missed abortion with placental hydropic degeneration was indistinguished from a partial mole due to their similar sonographic appearance : focal or diffuse cystic change of a placenta, a distorted gestational sac with or without a fetus, and a smaller uterus for dates. On conclusion, the complete mole could be easily distinguished from a partial mole or a missed abortion by sonography : a gestational sac or an area of noncystic placenta was not identified in a complete mole. The partial mole was indistinguished from a missed abortion, but if there is the suspicion of trophoblastic proliferation, such as a convex placental surface or a larger uterus for dates, then the diagnosis is probably a partial mole rather than a missed abortion

  9. Estimating the incidence of induced abortion in Italy.

    Science.gov (United States)

    Figa'talamanca, I

    1976-01-01

    This attempts to estimate the incidence of induced abortion in Italy using a number of reproductive models and estimates of contraceptive use and effectiveness. The models of Henry and Metiner are based on assumptions of uncontrolled fertility of all women of reproductive age with single women assumed to be as much at risk as married women. These yield abortion estimates of 2.78-3.64 million a year. The actual situation is probably closer to the method of Larsen, which eliminates single women and women over age 44 but assumes uncontrolled fertility. Surveys have shown that contraceptive use, especially among working-class Italian couples, is irregular and most traditional methods such as coitus interruptus. This method estimates .98 million abortions a year. If the same assumptions are made but corrected for shorter birth intervals, the Institut National d'Etudes Demographiques method, an estimate of 1.45 million is obtained. The Larson method was then modified for 2/3 of all married women using contraception with 60% efficiency, with 30% efficiency, and 2/3 at 30% with 2% using contraception 100% efficiently. These estimates are .22, .60, and .50 million. The method of Tietze and Bongaarts with fertility adjusted to age groups and various assumptions of fertility control gives .96 million abortions in the contraception dominant model, 2.26 million in the abortion dominant model, and .63 million in the abortion used after contraceptive failure model. Actual data on contraceptive usage is unavailable so it is impossible to make an accurate estimate.

  10. House again passes ban on abortions at military facilities.

    Science.gov (United States)

    1996-05-31

    Voting 192-225 on May 14, the House defeated an effort to reverse the current prohibition on privately funded abortions at military facilities except in cases of life endangerment, rape, or incest. Introduced by pro-choice Representatives Rosa DeLauro (D-CT), Jane Harman (D-CA), and Mike Ward (D-KY) and mixed record Representative Peter Torkildsen (R-MA), the amendment to the National Defense Authorization Act (HR 3230) would have repealed restrictive language in the statute that governs the Department of Defense (DOD). Floor action on the provision of non-government-funded abortions mirrored Representative DeLauro's failed attempts to strike the onerous provision during the mark-up process for HR 3230, which received final House approval in a 272-153 vote on May 15. The House National Security Committee voted 26-20 against removing the abortion restriction on May 1, six days after a similar 11-5 vote by the Subcommittee on Military Personnel. The near ban on abortion services has been in effect since December of last year, when the DOD spending bill was implemented; President Clinton signed the legislation permanently encoding the restriction into law in February (see RFN IV/22, V/3-4). Upon taking office in January 1993, President Clinton had issued an executive memorandum directing the Secretary of Defense to reverse the ban on the performance of non-lifesaving, privately funded abortions at military facilities, which had been instituted through agency action in mid-1988 (see RFN II/3, IV/13). The DOD authorization statute has prohibited the use of federal funds for abortions except in cases of life endangerment for more than a decade.

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

    Directory of Open Access Journals (Sweden)

    Uday Patel

    2013-06-01

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

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

    OpenAIRE

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

    2015-01-01

    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...

  13. Correlation between missed abortion and insertional translocation involving chromosomes 1 and 7

    OpenAIRE

    Ahmed Husseiny; Neveen Ashaat

    2012-01-01

    Background: Missed abortion (Silent miscarriage) is defined as intrauterine fetal death before twenty weeks gestation. One of the most common causes of early missed abortions (before 10 weeks gestation) is cytogenetic abnormalities. Objective: To asses if there is a correlation between chromosomal aberrations (especially in chromosome 7) and missed abortion among at least two generations. Materials and Methods: After exclusion of direct causes of missed abortion, this study included 60 women ...

  14. Risks, reasons and rights:The european convention on human rights and english abortion law

    OpenAIRE

    Scott, Rosamund

    2016-01-01

    Although there is no right to abort in English law but rather abortion is a crime, the lawful grounds for which are instantiated in the Abortion Act 1967 (as amended by the Human Fertilisation and Embryology Act 1990), the regulation of abortion is sometimes perceived as being fairly 'liberal'. Accordingly, the idea that aspects of English law could be criticised under the European Convention on Human Rights, with which the UK must comply following the Human Rights Act 1998, may seem unlikely...

  15. Awareness regarding abortions and medical termination of pregnancy act among medical students in Puducherry, India

    Directory of Open Access Journals (Sweden)

    Lal Bahadur Palo

    2015-10-01

    Conclusions: Legalization of abortions through the MTP Act in India resulted in a considerable decrease in maternal mortality through the decline in abortions but it has failed to ensure effective implementation and access to medically safe abortion services. Training in basic contraceptive counseling and abortion care should be incorporated in basic medical education in India. [Int J Res Med Sci 2015; 3(10.000: 2729-2733

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

    OpenAIRE

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

    2005-01-01

    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...

  17. Maternal underweight and the risk of spontaneous abortion

    DEFF Research Database (Denmark)

    Helgstrand, Stine; Andersen, Anne-Marie Nybo

    2005-01-01

    BACKGROUND: To evaluate the risk of spontaneous abortion in relation to maternal pre-pregnant underweight. METHODS: The study was designed as a cohort study within the framework of the Danish National Birth Cohort (DNBC). The participants were a total of 23 821 women recruited consecutively......% confidence limits 0.95-1.63) compared to women with pre-pregnant BMI 18.5-24.9. Women with a BMI of 25 or more had a smaller increase in risk of spontaneous abortion. Adjustment for maternal age, parity, previous miscarriages, and lifestyle factors did not affect the estimates substantially, neither did...

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

    Science.gov (United States)

    Jain, Sandhya; Suneja, Amita; Guleria, Kiran

    2016-01-01

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

  19. Abortion and Crime: Cross-Country Evidence from Europe

    OpenAIRE

    Abel François; Raul Magni-Berton; Laurent Weill

    2013-01-01

    The publication of Donohue and Levitt (2001)’s paper on the impact of legalized abortion on the decline of crime in the US has created a wide debate in the literature. However, the vast majority of papers have been implemented in the US setting, and the few other works were single-country studies. In this research, we aim to provide new evidence on the abortion-crime link by examining this issue using a sample of 16 Western European countries. The cross-country investigation allows the exploi...

  20. Is there a ‘new ethics of abortion'?

    OpenAIRE

    Gillon, R

    2001-01-01

    This paper argues that the central issue in the abortion debate has not changed since 1967 when the English parliament enacted the Abortion Act. That central issue concerns the moral status of the human fetus. The debate here is not, it is argued, primarily a moral debate, but rather a metaphysical debate and/or a theological debate—though one with massive moral implications. It concerns the nature and attributes that an entity requires to have "full moral standing" or "moral inviolability" i...

  1. Concurrent conjunctivitis and placentitis in aborted bovine fetuses.

    Science.gov (United States)

    Murray, R D

    1991-11-01

    Consistent histopathological lesions were found in 10 out of 136 aborted fetuses examined during a three year period, using a multi-disciplinary diagnostic investigation technique. Fetuses exhibited a generalized mononuclear inflammatory cell infiltration, accompanied by distinctive lesions of conjunctival hyperplasia and goblet cell formation, alveolitis, and necrotic placentitis. In two cases where amnion was also examined, a chronic amnionitis was present. No consistent laboratory findings could be related to these cases. The fetal and placental lesions described were similar to those associated with experimental inoculation of Ureaplasma diversum in pregnant cows, and with field isolations of the same organism in aborting cattle.

  2. Design and test of the RHIC CMD10 abort kicker

    Energy Technology Data Exchange (ETDEWEB)

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

    2015-05-03

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

  3. Physicians targeted as abortion debate in US turns violent.

    OpenAIRE

    Korcok, M.

    1995-01-01

    The last 2 years have marked a dramatic escalation in the level of abortion-related violence in both Canada and the US. Two physicians and two clinic workers have been murdered since 1993, and last November the violence may have moved north of the border with the shooting of Dr. Garson Romalis in Vancouver. Milan Korcok looks at the threats facing American abortion clinics and the people who work in them, and discusses steps that have been taken to protect them. He warns that the violence tha...

  4. Physicians targeted as abortion debate in US turns violent.

    Science.gov (United States)

    Korcok, M

    1995-03-01

    The last 2 years have marked a dramatic escalation in the level of abortion-related violence in both Canada and the US. Two physicians and two clinic workers have been murdered since 1993, and last November the violence may have moved north of the border with the shooting of Dr. Garson Romalis in Vancouver. Milan Korcok looks at the threats facing American abortion clinics and the people who work in them, and discusses steps that have been taken to protect them. He warns that the violence that has plagued the US because of this issue may now be moving across the border to Canada and other countries. PMID:7882233

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

    OpenAIRE

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

    2008-01-01

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

  6. Uncomplicated abortion with mifepristone and misoprostol in a hemophilia A carrier.

    Science.gov (United States)

    Hou, Melody Y

    2016-08-01

    Little evidence exists regarding medical abortion for women with inherited bleeding disorders. A 21-year-old primigravid hemophilia A carrier desired a medical abortion. After counseling, she chose medical abortion, which occurred without excess bleeding or surgical intervention. PMID:27085601

  7. Factors affecting abortion frequency in dairy herd improvement herds in the United States

    Science.gov (United States)

    Frequency of abortions among lactating cows during 1995-2005 was studied. Only lactations with breeding dates were used. Abortion frequency was 1.51% among 2,980,527 lactations (>151d pregnant by end of lactation). Observed frequency of abortion was 1.6% in 2005. Analyses were conducted to determine...

  8. Understanding the Effects of Personal and School Religiosity on the Decision to Abort a Premarital Pregnancy

    Science.gov (United States)

    Adamczyk, Amy

    2009-01-01

    Although much research has examined the relationship between religion and abortion attitudes, few studies have examined whether religion influences abortion behavior. This study looks at whether individual and school religiosity influence reported abortion behavior among women who become pregnant while unmarried. Hierarchical Logistic Models are…

  9. Medication Abortion within a Student Health Care Clinic: A Review of the First 46 Consecutive Cases

    Science.gov (United States)

    Godfrey, Emily M.; Bordoloi, Anita; Moorthie, Mydhili; Pela, Emily

    2012-01-01

    Objective: Medication abortion with mifepristone and misoprostol has been available in the United States since 2000. The authors reviewed the first 46 medication abortion cases conducted at a university-based student health care clinic to determine the safety and feasibility of medication abortion in this type of clinical setting. Participants:…

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

    NARCIS (Netherlands)

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

    2011-01-01

    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

  11. Delays in seeking an abortion until the second trimester: a qualitative study in South Africa

    Directory of Open Access Journals (Sweden)

    Gabriel Mosotho

    2007-09-01

    Full Text Available Abstract Background Despite changes to the South African abortion legislation in 1996, barriers to women accessing abortions still exist. Second trimester abortions, an inherently more risky procedure, continue to be 20% of all abortions. Understanding the reasons why women delay seeking an abortion until the second trimester is important for informing interventions to reduce the proportion of second trimester abortions in South Africa. Methods Qualitative research methods were used to collect data. Twenty-seven in-depth interviews were conducted in 2006 with women seeking a second trimester abortion at one public sector tertiary hospital and two NGO health care facilities in the greater Cape Town area, South Africa. Data were analysed using a grounded theory approach. Results Almost all women described multiple and interrelated factors that influenced the timing of seeking an abortion. Reasons why women delayed seeking an abortion were complex and were linked to changes in personal circumstances often leading to indecision, delays in detecting a pregnancy and health service related barriers that hindered access to abortion services. Conclusion Understanding the complex reasons why women delay seeking an abortion until the second trimester can inform health care interventions aimed at reducing the proportion of second trimester abortions in South Africa.

  12. Histopathological and molecular study of Neospora caninum infection in bovine aborted fetuses

    Directory of Open Access Journals (Sweden)

    Amir Kamali

    2014-12-01

    Conclusions: The results showed N. caninum infection was detected in high percentage of aborted fetuses. In addition, at least one fourth of abortions caused by Neospora infection. These results indicate increasing number of abortions associated with the protozoa more than reported before in Iran.

  13. Does a Mature AIDS Epidemic Threaten Growth?

    OpenAIRE

    Cuesta, José

    2008-01-01

    This paper models the impact on economic growth of HIV/AIDS when the epidemic is in a mature phase, in contrast with previous studies focused on periods of expansion, as in African countries. Simulations for Honduras, the epicenter of the epidemic in Central America, show that AIDS is not likely to threaten economic growth through either labor or capital accumulation channels; impacts are estimated between 0. 007 and 0. 27 percent points of GDP growth annually for the period 2001-10. Likewise...

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

    Science.gov (United States)

    Coast, Ernestina; Murray, Susan F

    2016-03-01

    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

  15. A case of life-threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestation

    Directory of Open Access Journals (Sweden)

    Toshihiko Kinoshita

    2014-03-01

    Full Text Available A 40-year old woman, gravida 4, para 4, presented with sudden lower abdominal pain and severe vaginal bleeding at 17 weeks of gestation. Clinical symptoms and ultrasonographic finding revealed placental abruption. The volume of bleeding was heavy and led to disseminated intravascular coagulation and hypovolemic shock. We performed blood transfusion and therapy to treat the critical condition. However, the mother’s condition continued to worsen. Therefore, we performed a hysterotomy and aborted the pregnancy to save the mother. Since heavy bleeding caused by placental abruption leading to a life-threatening condition for a mother before the 20 weeks of gestation is very rare, the present case is an important case study.

  16. Causes of infectious abortion in the Mediterranean buffalo.

    Directory of Open Access Journals (Sweden)

    G. Galiero

    2010-02-01

    Full Text Available Bacteria and viruses can cause abortion in buffaloes. This review describes the abortigenic infectious agents found in Mediterranean buffalo cows and the microbiological methods used for their diagnosis. The abortigenic agents are: Brucella spp., Arcanobacterium pyogenes, Chlamydophila spp., Coxiella burnetii, Bacillus licheniformis, E.coli, Leptospira spp., Bubaline Herpes Virus-1 (BuHV-1, Bovine Viral Diarrhoea Virus.

  17. [Request for an abortion, the role of frontline professionals].

    Science.gov (United States)

    Picoche, Claire

    2015-12-01

    The reception given by professionals to a woman requesting an elective abortion is key. The initial exchange of information is usually by telephone. Time is limited, hence the requirement for caregivers to demonstrate their availability and professionalism in organising personalised care. PMID:26654495

  18. Disturbances of electrodynamic activity affect abortion in human

    International Nuclear Information System (INIS)

    Biochemical research of biological systems is highly developed, and it has disclosed a spectrum of chemical reactions, genetic processes, and the pathological development of various diseases. The fundamental hypothesis of physical processes in biological systems, in particular of coherent electrically polar vibrations and electromagnetic activity, was formulated by H. Fröhlich; he assumed connection of cancer process with degradation of coherent electromagnetic activity. But the questions of cellular structures capable of the coherent electrical polar oscillation, mechanisms of energy supply, and the specific role of the endogenous electromagnetic fields in transport, organisation, interactions, and information transfer remained open. The nature of physical disturbances caused by some diseases (including the recurrent abortion in humans and the cancer) was unknown. We have studied the reasons of recurrent abortions in humans by means of the cell mediated immunity (using immunologic active RNA prepared from blood of inbred laboratory mice strain C3H/H2K, infected with the lactate dehydrogenase elevating virus-LD V) and the cytogenetic examination from karyotype pictures. The recurrent abortion group contained women with dg. spontaneous abortion (n = 24) and the control group was composed of 30 healthy pregnant women. Our hypothesis was related to quality of endometrium in relation to nidation of the blastocyst. The energetic insufficiency (ATP) inhibits normal development of fetus and placenta. We hope that these ideas might have impact on further research, which could provide background for effective interdisciplinary cooperation of malignant and non-malignant diseases.

  19. Bowel injuries secondary to induced abortion: a dilemma

    International Nuclear Information System (INIS)

    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)

  20. Aborted and refractory status epilepticus in children : A comparative analysis

    NARCIS (Netherlands)

    Lambrechtsen, Florise A. C. P.; Buchhalter, Jeffrey R.

    2008-01-01

    Purpose: The aims of this retrospective study were: (1) to compare the demographics, clinical characteristics, etiology, and EEG findings of status epilepticus aborted with medication (ASE) and refractory status epilepticus (RSE), (2) to describe the treatment response of status epilepticus (SE), an

  1. Foetus or child? Abortion discourse and attributions of humanness.

    Science.gov (United States)

    Mikołajczak, Małgorzata; Bilewicz, Michał

    2015-09-01

    Due to moral, religious, and cultural sensibilities, the topic of abortion still gives rise to controversy. The ongoing public debate has become visibly polarized with the usage of the pro-life versus pro-choice rhetoric. The aim of the current research was to investigate whether the language used in abortion discourse can affect people's attitudes by changing their attributions of humanity to unborn. Across three experimental studies we showed that participants who read about a 'foetus', compared to a 'child' declared higher support for elective abortion (Study 1; N = 108), this effect can be explained by greater humanness, as reflected in human nature traits, attributed to the child (vs. the foetus; Study 2; N = 121). The effect is mediated uniquely by attribution of human nature, but not by human uniqueness traits (Study 3; N = 120). These findings serve as a starting point for discussion of the role of language in shaping attitudes on abortion and other morally ambiguous issues. PMID:25418861

  2. [Fate of subsequent pregnancies after induced abortion in primiparae].

    Science.gov (United States)

    Krasomski, G; Gładysiak, A; Krajewski, J

    1987-12-01

    Premature birth, a well-known result of induced abortion in primiparae, was studied on the basis of data obtained at the Institute of Gynecology and Obstetrics in Lodz during the period 1981-1985. The test group was comprised of 1494 births out of a total of 15,711 registered births that occurred prematurely. Another 390 births at term were selected from the rest of the cases to form the control group. 14.93% of the test group had had induced abortions as primiparae, while this ratio was only 7.95% in the control group. According to the results of the + - test this difference was statistically significant at the p 0.05 level calling attention to the harmful effect of induced abortion in primiparae (double risk of premature birth). During the process of induced abortion, the cervical orifice of the uterus is often mechanically hurt resulting in insufficiency, thus causing premature birth in the pregnancies that follow. It is mostly young women who are not appropriately cognizant of these facts of risks. PMID:3451588

  3. A Cross-Disciplinary Examination of Print Resources on Abortion

    Science.gov (United States)

    Johnson, Wendell G.

    2011-01-01

    Abortion is a highly-charged, emotional topic which often appears in the news, particularly during the confirmation process for a Supreme Court nominee. Community College students continue to ask reference librarians for print resources dealing with this controversial issue. Often we turn to the reliable series "Current Controversies," "At Issue,"…

  4. Study of karyotypes in Case of Recurrent Abortions in Gujarat

    OpenAIRE

    N. Parikh; Rawal, J; Oza, S; B. M. Patel; H. R. Jadav; C A Pensi

    2015-01-01

    Introduction: - The biological definition of miscarriage is the expulsion of the conceptus before viability has been achieved. The definition of recurrent miscarriage is three or more consecutive spontaneous abortions. The risk factors for recurrent miscarriage are epidemiological, genetic, anatomical disorders, endocrinal, reproductive tract infections, thrombophilic disorders, disorders of materno-fetal alloimmune relationships, environmental effects and psychological causes. About 50% to 6...

  5. ABORTION IN RELATION TO SOME SOCIO-ECONOMIC FACTORS

    Directory of Open Access Journals (Sweden)

    A.Majd

    1978-09-01

    Full Text Available The data for this study has been collected from a questionnaire examining the relationship between birth weight of the new born and some physical and socio-economic characteristics of the mother. Between Dec.1975 to Jan.1976, 1553 women who had referred to two hospitals in Tehran for labor: 981 to Farah Maternity and 572 to Firoozgar Hospital have been interviewed. The results of the study have indicated that women who had referred to Firoozgar Hospital, were older, more literate, had higher per capita income, used more contraceptives and had fewer pregnancies, all these figures are statistically significant. Regression analysis indicates that factors such as age of the mother, literacy, household income, husband's job position are not significant towards increase of abortion rate amongst these women, but when these factors are fixed and place of reference is analyzed this variable becomes significant, increase of abortion, which have not been considered in this study. Parity regardless of the above factors increases abortion rate and for each increase in the number of pregnancy, mean number of abortion is increased by 0.09.

  6. Abortions in sheep associated with Arcobacter skirrowii infection.

    Science.gov (United States)

    Bath, Gareth F; Leask, Rhoda; Pettey, Kenneth P; Coetzee, Debra J

    2013-01-01

    The history, circumstances, clinical signs, post mortem lesions, morbidity, mortality and laboratory findings are described in an abortion storm in sheep that occurred in Mpumalanga, South Africa, associated with infection with Arcobacter skirrowii. Altogether, about 200 Suffolk Down ewes lost 60 lambs in late pregnancy or at term. Although only three foetuses were submitted for investigation, two had signs consistent with a diagnosis of A. skirrowii infection and the organism was isolated from the placentas of both specimens. No abortions had occurred in previous years, or have subsequently. There were no animal introductions prior to the outbreak that could have indicated a source of infection. One stillborn lamb submitted subsequently had lesions consistent with dystocia, and the history and circumstantial evidence indicated that dystocia had been a factor in several more losses. No ewes or rams had shown signs of diarrhoea or other diseases associated with A. skirrowii infection. Twenty-two faecal, preputial and vaginal swab specimens taken from six rams and 13 ewes after the abortion event were all negative for A. skirrowii. This is the first report of abortions in sheep associated with A. skirrowiiin South Africa. Because the genus Arcobacter is similar to Campylobacter, it is possible that infection has gone unrecognised in the past. Veterinarians and laboratories should take note and include this genus in the list of potential abortifacient organisms. The possible role of Arcobacter species in other diseases like enteritis and mastitis, as well as the potential role as a zoonosis, must be borne in mind. PMID:27476399

  7. Abortions in sheep associated with Arcobacter skirrowii infection

    Directory of Open Access Journals (Sweden)

    Gareth F. Bath

    2013-02-01

    Full Text Available The history, circumstances, clinical signs, post mortem lesions, morbidity, mortality and laboratory findings are described in an abortion storm in sheep that occurred in Mpumalanga, South Africa, associated with infection with Arcobacter skirrowii. Altogether, about 200 Suffolk Down ewes lost 60 lambs in late pregnancy or at term. Although only three foetuses were submitted for investigation, two had signs consistent with a diagnosis of A. skirrowii infection and the organism was isolated from the placentas of both specimens. No abortions had occurred in previous years, or have subsequently. There were no animal introductions prior to the outbreak that could have indicated a source of infection. One stillborn lamb submitted subsequently had lesions consistent with dystocia, and the history and circumstantial evidence indicated that dystocia had been a factor in several more losses. No ewes or rams had shown signs of diarrhoea or other diseases associated with A. skirrowii infection. Twenty-two faecal, preputial and vaginal swab specimens taken from six rams and 13 ewes after the abortion event were all negative for A. skirrowii. This is the first report of abortions in sheep associated with A. skirrowiiin South Africa. Because the genus Arcobacter is similar to Campylobacter, it is possible that infection has gone unrecognised in the past. Veterinarians and laboratories should take note and include this genus in the list of potential abortifacient organisms. The possible role of Arcobacter species in other diseases like enteritis and mastitis, as well as the potential role as a zoonosis, must be borne in mind.

  8. Launch Vehicle Failure Dynamics and Abort Triggering Analysis

    Science.gov (United States)

    Hanson, John M.; Hill, Ashely D.; Beard, Bernard B.

    2011-01-01

    Launch vehicle ascent is a time of high risk for an on-board crew. There are many types of failures that can kill the crew if the crew is still on-board when the failure becomes catastrophic. For some failure scenarios, there is plenty of time for the crew to be warned and to depart, whereas in some there is insufficient time for the crew to escape. There is a large fraction of possible failures for which time is of the essence and a successful abort is possible if the detection and action happens quickly enough. This paper focuses on abort determination based primarily on data already available from the GN&C system. This work is the result of failure analysis efforts performed during the Ares I launch vehicle development program. Derivation of attitude and attitude rate abort triggers to ensure that abort occurs as quickly as possible when needed, but that false positives are avoided, forms a major portion of the paper. Some of the potential failure modes requiring use of these triggers are described, along with analysis used to determine the success rate of getting the crew off prior to vehicle demise.

  9. Gain Scheduling for the Orion Launch Abort Vehicle Controller

    Science.gov (United States)

    McNamara, Sara J.; Restrepo, Carolina I.; Madsen, Jennifer M.; Medina, Edgar A.; Proud, Ryan W.; Whitley, Ryan J.

    2011-01-01

    One of NASAs challenges for the Orion vehicle is the control system design for the Launch Abort Vehicle (LAV), which is required to abort safely at any time during the atmospheric ascent portion of ight. The focus of this paper is the gain design and scheduling process for a controller that covers the wide range of vehicle configurations and flight conditions experienced during the full envelope of potential abort trajectories from the pad to exo-atmospheric flight. Several factors are taken into account in the automation process for tuning the gains including the abort effectors, the environmental changes and the autopilot modes. Gain scheduling is accomplished using a linear quadratic regulator (LQR) approach for the decoupled, simplified linear model throughout the operational envelope in time, altitude and Mach number. The derived gains are then implemented into the full linear model for controller requirement validation. Finally, the gains are tested and evaluated in a non-linear simulation using the vehicles ight software to ensure performance requirements are met. An overview of the LAV controller design and a description of the linear plant models are presented. Examples of the most significant challenges with the automation of the gain tuning process are then discussed. In conclusion, the paper will consider the lessons learned through out the process, especially in regards to automation, and examine the usefulness of the gain scheduling tool and process developed as applicable to non-Orion vehicles.

  10. Grief and Mourning Reactions Following Abortion and Miscarriage.

    Science.gov (United States)

    Widener, Anmarie J.

    1996-01-01

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

  11. Disturbances of electrodynamic activity affect abortion in human

    Science.gov (United States)

    Jandová, A.; Nedbalová, M.; Kobilková, J.; Čoček, A.; Dohnalová, A.; Cifra, M.; Pokorný, J.

    2011-12-01

    Biochemical research of biological systems is highly developed, and it has disclosed a spectrum of chemical reactions, genetic processes, and the pathological development of various diseases. The fundamental hypothesis of physical processes in biological systems, in particular of coherent electrically polar vibrations and electromagnetic activity, was formulated by H. Fröhlich he assumed connection of cancer process with degradation of coherent electromagnetic activity. But the questions of cellular structures capable of the coherent electrical polar oscillation, mechanisms of energy supply, and the specific role of the endogenous electromagnetic fields in transport, organisation, interactions, and information transfer remained open. The nature of physical disturbances caused by some diseases (including the recurrent abortion in humans and the cancer) was unknown. We have studied the reasons of recurrent abortions in humans by means of the cell mediated immunity (using immunologic active RNA prepared from blood of inbred laboratory mice strain C3H/H2K, infected with the lactate dehydrogenase elevating virus-LD V) and the cytogenetic examination from karyotype pictures. The recurrent abortion group contained women with dg. spontaneous abortion (n = 24) and the control group was composed of 30 healthy pregnant women. Our hypothesis was related to quality of endometrium in relation to nidation of the blastocyst. The energetic insufficiency (ATP) inhibits normal development of fetus and placenta. We hope that these ideas might have impact on further research, which could provide background for effective interdisciplinary cooperation of malignant and non-malignant diseases.

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

    DEFF Research Database (Denmark)

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

    2010-01-01

    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...

  13. Spontaneous Abortion and a Diet Drug Containing Caffeine and Ephedrine

    DEFF Research Database (Denmark)

    Howards, Penelope P; Hertz-Picciotto, Irva; Bech, Bodil H;

    2012-01-01

    BACKGROUND: Medications may be consumed periconceptionally before a woman knows she is pregnant. In this study, the authors evaluate the association of a prescription diet drug (Letigen) containing ephedrine (20 mg) and caffeine (200 mg) with spontaneous abortion (SAB) in the Danish National Birth...

  14. Reproductive tract infections in women seeking abortion in Vietnam

    DEFF Research Database (Denmark)

    Nguyen, My Huong; Kurtzhals, Jørgen; Do, Thi Thu Thuy;

    2009-01-01

    BACKGROUND: Women requesting abortion are at increased risk of developing RTI complications. However, RTI control in many resource-poor countries including Vietnam have been faced with logistical and methodological problems due to lack of standardized definitions of RTIs, lack of well-validated d......BACKGROUND: Women requesting abortion are at increased risk of developing RTI complications. However, RTI control in many resource-poor countries including Vietnam have been faced with logistical and methodological problems due to lack of standardized definitions of RTIs, lack of well......-validated diagnostic criteria, lack of accurate laboratory tests, and lack of diagnostic equipment and skills. This article investigates the prevalence of RTIs among Vietnamese abortion-seeking women, to evaluate the available diagnostic techniques, and to assess antibiotic resistance among aetiological agents of RTI....... METHOD: The study was conducted in Phu-San hospital (PSH) from December 2003 through April 2004 among 748 abortion clients. A structured questionnaire was used to collect data on socio-economic and reproductive characteristics. Specimens were collected for laboratory analyses of chlamydia, gonorrhoea...

  15. Medical Abortion in Primary Care : Pitfalls and Benefits

    NARCIS (Netherlands)

    Boersma, A. A.; Meyboom-de Jong, B.

    2009-01-01

    We describe jive pitfalls of medical abortion: ectopic pregnancy not terminated after misoprostol, but without negative side-effects; long-term vaginal blood loss with suspicious retained products which disappeared spontaneously; a patient with uterus myomatatosus with severe pain and retained produ

  16. To adopt or not to adopt an abortion policy : A case study of the abortion reform processes in Spain and Portugal

    OpenAIRE

    Norberg, Angelica

    2016-01-01

    This thesis analyzes two attempts at restricting women’s access to abortion with different outcomes. In 2014 a policy proposal seeking to criminalize abortion in Spain was withdrawn after a ten month long debate, while a policy proposal introducing obstacles for women to have an abortion was adopted in Portugal in 2015 after a quiet reform process. Process tracing is used to uncover the factors conducive for the adoption of the Portuguese reform proposal and the withdrawal of the Spanish refo...

  17. Førende forestillinger i fosterpolitikken. En metafor- og diskursanalyse av hvordan kvinne, foster og abort blir konstituert i stortingsdebatter om abort og fosterdiagnostikk

    OpenAIRE

    Flatseth, Merethe

    2009-01-01

    Abstract Background: During the first twenty years of prenatal diagnostics in Norway, selective abortion on eugenic grounds according to The Abortion Law`s section 2c was seen as an advisable and reasonable medical decision. Termination of pregnancy, if the foetus had defects or illness, was not seen as an ethical problem. But quite suddenly, in the middle of the 1990`s, selective abortion was seen as a controversial ethical practice and strongly disputed in public debate...

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

    DEFF Research Database (Denmark)

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

    2004-01-01

    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...

  19. Prediction of late failure after medical abortion from serial beta-hCG measurements and ultrasonography

    DEFF Research Database (Denmark)

    Rørbye, C; Nørgaard, M; Nilas, Lisbeth

    2004-01-01

    BACKGROUND: Surgical treatment of failed medical abortion may be performed several weeks after initiation of the abortion. There are no recognized methods for early identification of these late failures. We assessed the prognostic values of beta-hCG and ultrasonography in predicting late failure...... after medical abortion. METHODS: A total of 694 consecutive women with gestational age (GA) abortion with mifepristone and gemeprost. Measurement of the endometrial...... thickness by ultrasonography was performed on day 15 after induction of medical abortion. Failures diagnosed after day 15 and within 15 weeks were identified and classified as late failures. All interventions in this group were due to bleeding problems. The predictive values of different absolute...

  20. Life threatening illness and hospice care.

    Science.gov (United States)

    Stein, A; Forrest, G C; Woolley, H; Baum, J D

    1989-01-01

    A retrospective study was undertaken of 25 families and their 26 ill children attending the first children's hospice in the United Kingdom. The study examined the family's perceptions of the care offered and the impact of chronic and life threatening illness. Eighteen (72%) of the families felt they had been well supported by the hospice and valued the family like atmosphere, perceiving the staff to be friendly, approachable, and helpful. The actual nature of hospice care, in an environment with other terminally ill children, was, however, considered a drawback for a few families. A number of families still had unmet needs, notably appropriate child minding when away from the hospice. The impact of chronic life threatening illness on the families was substantial. The parents (particularly the mothers), the index children, and their siblings all experienced much higher levels of psychological symptomatology than would have been expected from normal samples. While families felt greatly helped over symptom control, a proportion remained very worried about certain symptoms, particularly breathlessness, seizures, and pain. A high proportion of families were experiencing financial and employment difficulties as a result of their children's illnesses. PMID:2730123

  1. Life-threatening necrotizing myometritis, due to Group A streptococcus - still a life-threatening condition

    DEFF Research Database (Denmark)

    Boie, Sidsel; Krog, Jan; Bor, Isil Pinar

    2015-01-01

    Puerperal infection with Group A streptococcus (GAS) can present with few symptoms and rapidly progress to a life-threatening condition. Often, the infection can be treated with antibiotics. Delay in diagnosis increases risk of sepsis, multiorgan failure, and death. GAS infection is a differential...

  2. 78 FR 76995 - Endangered and Threatened Wildlife and Plants; Threatened Status for Eriogonum codium (Umtanum...

    Science.gov (United States)

    2013-12-20

    ... in our final critical habitat rule (78 FR 24008)). Therefore, access roads, irrigation canals, and... intercept excess irrigation water and seepage from irrigation conveyances. This system is known to provide... and Plants; Threatened Status for Eriogonum codium (Umtanum Desert Buckwheat) and Physaria...

  3. 78 FR 47590 - Endangered and Threatened Wildlife and Plants; Threatened Species Status for Graham's Beardtongue...

    Science.gov (United States)

    2013-08-06

    ... centered on the road (Sanders 2008, p. 20). Excessive dust can clog plant pores, increase leaf temperature...; Ferguson et al. 1999, p. 2), negatively affecting plant growth and reproduction. Roads may act as a barrier... Fish and Wildlife Service 50 CFR Part 17 RIN 1018-AY95 Endangered and Threatened Wildlife and...

  4. 77 FR 20774 - Endangered and Threatened Species; Proposed Threatened Status for Distinct Population Segments of...

    Science.gov (United States)

    2012-04-06

    ... of the Erignathus barbatus nauticus subspecies of bearded seals as threatened (75 FR 77496). On... June 10, 2012 (76 FR 77465). At that time, we also announced that we were conducting special... December 10, 2011 (75 FR 77496), proposed rule should not be resubmitted since they are already part of...

  5. Ambivalence--a logical response to legal abortion: a prospective study among women and men.

    Science.gov (United States)

    Kero, A; Lalos, A

    2000-06-01

    The aim of the study was to elucidate ambivalence in relation to legal abortion by studying emotions, attitudes, motives for abortion and ethical reasoning in a strategic sample of women and men who, 1 year after abortion, expressed both positive and painful feelings in relation to the abortion. The study shows that social perspectives legitimate the decision to have an abortion whilst ethical perspectives complicate the decision. Nearly all women and men described having the abortion as an expression of responsibility. Almost one-half also had parallel feelings of guilt, as they regarded the abortion as a violation of their ethical values. The majority of the sample expressed relief while simultaneously experiencing the termination of the pregnancy as a loss coupled with feelings of grief/emptiness. In spite of the ambivalence, only one woman regretted the abortion. For the vast majority, the impact of the abortion had led to increased maturity and deepened self-knowledge. Thus, ambivalence might be regarded not only as problematic but also as indicating openness to the complexity of the abortion issue. Since incompatible values clash in connection with abortion, experiences of ambivalence become both logical and understandable. PMID:10994180

  6. Orion Crew Exploration Vehicle Launch Abort System Guidance and Control Analysis Overview

    Science.gov (United States)

    Davidson, John B.; Kim, Sungwan; Raney, David L.; Aubuchon, Vanessa V.; Sparks, Dean W.; Busan, Ronald C.; Proud, Ryan W.; Merritt, Deborah S.

    2008-01-01

    Aborts during the critical ascent flight phase require the design and operation of Orion Crew Exploration Vehicle (CEV) systems to escape from the Crew Launch Vehicle (CLV) and return the crew safely to the Earth. To accomplish this requirement of continuous abort coverage, CEV ascent abort modes are being designed and analyzed to accommodate the velocity, altitude, atmospheric, and vehicle configuration changes that occur during ascent. Aborts from the launch pad to early in the flight of the CLV second stage are performed using the Launch Abort System (LAS). During this type of abort, the LAS Abort Motor is used to pull the Crew Module (CM) safely away from the CLV and Service Module (SM). LAS abort guidance and control studies and design trades are being conducted so that more informed decisions can be made regarding the vehicle abort requirements, design, and operation. This paper presents an overview of the Orion CEV, an overview of the LAS ascent abort mode, and a summary of key LAS abort analysis methods and results.

  7. Factors Analysis of Spontaneous Abortion after Thawed-vitrified Blastocysts Transfer

    Institute of Scientific and Technical Information of China (English)

    Dong YANG; Zheng-yi SUN; Cheng-yan DENG; Qi YU; Fang-fang HE

    2008-01-01

    Objective To investigate the factors resulting in spontaneous abortion after transferring frozen-thawing blastocysts. Methods A total of 108 cases transferring vitrified blastocysts were divided into two groups: abortion group (n =20) and ongoing group (n=88). Cytogenetic analysis of apoblemas was performed in 12 cases of the abortion.Results The overall spontaneous abortion rate was 18.50%(20/108) and the early spontaneous rate was 16.67%(18/108). ,4 significant difference in maternal age was observed (abortion group: 33.3±4.0 years, ongoing group: 31.0±3.6 years, P=0.02). No difference in other parameters was found. Cytogenetic analysis of apoblemas was obtained for 12 cases, and 2 specimens were contaminated. Seven of ten patients had abnormal karyotypes. Conclusion The underlying cause of spontaneous abortion after transferring frozen thawing blastocysts appears to be abnormal karyotypes.Advancing maternal age seems to increase the risk of spontaneous abortion.

  8. Knowledge of the abortion legislation among South African women: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Myer Landon

    2006-08-01

    Full Text Available Abstract Background In order to ensure that legalized abortion in South Africa improves reproductive health, women must know that abortion is a legal option in the case of unwanted pregnancy. This study investigated knowledge of abortion legislation eight years after the introduction of legal abortion services in one province of South Africa. Methods In 2004/2005, we conducted a cross-sectional study among 831 sexually-active women attending 26 public health clinics in one urban and one rural health region of the Western Cape Province. Results Thirty-two percent of women did not know that abortion is currently legal. Among those who knew of legal abortion, few had knowledge of the time restrictions involved. Conclusion In South Africa there is an unmet need among women for information on abortion. Strategies should be developed to address this gap so that women are fully informed of their rights to a safe and legal termination of pregnancy.

  9. Abortion opinion research in Latin America and the Caribbean: a review of the literature.

    Science.gov (United States)

    Yam, Eileen A; Dries-Daffner, Ingrid; García, Sandra G

    2006-12-01

    Abortion laws in Latin America and the Caribbean (LAC) are highly restrictive and may not reflect public opinion on the issue. This article synthesizes the survey literature on attitudes toward abortion in the region. We searched standard computer indexing services and polled colleagues at regional meetings to identify every methodologically sound quantitative study of abortion opinion in LAC published between 1985 and 2005. Of the 26 studies that met inclusion criteria, none was conducted in the Caribbean, 11 were conducted in Brazil, 11 in Mexico, 3 in Argentina, and 1 in Colombia. The majority of populations surveyed support abortion under a greater number of circumstances than are permitted in their respective countries, particularly in cases of rape and threat to life or health. Future abortion opinion surveys should ask about support for the legality of abortion rather than about abstract acceptance of abortion, and questions should be worded carefully to capture the complexities of the public's views on this issue. PMID:17209281

  10. Use of Heated Helium to Simulate Surface Pressure Fluctuations on the Launch Abort Vehicle During Abort Motor Firing

    Science.gov (United States)

    Panda, Jayanta; James, George H.; Burnside, Nathan J.; Fong, Robert; Fogt, Vincent A.

    2011-01-01

    The solid-rocket plumes from the Abort motor of the Multi-Purpose Crew Vehicle (MPCV, also know as Orion) were simulated using hot, high pressure, Helium gas to determine the surface pressure fluctuations on the vehicle in the event of an abort. About 80 different abort situations over a wide Mach number range, (0.3Helium plume and wind tunnel conditions were used to bracket different flow matching critera. This unique, yet cost-effective test used a custom-built hot Helium delivery system, and a 6% scale model of a part of the MPCV, known as the Launch Abort Vehicle. The test confirmed the very high level of pressure fluctuations on the surface of the vehicle expected during an abort. In general, the fluctuations were found to be dominated by the very near-field hydrodynamic fluctuations present in the plume shear-layer. The plumes were found to grow in size for aborts occurring at higher flight Mach number and altitude conditions. This led to an increase in the extent of impingement on the vehicle surfaces; however, unlike some initial expectations, the general trend was a decrease in the level of pressure fluctuations with increasing impingement. In general, the highest levels of fluctuations were found when the outer edges of the plume shear layers grazed the vehicle surface. At non-zero vehicle attitudes the surface pressure distributions were found to become very asymmetric. The data from these wind-tunnel simulations were compared against data collected from the recent Pad Abort 1 flight test. In spite of various differences between the transient flight situation and the steady-state wind tunnel simulations, the hot-Helium data were found to replicate the PA1 data fairly reasonably. The data gathered from this one-of-a-kind wind-tunnel test fills a gap in the manned-space programs, and will be used to establish the acoustic environment for vibro-acoustic qualification testing of the MPCV.

  11. Comparative study on the effects of two different abortion methods on complications of repeated pregnancy during gestation and labor%两种流产方法对再次妊娠孕产期并发症的影响

    Institute of Scientific and Technical Information of China (English)

    廖梅英; 黄越; 麦锦春

    2011-01-01

    目的 探讨人工流产(以下简称人流)和药物流产(以下简称药流)对再次妊娠发生的孕产期并发症的影响.方法 选择986例有药物流产史和968例有人工流产史的初产妇进行回顾性调查分析,分析其妊娠期和分娩期并发症的发生情况.结果 妊娠期并发症人流组的先兆流产、前置胎盘、早产的发生率高于药物流产组,差异有统计学意义(P0.05);分娩期并发症人流组的胎盘残留、胎盘粘连、胎膜早破、产后出血、胎盘植入的发生率高于药流组,差异有统计学意义(P0.05);人流2次或2次以上的先兆流产、前置胎盘、产后出血、胎盘粘连、胎盘残留、胎盘植入的发生率均高于人流一次的,差异有统计学意义(P0.05). In labor period, the incidences of residue of placenta, placenta adhesion, premature rupture of membranes, postpartum hemorrhage and placenta increta in the induced abortion group were significantly higher than those in the drug abortion group(P<0.01 or P<0.05), while there was no significant difference in the incidences of fetal distress between the two groups. The incidences of threatened abortion, placenta previa, postpartum hemorrhage, placenta adhesion, residue of placenta and placenta increta are all higher in those who have induced abortion two or more times than those who only do once. The difference was also significant (P<0.01 or P<0.05). Conclusions The incidence of complications of repeated pregnancy during gestation and labor after induced abortion is significantly higher than that of drug abortion. Therefore, once the contracepton fails, drug abortion is safer than induced abortion to terminate the pregnancy.

  12. Fundamental discrepancies in abortion estimates and abortion-related mortality: A reevaluation of recent studies in Mexico with special reference to the International Classification of Diseases

    Directory of Open Access Journals (Sweden)

    Koch E

    2012-12-01

    Full Text Available Elard Koch,1,2 Paula Aracena,1 Sebastián Gatica,1 Miguel Bravo,1 Alejandra Huerta-Zepeda,3 Byron C Calhoun41Institute of Molecular Epidemiology (MELISA, Center of Embryonic Medicine and Maternal Health, Faculty of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile; 2Faculty of Medicine, University of Chile, Santiago, Chile; 3Universidad Popular Autónoma del Estado de Puebla UPAEP, Puebla, México; 4Department of Obstetrics and Gynecology, West Virginia University, Charleston, WV, USAAbstract: In countries where induced abortion is legally restricted, as in most of Latin America, evaluation of statistics related to induced abortions and abortion-related mortality is challenging. The present article reexamines recent reports estimating the number of induced abortions and abortion-related mortality in Mexico, with special reference to the International Classification of Diseases (ICD. We found significant overestimations of abortion figures in the Federal District of Mexico (up to 10-fold, where elective abortion has been legal since 2007. Significant overestimation of maternal and abortion-related mortality during the last 20 years in the entire Mexican country (up to 35% was also found. Such overestimations are most likely due to the use of incomplete in-hospital records as well as subjective opinion surveys regarding induced abortion figures, and due to the consideration of causes of death that are unrelated to induced abortion, including flawed denominators of live births. Contrary to previous publications, we found important progress in maternal health, reflected by the decrease in overall maternal mortality (30.6% from 1990 to 2010. The use of specific ICD codes revealed that the mortality ratio associated with induced abortion decreased 22.9% between 2002 and 2008 (from 1.48 to 1.14 deaths per 100,000 live births. Currently, approximately 98% of maternal deaths in Mexico are related to causes other than

  13. Medical students are afraid to include abortion in their future practices : in-depth interviews in Maharastra, India

    OpenAIRE

    Sjöström, Susanne; Essén, Birgitta; Gemzell-Danielsson, Kristina; Klingberg-Allvin, Marie

    2016-01-01

    BACKGROUND: Unsafe abortions are estimated to cause eight per-cent of maternal mortality in India. Lack of providers, especially in rural areas, is one reason unsafe abortions take place despite decades of legal abortion. Education and training in reproductive health services has been shown to influence attitudes and increase chances that medical students will provide abortion care services in their future practice. To further explore previous findings about poor attitudes toward abortion amo...

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

    OpenAIRE

    Storeng, Katerini T.; Ouattara, Fatoumata

    2014-01-01

    In Burkina Faso, abortion is legally restricted and socially stigmatised, but also frequent. Unsafe abortions represent a significant public health challenge, contributing to the country's very high maternal mortality ratio. Inspired by an internationally disseminated public health framing of unsafe abortion, the country's main policy response has been to provide post-abortion care (PAC) to avert deaths from abortion complications. Drawing on ethnographic research, this article describes how ...

  15. Vaginal misoprostol alone for medical abortion up to 9 weeks of gestation: efficacy and acceptability.

    Science.gov (United States)

    Ngai, S W; Tang, O S; Chan, Y M; Ho, P C

    2000-05-01

    Misoprostol and mifepristone have been shown to be effective for medical abortion up to 9 weeks of gestation. When used alone, the successful complete abortion rate dropped to approximately 60%. It has been demonstrated that by adding water to misoprostol, the success rate rose to 92%. This is the first randomized study to investigate the efficacy of misoprostol and water versus misoprostol alone for first trimester medical abortion in women at menstruation after medical abortion, the outcome was classified as complete abortion. The incidence of side-effects and the acceptability were assessed through a standardized questionnaire during and after the abortion. The complete abortion rate appeared higher when water was added but the difference did not reach statistical significance. Gastro-intestinal side-effects were common but well tolerated in both groups. Overall, 40% of the women preferred a surgical method in the future because of the high failure rate. With an overall complete abortion rate of 85%, it is probably not a clinically acceptable method even if the addition of water can improve the results. We conclude that the addition of water onto misoprostol tablets does not improve its efficacy in first trimester medical abortion. Misoprostol alone is not recommended for medical abortion (up to 9 weeks of pregnancy) because of the high failure rate and low acceptability. PMID:10783370

  16. 'This Is Real Misery': Experiences of Women Denied Legal Abortion in Tunisia.

    Science.gov (United States)

    Hajri, Selma; Raifman, Sarah; Gerdts, Caitlin; Baum, Sarah; Foster, Diana Greene

    2015-01-01

    Barriers to accessing legal abortion services in Tunisia are increasing, despite a liberal abortion law, and women are often denied wanted legal abortion services. In this paper, we seek to explore the reasons for abortion denial and whether these reasons had a legal or medical basis. We also identify barriers women faced in accessing abortion and make recommendations for improved access to quality abortion care. We recruited women immediately after they had been turned away from legal abortion services at two facilities in Tunis, Tunisia. Thirteen women consented to participate in qualitative interviews two months after they were turned away from the facility. Women were denied abortion care on the day they were recruited due to three main reasons: gestational age, health conditions, and logistical barriers. Nine women ultimately terminated their pregnancies at another facility, and four women carried to term. None of the women attempted illegal abortion services or self-induction. Further research is needed in order to assess abortion denial from the perspective of providers and medical staff.

  17. National crisis, supranational opportunity: the Irish construction of abortion as a European service.

    Science.gov (United States)

    Fletcher, R

    2000-11-01

    In the late 1980s, the anti-abortion movement successfully sought injunctions against pregnancy counselling centres and students' unions in Ireland, preventing them from distributing information on how to obtain an abortion abroad. One of the defensive arguments that the students' unions employed was to claim that the distribution of abortion information was protected as an aspect of the free movement of services under European Community law. This paper addresses the implications of categorising abortion as a supranational economic service for feminist legal strategy. The advantages of categorising abortion as a service to which women have access as consumers are that it legitimates abortion and it provides a new strategy for making abortion claims. The disadvantages are that a woman's legal interest in abortion is based on her capacity to buy the service, fetal life is rendered devoid of value, and the service supplier has as much say about the abortion transaction as the woman consumer. If feminist legal strategy is to successfully use the legal construction of abortion as an economic service, it must work to minimise such negative implications.

  18. Effect of source-sink alterations on the characteristics of reproductive abortion in soybeans

    International Nuclear Information System (INIS)

    Soybeans (Glycine max (L.) Merr.) were grown in the field in 1982 and 1983 (cv. Kent) and greenhouse (cv. McCall) to characterize the effects of timing and source-sink alterations on flower and immature pod abortion and to study the causes of abortion. Flowers and immature pods were marked during early flowering (R1 to R2) and late flowering (R3 to R4). Nineteen percent of the early flowers aborted in the greenhouse and 31 to 48% aborted in the field. Seventy-six to 92% and 77 to 90% of the late flowers aborted in the greenhouse and field, respectively. Defoliation increased early flower abortion and depodding decreased late flower abortion. Fifteen and 19% of the early immature pods and the late immature pods from depodded plants aborted, respectively. Fifty-seven percent of the late immature pods aborted. Across both years there was not a consistent relationship between the concentrations of ethanol soluble carbohydrates, starch, ethanol soluble nitrogen, ethanol insoluble nitrogen, nitrate, and cations in the flowers or immature pods and abortion. During both early and late flowering, a single leaf located in the middle of the main stem that subtended flowers at anthesis, or immature pods was labeled with 3.7 x 105 Bq 14CO2 for 1 h. After 24 h the entire plant was harvested, divided into flowers, pods, labeled leaf, and the remainder of the plant and the radioactivity was determined. The low aborting flowers and immature pods contained a greater percentage of the total 14C recovered than the high aborting flowers and immature pods. The results indirectly support the hypothesis that a signal compound produced by another plant part, perhaps the established pods, inhibits the development of aborting flowers and immature pods

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

    Directory of Open Access Journals (Sweden)

    Deepanjali Behera

    2015-10-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Vukelić Jelka

    2010-01-01

    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. The Effect of Drug Abortion and Abortion Observation and Nursing%药物流产和人工流产的效果观察及护理

    Institute of Scientific and Technical Information of China (English)

    李春柏

    2015-01-01

    Objective To explore the clinical effect of drug abortion and artificial abortion, and analyze the nursing methods of patients with different corresponding. Methods Select our hospital from September 2012 to September 2014 patients treated 68 cases need to implement an abortion, according to the wishes of patients with different it can be divided into medical abortion and artiifcial abortion group, two groups of patients with spontaneous abortion after the clinical features and performance, and analyze the nursing status.ResultsBy means of two groups of patients with different methods of abortion, abortion group of 34 patients were completely abortion, complete abortion of 30 cases of medical abortion group, data contrast significant difference was statistically significant (P<0.05).Conclusion Through the study found that medical abortion and abortion two plans each have advantages and disadvantages, should be based on appropriate abortion of pregnant women, patients and give corresponding nursing measures, alleviate the mood of patients, promote the recovery of patients.%目的:探讨药物流产和人工流产的临床效果,并分析不同患者相应的护理方法。方法选取我院于2012年9月~2014年9月收治的68例需要实施流产的患者,按照患者意愿的不同将其分为药物流产组和人工流产组,观察两组患者流产后的临床特征及表现,并对其护理情况进行分析。结果通过对两组患者施以不同流产方法,人工流产组34例患者均为完全流产,药物流产组完全流产为30例,数据对比差异有统计学意义(P<0.05)。结论通过研究发现,药物流产和人工流产两种方案各有优缺点,应根据孕妇的具体情况制定合适的流产方案,并给予患者相应的护理措施,缓解患者的情绪,促进患者的康复。

  2. 药物流产和人工流产的效果观察及护理%The Effect of Drug Abortion and Abortion Observation and Nursing

    Institute of Scientific and Technical Information of China (English)

    李春柏

    2015-01-01

    目的:探讨药物流产和人工流产的临床效果,并分析不同患者相应的护理方法。方法选取我院于2012年9月~2014年9月收治的68例需要实施流产的患者,按照患者意愿的不同将其分为药物流产组和人工流产组,观察两组患者流产后的临床特征及表现,并对其护理情况进行分析。结果通过对两组患者施以不同流产方法,人工流产组34例患者均为完全流产,药物流产组完全流产为30例,数据对比差异有统计学意义(P<0.05)。结论通过研究发现,药物流产和人工流产两种方案各有优缺点,应根据孕妇的具体情况制定合适的流产方案,并给予患者相应的护理措施,缓解患者的情绪,促进患者的康复。%Objective To explore the clinical effect of drug abortion and artificial abortion, and analyze the nursing methods of patients with different corresponding. Methods Select our hospital from September 2012 to September 2014 patients treated 68 cases need to implement an abortion, according to the wishes of patients with different it can be divided into medical abortion and artiifcial abortion group, two groups of patients with spontaneous abortion after the clinical features and performance, and analyze the nursing status.ResultsBy means of two groups of patients with different methods of abortion, abortion group of 34 patients were completely abortion, complete abortion of 30 cases of medical abortion group, data contrast significant difference was statistically significant (P<0.05).Conclusion Through the study found that medical abortion and abortion two plans each have advantages and disadvantages, should be based on appropriate abortion of pregnant women, patients and give corresponding nursing measures, alleviate the mood of patients, promote the recovery of patients.

  3. Theorizing waste in abortion and fetal ovarian tissue use.

    Science.gov (United States)

    Arris, Rachel

    2003-01-01

    This article explores the theoretical implications of the concept of waste as it specifically relates to arguments in favour of fetal ovarian tissue use as a source of donor eggs. The author begins by discussing medico-scientific constructions of women's reproductive bodies as wasteful. The article explores the works of Drucilla Cornell on bodily borders, Julia Kristeva on abjection, and Mary Douglas on pollution to develop a nuanced understanding of the relations between waste, women's reproductivity, and abortion in North American mainstream and medico-scientific cultures. This layered reading of waste and abortion deconstructs a significant assumption of arguments in favour of fetal ovarian tissue use as ethical--that such tissue is just "waste." The author suggests that theorizing waste this way may contribute to ethical analyses of uses of other reproductive materials (that is, embryos) that are supported, in part, by an assumption that those materials would otherwise be "wasted."

  4. HLA-G polymorphisms in couples with recurrent spontaneous abortions

    DEFF Research Database (Denmark)

    Hviid, T V; Hylenius, S; Hoegh, A M;

    2002-01-01

    The etiology of a fraction of recurrent spontaneous abortions (RSA) may involve immunological mechanisms. Aberrant profiles of Th1 and Th2 cytokines have been observed which are not present in uncomplicated pregnancies. Studies of classical HLA class I and II antigens in relation to RSA have not...... been conclusive. Furthermore, these antigens are not expressed in the placenta with the exception of HLA-C. However, HLA-G is expressed on especially invasive cytotrophoblasts and exists in both membrane and soluble forms. HLA-G may be involved in materno-fetal tolerance. Therefore, 61 RSA couples...... (with three or more spontaneous abortions) and 47 fertile control couples were HLA-G genotyped by direct DNA sequencing and analyzed for specific polymorphisms. No statistically significant differences were observed in the distribution of HLA-G alleles between controls and RSA couples, however, 15% of...

  5. A Critique of Block on Abortion and Child Abandonment

    Directory of Open Access Journals (Sweden)

    Jakub Bożydar Wiśniewski

    2010-05-01

    Full Text Available The present paper offers a critique of Block on the issues of abortion and child abandonment. Block regards aborting a fetus or abandoning a child as an instance of exercising one’s libertarian right of expelling trespassers from one’s private property. I argue that the above reasoning is flawed due to the lack of the appreciation of the fact that if one voluntarily initiates the causal chain which leads to someone else ending up on his property, the latter person cannot be considered a trespasser. Furthermore, in the light of the above observation, any direct effects resulting from that person’s eviction should be considered the responsibility of the property’s owner. All of this follows from the simple logical fact that in all links of the causal chain under consideration the owner is the ultimate causal agent.

  6. Placenta Percreta Resulting in Incomplete Spontaneous Abortion in First Trimester

    Directory of Open Access Journals (Sweden)

    Mine Genc

    2014-11-01

    Full Text Available Placenta percreta is a rare complication potentially fatal to fetus and the mother. We present here a 41-year-old female patient who underwent curettage for incomplete abortion at 6th week of pregnancy. She had persistent vaginal bleeding for 2 months after the curettage, for which she was treated with hysterectomy. Preoperative ultrasonography and magnetic resonance imaging (MRI made the diagnosis of placenta percreta. Postoperative pathological examination confirmed this diagnosis.

  7. Hypothyrodisim and spontaneous abortions among Hanford, Washington, downwinders

    Energy Technology Data Exchange (ETDEWEB)

    Grossman, C.M.; Morton, W.E. [Oregon Health Sciences Univ., Portland, OR (United States); Nussbaum, R.H. [Portland State Univ., Portland, OR (United States)

    1996-05-01

    Spontaneous abortions occurred more than twice as frequently in hypothyroid women, compared with nonhypothyroid women. Both groups of women had lived in the same environment during the same period of time. The high incidence of hypothyroidism in a cohort of several hundred women who lived downwind of the Hanford, Washington, nuclear installation was likely associated with environmental contamination from deliberate releases of radioactive iodine from the facility. 8 refs.

  8. Divergent Views on Abortion and the Period of Ensoulment

    OpenAIRE

    Khitamy, Badawy A. B.

    2013-01-01

    A Muslim woman in her sixteenth week of pregnancy was informed that her ultrasound scan showed spina bifida, and laboratory results confirmed the diagnosis. The child would have various complications and, most probably, would need medical care for life. With the consent of her husband she decided to terminate the pregnancy. Her decision sparked controversy among Muslim clerics in her community, sparking debate between those who would allow abortion for medical reasons and those who oppose abo...

  9. Unwanted pregnancy, mental health and abortion: untangling the evidence

    OpenAIRE

    Dwyer, Judith M; Jackson, Terri

    2008-01-01

    Abortion policy is still contentious in many parts of the world, and periodically it emerges to dominate health policy debates. This paper examines one such debate in Australia centering on research findings by a New Zealand research group, Fergusson, Horwood & Ridder, published in early 2006. The debate highlighted the difficulty for researchers when their work is released in a heightened political context. We argue that the authors made a logical error in constructing their analysis and int...

  10. Population Policy: Abortion and Modern Contraception Are Substitutes

    OpenAIRE

    Miller, Grant; Valente, Christine

    2016-01-01

    There is longstanding debate in population policy about the relationship between modern contraception and abortion. Although theory predicts that they should be substitutes, the existing body of empirical evidence is difficult to interpret. What is required is a large‐scale intervention that alters the supply (or full price) of one or the other – and importantly, does so in isolation (reproductive health programs often bundle primary health care and family planning – and in some instances, ab...

  11. LHC abort gap cleaning studies during luminosity operation

    CERN Document Server

    Bartmann, W; Bracco, C; Bravin, E; Goddard, B; Höfle, W; Jacquet, D; Jeff, A; Kain, V; Meddahi, M; Roncarolo, F; Uythoven, J; Valuch, D; Gianfelice-Wendt, E

    2012-01-01

    The presence of significant intensities of un-bunched beam is a potentially serious issue in the LHC. Procedures using damper kickers for cleaning both the Abort Gap (AG) and the buckets targeted for injection, are currently in operation at flat bottom. Recent observations of relatively high population of the AG during physics runs brought up the need for AG cleaning during luminosity operation. In this paper the results of experimental studies performed in October 2011 are presented.

  12. Anti-Thyroid Peroxidase and Risk of Recurrent Spontaneous Abortion

    Directory of Open Access Journals (Sweden)

    Tahereh Madani

    2007-01-01

    Full Text Available Background: Approximately 2-4% of all women have recurrent spontaneous abortion (RSA; however, the cause is determined in only 50% of cases. Recent studies have shown an association between thyroid autoantibodies as a sign of thyroid autoimmunity and abortion. The aim of the present study was to determine whether circulating anti-thyroid peroxidase (anti-TPO was associated with RSA.Materials and Methods: In this observational analytic study, Sera from 58 non-pregnant women with a history of RSA and also 58 healthy, fertile subjects with at least one live birth as control (Aging from 18 to 45 years were tested for thyroid peroxidase antibodies by means of a standard Anti-TPO ELISA kit. We used data collection forms and SPSS software for data analysis.Results: Of 116 women, 8 (13.8% of the control subjects and 12 (20.7% of the women with a history of RSA had positive results for anti-TPO. There was not any significant association between presence of anti-TPO and RSA.Conclusions: We did not find any correlation between the presence of TPO antibodies and abortion in women with a history of RSA. On the basis of this study, testing for anti-TPO doesn’t seem to be useful in the evaluation of patients with a history of RSA.

  13. Post-irradiation abortion: a slaughter of innocents

    International Nuclear Information System (INIS)

    The medical profession and the lay public have not been overly concerned about the effects of diagnostic x-rays or radioactive isotopes until the last decade when radiation was rediscovered to cause damage to the fetus. In addition, radiation is associated with increased incidence of childhood cancer as well as chromosome damage and related birth defects. While some fear of radiation during the embryonic-fetal period, one of great radiosensitivity, is justified, the anxiety has been intensified by the attitudes of some physicians. Instances have occurred in which a patient who had received a very small amount of radiation (from diagnostic x-ray examination) was advised to have an abortion. A foreseeable result of such events has been litigation against involved physicians. Counter-measures that have been suggested are: do not irradiate women known to be pregnant without a firm clinical indication; if accidental iradiation is discovered the actual dose to the fetus should be estimated. Usual diagnostic examination will give fewer than 5 rads to the fetus and such doses do not represent grounds for abortion. For doses of 5-10 rads abortion could be considered and above 10 rads there would be stronger consideration for such a recommendation. other factors to be considered include age of the mother, and environmental factors (medicines, food additives, cigarettes, coffee, etc.). Proper radiologic practice will eliminate or reduce the number of pregnant women irradiated

  14. SEROPREVALENCE OF TOXOPLASMA GONDII IN SPONTANEOUS ABORTIONS IN PREGNANT WOMEN

    Directory of Open Access Journals (Sweden)

    Anubhuti

    2015-05-01

    Full Text Available INTRODUCTION: Toxoplasmosis is one of the diseases comprising the TORCH [ Toxoplasma gondii , Rubella virus , Cytomegalovirus , Herpes simplex virus] infections . It is known to cause perinatal death if the organism is acquired during pregnancy . Toxoplasmosis during pregnancy can cause congenital infection which may result in mental retardation and blindness in the infant . The present study aimed to evaluate the seroprevalence of Toxoplasma gondii and it i s associated risk facto rs among the women with history of spontaneous abortion . MATERIALS & METHODS: A total of 60 women with past or present history of spontaneous abortion and another 60 pregnant women without any bad obstetric history as control attending our hospital were in cluded in the study . All the serum samples were tested for the presence of specific Toxoplasma IgM and IgG antibodies using the On Site Toxo IgG/IgM Rapid Test strip , a lateral flow chromatographic immunoassay . RESULTS: Total seroprevalence of Toxoplasma gondii in the study was 12 . 5% . Total seropositivity in women with history of spontaneous abortion was 12 ( 20% and 3 ( 5% among control group . More number of seropositivity was observed among women between 26 to 30 years ( 60% . Risk factor of having cat a s pet animal had greater association of getting toxoplasmosis . CONCLUSION: This study revealed that the seroprevalence of toxoplasmosis was significantly high in the study population than in control group . There should be routine screening for antenatal wo men with bad obstetric history .

  15. [Medicolegal considerations about rape as a reason to decriminalize abortion].

    Science.gov (United States)

    González-Wilhelm, Leonardo; Moreno, Leonardo; Carnevali, Raúl

    2016-06-01

    The Chilean senate is discussing a proposal to decriminalize abortion in 3 causals. One of these is when the pregnancy occurs as a result of a rape. To be legally able to perform the abortion in this circumstance, a health care team must confirm the occurrence of the facts constituting the offence. Regardless of the patient’s will, the accusation will be reported to the justice. In our view, in its current status the proposed rule does not consider certain medicolegal and procedural topics. Those flaws may determine in certain scenarios critical problems, such as: a) a wrongful conviction as a consequence of a false allegation of rape; (b) some pregnant due to a rape will not have access to the abortion procedure; (c) some accusations of rape will not be accredited nor criminally sanctioned. Employing a fictional case, we illustrate how those scenarios can actually be seen in practice. We also emphasize the difficulties and limitations that the health care team will encounter if the project is approved under the current conditions. Finally, we encourage the professional societies implicated in the theme to contribute in the legislatorial debate. Therefore, we give a set of proposals aimed to improve the bill before it may be enacted as a law. PMID:27598498

  16. The role of philosophy in the contemporary abortion debate.

    Science.gov (United States)

    Kortiansky, Peter

    2004-01-01

    Inspired by Patrick Lee's "A Christian Philosopher's View of Recent Directions in the Abortion Debate," this essay raises the question of how effective philosophical arguments can be in determining the moral status of legalized abortion. On one hand, Christian philosophers have been successful in explaining both the humanity and the personhood of the unborn child, as well as exposing the incoherence of those who would deny the unborn child's humanity or personhood. Nevertheless, in order to confront the pro-abortion position in its most radical form, a much more complex philosophical argument must be given. Following thinkers such as Alasdaire MacIntyre, Christian philosophers must articulate and promote a philosophical position according to which morality is conceived in richer terms than the mere respecting of individual rights. The social dimension of human nature must be rediscovered in order that the happiness and welfare of others becomes a desirable goal in and of itself. According to a morality where individual rights is the bottom line (for example, that of Judith Jarvis Thompson), women very well may have the right to "extricate" themselves from their pregnancy even when doing so will result in the death of their child. What must be explained, therefore, is the more profound insight that social morality is equally concerned with obligations to others, including those who are most helpless and unable to speak for themselves. PMID:15675038

  17. Prevention of recurrent spontaneous abortions by leukocyte transfusions.

    Science.gov (United States)

    Taylor, C G; Faulk, W P; McIntyre, J A

    1985-08-01

    One hundred and thirty-nine couples referred because of recurrent abortions with no obvious cause were assessed for genetic similarity using the HLA major histocompatibility system. Comparison with 103 fertile control couples demonstrated that a much higher proportion of couples in the abortion group shared two or more HLA antigens. Using this criterion, 44 wives out of the 139 couples referred, when compared with a child-bearing group, appeared to share a greater than expected number of histocompatibility antigens and were therefore considered suitable for treatment. Twenty-eight wives have received treatment with white cell infusions from erythrocyte-compatible donors and so far they have delivered 17 babies plus 2 second babies. Another 3 wives are pregnant beyond their previous dates for abortions (1 first and 2 second pregnancies). There have been 5 failures (4 first pregnancy and 1 second pregnancy); one of these was treated a second time and has now successfully delivered. Seven couples are awaiting conception. Of the patients who have become pregnant, 81.5% have had successful deliveries. No adverse transfusion reactions have been observed. PMID:4020795

  18. Contraception in The Netherlands: the low abortion rate explained.

    Science.gov (United States)

    Ketting, E; Visser, A P

    1994-07-01

    This article gives a review of the main factors that are related to the low abortion rate in the Netherlands. Attention is payed to figures on abortion and the use of contraceptive methods since the beginning of the 1960s up to the end of the 1980s. The strong acceptance of family planning was influenced by changing values regarding sexuality and the family, the transition from an agricultural to a modern industrial society, rapid economic growth, declining influence of the churches on daily life, introduction of modern mass media and the increased general educational level. The introduction of modern contraceptives (mainly the pill and contraceptive sterilization) was stimulated by a strong voluntary family planning movement, fear for overpopulation, a positive role of GPs, and the public health insurance system. A reduction of unwanted pregnancies has been accomplished through successful strategies for the prevention of teenage pregnancy (including sex education, open discussions on sexuality in mass media, educational campaigns and low barrier services) as well as through wide acceptance of sterilization. The Dutch experience with family planning shows the following characteristics: a strong wish to reduce reliance on abortion, ongoing sexual and contraceptive education related to the actual experiences of the target groups, and low barrier family planning services. PMID:7971545

  19. Induced Abortion and the Risk of Tubal Infertility

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    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.

  20. Alcohol consumption at the time of conception and spontaneous abortion.

    Science.gov (United States)

    Henriksen, Tine Brink; Hjollund, Niels Henrik; Jensen, Tina Kold; Bonde, Jens Peter; Andersson, Anna-Maria; Kolstad, Henrik; Ernst, Erik; Giwercman, Aleksander; Skakkebaek, Niels Erik; Olsen, Jørn

    2004-10-01

    The authors studied the association between female and male alcohol intakes at the time of conception and the risk of spontaneous abortion, including early pregnancy loss detected by urinary human chorionic gonadotropin. After a nationwide mailing to about 50,000 members of four trade unions in Denmark in 1992-1994, 430 couples without previous pregnancy attempts were enrolled when birth control was discontinued, and they were followed until a clinically recognized pregnancy or for six menstrual cycles. Alcohol intake and potential confounding factors were reported in monthly questionnaires. Women collected morning urine for 10 days from the first day of vaginal bleeding in each cycle. The authors detected 186 pregnancies: 131 resulted in childbirth, and 55 resulted in spontaneous abortion (34 detected by urinary human chorionic gonadotropin). Depending on the intake in the cycle of conception and the adjustment factors, female alcohol intake was associated with 2-3 times the adjusted risk of spontaneous abortion compared with no intake, and male alcohol intake was associated with 2-5 times the adjusted risk. Only the adjusted relative risks for 10 or more drinks/week compared with no intake were statistically significant. Both male and female alcohol intakes during the week of conception increased the risk of early pregnancy loss. PMID:15383410

  1. The road to moderation: the significance of Webster for legislation restricting abortion.

    Science.gov (United States)

    Wardle, L D

    1989-01-01

    They only certain outcomes of the Webster decision is that state legislatures will be stimulated to enact more legislation regulating abortion. However it is unlikely that the worst prochoice fears will be realized. A return to the 19th century abortion prohibition era is very unlikely because of trends in Western societal attitudes and laws. Since 1973 and the Roe decision there have been more than 300 bills or acts enacted by state legislatures that regulate abortion. Whether it is criminal prohibitions, licensing requirements, zoning restrictions, parental participation, spousal participation, informed consent, health and sanitation regulations, post viability regulations, laws protecting the right of health care workers not to participate in abortion, public funding restrictions, or regulations of fetal experimentation, abortion regulations have definitely been wide spread. The democratic process is going to produce a moderate position on abortion as a result of the Webster decision for 7 reasons: (1) the period before Roe was a time when abortion legislation was in a trend towards moderation. In 1962 abortion prohibitions were in place in all states. In 1967 4 states adopted an abortion reform position that allowed for abortion in the hard cases: (1) maternal health, (2) fetal defect, (3) rape/incest. Over the next 5 years 9 more states followed and 3 others went even farther by allowing unrestricted abortion during early pregnancy. (2) public opinion is consistent and strong in favoring abortion restrictions except for the hard cases. (3) the trend towards moderation in abortion regulations is closely related to other legal trends toward moderation. No fault divorce was a move towards moderation. The abortion experience in Western Europe was towards moderation. (5) Medical technological developments are putting the power of abortion in the hands of women. Abortificant drugs that can be used without medical assistance give women greater freedom. (6) The

  2. 78 FR 20352 - Endangered and Threatened Species Permit Applications

    Science.gov (United States)

    2013-04-04

    ... current permit for research and recovery purposes to conduct presence/absence surveys of following species... Fish and Wildlife Service Endangered and Threatened Species Permit Applications AGENCY: Fish and... conduct certain activities with endangered or threatened species. The Endangered Species Act of 1973,...

  3. 78 FR 55091 - Endangered and Threatened Species Permit Applications

    Science.gov (United States)

    2013-09-09

    ... recovery purposes to conduct presence/absence surveys for the following species in Arizona, New Mexico, and... Fish and Wildlife Service Endangered and Threatened Species Permit Applications AGENCY: Fish and... applications to conduct certain activities with endangered or threatened species. The Endangered Species Act...

  4. 77 FR 7175 - Endangered and Threatened Species Permit Applications

    Science.gov (United States)

    2012-02-10

    ... research and recovery purposes to conduct presence/absence surveys of the following species within Arizona... Fish and Wildlife Service Endangered and Threatened Species Permit Applications AGENCY: Fish and... conduct certain activities with endangered or threatened species. The Endangered Species Act of 1973,...

  5. 76 FR 52317 - Endangered and Threatened Species; Recovery Plans

    Science.gov (United States)

    2011-08-22

    ... National Oceanic and Atmospheric Administration RIN 0648-XA647 Endangered and Threatened Species; Recovery... the adoption of an Endangered Species Act (ESA) recovery plan for the Upper Willamette Chinook salmon... recovery plans for the conservation and survival of threatened and endangered species under...

  6. 78 FR 77430 - Endangered and Threatened Species; Recovery Plans

    Science.gov (United States)

    2013-12-23

    ... National Oceanic and Atmospheric Administration RIN 0648-XC279 Endangered and Threatened Species; Recovery... the adoption of an Endangered Species Act (ESA) recovery plan for the South-Central California Coast... implement recovery plans for the conservation and survival of threatened and endangered species under...

  7. Spontaneous abortion: a prospective cohort study of younger women from the general population in Denmark. Validation, occurrence and risk determinants

    DEFF Research Database (Denmark)

    Buss, L; Tolstrup, J; Munk, C;

    2006-01-01

    abortions identified from both sources were recorded in the same year. During follow-up a total of 20.9% of pregnancies intended to be carried to term ended as a spontaneous abortion. In the risk factor analysis, we found that previous spontaneous abortion, being single, never having used oral...... contraceptives, and use of intrauterine device were associated with increased risk of subsequent spontaneous abortion. In addition, it was indicated that a short interpregnancy interval following a spontaneous abortion may confer an increased risk of abortion in the subsequent pregnancy. CONCLUSION: We found......, and may be early, nonhospitalized abortions. We confirm that number of previous spontaneous abortions is a strong determinant, and our data may also indicate a role of previous contraceptive habits. A role of the length of interpregnancy interval in the risk of spontaneous abortion cannot be ruled out....

  8. On abortion: exploring psychological meaning and attitudes in a sample of Mexican gynecologists.

    Science.gov (United States)

    Marván, Ma Luisa; Álvarez del Río, Asunción; Campos, Zaira

    2014-04-01

    Elective abortion has become an issue of ethical and political debate in many countries including Mexico. As gynecologists are directly involved in the practice of abortion, it is important to know the psychological meaning that the term 'elective abortion' has for them. This study explores the psychological meaning and attitudes toward elective abortion of one hundred and twenty-three Mexican gynecologists. We used the semantic networks technique, which analyzed the words the participants associated with the term 'elective abortion'. The defining words most frequently used by participants implied a negative sanction. There were important differences by gender and religiosity: male gynecologists, as well as those with strong religious beliefs (mainly Catholics), revealed a more negative psychological meaning and more negative attitudes than females or physicians with weak religious beliefs. A contribution of the present study is that it highlights the importance of psychology to enhancing understanding of the issue of elective abortion. PMID:23170806

  9. Factors influencing post abortion outcomes among high-risk patients in Zimbabwe

    Directory of Open Access Journals (Sweden)

    C Mudokwenuy-Rawdon

    2005-09-01

    Full Text Available Post abortion complications remain one of the major causes of mortality among women of child bearing age in Zimbabwe. Based on this problem, factors associated with mortalities due to abortion were investigated with the aim of improving post abortion outcomes for Zimbabwe’s women, and possibly also for women of other African countries. Cases and controls were selected from 4895 post abortion records to conduct a retrospective case-control study. Significant risk factors identified for reducing mortalities due to post abortion complications included the administration of oxytocic drugs and evacuation of the uterus whilst anaemia and sepsis apparently reduced these women’s chances of survival. Women who died (cases from post abortion complications apparently received better reported quantitative care than controls. Recommendations based on this research report include improved education of health care workers and enhanced in-service training, regular audits of patients’ records and changed policies for managing these conditions more effectively in Zimbabwe.

  10. Effects of state welfare, abortion and family planning policies on premarital childbearing among white adolescents.

    Science.gov (United States)

    Lundberg, S; Plotnick, R D

    1990-01-01

    This study develops an empirical model that measures the influence of state welfare, abortion and family planning policies on decisions concerning premarital pregnancy, abortion and single parenthood. Data are based on the fertility and marital experiences of white females from the three youngest cohorts of the National Longitudinal Survey of Youth, for 1979-1986. The results show that laws restricting contraceptive availability are associated with a higher risk of pregnancy. Restrictive policies on public funding of abortions reduce the likelihood of abortion, while greater availability of abortion services is associated with a higher likelihood that adolescents will obtain abortions. Finally, the estimates indicate that higher welfare benefits reduce the probability that pregnant adolescents will marry before bearing their children. PMID:2289541

  11. [Post-abortion contraception: effects of contraception services and reproductive intention].

    Science.gov (United States)

    Borges, Ana Luiza Vilela

    2016-02-01

    Contraceptive counseling and the supply of contraceptive methods are part of post-abortion care and positively influence the subsequent use of contraceptive methods. Studies showing such evidence have been conducted predominantly in countries with no legal restrictions on abortion and with adequate care for women that terminate a pregnancy. However, little is known about contraceptive practices in contexts where abortion is illegal, as in Brazil, in which post-abortion contraceptive care is inadequate. The objective of this study was to analyze the effect of contraceptive care on male condom use and oral and injectable contraceptives in the six months post-abortion, considering reproductive intention. The results showed that contraceptive care only has a positive effect on the use of oral contraceptives in the first six months post-abortion, as long as the woman had a medical consultation in the same month in which she received information on contraception. One or the other intervention alone had no significant impact.

  12. Launch Vehicle Abort Analysis for Failures Leading to Loss of Control

    Science.gov (United States)

    Hanson, John M.; Hill, Ashley D.; Beard, Bernard B.

    2013-01-01

    Launch vehicle ascent is a time of high risk for an onboard crew. There is a large fraction of possible failures for which time is of the essence and a successful abort is possible if the detection and action happens quickly enough. This paper focuses on abort determination based on data already available from the Guidance, Navigation, and Control system. This work is the result of failure analysis efforts performed during the Ares I launch vehicle development program. The two primary areas of focus are the derivation of abort triggers to ensure that abort occurs as quickly as possible when needed, but that false aborts are avoided, and evaluation of success in aborting off the failing launch vehicle.

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

    DEFF Research Database (Denmark)

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

    2004-01-01

    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......: High-quality contraceptive service counselling can induce women to use contraception after having had an unsafe abortion. The results of our study are encouraging and should be used to convince policy makers of the need to implement such services at municipal level to reduce the number of repeated...

  14. [Changes in the legislation regulating the legal status of artificial abortion in the world in the past 10 years].

    Science.gov (United States)

    Vasilev, D

    1981-01-01

    Current status of abortion legislation in different countries is reviewed. During the period from 1967-1977, a total of 43 countries introduced certain changes in their legislation. Of these 43 countries, 40 liberalized abortion procedures and 3 countries limited the rights of abortion seekers. Liberalization of abortion legislation in France and Italy was associated with women's rights movement and adoption of Human Rights Declaration. Austria, France, East Germany, West Germany, Italy, Sweden, Norway, and Denmark have the most liberal abortion policy, while Rumania, Hungary, Czechoslovakia, and Bulgaria have the most restricted legislation. Liberalization of abortion does not necessarily mean availability on demand. High cost in private clinics and hospitals prevents many women from seeking a legal abortion. In Asia, Singapore, China, and India permit abortions, while in the Philippines, Indonesia, and Burma abortions are banned. In Northern and Latin America, abortions are legalized in the US and Cuba; liberalization of abortion legislation is recorded in Guatemala, El Salvador, Uruguay, Chile, and Colombia. In spite of a general liberalization of legislation, abortion policies are still affected by religious and political groups. Ban on legal abortion increases the frequency of criminal abortion, which in turn leads to increase in maternal mortality. PMID:7030096

  15. Does Memory Modification Threaten Our Authenticity?

    Science.gov (United States)

    Erler, Alexandre

    2011-11-01

    One objection to enhancement technologies is that they might lead us to live inauthentic lives. Memory modification technologies (MMTs) raise this worry in a particularly acute manner. In this paper I describe four scenarios where the use of MMTs might be said to lead to an inauthentic life. I then undertake to justify that judgment. I review the main existing accounts of authenticity, and present my own version of what I call a "true self" account (intended as a complement, rather than a substitute, to existing accounts). I briefly describe current and prospective MMTs, distinguishing between memory enhancement and memory editing. Moving then to an assessment of the initial scenarios in the light of the accounts previously described, I argue that memory enhancement does not, by its very nature, raise serious concerns about authenticity. The main threat to authenticity posed by MMTs comes, I suggest, from memory editing. Rejecting as inadequate the worries about identity raised by the President's Council on Bioethics in Beyond Therapy, I argue instead that memory editing can cause us to live an inauthentic life in two main ways: first, by threatening its truthfulness, and secondly, by interfering with our disposition to respond in certain ways to some past events, when we have reasons to respond in such ways. This consideration allows us to justify the charge of inauthenticity in cases where existing accounts fail. It also gives us a significant moral reason not to use MMTs in ways that would lead to such an outcome.

  16. Surviving Armageddon - Solutions for a Threatened Planet

    Science.gov (United States)

    McGuire, Bill

    2005-07-01

    What do earthquakes, magma, asteroid 1950DA, and global warming have in common? All are very real natural disasters, already under way; all are also the focus of intensive work by scientists, aimed at preventing, predicting, or at least limiting their impact on civilization. Using the latest chilling data and taking care to draw a clear line between scientific fact and fiction, McGuire discusses the various ways that scientists have already started to prepare for survival. Solutions on earth range from 'space reflectors' to prevent global warming, to pressure-relieving 'robot excavators' to stop volcanic eruptions. In space, NASA is developing rocket motors to gently nudge asteroids out of Earth's path, and plans to have all threatening asteroids larger than 1km detected by 2008, thereby enabling us to predict possible collisions up to 2880. The book provides the strategies to the problems we face, and concludes optimistically with ways in which we can use technology to protect our society and planet from global catastrophe.

  17. Apparent life-threatening event in infancy

    Science.gov (United States)

    Choi, Hee Joung

    2016-01-01

    An apparent life-threatening event (ALTE) is defined as the combination of clinical presentations such as apnea, marked change in skin and muscle tone, gagging, or choking. It is a frightening event, and it predominantly occurs during infancy at a mean age of 1–3 months. The causes of ALTE are categorized into problems that are: gastrointestinal (50%), neurological (30%), respiratory (20%), cardiovascular (5%), metabolic and endocrine (2%–5%), or others such as child abuse. Up to 50% of ALTEs are idiopathic, where the cause cannot be diagnosed. Infants with an ALTE are often asymptomatic at hospital and there is no standard workup protocol for ALTE. Therefore, a detailed initial history and physical examination are important to determine the extent of the medical evaluation and treatment. Regardless of the cause of an ALTE, all infants with an ALTE should require hospitalization and continuous cardiorespiratory monitoring and evaluation for at least 24 hours. The natural course of ALTEs has seemed benign, and the outcome is generally associated with the affected infants' underlying disease. In conclusion, systemic diagnostic evaluation and adequate treatment increases the survival and quality of life for most affected infants.

  18. Reproductive tract infections in women seeking abortion in Vietnam

    Directory of Open Access Journals (Sweden)

    Thủy Đỗ

    2009-01-01

    Full Text Available Abstract Background Women requesting abortion are at increased risk of developing RTI complications. However, RTI control in many resource-poor countries including Vietnam have been faced with logistical and methodological problems due to lack of standardized definitions of RTIs, lack of well-validated diagnostic criteria, lack of accurate laboratory tests, and lack of diagnostic equipment and skills. This article investigates the prevalence of RTIs among Vietnamese abortion-seeking women, to evaluate the available diagnostic techniques, and to assess antibiotic resistance among aetiological agents of RTI. Method The study was conducted in Phu-San hospital (PSH from December 2003 through April 2004 among 748 abortion clients. A structured questionnaire was used to collect data on socio-economic and reproductive characteristics. Specimens were collected for laboratory analyses of chlamydia, gonorrhoea, trichomoniasis, vaginal candidiasis (VC, bacterial vaginosis (BV and syphilis. To assess the validity of the obtained results, the study was repeated among 100 women and the duplicate samples were analysed at PSH and Copenhagen University Hospital (CUH. Results In all 54% of the women were diagnosed as having an RTI, including 3.3% with sexually transmitted infections. Endogenous infections were most prevalent (VC 34% and BV 12% followed by chlamydia (1.3% and trichomoniasis (0.7%. The sensitivity of culture for VC and BV was 30% and 88%, respectively, when tests in PSH were measured against tests in CUH. Antibiotic resistance was common among bacterial isolates. Conclusion RTIs are common among women seeking abortion. The presence of RTIs is associated with an increased risk of developing iatrogenic infections, routine administration of prophylactic antibiotic to all women undergoing abortion should be considered. However, the choice of routine prophylactic antibiotics should be based on relevant surveillance data of antibiotic resistance

  19. [Induced abortion. Epidemiological study after eight years of enforcement of Law 194].

    Science.gov (United States)

    Danero, S; Capitani, S; La Rosa, R; Morgante, G; Marsiglietti, C; Turillazzi, E; Oliveti, C; Ricci, M G

    1987-01-01

    The authors describe a study of induced abortions performed at the obstetric and gynecological university clinic in Siena, Italy, during the period 6/1/84-5/31/86, contrasting data with the experience of the first two years (6/1/78-5/31/80) of existence of law no. 194 introduced in 1978. The law legalized abortion--until then considered a social wound on society--thus making abortions more easily quantifiable from an epidemiological point of view. Since that initial period the socio- sanitary reality has changed substantially, i.e., a national progressive increase in the number of abortions was followed by a downward trend that has persisted since then, due to greater openness toward the use of contraceptive methods, in the mass media. A correct evaluation of the number of abortions cannot be obtained due to continued secret abortions. The study reflects the national trend, since during the first period, 2171 induced abortions were performed versus 1450 during the second period (a 13.14% decrease). Questionnaires asked patients about their age, geographic origin, occupation, marital status, week of pregnancy, possible previously induced abortions, length of stay in the hospital, and birth control method used at the time of induced abortion. The most significant variations in the parameters studied for the two periods demonstrated reduced waiting periods before an induced abortion operation was performed (during early pregnancy), a reduced number of requests by patients living in remote areas of the province, reduced time spent as inpatient in the clinic, and an increased percentage of women with previously induced abortions. The number of women preferring a certain type of birth control method during the two periods is comparable, except a slight increase was noted for those using IUD. It is concluded that there are still large lacunae in the area of abortion prevention in Italy, e.g., coitus interruptus is still widely practiced. PMID:12283378

  20. Restrictions on Medicaid Funding of Abortion: Effects on Pregnancy Resolutions and Birth Weight

    OpenAIRE

    Janet Currie; Lucia Nixon; Nancy Cole

    1993-01-01

    Previous research suggests that restricting the availability of abortion reduces average birth weight by increasing the number of unhealthy fetuses that are carried to term. In this paper we use data from the National Longitudinal Survey of Youth to ask whether restrictions on Medicaid funding of abortion have this effect. We attempt to account for the potential endogeneity of abortion laws by comparing the effects of liberal statutes to those of court injunctions ordering states to fund abor...