Abortion and Postabortion Care

2009 ◽  
pp. 191-201 ◽  
Author(s):  
Andrzej Kulczycki
Keyword(s):  
Postabortion Care

scholarly journals Health facility capacity to provide postabortion care in Afghanistan: a cross-sectional study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Farzana Maruf ◽  
Hannah Tappis ◽  
Enriquito Lu ◽  
Ghutai Sadeq Yaqubi ◽  
Jelle Stekelenburg ◽  
...  
Keyword(s):  
Public Health ◽  
Family Planning ◽  
High Volume ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Care Services ◽  
Vacuum Aspiration ◽  
Postabortion Care ◽  
Products Of Conception ◽  
Family Planning Counseling

Abstract Background Afghanistan has one of the highest burdens of maternal mortality in the world, estimated at 638 deaths per 100,000 live births in 2017. Infections, obstetric hemorrhage, and unsafe abortion are the three leading causes of maternal death. Contraceptive prevalence rate has fluctuated between 10 and 20% since 2006. The 2016 Afghanistan National Maternal and Newborn Health Quality of Care Assessment evaluated facility readiness to provide quality routine and emergency obstetric and newborn care, including postabortion care services. Methods Accessible public health facilities with at least five births per day (n = 77), a nationally representative sample of public health facilities with fewer than five births per day (n = 149), and 20 purposively selected private health facilities were assessed. Assessment components examining postabortion care included a facility inventory and record review tool to verify drug, supply, equipment, and facility record availability, and an interview tool to collect information on skilled birth attendants’ knowledge and perceptions. Results Most facilities had supplies, equipment, and drugs to manage postabortion care, including family planning counseling and services provision. At public facilities, 36% of skilled birth attendants asked to name essential actions to address abortion complications mentioned manual vacuum aspiration (23% at private facilities); fewer than one-quarter mentioned counseling. When asked what information should be given to postabortion clients, 73% described family planning counseling need (70% at private facilities). Nearly all high-volume public health facilities with an average of five or more births per day and less than 5% of low volume public health facilities with an average of 0–4 deliveries per day reported removal of retained products of conception in the past 3 months. Among the 77 high volume facilities assessed, 58 (75%) reported using misoprostol for removal of retained products of conception, 59 (77%) reported using manual vacuum aspiration, and 67 (87%) reported using dilation and curettage. Conclusions This study provides evidence that there is room for improvement in postabortion care services provision in Afghanistan health facilities including post abortion family planning. Access to high-quality postabortion care needs additional investments to improve providers’ knowledge and practice, availability of supplies and equipment.

A longitudinal study on different models of postabortion care in Tanzania

2004 ◽  
Vol 83 (6) ◽  
pp. 570-575 ◽  
Author(s):  
Vibeke Rasch ◽  
Siriel Massawe ◽  
Yasinta Mchomvu ◽  
Mashombo Mkamba ◽  
Staffan Bergström
Keyword(s):  
Longitudinal Study ◽  
Postabortion Care

Comparing the Quality of Three Models of Postabortion Care in Public Hospitals in Mexico City

2003 ◽  
Vol 29 (3) ◽  
pp. 112 ◽  
Author(s):  
Deborah L. Billings ◽  
Jaime Fuentes Velasquez ◽  
Ricardo Perez-Cuevas
Keyword(s):  
Mexico City ◽  
Public Hospitals ◽  
Postabortion Care

scholarly journals Does supportive legislation guarantee access to pregnancy termination and postabortion care services? Findings from a facility census in Central Province, Zambia

2018 ◽  
Vol 3 (4) ◽  
pp. e000897 ◽  
Author(s):  
Jenny A Cresswell ◽  
Onikepe O Owolabi ◽  
Nachela Chelwa ◽  
Mardieh L Dennis ◽  
Sabine Gabrysch ◽  
...  
Keyword(s):  
Census Data ◽  
Pregnancy Termination ◽  
Medical Abortion ◽  
Central Province ◽  
Signal Functions ◽  
Postabortion Care ◽  
Surgical Methods ◽  
Wide Range ◽  
Midlevel Providers ◽  
Emergency Scenarios

IntroductionZambia is one of the few countries in Africa to permit termination of pregnancy (TOP) on a wide range of grounds. However, substantial barriers remain to TOP and postabortion care (PAC).MethodsWe conducted a census of 153 facilities between March and May 2016. We defined facilities according to whether they met basic and/or comprehensive signal functions criteria for TOP and PAC. We linked our facility data to census data to estimate geographic accessibility under different policy scenarios.ResultsOverall, 16% of facilities reported they had performed a TOP and 39% performed a PAC in the last year. Facilities were twice as likely to use medical methods for TOP compared with surgical methods, and four times more likely for PAC. Considerably more facilities had performed TOP or PAC than met the basic or comprehensive signal functions criteria, indicating services were being performed in facilities below essential quality standards. Under current Zambian law for non-emergency scenarios, 21% of women in Central Province lived within 15 km of a facility with basic capability to provide TOP; if midlevel providers were trained to provide TOP, this would increase to 36%.ConclusionA supportive legislative framework is essential, but not in itself sufficient, for adequate access to services. Training midlevel providers, in line with WHO guidance, and ensuring equipment is available in primary care can increase accessibility of TOP and PAC. While both medical and surgical methods need to be available, medical abortion is a safe and effective method that can be provided in low-resource settings.

scholarly journals “They Love Their Patients”: Client Perceptions of Quality of Postabortion Care in North and South Kivu, the Democratic Republic of the Congo

2019 ◽  
Vol 7 (Supplement 2) ◽  
pp. S285-S298 ◽  
Author(s):  
Julianne Deitch ◽  
Jean Pierre Amisi ◽  
Stephanie Martinez ◽  
Janet Meyers ◽  
Jean-Baptiste Muselemu ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Client Perceptions ◽  
Postabortion Care ◽  
Republic Of The Congo ◽  
South Kivu ◽  
North And South

An evaluation of a national intervention to improve the postabortion care content of midwifery education in Nigeria

2010 ◽  
Vol 110 (2) ◽  
pp. 186-190 ◽  
Author(s):  
Akinsewa Akiode ◽  
Tamara Fetters ◽  
Ramatu Daroda ◽  
Bridget Okeke ◽  
Ejike Oji
Keyword(s):  
Midwifery Education ◽  
Postabortion Care

scholarly journals Opportunities and Challenges of Delivering Postabortion Care and Postpartum Family Planning During the COVID-19 Pandemic

2020 ◽  
Vol 8 (3) ◽  
pp. 335-343
Author(s):  
Anne Pfitzer ◽  
Eva Lathrop ◽  
Alison Bodenheimer ◽  
Saumya RamaRao ◽  
Megan Christofield ◽  
...  
Keyword(s):  
Family Planning ◽  
Postpartum Family Planning ◽  
Postabortion Care
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