Public health, induced abortion, and spontaneous abortion

Bioethics ◽  
2021 ◽  
Author(s):  
William Simkulet
Keyword(s):  
Public Health ◽  
Spontaneous Abortion ◽  
Induced Abortion

scholarly journals Commentary: the public health consequences of restricted induced abortion--lessons from Romania.

1992 ◽  
Vol 82 (10) ◽  
pp. 1328-1331 ◽  
Author(s):  
P Stephenson ◽  
M Wagner ◽  
M Badea ◽  
F Serbanescu
Keyword(s):  
Public Health ◽  
Induced Abortion ◽  
Health Consequences ◽  
The Public

scholarly journals Stillbirth in Canada: anachronistic definition and registration processes impede public health surveillance and clinical care

2021 ◽  
Author(s):  
K.S. Joseph ◽  
Lily Lee ◽  
Laura Arbour ◽  
Nathalie Auger ◽  
Elizabeth K. Darling ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Surveillance ◽  
Fetal Death ◽  
Clinical Care ◽  
Induced Abortion ◽  
Death Registration ◽  
Starting Point ◽  
Induced Abortions ◽  
History Of ◽  
Definition Of

AbstractThe archaic definition and registration processes for stillbirth currently prevalent in Canada impede both clinical care and public health. The situation is fraught because of definitional problems related to the inclusion of induced abortions at ≥20 weeks’ gestation as stillbirths: widespread uptake of prenatal diagnosis and induced abortion for serious congenital anomalies has resulted in an artefactual temporal increase in stillbirth rates in Canada and placed the country in an unfavourable position in international (stillbirth) rankings. Other problems with the Canadian stillbirth definition and registration processes extend to the inclusion of fetal reductions (for multi-fetal pregnancy) as stillbirths, and the use of inconsistent viability criteria for reporting stillbirth. This paper reviews the history of stillbirth registration in Canada, provides a rationale for updating the definition of fetal death and recommends a new definition and improved processes for fetal death registration. The recommendations proposed are intended to serve as a starting point for reformulating issues related to stillbirth, with the hope that building a consensus regarding a definition and registration procedures will facilitate clinical care and public health.

Long-Acting Reversible Contraception (LARC) and Teen Pregnancy

2021 ◽  
pp. 159-163
Author(s):  
Jaclyn Grentzer
Keyword(s):  
Public Health ◽  
Teen Pregnancy ◽  
Induced Abortion ◽  
Health Concern ◽  
Intrauterine Devices ◽  
The Us ◽  
Economic Barriers ◽  
Contraceptive Choice ◽  
Contraceptive Implants ◽  
Long Acting

Long-acting, reversible contraception (LARC), including intrauterine devices (IUDs) and contraceptive implants, are associated with higher contraceptive efficacy and continuation rates. Teen pregnancy rates have declined over the past 2 decades but continue to be a public health concern. Only 10% of teen girls elect to use LARC, likely due to educational, logistical, and economic barriers. The Contraceptive CHOICE Project enrolled 1404 girls aged 14 to 19. Of these teens, more than 70% chose LARC when given standardized contraceptive counseling and barriers to receiving LARC were removed. Pregnancy, live birth, and induced abortion rates in this cohort were lower than rates for the US population of sexually active teen girls. Failure rates were lower for LARC users, as compared to users of other reversible contraceptive methods.

scholarly journals A Case Study of Utilization of Abortion Service in the Tertiary Hospital of Western Region of Nepal

2019 ◽  
Vol 2 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Rajendra Kumar Chaudhary ◽  
Nirmal Kumar Jha ◽  
Bijay Manandhar ◽  
Krishna Chaudhary
Keyword(s):  
Spontaneous Abortion ◽  
Tertiary Hospital ◽  
Induced Abortion ◽  
Safe Motherhood ◽  
Safe Abortion ◽  
Women Health ◽  
The People ◽  
Medical Termination ◽  
Comprehensive Abortion Care ◽  
Western Regional

Introduction: Unsafe abortion is one of the major public health problems in developing countries including Nepal. After integration of comprehensive abortion care in safe motherhood service, there has been improvement in maternal and women health in Nepal. Furthermore, improvements are required in raising awareness and accessibility to safe abortion services to all the women in throughout the country. Methods: This is a retrospective study carried out in Western Regional Hospital after reviewing the data from the hospital records. Demographic details, parity, types of abortion for spontaneous abortion, and methods of induced abortion were noted and analyzed. Results: Maximum number of women belonged to 20-24 years of age and is Brahmin/Chhetri. Multi gravida are more than primi and they underwent induced abortion by medical termination of pregnancy. Similarly, incomplete abortion was in highest number among the spontaneous abortion. Conclusion: Easy availability of the safe abortion services and awareness among the people regarding it would certainly improve the maternal health and quality of life.

scholarly journals Willingness to Perform Induced Abortion and Associated Factors Among Graduating Midwifery, Medical, Nursing, and Public Health Officer Students of University of Gondar, Northwest Ethiopia: Institution based Cross sectional study

2020 ◽  
Author(s):  
Mihretu Molla Enyew
Keyword(s):  
Public Health ◽  
Maternal Mortality ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Induced Abortion ◽  
Religious Attendance ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Officer

Abstract Background: In developing countries, abortion is often unsafe and a significant cause of maternal morbidity and mortality accounting for about 8% (4.7%–13.2%) of maternal mortality worldwide. Internationally, safe abortion services are recognized as reducing maternal mortality, and liberalized abortion laws are associated with reduced mortality resulting from unsafe abortion procedures. However, health care providers have moral, social and gender-based reservations that affects their willingness towards providing induced abortion services. The purpose of this study was to assess willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar. Methods: Institution based cross sectional study was conducted from March 29 to May 30, 2019. All graduating students available during data collection period were considered as study population. Stratified simple random sampling technique was used to select 424 study participants. Pre tested, semi- structured, self-administered questionnaire was used to collect data. Data analysis was done using SPSS version 20. Ethical clearance was obtained from School of midwifery under the delegation of institutional review board of university of Gondar.Results: 290 students out of 424 students were willing to perform induced abortion for indications supported by Ethiopian abortion law, making a proportion of 68.4% (95%Cl: 64.2, 72.9). Sex (Being male (AOR = 4.89, 95%CI: 3.02, 7.89)), religion (being orthodox than protestant (AOR = 10.41, 95%CI: 3.02, 21.57)), being Muslim than protestant (AOR = 5.73, 95%CI: 1.37, 15.92)) and having once or less a week religious attendance (AOR=2.00, 95% CI: 1.20, 3.34) were factors associated with willingness towards performing induced abortion.Conclusions: According to this study willingness of students towards providing induced abortion services was good. However female students, protestant followers and those students with more than once a week religious attendance should be encouraged in abortion care provisions.

scholarly journals Family planning practices and prehospital care received by women seeking abortion services in a tertiary care hospital

2021 ◽  
Vol 8 (5) ◽  
pp. 2239
Author(s):  
Upasana Deb ◽  
Narendra K. Tiwary
Keyword(s):  
Family Planning ◽  
Spontaneous Abortion ◽  
Service Providers ◽  
Prehospital Care ◽  
Tertiary Care ◽  
Unmet Need ◽  
Induced Abortion ◽  
Care Hospital ◽  
Safe Abortion ◽  
Significant Difference

Background: The study was carried out in the department of Gynaecology and Obstetrics at RG Kar Medical college and Hospital, among 114 attendees seeking induced or spontaneous abortion. The aim of the study was to assess their socio demographic characteristics, elicit their family planning knowledge, practices and prehospital care received by them before coming to this institute.Methods: An observational descriptive cross-sectional study was carried out using a predesigned, pretested schedule using systemic random sampling technique among women seeking abortion services at a tertiary care centre.Results: Out of the 114 interviewees, 53 (46.5%) underwent induced abortion and rest had spontaneous abortion. Statistically significant difference was found between the mean age of induced and spontaneous abortion seekers. Majority i.e. 28 (52.8%) of induced abortion seekers first sought help at illegal abortion service providers. Statistically significant difference was found in duration of marriage, gravidity and number of living children between induced and spontaneous abortion candidates. Contraceptive knowledge and practice were found to be higher among induced abortion seekers.Conclusions: This study clearly shows the need to focus on unmet need for family planning services including safe abortion services at pre-tertiary hospital level. The Government needs to stop advertisement and sale of over the counter abortifacients which is proving to be a menace to women’s health. 

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