The Safety and Quality of Abortion Care in the United States
The Safety and Quality of Abortion Care in the United States

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-06-24

Total Pages: 223

ISBN-13: 0309468183

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Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.

Safe Abortion
Safe Abortion

Author: World Health Organization

Publisher: World Health Organization

Published: 2003-05-13

Total Pages: 107

ISBN-13: 9241590343

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At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.

Second Trimester Pregnancy Termination
Second Trimester Pregnancy Termination

Author: M.J.N.C. Keirse

Publisher: Springer

Published: 1982-02-28

Total Pages: 228

ISBN-13:

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Views and attitudes. towards termination of pregnancy have shown con siderable evolution over the past few decades. Along with these changes has come a growing concern to adopt means and methods which could make termination easier, safer and more effective. In this evolution, termination in the second trimester in par~icular is notable as being responsible for a dis proportionate share ofthe complications and adverse experiences associated with pregnancy termination. Although the almost universal shift towards earlier abortion has reduced the number of second trimester procedures as a percentage of the whole, the problems of interrupting pregnancy in the second trimester remain conspicuous. Delay in either seeking or obtaining abortion is still, in many parts of the world, all too frequent. AdditiDnally, recent developments in the prenatal diagnosis of fetal malformations, alphafeto protein screening programmes and changes in the pattern of and approaches to intrauterine fetal death now also place greater emphasis on the need for adequate methods of interrupting pregnancy in the second trimester. Unlike the first trimester in which vacuum aspiration is universally con sidered to be the method of choice, in the second trimester of pregnancy the clinician is faced with alternatives; one method may be more appropriate than another in a particular circumstance and no single method is unequivocall~ accepted as best. Neither do second trimester terminations form a neatly defined single category.

Medical Management of Abortion
Medical Management of Abortion

Author: World Health Organization

Publisher: World Health Organization

Published: 2019-01-30

Total Pages: 72

ISBN-13: 9241550406

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Medical abortion care encompasses the management of various clinical conditions including spontaneous and induced abortion (both viable and non-viable pregnancies) incomplete abortion and intrauterine fetal demise as well as post-abortion contraception. Medical management of abortion generally involves either a combination regimen of mifepristone and misoprostol or a misoprostol-only regimen. Medical abortion care plays a crucial role in providing access to safe effective and acceptable abortion care. In both high- and low-resource settings the use of medical methods of abortion have contributed to task shifting and sharing and more efficient use of resources. Moreover many interventions in medical abortion care particularly those in early pregnancy can now be provided at the primary-care level and on an outpatient basis which further increases access to care. Medical abortion care reduces the need for skilled surgical abortion providers and offers a non-invasive and highly acceptable option to pregnant individuals.

Second-Trimester Abortion
Second-Trimester Abortion

Author: G. Berger

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 343

ISBN-13: 9400982933

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Irvin M. Cushner, MD, MPH It is both remarkable and, at the same time, a sign of this era of rapid change that one can refer back to the "infancy" of a field which has existed for barely more than a decade. Yet, one now reads of the "maturing" of the family planning and abortion fields, both of which were incorporated into our society and integrated into our health care system within the past ten years. Indeed, in the very year that this book is being prepared, we note the tenth anniversaries of several significant events of 1970: 1) the enactment of Title X of the Public Health Service Act, establishing a Federal program in family planning; 2) the first issuance by a major health-related organization (the APHA) of a policy statement advocating repeal of all abortion laws; and 3) the enactment, by New York State, of an abortion law whose only restric tion was that it be performed by a licensed physician and the subse quent action, the first by any local health department (New York City), to assure both its implementation and its quality. They were, indeed, eventful days. These three events seemed to presage a then-unprecedented acceptance of fertility regulation as a right and as a needed service.

Abortion Care
Abortion Care

Author: Sam Rowlands

Publisher: Cambridge University Press

Published: 2014-08-28

Total Pages: 279

ISBN-13: 110764738X

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This multidisciplinary review of abortion is invaluable reading for clinicians and other care providers in the area of women's health.

Management of Unintended and Abnormal Pregnancy
Management of Unintended and Abnormal Pregnancy

Author: Maureen Paul

Publisher: John Wiley & Sons

Published: 2011-08-24

Total Pages: 702

ISBN-13: 1444358472

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Access to high quality abortion care is essential to women’s health, as evidenced by the dramatic decrease in pregnancy-related morbidity and mortality since the legalization of abortion in the United States, and by high rates of maternal death and complications in those countries where abortion is still provided under unsafe conditions. The past two decades have brought important advances in abortion care as well as increasing cross-disciplinary use of abortion technologies in women’s health care. Abortion is an important option for pregnant women who have serious medical conditions or fetal abnormalities, and fetal reduction techniques are now well-integrated into infertility treatment to reduce the risks of multiple pregnancies resulting from assisted reproductive technologies. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the textbook of the National Abortion Federation, and serves as the standard, evidence-based reference text in abortion care. This state-of-the-art textbook provides a comprehensive overview of the public health implications of unsafe abortion and reviews the best surgical and medical practices for pregnancy termination, as well as managing ectopic and other abnormal pregnancies. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the leading source for a comprehensive understanding of issues related to unintended and abnormal pregnancy. This textbook: is authored by internationally-known leaders in women's health care; addresses unintended pregnancy and abortion from historical, legal, public health, clinical, and quality care perspectives; includes chapters on pregnancy loss, ectopic pregnancy, gestational trophoblastic disease, and multifetal pregnancy reduction; covers treatment of pregnancies in the first and second trimester by both medical and surgical techniques; and provides resources for clinical, scientific, and social support for the abortion provider and patient.

ClinicalTrials
ClinicalTrials

Author: Curtis L. Meinert

Publisher: OUP USA

Published: 2012-03-27

Total Pages: 702

ISBN-13: 0195387880

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The classic, definitive guide to the design, conduct, and analysis of randomized clinical trials.

Management and Therapy of Early Pregnancy Complications
Management and Therapy of Early Pregnancy Complications

Author: Antonio Malvasi

Publisher: Springer

Published: 2016-09-14

Total Pages: 367

ISBN-13: 3319313770

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This richly illustrated book draws on recently acquired knowledge to provide the reader with comprehensive, up-to-date information on the full range of obstetric complications that may be encountered during the first and second trimesters of pregnancy. For all complications, including those potentially involved in malpractice issues, risk factors and clinical presentation are described and detailed guidance is provided on the appropriate treatment. The lucid text is complemented by a wealth of images, diagrams, flow charts, and drawings. The volume has been compiled in collaboration with a large group of gynecologists, obstetricians and internationally renowned scientists to provide an essential guide. Accordingly, this book will be a valuable tool for every obstetrician and gynecologist. Practitioners across the world will be enabled to deepen their knowledge and to refine their approach to complications in daily clinical practice.

WHO Recommendations for Augmentation of Labour
WHO Recommendations for Augmentation of Labour

Author: World Health Organization

Publisher: World Health Organization

Published: 2014

Total Pages: 62

ISBN-13: 9241507365

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Optimizing outcomes for women in labor at the global level requires evidence-based guidance of health workers to improve care through appropriate patient selection and use of effective interventions. In this regard, the World Health Organization (WHO) published recommendations for induction of labor in 2011. The goal of the present guideline is to consolidate the guidance for effective interventions that are needed to reduce the global burden of prolonged labor and its consequences. The primary target audience includes health professionals responsible for developing national and local health protocols and policies, as well as obstetricians, midwives, nurses, general medical practitioners, managers of maternal and child health programs, and public health policy-makers in all settings.