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Two articles were not retrievable; however, on further review of their Title and Abstract information
it was decided that the papers were not relevant to the study as their reported findings did not
specifically relate to the research question. About abortion: Abortion is a very active topic on the
Internet. Situation analysis of quality of abortion care in the main maternity hospital in H?i Phong,
Viet Nam. Although the whole book is current and features recent cases that most readers will be
familiar with, this final section is especially relevant as it focuses on the ways in which social
connotations shape reproductive legislation and, in turn, how legislation shapes social meaning.
MassHealth Provider manual series, physician manual. Changes in morbidity and Abortion Care in
Ethiopia after Legal Reform: National Results from 2008 and 2014. Essential Elements of
Postabortion Care: An Expanded and Updated Model. These studies revealed that women’s’ reasons
for seeking informal sector abortions were diverse in high- and low-income settings, and their
abortion seeking trajectories complex. Among the study participant’s, unsafe abortion was not
spoken of solely in terms of medical and physical safety, but also in terms of social and economic
security. Weeks noted indicate the weeks since last period, a common measure of gestation.
Integration of post-abortion care: the role of township medical officers and midwives in Myanmar. In
1970, Fleck reported that there are some 4,000 documented post-. That is not to say that there is no
bias, for pro-choice readers will certainly feel a connection with most of the featured authors. This
was compounded by the fact that most abortion clinics require two or more appointments to
administer the pills and follow up for complications. The Ovid (MEDLINE), ProQuest, Science
Direct, Web of Science, PUBMED and CINAHL databases were searched and studies that met
edibility criteria were assessed for validity and analysis. They consistently reported positive
interactions with the Program and stated that their patients also reported positive experiences ( table
5 a). Age matters: differential impact of service quality on contraceptive uptake among post-abortion
clients in Kenya. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-
Analyses) framework Guidelines, Flow Diagram and Checklist were utilised to undertake the
review. These databases were specifically selected for their multidisciplinary nature. Judging from its
official regulation of the practice, Northern Ireland for example, may be considered a country with
relatively little abortion restrictions, particularly considering the exceptions to protect woman’s
mental health; however, women’s access to abortion services is in practice severely limited in the
country. The change from the Ninth to the Fourteenth amendment was based on the Court’s opinion
that: (The) right of privacy, whether it be founded in the Fourteenth Amendment’s concept of
personal liberty and restrictions upon state action, as we feel it is, or, as the district court determined,
in the Ninth Amendment’s reservation of rights to the people, is broad enough to encompass a
woman’s decision whether or not to terminate her pregnancy. (Roe v. Wade, How can Roe v. Age
Marital status Economic status Photo by zeevveez 4. Another challenge that states have put on this
legislation has been in the case of minor’s who have sought abortions and the requirement for
parental notification or parental consent. Utah and Arkansas voted to limit the procedure to the
middle of the second trimester. Same studies have also tested the level of anxiety, and assert that in
some cases the situation has become much worse due to the feeling of committing suicide. How can
Roe v. Wade and other pro-abortion legislation be challenged by states? 3. Social Science and
Medicine, (153), 2016;(February). For example, Scopus focus covers a range of disciplines such as
the social sciences, medicine, public health, humanities and women’s studies, all of which concern
the subject of unsafe abortion. We also conducted seven interviews, six with physicians and one with
a nurse. This suggestion echoes the literature regarding best practices in referral systems, with the
abortion provider taking on the role as a consultant or specialist. 22 23 For many patients, closing the
loop with a primary provider may not be feasible due to confidentiality concerns or stigma.
A case manager who stays abreast of local and national abortion resources, policies and regulations is
a valuable resource to both providers and patients. While there were varying legal implications with
regards to obtaining an abortion within the study settings, all nine studies were conducted within
PAC services or facilities. Reasons women were not scheduled or did not complete a procedure
included loss to follow-up or the patient choosing to continue the pregnancy ( table 1 ). This
suggests that there is potential to address the issue of ISA through education and awareness raising
campaigns aimed at communities where abortion is legal. Eligibility criteria in systematic reviews: a
methodological review. However, improving referral communication when appropriate and desired
by the patient allows for abortion care to be integrated into patients' overall reproductive healthcare.
The majority of studies were based in Sub-Saharan Africa with the exception of Northern Ireland,
Great Britain, Hong Kong and the United States. Long waiting lists were cited as a factor by three
studies, two of which are from South Africa, suggesting that is a persistent issue in South Africa.
Comparative effectiveness, safety and acceptability of medical abortion at home and in a clinic: a
systematic review. Women’s reasons for choosing to have an informal sector abortion The studies
surveyed widely confirmed the quantitative evidence that the practice of ISA is a widespread
phenomenon: The majority of the respondents in the studies included reported being aware of
women in their communities who had undergone the termination procedure clandestinely. We
screened over 2700 publications to identify a total of sixteen relevant studies exploring the practice
in seven low-and middle-income countries. Whether you’ve been turned off by religion in the past,
have a question about one of the world’s religions or are simply looking for content we no longer
have, we hope you’ll stay and see what Patheos has to offer. Partner approval and intention to use
contraception among Zanzibari women presenting for post-abortion care. She also sub-edits
Palatinate, Durham’s Student Newspaper. Despite its limitations, this review shows the importance
of collating and analysing systematically the information available on the drivers of unsafe abortions,
and suggest future research into the safety of ISA’. Empty reply does not make any sense for the end
user Submit reply Cancel taiwanpez 13 years ago report 5 Thank you for sharing this, a very useful
resource!!!:) Empty reply does not make any sense for the end user Submit reply Cancel Report this
resource to let us know if it violates our terms and conditions. Yet much of the research fails to
define adequately the measurement. We exist to help provide information, stories and conversation
that leads to understanding, empathy and acceptance of all faiths. This 20-year follow-up study of
120 children born to Swedish women who were. A systematic review of the qualitative literature on
informal sector abortions in settings where abortion is legal. In total, sixteen articles were identified
as eligible for this review. Women’s opinions on the home management of early medical abortion in
the UK. NOTE: We only request your email address so that the person you are recommending the
page to knows that you wanted them to see it, and that it is not junk mail. A centralised referral
network of abortion providers can improve patient access to abortion care. These studies revealed
that women’s’ reasons for seeking informal sector abortions were diverse in high- and low-income
settings, and their abortion seeking trajectories complex. This debate can be attributed to the current
situation whereby the prevalence rates of abortion seem to have assumed upward trends. Description
of the methodology used to search the literature, keywords, and steps. (DOCX 23 kb) Additional file
2: Data extraction form. Somewhat related to the definition problem is the lack of uniform.
References for the review were managed by the bibliographic software, Endnote X7, and a standard
form was used to assist in data extraction. 13, 14 Online supplementary Appendix 1 highlights the
strategy used for the Ovid (MEDLINE) database search, which was used as a framework for
subsequent database searches. Deliver Us From Abortion: Awakening the Church to End the Killing
of America’s Children is just one of many tools Fisher uses to compassionately reach out to those
who do not understand the reality underlying this epidemic, as well as to individuals who equip
others that can influence and ultimately help end abortion in America.
Women ’ s experiences seeking informal sector abortion services in Cape Town, South Africa: a
descriptive study. Thirteen of the sixteen studies included recruited participants who had specified
either having undergone or attempted an informal sector abortion either by recruiting women who
presented at hospitals with post abortion complications or recruiting women via snowball sampling,
surveys and informal sector abortion organisations such as Women on Web. The perception itself of
unaffordability was a barrier to accessing safe and legal abortion. A recent study attempted to relate
the psychiatric sequelae of. Siegel’s writing style is clear, but the abundance of legal jargon may deter
readers who do not specialise in law. Although there are laws currently in place to protect a woman’s
right to an abortion as politics shift and change more and more limitations are placed upon the
procedure. Usual hospital care versus post-abortion care for women with unsafe abortion: a case
control study from Sri Lanka. The Coordinator had more up-to-date information on funding
resources than clinical providers, as well as specific, localised understanding of the policies,
schedules and limitations of each hospital within the referral network ( table 5 e). While every
consideration has been given to the context, characteristics and quality of the studies appraised, as
this systematic review reports on studies from various demographic regions and countries, with
varying policy regarding the legality of access to abortion services, the findings of this review must
be considered within these parameters. Why are women still aborting outside designated facilities in
metropolitan South Africa. Following the PRISMA guidelines, we conducted a systematic review of
the qualitative studies published in English and French investigating the features of the practice and
the reasons behind women’s risky choice when safer alternatives are available. There are also many
myths going round about the practice. One such study was conducted in Sweden by Forssmann and
Thuwe (1966). We received 16 completed surveys and conducted seven interviews with providers
who routinely receive referrals for later abortions through the Program. Contrarily, over 47000 people
succumb to death because of abortion and over 5 million get bedridden annually because of induced
abortion. The studies reviewed also showed that a lack of knowledge of abortion laws, and a
widespread perception that abortion is not legal, even though all of the studies included were based
in contexts where abortion is permitted. In resource-poor settings physical access to a range of
contraceptive methods can often be the first inhibitor for access for women. 21, 25, 31, 35 In their
2010 evaluation of PAC services in the Dominican Republic, McCarraher et al. Situation analysis of
quality of abortion care in the main maternity hospital in H?i Phong, Viet Nam. The survey included
questions with Likert-scale response options. The review was also restricted to articles published in
English, and only the first author performed the first round of screening. Areas for improvement In
general, providers stated that awareness about the Program among participating institutions was high.
There are several that lead to premature childbirth and abortion in women; they include the
mechanical stress, the biological system, infections, and processes that might have left scars in the
endometrial. While private facilities may offer comprehensive PAC, their provider fees deter women
from accessing services. Changes in morbidity and Abortion Care in Ethiopia after Legal Reform:
National Results from 2008 and 2014. Among one of these major issues has been women’s
reproductive rights. NOTE: We only request your email address so that the person you are
recommending the page to knows that you wanted them to see it, and that it is not junk mail.
Participants described the Coordinator as accessible, professional and dedicated. Increasing interest
in why some women obtain abortions in the second. How do the United States policies on abortion
compare and differ from those of Great 4. Formal health facilities were deemed to be unsafe if they
failed to protect a woman’s social reputation.
A centralised referral network of abortion providers can improve patient access to abortion care.
Abortion facilities that did not protect women’s anonymity were deemed to be unsafe. The only
statistically significant difference among the three groups. A case manager who stays abreast of local
and national abortion resources, policies and regulations is a valuable resource to both providers and
patients. Judging from its official regulation of the practice, Northern Ireland for example, may be
considered a country with relatively little abortion restrictions, particularly considering the
exceptions to protect woman’s mental health; however, women’s access to abortion services is in
practice severely limited in the country. Implementing postabortion care programs in the developing
world: ongoing challenges. Raw tabulated data and information extracted from each of the
references retrieved. (DOCX 38 kb) Rights and permissions. So they've sued the government for
insisting that they. To find out more about cookies and change your preferences, visit our Cookie
Policy. Continue. His trial brought out the darker side of abortion, and controversial debates arose
basing on the issue. These mandates require that women who are seeking an abortion wait a specific
period of time, normally twenty-four hours, during which time she receives counseling before the
procedure is performed. Although the procedure had a low rate of use, representing 0.17% of all
abortions performed in the United States in the year 2000, is has developed into a major talking
point of the abortion debate (Finer, Henshaw, 2003). Some themes such as the issue of long waiting
lists and regulations were found to be largely country specific. Conclusion Unsafe abortions induced
in the informal sector remain a major public health challenge in countries where abortion is legal.
Data collection, analysis, extraction and assessment An initial 164 articles were identified by the first
author from the six databases and an additional 36 articles from the authors' personal files were
added to the review for a combined total of 200 articles. As a result of this many organizations and
politicians have attempted to regulate or even outlaw the procedure. Even when abortion was freely
available, such as in the case of South Africa, women held the perception that informal sector
abortions would be cheaper. Waiting periods and mandatory counseling have also been mandated in
twenty-six and seventeen states respectively. The discussion of abortion in literature is especially
one-sided, with anti-choice opinions often being reflected. Some health workers were also unwilling
to provide abortions or make a referral, thereby forcing women to turn to the informal sector. Eight
states have limited coverage by private insurance companies to only cover abortion when the
mother’s life would be endangered if the pregnancy was carried to term. Many detailed the logistical
assistance provided by the Coordinator in terms of scheduling, transportation, accommodation, and
financial assistance, emphasising that these services addressed barriers that may otherwise prevent
their patients from receiving care ( table 5 d). Education campaigns could be targeted at education
communities on the potential medical dangers of informal sector abortions and legal consequences in
many settings where ISA’s are criminalised and could carry a prison sentence. These institutions are
large-volume hospitals with established gynaecology departments that provide abortion care up to the
state gestational limit of 24 weeks’ gestation. Three studies focussed on members of the community
who had either were ISA providers or had friends or family who had experienced an ISA
(Additional file 2 ). Discussion To the best of our knowledge, this is the first systematic review to be
conducted on the qualitative evidence around the reasons why women who live in settings where
abortion is legal end up having informal sector abortions, using predominantly unsafe and ineffective
methods. Social Science and Medicine, (153), 2016;(February). A further five studies were identified
through searching the reference lists of relevant articles, resulting in a total of 16 studies being
included in the final synthesis (Fig. 2 ). Fig. 2 PRISMA Flow diagram of the study search Full size
image Study characteristics A total of 16 studies, spanning twelve countries, were included in the
qualitative synthesis. The case dealt with a woman by the name of Norma L. Most studies on the
psychological effect of abortion are clouded by.
When the decision was finally issued they agreed with the district courts, only they changed which
amendment they believed that abortion fell under. Utah and Arkansas voted to limit the procedure to
the middle of the second trimester. However, it is very unfortunate that a number of abortion cases,
impacts and even those who take part in the action illegally go unreported. Articles whose content
did not meet the criteria were eliminated and the reasons for their exclusion were documented
(Additional file 1 ). This sample represents four of seven institutions within the Program network
over the entire study period, including two facilities that together receive about half of the referrals
annually. Also, you can type in a page number and press Enter to go directly to that page in the book.
This included in the wording of the bill the assumption that all fetuses over 28 weeks gestation were
capable of survival outside the womb. Despite the legality of abortion and the broad grounds on
which it is permitted, regulations such as the requirement for more than one doctor’s approval in
areas where there is a shortage of doctors, may restrict access to legal abortion. Based on the
Assessing the Risk of Bias of Individual Studies in Systematic Reviews of Healthcare Interventions
guidelines, 12 the methods used for assessing risk of bias in the articles selected for review included.
No limit was placed on time of publication as this varied by study depending on when abortion has
been legalised. Results The review highlights the diverse reasons women turn to the informal sector,
as abortions outside of legal health facilities were reported to be a widespread and normalised
practice in countries where legal abortion is provided. They described that the transportation,
accommodation and financial assistance enabled patients access to care. The PRISMA statement for
reporting systematic reviews and meta-analyses of studies that evaluate health care interventions:
Explanation and elaboration. PLoS Med. 2009;6:e1000100. Article. Education campaigns could be
targeted at education communities on the potential medical dangers of informal sector abortions and
legal consequences in many settings where ISA’s are criminalised and could carry a prison sentence.
Conclusion The use of informal sector abortions (ISAs) is a widespread and normalised practice in
many countries despite the liberalisation of abortion laws. Finally, relevant information was
extracted and analysed by the two authors. Ensuring Human Rights in the Provision of
Contraceptive Information and Services: Guidance and Recommendations. The Act did require
additionally that the abortion had to be certified necessary by two physicians before it was
performed. So they've sued the government for insisting that they. State Funding of Abortion under
Medicaid. ( accessed 19 May 2018 ). ? Abortion services. Manuscripts without abstracts were
excluded as they were non-research papers. Provenance and peer review Not commissioned;
externally peer reviewed. Women’s opinions on the home management of early medical abortion in
the UK. Research before the middle 1960s on the psychiatric consequences. Whilst it is beyond the
scope of this review to provide a comprehensive list of recommendations for addressing informal
sector abortions, it has highlighted areas for potential intervention. Adding It Up: The Costs and
Benefits of Investing in Sexual and Reproductive Health 2014. Bourne which dealt with and
abortion performed on a girl who had been raped, also allowed for abortion coverage to avoid
mental and physical trauma to the mother. Whilst it is beyond the scope of this review to provide a
comprehensive list of recommendations for addressing informal sector abortions, it has highlighted
areas for potential intervention. The college offers its members many benefits, including challenging
classes, training in research methods and skills, eligibility to live in Rawlins Hall or Honors Hall, and
a supportive social and academic environment. There are many methodological problems in abortion
research.
One of the broad themes emerging review in this study is the great stigma that is attached to
abortion, in particular if the pregnancy is the result of premarital sex. Preventing unsafe abortion and
its consequences: priorities for research and action. The Coordinator role is one full-time position,
which was held by two separate individuals over the study period. In other states where both
Medicaid and private funding for abortion is prohibited, intensive fundraising may be required for
clients if this model were replicated. References for the review were managed by the bibliographic
software, Endnote X7, and a standard form was used to assist in data extraction. 13, 14 Online
supplementary Appendix 1 highlights the strategy used for the Ovid (MEDLINE) database search,
which was used as a framework for subsequent database searches. The final three chapters make for
some very satisfying reading, as they allow the reader to reflect on their own personal beliefs and the
media’s portrayal of abortion using narratives of prenatal personhood and innocent suffering. They
also thank Souci Rollins and Alisa Goldberg for their assistance with study design and content.
Misoprostol in women’s hands: a harm reduction strategy for unsafe abortion. Alternatively, services
provided (often free of charge) from government facilities lack the human resources to effectively
provide adequate time to clients and may lack trained PAC providers. The court finally argued the
case in December of 1971 and it was reargued again in October of 1972. It also provides differing
view regarding abortion and government involvement in women’s reproductive rights as well as
information about possible changes in legislation. The PRISMA statement for reporting systematic
reviews and meta-analyses of studies that evaluate health care interventions: Explanation and
elaboration. PLoS Med. 2009;6:e1000100. Article. These laws and provisions are mostly all in effect
however in some cases they may not always be enforced. Additionally the number who believed that
government should not be involved with women’s reproductive rights was also high and, again
although not conclusive, this could be an indication that more individuals desire less government
involvement when it comes to abortion and abortion legislation. These state to state mandates and
the term limits on when abortions may be requested and performed are the main difference between
the abortion policies of the United States and those of Great Britain. In total, sixteen articles were
identified as eligible for this review. Nine states have also enacted laws that require the woman to
make to separate trips to the clinic to obtain the procedure (2012). Studies highlighted barriers to
contraception and SRH information including supply limitation, lack of comprehensive education
and counselling, lack of skilled post-abortion care (PAC) providers and abortion stigma. We screened
over 2700 publications to identify a total of sixteen relevant studies exploring the practice in seven
low-and middle-income countries. There are numerous immediate risks that range from continuous
bleeding, bacterial infections, unfinished abortion, clotting of blood to sustaining injuries in the birth
canal or surrounding areas (Forster 56). It may also lead to other complications like heart failure,
difficulties in breathing, complications in the renal areas, shocks, complications in the metabolic
processes, and even ectopic pregnancies. Health Workers Roles in Providing Safe Abortion Care and
Post-abortion Contraception. Whilst it is beyond the scope of this review to provide a
comprehensive list of recommendations for addressing informal sector abortions, it has highlighted
areas for potential intervention. Thirty-two states and the District of Columbia prohibit the use of
any state funds to perform an abortion except in cases of danger to the life of the mother or where
the mother is pregnant due to the result of rape or incest. Although the whole book is current and
features recent cases that most readers will be familiar with, this final section is especially relevant
as it focuses on the ways in which social connotations shape reproductive legislation and, in turn,
how legislation shapes social meaning. Multiple databases were included to ensure that all the
relevant articles are captured. The following search queries were inputted into the majority of
databases. All materials have been previously accepted by a professional organization or approved by
a faculty mentor. In 2014, Massachusetts eliminated site-of-service limitations on payment of
abortion services, allowing Medicaid-insured patients to receive later second-trimester abortion at
their choice of provider. 17 This study includes Program data from 2007 to 2012 and provider
experiences up to 2014. Although the follow-up information was clearly incomplete, these.