Women In Abortion Research Articles

Why a good law is not always good enough: a global review of restrictions to supportive laws for sexual and reproductive health and rights

Laws and regulations provide the framework for implementing sexual and reproductive health and rights (SRHR)-related policies, programmes and services. They can promote the fulfilment of health and human rights; however,...

Atuação dos enfermeiros no cuidado às mulheres em situação de abortamento em uma maternidade pública de Teresina-PI

Na contemporaneidade são vários os fatores que afetam a saúde da mulher, dentre eles, as taxas de abortamento, que apresentam índices elevados, principalmente nos países emergentes. No Brasil, o número de abortos legais e ilegais tem crescido e vem gerando sérios problemas de Saúde Pública. O objetivo da pesquisa foi conhecer os cuidados dos enfermeiros às mulheres em situação de abortamento. Estudo descritivo com abordagem qualitativa realizada nas unidades de internação de uma maternidade municipal pública de Teresina-PI. Os sujeitos da pesquisa foram 12 enfermeiros que prestavam cuidados às mulheres. Foram incluídos enfermeiros assistenciais e do quadro de profissionais efetivos e, excluídos apenas os que estavam de férias ou licença durante a realização da pesquisa. Para a coleta dos dados, utilizou-se roteiro de entrevista semiestruturado e os dados foram analisados por meio da técnica de Análise de Conteúdo. Identificou-se os principais cuidados realizados pelos enfermeiros às pacientes em situação de abortamento eram voltados ao acolhimento, ao controle da intensidade do sangramento e ao apoio emocional. Quanto à atenção do cuidado destinado às mulheres, verificou-se que nem todos os profissionais desempenhavam os cuidados de forma humanizada, principalmente os aspectos psicológicos. Para que os cuidados às mulheres sejam integrais e humanizados como proposto pela Norma Técnica Humanizada ao abortamento do SUS, é necessário que todos os profissionais de saúde, em especial, os enfermeiros estejam integrados tanto na prestação de cuidados físicos com embasamentos técnicos, éticos e jurídicos na área do aborto, quanto nos cuidados psicológicos com escuta qualificada, afetividade e o acolhimento.

Barriers in Accessing Care for Consequence of Unsafe Abortion by Black Women: Evidence of Institutional Racism in Brazil.

Women face difficulties in accessing post-abortion care, as hierarchical care operates under discrimination mechanisms that condemn women in abortion. In addition, it is the Black and Brown women who are more subject to unsafe abortions and need hospitalization to complete the termination of pregnancy or treat associated complications. This study aimed at identifying factors associated with the institutional barriers in access to health services for women who underwent abortion by race/color. The survey encompassed 2640 users admitted to public hospitals in Salvador, Recife, and São Luís. Differences among covariables according to race/color (Black, Brown, and White women) were analyzed and tested for statistical significance using Pearson's χ2 test. The regression analysis initially included variables that may express the technical criteria of priority in care (time of pregnancy when abortion occurred and conditions of arrival), then the sociodemographic characteristics, and, lastly, the type of abortion declared. Black women faced more institutional difficulties (27.7% vs 19.5% in White women and 18.7% in Brown women), such as waiting to be attended and getting a bed. The association between being Black women and institutional barriers remained, even after adjustments in the regression model. Institutional racism limits access to health services and timely care for Black women, acting as a performative mechanism, legitimizing and generating exclusionary behaviors. The results demonstrate that the intersection between racial discrimination and abortion stigma redouble institutional barriers that are denominated intersectional discrimination.

A percepção da equipe de enfermagem sobre o cuidado à mulher em situação de abortamento: revisão integrativa

Objetivo: Analisar a percepção da equipe de enfermagem sobre o cuidado à mulher em situação de abortamento. Métodos: Trata-se de uma revisão integrativa da literatura, onde foram eleitos 7 artigos nas bases de dados Scientific Electronic Library Online (SCIELO) e Literatura Latino-Americana em Ciências da Saúde (LILACS) no período de janeiro de 2008 a setembro de 2018. Resultados: Os estudos revelam que a percepção dos profissionais de enfermagem sobre a mulher em situação de abortamento é essencialmente negativa, sendo moldada por questões culturais, legais, religiosas e sócio econômicas, fato que gera o preconceito no atendimento a estas mulheres, contribuindo para o mau funcionamento desse serviço. Considerações Finais: Ao final percebe-se a percepção evidenciada dos enfermeiros sobre as mulheres em situação de abortamento é extremamente negativa por questões da falta de ética profissional, onde a atitude e valores sociais visam questões religiosas, culturais, econômicas e sociais que influenciam muito negativamente na assistência prestadas a essas pacientes, marginalizando o atendimento devido fazerem julgamentos pessoais.

Improvement of Capability to the Self-Determination of Disabled Women in Abortion*

Improvement of Capability to the Self-Determination of Disabled Women in Abortion*

Improvement of Capability to the Self-Determination of Disabled Women in Abortion

Improvement of Capability to the Self-Determination of Disabled Women in Abortion

인공임신중절의 형사법적 쟁점

Korean criminal law punishes abortion in principle and treats it as illegal unless it falls within the scope of specific exceptions. However, the provisions of the criminal law and the Mother and Child Health Act are not entirely consistent with each other. In addition, societal views on the status of women in abortion have changed in recent years. Views now range from the total abolition of the ban on abortion to the strengthening of punishment for the crime of abortion. This article critically examines some of the theoretical issues that are overlooked in typical discussions concerning abortion. More specifically, the article examines abortion from the perspective of the criminal law in an effort to provide some suggestions on how to resolve the moral conflict at the heart of the abortion debate.

Situações de violência obstétrica vivenciadas por mulheres em processo de abortamento

Objetivo: Conhecer situações de violência sofrida por mulheres em abortamento. Método: Pesquisa qualitativa, exploratória e descritiva, realizada em maternidades públicas de Juazeiro-BA e Petrolina-PE. Utilizou-se a entrevista semiestruturada e análise do conteúdo temático para análise dos dados. Resultados: Identificou-se que as principais situações de violência obstétrica sofrida pelas mulheres foram decorrentes de entraves na comunicação: injurias verbais e omissão de esclarecimentos sobre sua condição de saúde, procedimentos e exames. Além da queixa de superlotação que, não tão raro, culminou em demora no atendimento e negligência. Conclusão: É imperioso que as maternidades citadas nesse estudo invistam em educação permanente voltada para atendimento ético e humano, assegurando os direitos humanos e reprodutivos das mulheres em abortamento.Descritores: Saúde da Mulher; Exposição a violência; Aborto

Abuse and disrespect in childbirth process and abortion situation in Latin America and the Caribbean\u2014systematic review protocol

BackgroundStudies show that a large number of women around the world have experienced situations of abuse, disrespect, abuse, and neglect during childbirth and/or abortion. This violence is a serious violation of the rights of women, especially because it is a period in which the woman is more physiologically, socially, and psychologically vulnerable. Although this type of violence is known, there is still no international consensus on the definition of such violence and its prevalence is not known. In this sense, this systematic review aims (1) to find quantitative data about abuse and disrespect in obstetric care (delivery and/or abortion) in Latin America and the Caribbean to estimate the average prevalence of this type of abuse and (2) to identify interventions—including programs, laws, and regulations—which have been implemented to prevent or respond to abuse and disrespect in childbirth process and abortion situation, evaluating its effectiveness on a global scale.MethodsFor this, we will use a refined and pre-established strategy to search databases such as PubMed, Embase, LILACS, and Scielo, and the studies found will pass through a selection process to complete the screening stage.DiscussionData will be extracted using standardized forms with the following information: scope of study, sample characteristics, objectives, design, data collection, methods of analysis, data source, and results. Considering the heterogeneity of the definitions of abuse, disrespect, and mistreatment of women in labor or abortion, it may not be possible to carry out the meta-analysis of the frequency of events reported in the included articles. Events reported by the original articles will be classified according to a typology of abuse, disrespect, and maltreatment in the labor or abortion process described by Bohren et al. (PLoS Med, 2015).Systematic review registrationPROSPERO CRD42016038651

Factors associated with second trimester abortion in rural Maharashtra and Rajasthan, India

Many married women in India experience abortion in their second trimester of pregnancy. While there is an impression that second trimester abortions are now overwhelmingly used for sex selection, little is known about the extent to which second trimester abortions are indeed associated with son preference and sex selection motives, relative to other factors. Using data from a community-based study in rural Maharashtra and Rajasthan, research highlights the role of limited access in explaining second trimester abortion. While women with a single child who was a daughter were indeed more likely than other women to have terminated a pregnancy carrying a female foetus in the second trimester, more strikingly, exclusion from abortion-related decision-making, unsuccessful prior attempts to terminate the pregnancy, and distance from the facility in which their abortion was performed, were significantly associated with second trimester abortion, even after controlling for confounding factors. The study calls for greater efficiency in implementing the PCPNDT Act and addressing deep-rooted son preference. At the same time, findings that poverty and limited access to facilities are as, if not more, important drivers of second trimester abortion, highlight the need to meet commitments to ensure accessible abortion facilities for poor rural women.

Down syndrome is not disappearing in Taiwan

1016-3190/$ e see front matter Copyright 2011, Bu doi:10.1016/j.tcmj.2011.07.004 Trisomy 21 [Down syndrome (DS)] is the most common chromosome anomaly in live births and the most frequent form of intellectual disability caused by a numeric chromosomal disorder. In 1985, Taiwan started a prenatal DS screening program by means of amniocentesis for pregnant women more than 35 years old. Tests of maternal serum alpha-fetoprotein and human chorionic gonadotropin during the second trimester were begun in 1994.During the past 10 years, the rate of babies with DS born alive has decreased from 76% to 32.2%, and the rate of those stillborn by therapeutic abortion has increased from 23.1% to 73%. Most pregnant women in Taiwan select therapeutic abortion when DS is diagnosed prenatally. The mother of our patient was a 36-year-old woman, gravida 3 previa 3, who gave birth at full term with no known perinatal insult. The woman had received maternal serum screening at 18 weeks gestational age, and the risk was 1:87. The woman was also found to have a thick nuchal fold on prenatal fetal ultrasonography, and refused amniocentesis for religious reasons. The mother was looking forward to the birth and the parents said that the baby was one of nature’s gifts and they respected and were willing to follow the diversity of life. The peripheral blood chromosome count was 47, XX, þ21; a female infant with DS was thus confirmed. (Fig. 1). Our patient is now 3 years 6 months old. The patient’s parents have become active lifelong learners and public educators. They learned the techniques of an early infant stimulation program, and are very familiar with health care systems from different

Results from a clinical study offering women in Ghana and Nigeria mifepristone abortion for termination of unwanted pregnancy

This study aims to explore the feasibility of providing a simple mifepristone���misoprostol medical abortion regimen in Ghana and Nigeria.

Anti–β 2-glycoprotein I antibodies in women with recurrent spontaneous abortion, unexplained fetal death, and antiphospholipid syndrome

Objective: Studies in rheumatologic and hematologic populations suggest that anti–β 2-glycoprotein I antibodies are more specific for the clinical manifestations of antiphospholipid syndrome than anticardiolipin antibodies. However, the association between anti–β 2-glycoprotein I and pregnancy loss remains uncertain. We sought to determine whether anti–β 2-glycoprotein I is associated with the obstetric features of antiphospholipid syndrome. Study Design: Sera from 4 groups of women were studied: (1) 152 healthy fertile control subjects, (2) 141 subjects with unexplained recurrent spontaneous abortions, (3) 58 subjects with unexplained fetal deaths, and (4) 73 subjects with well-characterized antiphospholipid syndrome. Serum anticardiolipin and anti–β 2-glycoprotein I levels were determined by enzyme-linked immunoassay. Results: Patients with antiphospholipid syndrome had significantly higher levels of immunoglobulin G and immunoglobulin M anticardiolipin and anti–β 2-glycoprotein I than the other 3 groups ( P < .0001). However, women in the recurrent spontaneous abortion, fetal death, and fertile control groups had similar levels of each antibody. Similarly, there were no differences in the proportion of women with positive test results for each autoantibody in these 3 groups. Linear regression analysis showed significant correlation between anticardiolipin immunoglobulin G and β 2-glycoprotein I immunoglobulin G ( R 2 = 0.544786, P = .0001) and anticardiolipin immunoglobulin M and β 2-glycoprotein I immunoglobulin M ( R 2 = 0.525048, P = .0001). Conclusion: Both anticardiolipin and anti–β 2-glycoprotein I are associated with antiphospholipid syndrome. However, testing for anti–β 2-glycoprotein I does not identify additional patients with either recurrent spontaneous abortions or unexplained fetal deaths who initially have negative test responses for anticardiolipin. This is likely because of the strong correlation between the 2 autoantibodies. Our data do not support routine testing for anti–β 2-glycoprotein I in addition to testing for antiphospholipid antibodies in women with recurrent pregnancy loss and unexplained fetal death. (Am J Obstet Gynecol 1999;181:642-8.)