Unsafe abortion is a significant contributor to maternal mortality in Nigeria, and treatment of postabortion complications drains public healthcare resources. Provider estimates of medications, supplies, and staff time spent in 17 public hospitals were used to estimate the per-case and annual costs of postabortion care (PAC) provision in Ogun and Lagos states and the Federal Capital Territory.
To address the knowledge gap that exists in costing unsafe abortion in Ethiopia, estimates were derived of the cost to the health system of providing postabortion care (PAC), based on research conducted in 2008.
As you are reading this text, a girl, a teenager or a woman is being sexually abused somewhere in Nicaragua. And on top of the trauma of sexual aggression experienced by so many Nicaraguan girls, many are obliged to continue with a rape-imposed pregnancy, putting their physical and mental health at risk and becoming a form of discrimination and torture.
Unmet need for family planning is typically calculated for currently married women, but excluding husbands may result in misleading estimates of couples’ unmet need. This study builds on previous work and proposes a method of calculating couples’ unmet need for family planning based on spouses’ independent fertility intentions.
Because Brazilian law only permits abortion in cases of rape, fetal anencephaly, or risk to life, in 2012 the country’s Ministry of Health reported only 1,626 legal abortions in a nation with 203 million people. However, an estimated one million Brazilian women have abortions every year. Many of those women, particularly those without the financial or social resources to see a well-trained, willing provider, run a huge legal risk when they decide to end an unwanted pregnancy. The physical consequences also can be devastating.
This study examined contraceptive use and dual protection in the postpartum period in a Prevention of Mother to Child Transmission (PMTCT) population and whether it varied by HIV status. Pregnant participants were recruited from a government clinic in an urban township and the analytic sample was 821.
This study assesed the severity of abortion complications in Malawi and determined associated risk factors. Between July 20 and September 13, 2009, a cross-sectional survey was conducted at 166 facilities providing postabortion care services.
Certainly, sharing abortion stories can be a powerful act and may reduce self-stigma. But I fear that it distracts from the structural inequalities of race, poverty, age, and education by placing too much emphasis on the individual. And I worry that it lets our politicians and policymakers off the hook.
Guidance for postabortion care (PAC) is established for the first trimester but limited in the second trimester. Objective: To establish evidence-based recommendations for PAC in the second trimester. Conclusion: Misoprostol with or without mifepristone is an effective treatment for second-trimester PAC. The minimum misoprostol dose is 200 μg vaginally, sublingually, or buccally every 6–12 hours.
A comprehensive structured program design, collaboration between the MOH and Ipas, and provider dedication enabled successful introduction of second-trimester abortion services in major regions/states of Ethiopia. A focus on second- trimester medical abortion allows for rapid service introduction without extensive changes to facilities, equipment, or staffing as the needs are similar to obstetric care.
Background: the grounds for the legal termination of pregnancy in the Mexican Republic vary according to the provisions of the Constitution of each state; as of 2007 it is legal in Mexico City. Objective: to identify the knowledge, attitudes and practice of abortion among gynecologists and obstetricians. Conclusions: it is necessary to increase and improve technical and legal knowledge about abortion, especially among OB / GYNs, who are responsible for complying with what the law indicates, in accordance with international recommendations and the exercise of the reproductive rights of the woman.
The African Commission on Human and Peoples’ Rights recently adopted General Comment No 2 to interpret provisions of Article 14 of the Protocol to the African Charter on the Rights Women.
This study describes postabortion complication severity and associated factors in Kenya. A nationally representative sample of 326 health facilities was included in the survey. Data were collected from 2,625 women presenting with abortion complications.
In order to narrow the gap between the promise and realization of African women’s right to reproductive health care, the African Commission on Human and Peoples’ Rights adopted General Comment No. 2 last year, releasing it online earlier this month. The document was drafted under the guidance of Commissioner Soyata Maiga, Special Rapporteur on the Rights of Women in Africa, with technical support from the Ipas Africa Alliance and input from numerous reproductive rights and legal experts throughout the region.