As Actualizações clÃnicas em saúde reprodutiva foram concebidas para fornecer ao pessoal do Ipas, formadores, parceiros e outros provedores de serviços de saúde acesso a recomendações actualizadas e baseadas na evidência. Em geral, as recomendações são as mesmas que aquelas na edição de 2012 do guia da Organização Mundial da Saúde titulado Abortamento seguro: orientação técnica e de polÃticas para sistemas de saúde, Segunda edição. Em casos excepcionais, as recomendações foram modificadas de acordo com os contextos em que trabalhamos. Além disso, se houver evidência mais actualizada para informar as recomendações, estas serão actualizadas aqui.
La publicación de Ipas titulada Actualizaciones clÃnicas en salud reproductiva contiene recomendaciones clÃnicas actualizadas, basadas en evidencia, sobre la atención integral del aborto, asà como nuevos temas y recursos agregados con regularidad. Actualizaciones clÃnicas en salud reproductiva ofrece información concisa y fácil de leer sobre los servicios de aborto, y combina las evidencias más recientes con lecciones aprendidas de profesionales de la salud a nivel mundial para producir recomendaciones clÃnicas pertinentes.
Clinical Updates in Reproductive Health (CURHs) are designed to provide Ipas staff, trainers, partners and other health-care providers with access to up-to-date, evidence-based recommendations. In general, the recommendations are the same as those in the World Health Organization's 2012 Safe Abortion: Technical and Policy Guidance for Health Systems, Second edition. In rare cases, the recommendations have been modified due to the settings where we work. In addition, if there is more current evidence to inform the recommendations, they will be updated here. Please note: Clinical Updates in Reproductive Health provides Ipas’s most up-to-date clinical guidance. Recommendations in this publication supersede any clinical guidance in Ipas curricula that differs from the guidance provided here.
Pesquisas e evidências mostram que as mulheres podem se auto-administrar, com segurança e eficácia, o aborto medicamentoso, também chamado de aborto com pÃlulas, quando têm informações precisas. O autocuidado de aborto (ASC) é o aborto com pÃlulas sem a necessidade de uma receita médica. Com ASC, a mulher administra sozinha o máximo possÃvel do processo como bem quiser, com ou sem o envolvimento de um profissional de saúde.
Les recherches et les données montrent qu’il est possible de gérer un avortement médicamenteux, également appelé avortement par comprimés, en autonomie de manière sûre et efficace lorsque des informations précises sont à disposition. L’autogestion de l’avortement (AGA) consiste à avorter avec des comprimés sans ordonnance. Avec l’AGA, la personne enceinte gère elle-même une grande partie du processus, avec ou sans l’intervention d’un prestataire de santé.
Las investigaciones y evidencias muestran que las mujeres pueden autogestionar el aborto con medicamentos, también llamado aborto con pastillas, de manera segura y eficaz cuando tienen información veraz. Autogestión del aborto es aborto con pastillas sin la necesidad de una receta médica. La persona embarazada maneja el proceso por sà misma en la medida que desee, con o sin la asistencia de un/a prestador/a de servicios de salud.
Research and evidence show that people can safely and effectively self-manage medical abortion, also called abortion with pills, when they have accurate information. Abortion self-care (ASC) is abortion with pills without the necessity of a prescription. With ASC, a pregnant person manages as much of the process as they want on their own, with or without the involvement of a health-care provider.
Cette boîte à outils est conçue pour aider les cliniciens, les gestionnaires d’établissements ou les gestionnaires de programmes au niveau du district ou au niveau national à initier l’utilisation du misoprostol comme traitement médical de l’avortement incomplet ou à intégrer le misoprostol dans les services de soins après avortement existants.
Este conjunto de herramientas está diseñado para ayudar a los médicos, administradores de instalaciones o administradores de programas a nivel distrital o nacional a iniciar el uso del misoprostol como tratamiento médico para el aborto incompleto o integrar el misoprostol en los servicios de atención postaborto existentes.
A set of abortion care videos designed to better train health care providers to improve their abortion care and help women safely self-manage their abortion using pills. There are 11 videos for health workers and 3 videos for women. These videos were filmed in facilities in Africa and Asia and are consistent with the latest WHO and Ipas clinical guidance.
Sexual and reproductive health care is often neglected or difficult to access during a crisis, and this can in turn drive more people to seek unsafe abortions that risk their health and lives. For these reasons, Ipas Nigeria conducted a study to understand the impact of Nigeria’s COVID-19 lockdowns on access to safe abortion. Overall, study findings show that the lockdowns exacerbated the pandemic’s impact on women’s access to safe abortion services.
Refugees and displaced people face uniquely challenging barriers to abortion access, including the collapse of health systems, statelessness, and a lack of prioritization of sexual and reproductive health services by humanitarian agencies. In this commentary published in Frontiers in Global Women’s Health, the authors summarize the evidence around abortion access in humanitarian contexts, and highlight the opportunities for interventions that could increase knowledge and support around self-managed abortion.