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Hard Cases for Critics of Abortion
Published in Christopher Kaczor, The Ethics of Abortion, 2023
If banning abortion actually resulted in increasingly unsafe illegal abortions, as has been theorized, then a significant increase in hospitalizations due to complications from illegal abortion would be expected. On the contrary, hospitalizations due to any kind of abortion (whether spontaneous or induced) continued to decrease. Furthermore, if banning abortion resulted in more deaths from illegal abortion, then an increase in the AMR [Abortion Mortality Ratio] should have been observed. Remarkably, rather than increasing the AMR decreased over 96 percent after abortion banning in 1989 from 10.8 to .039 per 100,000 live births.
The decriminalisation of abortion in Colombia as cautionary tale. Social movements, numbers and socio-technical struggles in the promotion of health as a right
Published in Emily E. Vasquez, Amaya Perez-Brume, Richard G. Parker, Social Inequities and Contemporary Struggles for Collective Health in Latin America, 2020
An understanding of abortion in terms of public health was key in the Constitutional Court’s discussions. The ruling is full of references to the burden of illegal abortion in terms of women’s mortality and morbidity. In many cases the sources of the figures are not quoted. However the main source of data about abortion in Colombia, at the time of the debate, was the study developed by the AGI (2006) about unsafe abortion. In other articles (Maldonado, 2014) I have shown the impact of this study in influencing court decisions by presenting the citation network that supports judges’ reasoning and argumentation. The Guttmacher study is assumed by the court to be evidence of the public health character of abortion in the country.
Pre-conceptual and antenatal care
Published in Helen Baston, Midwifery, 2020
In some health systems, the midwife is a member of the team providing counselling for termination of pregnancy. It is paramount that the woman stays safe and is not inclined to access illegal abortion services in order to achieve the outcome that she feels is best for her. NICE (2019) recommend that women should be able to self-refer to abortion services and that information should be readily available for women to access.
Perception and intention to use reproductive life plan among female final year undergraduates of the University of Ibadan, Nigeria
Published in Journal of Obstetrics and Gynaecology, 2022
Mayowa Ayelotan, Ayodeji Matthew Adebayo, Folashade Omokhodion
Many adolescent girls have entered into motherhood inadequately prepared for this phase of their lives due to lack of knowledge, and skills or support they could have received or gained through preconception care (Johnson et al. 2006). This has partly accounted for the high rate of unintended pregnancy which remains a public health and social challenge especially in low income settings (Dunlop et al. 2010). In Nigeria, 23% of women aged 15–19 years have already begun childbearing and about one-third (32%) of women aged 20–49 years had given birth by the age 18 years (NDHS, 2013). Unintended pregnancy, culminating in abortion, is amongst the most troubling public health problems and a major reproductive health issue worldwide imposing appreciable socioeconomic burden on individuals and society (WHO 2012; Yazdkhasti et al. 2015). In Nigeria, women obtain about 760,000 abortions yearly, a rate of 25 abortions/1000 women of reproductive age and about 20,000 deaths occur from unsafe abortions yearly (Okonofua et al. 2005). Adolescents death due to illegal abortion account for 50% of maternal deaths while abortion complications accounts for about 72% of all death among girls under the age of 19 years (Wahab and Ajadi 2009). When some of the unintended pregnancies are not aborted, it results in adolescent or teenage marriage and childbearing. Reproductive life plan could be useful in preventing some of these challenges but the concept is still rudimentary in the developing countries including Nigeria.
The solutions to increase the participation of men in sexual and reproductive health of women in Iran: an analytic hierarchy process (AHP) analysis
Published in Journal of Obstetrics and Gynaecology, 2022
Nasrin Sarafraz, Ziba Taghizadeh, Nahid Jafari, Ashraf Ghiasi
It is necessary for men to respect the reproductive needs of women as a human right (Niazi and Akhavan-Akbari 2012). In man-dominated countries, the sexual and reproductive health of women is often neglected due to the limited knowledge and ignorance of men regarding the sexual and reproductive rights of women. This often leads to serious consequences such as sexually transmitted diseases (STDs), human immunosuppressive virus (HIV), unwanted pregnancy and illegal abortion. The men could substantially contribute to the sexual and reproductive health of women. Therefore, it is essential to appropriately educate, encourage and engage them in promoting and maintaining the sexual and reproductive health of women (Akhavan-Akbari and Simbar 2015). However, this could be influenced by the individual, familial (Kululanga et al. 2012; Fathnezhad-Kazemi et al. 2017), socioeconomic (Simbar et al. 2009; Kululanga et al. 2011; Vehviläinen-Julkunen and Emelonye 2014), cultural (Simbar et al. 2009; Fathnezhad-Kazemi et al. 2017) and health system-related factors (Simbar et al. 2009; Påfs et al. 2015). Therefore, governments need to consider these factors in formulating future policies in order to enhance the awareness and knowledge concerning sexual and reproductive health in both men and women (Simbar et al. 2009).
Economic and social dimensions influencing safety of induced abortions amongst young women who sell sex in Zimbabwe
Published in Sexual and Reproductive Health Matters, 2021
Samantha Chareka, Tamaryn L. Crankshaw, Pemberai Zambezi
While the research did not explore the PAC experiences of YWSS who had accessed this care, the CSO key informant was able to talk to the issue based on his work within his organisation: “They go to a hospital but they face a hard time there … they will get a nasty experience there. They can leave you for hours and hours, knowing that they are not attending to you. They just leave you there, just because you don’t know your rights. You can’t stand up and claim that right, to say: ‘Look I need my legal right on the health issues. I need to be treated as soon as possible; as soon as I get here I need to be treated’. That person (YWSS) will be saying ‘Since I committed … . I did an illegal abortion, so I need to get help (to obtain PAC)’. You don’t need to get help for a service! The service has to be provided at your need!” (CSO KI, IDI)