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The Safety and Quality of Abortion Care in the United States

The Safety and Quality of Abortion Care in the United States
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 223
Release: 2018-06-24
Genre: Medical
ISBN: 0309468183

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Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.


The Ethics of Pregnancy, Abortion and Childbirth

The Ethics of Pregnancy, Abortion and Childbirth
Author: Helen Watt
Publisher: Routledge
Total Pages: 163
Release: 2016-01-08
Genre: Medical
ISBN: 131728383X

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The Ethics of Pregnancy, Abortion and Childbirth addresses the unique moral questions raised by pregnancy and its intimate bodily nature. From assisted reproduction to abortion and ‘vital conflict’ resolution to more everyday concerns of the pregnant woman, this book argues for pregnancy as a close human relationship with the woman as guardian or custodian. Four approaches to pregnancy are explored: ‘uni-personal’, ‘neighborly’, ‘maternal’ and ‘spousal’. The author challenges not only the view that there is only one moral subject to consider in pregnancy, but also the idea that the location of the fetus lacks all inherent, unique significance. It is argued that the pregnant woman is not a mere ‘neighbor’ or helpful stranger to the fetus but is rather already in a real familial relationship bringing real familial rights and obligations. If the status of the fetus is conclusive for at least some moral questions raised by pregnancy, so too are facts about its bodily relationship with, and presence in, the woman who supports it. This lucid, accessible and original book explores fundamental ethical issues in a rich and often neglected area of philosophy in ways of interest also to those from other disciplines.


Clinical Practice Handbook for Safe Abortion

Clinical Practice Handbook for Safe Abortion
Author: World Health Organization
Publisher:
Total Pages: 0
Release: 2014
Genre: Medical
ISBN: 9789241548717

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The Clinical practice handbook for safe abortion care is intended to facilitate the practical application of the clinical recommendations from the second edition of Safe abortion: technical and policy guidance for health systems (World Health Organization [WHO] 2012). While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in both of these documents aim to enable evidence-based decision-making with respect to safe abortion care.


The Turnaway Study

The Turnaway Study
Author: Diana Greene Foster
Publisher: Simon and Schuster
Total Pages: 384
Release: 2021-06
Genre: Political Science
ISBN: 1982141573

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"Now with a new afterword by the author"--Back cover.


Complications of Abortion

Complications of Abortion
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 147
Release: 1995
Genre: Medical
ISBN: 9241544694

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Sets out guidelines that can help reduce the high levels of maternal morbidity and mortality associated with abortion whether spontaneous or induced. Recommendations and advice are backed by extensive practical experience and rooted in the principle that emergency care for the complications of abortion should be available 24 hours a day in every health care system. In view of the need to prevent life-threatening complications the book also establishes standards of safe abortion practice for use in those countries where abortion is permitted by law. Prevention of abortion through education and family planning is likewise discussed. Addressed to health managers administrators and care providers the book follows a step-by-step approach to the provision of emergency and preventive care. The first three chapters describe the magnitude of mortality and morbidity caused by unsafe abortions define the essential components of abortion care at each level in the health system and discuss the ways in which legal and societal factors affect abortion behaviour and care. Against this background the remaining eleven chapters provide technical and managerial guidelines for each component of service at each level of the health system needed to ensure that all women have access to care 24 hours a day. A chapter on planning is followed by three chapters outlining the clinical elements of emergency abortion care. Of particular value is a chapter on patient information and counselling which emphasizes the importance of providing information in a supportive manner. Other chapters offer detailed guidance on the facilities equipment and drugs needed for abortion care on the training and supervision of staff and on ways to overcome several obstacles that make it difficult for women in remote rural areas to receive timely care.


Choice

Choice
Author: Karen E. Bender
Publisher: MP Publishing
Total Pages: 344
Release: 2010-05-22
Genre: Fiction
ISBN: 1596929863

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A moving collection of personal essays about the real, human experiences behind the highly politicized issue of reproductive choice. At a time when a woman’s most complex decisions have been reduced to political rhetoric and impersonal theory, and political debate has been hijacked by pundits and name-callers, Choice joins the discourse with an assortment of candid voices in an effort to humanize the debate about reproductive rights. In addressing a wide range of women’s choices — from using birth control to taking the morning-after pill, from adopting a child to putting a child up for adoption, from having an abortion to bringing a pregnancy to full term — 'Choice' explores the complexities inherent in every reproductive decision. Including twenty-four honest, heartrending essays from established writers such as Francine Prose, Jacquelyn Mitchard, Pam Houston, Ann Hood, and Sarah Messer and emerging talents such as Kimi Faxon Hemingway, Stephanie Anderson, and Ashley Talley, 'Choice' will allow you to truly understand the meaning of the word “choice” — regardless of what side of the debate you stand on.


Safe Abortion

Safe Abortion
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 107
Release: 2003-05-13
Genre: Medical
ISBN: 9241590343

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At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.


Contemporary Bioethics

Contemporary Bioethics
Author: Mohammed Ali Al-Bar
Publisher: Springer
Total Pages: 273
Release: 2015-05-27
Genre: Medical
ISBN: 3319184288

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This book discusses the common principles of morality and ethics derived from divinely endowed intuitive reason through the creation of al-fitr' a (nature) and human intellect (al-‘aql). Biomedical topics are presented and ethical issues related to topics such as genetic testing, assisted reproduction and organ transplantation are discussed. Whereas these natural sources are God’s special gifts to human beings, God’s revelation as given to the prophets is the supernatural source of divine guidance through which human communities have been guided at all times through history. The second part of the book concentrates on the objectives of Islamic religious practice – the maqa' sid – which include: Preservation of Faith, Preservation of Life, Preservation of Mind (intellect and reason), Preservation of Progeny (al-nasl) and Preservation of Property. Lastly, the third part of the book discusses selected topical issues, including abortion, assisted reproduction devices, genetics, organ transplantation, brain death and end-of-life aspects. For each topic, the current medical evidence is followed by a detailed discussion of the ethical issues involved.


The Best Intentions

The Best Intentions
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 393
Release: 1995-07-02
Genre: Social Science
ISBN: 0309052300

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Experts estimate that nearly 60 percent of all U.S. pregnanciesâ€"and 81 percent of pregnancies among adolescentsâ€"are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issuesâ€"health care and welfare reform, and the new international focus on populationâ€"are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitionsâ€""unintended" versus "unwanted" versus "mistimed"â€"and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals.


Intended Consequences

Intended Consequences
Author: Donald T. Critchlow
Publisher: Oxford University Press
Total Pages: 319
Release: 2001-05-10
Genre: History
ISBN: 0198021534

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After World War II, U.S. policy experts--convinced that unchecked population growth threatened global disaster--successfully lobbied bipartisan policy-makers in Washington to initiate federally-funded family planning. In Intended Consequences, Donald T. Critchlow deftly chronicles how the government's involvement in contraception and abortion evolved into one of the most bitter, partisan controversies in American political history. The growth of the feminist movement in the late 1960s fundamentally altered the debate over the federal family planning movement, shifting its focus from population control directed by established interests in the philanthropic community to highly polarized pro-abortion and anti-abortion groups mobilized at the grass-roots level. And when the Supreme Court granted women the Constitutional right to legal abortion in 1973, what began as a bi-partisan, quiet revolution during the administrations of Kennedy and Johnson exploded into a contentious argument over sexuality, welfare, the role of women, and the breakdown of traditional family values. Intended Consequences encompasses over four decades of political history, examining everything from the aftermath of the Republican "moral revolution" during the Reagan and Bush years to the current culture wars concerning unwed motherhood, homosexuality, and the further protection of women's abortion rights. Critchlow's carefully balanced appraisal of federal birth control and abortion policy reveals that despite the controversy, the family planning movement has indeed accomplished much in the way of its intended goal--the reduction of population growth in many parts of the world. Written with authority, fresh insight, and impeccable research, Intended Consequences skillfully unfolds the history of how the federal government found its way into the private bedrooms of the American family.