Reproductive Health Matters

Vol 13, No 26, November 2005

The abortion pill


Contents


EDITORIAL

Marge Berer
Why Medical Abortion Is Important for Women


CONSENSUS STATEMENT

International Consortium for Medical Abortion
Medical Abortion: Expanding Access to Safe Abortion and Saving Women’s Lives


DISCUSSION

Sharad D Iyengar
Introducing Medical Abortion within the Primary Health System: Comparison with Other Health Interventions and Commodities


FEATURES

Marge Berer
Medical Abortion: A Fact Sheet

Marge Berer
Medical Abortion: Issues of Choice and Acceptability

Diane Cooper, Kim Dickson, Kelly Blanchard, Lee Cullingworth, Nqobile Mavimbela, Clare von Mollendorf, Louis van Bogaert, Beverly Winikoff
Medical Abortion: The Possibilities for Introduction in the Public Sector in South Africa

Gail Pheterson, Yamila Azize
Abortion Practice in the Northeast Caribbean: “Just write down stomach pain”

Lakshmi Ramachandar, Pertti J Pelto
Medical Abortion in Rural Tamil Nadu, South India: A Quiet Transformation

Bela Ganatra, Vinoj Manning, Suranjeen Prasad Pallipamulla
Availability of Medical Abortion Pills and the Role of Chemists: A Study from Bihar and Jharkhand, India

María Mercedes Lafaurie, Daniel Grossman, Erika Troncoso, Deborah L Billings, Susana Chávez
Women’s Perspectives on Medical Abortion in Mexico, Colombia, Ecuador and Peru: A Qualitative Study

Jessica Cohen, Olivia Ortiz, Silvia Elena Llaguno, Lorelei Goodyear, Deborah L Billings, Imelda Martinez
Reaching Women with Instructions on Misoprostol Use in a Latin American Country

Rodica Comendant
A Project to Improve the Quality of Abortion Services in Moldova

Ayse Akin, Gonca Oktay Kocoglu, Levent Akin
Study Supports the Introduction of Early Medical Abortion in Turkey

Anand Tamang, Jyotsna Tamang
Availability and Acceptability of Medical Abortion in Nepal: Health Care Providers' Perspectives


MORE FEATURES

Rhonda Copelon, Christina Zampas, Elizabeth Brusie, Jacqueline deVore
Human Rights Begin at Birth: International Law and the Claim of Fetal Rights

Sylvie Schuster
Abortion in the Moral World of the Grassfields of Cameroon

Lúcia de Lourdes Ferreira da Costa, Ellen Hardy, Maria José Duarte Osis, Anibal Faúndes
Termination of Pregnancy for Fetal Abnormality Incompatible with Life: Women’s Experiences in Brazil

Abdel-Hady El-Gilany, Karima Badawi, Sanaa El-Fedawy
Menstrual Hygiene among Adolescent Schoolgirls in Mansoura, Egypt


LETTER TO THE EDITOR

Johanne Sundby
Reproductive Health Policy in Norway


SHORT REPORTS

Leila Adesse, Luciana Campello Ribeiro de Almeida
Using Human Rights Principles to Promote Quality of Abortion Care in Brazil

José M Belizán, María L Cafferata
The Right to Be Accompanied at Birth: New Laws in Argentina and Uruguay


BOOKSHELF

Polish Federation for Family Planning
Women and Contemporary Women’s Hell: Polish Women’s Stories

Marie Stopes International
Late Abortion: A Research Study of Women Undergoing Abortion between 19 and 24 Weeks Gestation


ROUND UP

Medical Abortion
– WHO adds mifepristone and misoprostol to Essential Medicines list
– Home-use of misoprostol highly acceptable for Swedish women and their partners
– Indian women find medical abortion highly acceptable
– Using peer experiences to educate patients about medical abortion in the US
– Shortening the interval between mifepristone and misoprostol: preliminary findings
– Infection rate after medical abortion is very low
– Mifepristone does not increase maternal death risk in United States women
– Endometrial thickness after medical abortion not an indicator for further treatment

Condoms
– Dismay as Uganda moves away from condom promotion
– Conflicting safer sex advice to young people in Zambia– Condoms for life: a worldwide campaign
– Consistent condom use not sustained in Cameroon
– Better instruction in the use of condoms could reduce breakage and slippage
– If you love life, use a condom
– Early condom use encourages long-term contraceptive practices
– Increasing condom use in Slovenia
– Second-generation female condoms at lower price

HIV/AIDS
– HIV strategies and the political environment: Uganda and South Africa compared
– African leaders must retake the initiative against HIV and AIDS
– Almost half the adult population of Swaziland has HIV
– Qualified health care and teaching professionals lost to AIDS in sub-Saharan Africa
– Preparing young children in Namibia for the fight against HIV infection
– Tough choices to be made on rationed antiretroviral therapy in Africa
– Women with low CD4 counts may miss out on antiretrovirals if not pregnant
– Cervical disease and HIV-positive women
– Trials of HIV pre-exposure prophylaxis: what went wrong?
– Important to test for HIV before administration of post-exposure prophylaxis
– Empowering sex workers in Latin America
– Intra-uterine insemination with washed sperm succeeds more often with low viral load
– Exclusive breastfeeding reduces the risk of HIV transmission
– Evidence that male circumcision reduces HIV acquisition may be flawed
– Hormonal contraception and HIV: consensus statement
– Global midwifery training programme on HIV/AIDS launched
– Study challenges abstinence as an HIV prevention strategy
– Brazil refuses $40 million in US AIDS grants

Law and Policy
– Prioritisation the key to reducing maternal mortality: Honduras
– Selective abortion in Asia and having more children in Europe – the desire for a son
– British Pregnancy Advisory Service advises women where to travel for late abortions
– Confidentiality of abortion services for girls under 16: UK and New Zealand
– Portugal to hold referendum on abortion law
– Polish doctors wrong to deny antenatal examinations
– Most US abstinence-only education curricula contain false and misleading information
– A need to address stillbirths as well as neonatal deaths to improve maternal health
– Assisted reproductive technology and the developing world
– Strategies to reduce multiple births after assisted reproductive technology
– Children conceived by sperm donation: attitudes to their right to know
– Italian referendum fails to overturn restrictive fertility laws
– Spanish woman is the first to ‘‘adopt’’ an excess embryo
– Do we need naked women to advertise sofas?
– Emergency contraception no longer a prescription drug in Canada
– Philippine Department of Health won’t decide on emergency contraception
– Doctors seek legalisation of abortion in cases of anencephaly in Peru
– Brazil to ease abortions for rape victims
– Federal District of Mexico requires public health institutions to provide abortions free
– Iranian parliament liberalises abortion law

Research
– Prostate cancer may be linked to sexually transmitted infection
– Sexual behaviour of young people in Northern Ireland
– Hormone replacement therapy does not improve breast cancer prognosis
– Long-term outcomes from low-risk breast cancer treatment
– Caesarean rates vary across the Arab region
– Many US women would consider suppression of menstruation
– Familial history increases the risk of urinary incontinence
– New HPV vaccine may be available in 2006

Service Delivery
–Health and health services suffering in Iraq
– Global migration of nurses
– Adapting local culture to improve adolescent reproductive health: Kenya success story
– Improving reproductive health services in Pakistan
– Sex of physician does not affect clinical practice of sexual health in Lebanon
– Contraceptive use, unplanned pregnancies and abortion rates in France
– Self-induced or provided by health professionals, illegal abortions unsafe in Côte d’Ivoire
– Definition of key midwifery skills for safe motherhood
– Childbirth in the Palestinian West Bank
– Training skilled birth attendants in Nepal
– Training clinical officers in obstetric and gynaecological skills in Zambia
– Home vs. health facility delivery in Vietnam
– Lower uptake of antenatal screening in groups lacking informed choice
– Contraceptive failure a minor contribution to unintended developing country births

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