1.  Peer Reviewed Title: ACOG Committee Opinion No. 427: Misoprostol for postabortion care. Author: American College of Obstetricians and Gynecologists Source: Obstetrics and Gynecology. 2009 Feb;113(2 Pt 1):465-8. Abstract: The World Health Organization estimates that 67,000 women, mostly in developing countries, die each year from untreated or inadequately treated abortion complications. Postabortion care, a term commonly used by the international reproductive health community, refers to a specific set of services for women experiencing problems from all types of spontaneous or induced abortion. There is increasing evidence that misoprostol is a safe, effective, and acceptable method to achieve uterine evacuation for women needing postabortion care. To reduce maternal mortality, availability of postabortion care services must be increased. Misoprostol must be readily available especially for women who do not otherwise have access to postabortion care. Nurses and midwives can safely provide first-line postabortion care services, including in outpatient settings,provided they receive appropriate training and support. Access to contraception and safe abortion services prevents complications from unsafe abortion and decreases the need for postabortion care. It is much less expensive and far better for women's health to prevent the problem of unsafe abortion rather than to treat resulting complications. Language: English Keywords: DEVELOPING COUNTRIES | RESEARCH REPORT | WOMEN | ABORTION | ABORTION, SPONTANEOUS | POSTABORTION CARE | MISOPROSTOL | HEALTH SERVICES | REPRODUCTIVE HEALTH | MATERNAL HEALTH | MATERNAL MORTALITY | PREVENTION AND CONTROL | NEEDS ASSESSMENT | PROGRAM ACCESSIBILITY | Demographic Factors | Population | Fertility Control, Postconception | Family Planning | Pregnancy Complications | Diseases | Delivery of Health Care | Health | Prostaglandins, Synthetic | Prostaglandins | Endocrine System | Physiology | Biology | Mortality | Population Dynamics | Evaluation | Program Evaluation | Programs | Organization and Administration Document Number: 341050 |
| 2. Peer Reviewed Title: Provision of abortion by mid-level providers: international policy, practice and perspectives. Author: Berer M Source: Bulletin of the World Health Organization. 2009 Jan;87(1):58-63. Abstract: Based on articles found on the PubMed and Popline databases on the provision of first-trimester abortion by mid-level providers, this article describes policies on type of abortion provider, comparative studies of different types of abortion provider, provider perspectives, and programmatic experience in Bangladesh, Cambodia, France, Mozambique, South Africa, Sweden, the United States of America and Viet Nam. It shows that it is safe and beneficial for suitably trained mid-level health-care providers, including nurses, midwives and other non-physician clinicians, to provide first-trimester vacuum aspiration and medical abortions. Moreover, it finds that projects in Kenya, Myanmar and Uganda have successfully trained nurse-midwives to provide post-abortion care for incomplete abortion with manual vacuum aspiration, and that studies in Ethiopia and India have recommended that providers such as auxiliary nurse-midwives should be trained in abortion service delivery to ensure that they provide safe abortions for low-income women. The paper recommends the authorization of all qualified mid-level health-care providers to carry out first-trimester abortions, and it also recommends the integration of training in providing first-trimester abortion care into basic education and clinical training for all mid-level providers and medical students interested in obstetrics and gynaecology. Finally, it calls for documentation of the role of mid-level providers in managing second-trimester medical abortions to further inform policy and practice. Language: English Keywords: DEVELOPING COUNTRIES | DEVELOPED COUNTRIES | RECOMMENDATIONS | COMPARATIVE STUDIES | CLINICAL RESEARCH | HEALTH PERSONNEL | ABORTION | PREGNANCY, FIRST TRIMESTER | POSTABORTION CARE | TRAINING PROGRAMS | Studies | Research Methodology | Delivery of Health Care | Health | Fertility Control, Postconception | Family Planning | Pregnancy | Reproduction | Health Services | Education Document Number: 341127 |
| 3. Peer Reviewed Title: Right conclusion, wrong method [letter] Author: Berger VW Source: European Journal of Contraception and Reproductive Health Care. 2009 Aug;14(4):317-8; author reply 319-20. Abstract: This letter to the editor takes issue with an article written by Ferreira et al regarding contraceptive counseling after an abortion. It agrees that there is no evidence indicating contraceptive counseling is effective in increasing acceptance and use of contraceptive methods after an abortion, but disagrees with the method used to arrive at that conclusion. It specifically finds the combination of the Jadad score to evaluate trial quality and the cutoff of three as indicating a high quality trial as flawed. Language: English Keywords: UNITED STATES OF AMERICA | CRITIQUE | RESEARCH METHODOLOGY | CLINICAL TRIALS | POSTABORTION CARE | COUNSELING | CONTRACEPTIVE USAGE | CONTRACEPTIVE METHOD ACCEPTABILITY | VALIDITY | Developed Countries | North America | Americas | Clinical Research | Health Services | Delivery of Health Care | Health | Clinic Activities | Program Activities | Programs | Organization and Administration | Contraception | Family Planning | Measurement Document Number: 342949 |
4.  Title: Integrating population, health, and environment in Uganda. Author: Bremner J; Zuehlke E Source: Washington, D.C., Population Reference Bureau [PRB], 2009 Jun. 6 p. (Policy Brief) Abstract: After decades of instability and civil conflict, Uganda has enjoyed relative stability, sustained economic growth, and great improvements in health over the last 20 years. During the same period, Uganda's population has grown rapidly, and in 2009 surpassed 30 million people. This rapid population growth is contributing to the degradation of Uganda's natural resources, the backbone of the country's economy and household livelihoods. Continued reductions in poverty depend in large part on finding innovative and integrated solutions to the complex population, health, and environment problems affecting Uganda's poorest people. Language: English Keywords: MIDDLE EAST | AFRICA, NORTH | CRITIQUE | EVALUATION | WOMEN IN DEVELOPMENT | PREGNANT WOMEN | ABORTION | PREGNANCY, UNWANTED | ABORTION LAW | FAMILY PLANNING POLICY | CONTRACEPTIVE PREVALENCE | CONTRACEPTIVE METHODS CHOSEN | POSTABORTION CARE Document Number: 342029 |
| 5. Peer Reviewed Title: Post abortion family planning counseling as a tool to increase contraception use. Author: Ceylan A; Ertem M; Saka G; Akdeniz N Source: BMC Public Health. 2009 Jan 15;9(20):[16] p. Abstract: Background: To describe the impact of the post-abortion family planning counseling in bringing about the contraceptive usage in women who had induced abortion in a family planning clinic. Method: The Diyarbakir Office of Turkish Family Planning Association (DTFPA) is a nonprofit and nongovernmental organization which runs a family planning clinic to serve the lower socio-economic populations, in Diyarbakir-Turkey. Post abortion counseling is introduced by using proper communication skills and with using appropriate methods to women. In this study we introduced contraceptive usage of women who had induced abortion one year ago and followed by DTFPA's clinic. Results: 55.3% of our clients were not using contraceptive methods before abortion. At the end of the one year, 75.9% of our followed-up clients revealed that they were using one of the modern contraceptive methods. There was no woman with IUD before induced abortion. At the end of one year 124 (52.3%) women had IUD. "A modern method was introduced immediately after abortion" was the most important factor increasing modern method usage. Conclusion: Our results advocate that post-abortion counseling may be an effective tool to increase the usage of contraceptives. Improved and more qualified post-abortion family planning counseling should be an integral part of abortion services. Language: English Keywords: TURKEY | RESEARCH REPORT | WOMEN | CLIENTS | POSTABORTION CARE | ABORTION | FAMILY PLANNING | COUNSELING | CONTRACEPTIVE USAGE | IUD | HEALTH SERVICES | Developing Countries | Europe, Southeastern | Europe | Demographic Factors | Population | Program Activities | Programs | Organization and Administration | Delivery of Health Care | Health | Fertility Control, Postconception | Clinic Activities | Contraception | Contraceptive Methods Document Number: 329531 Notification |
| 6. Title: Expectant management of pregnancy-related high-velocity uterine arteriovenous shunt diagnosed after abortion. Author: Degani S; Leibovitz Z; Shapiro I; Ohel G Source: International Journal of Gynaecology and Obstetrics. 2009 Jul;106(1):46-9. Abstract: OBJECTIVE: To assess sonographic and clinical outcome in women with pregnancy-related uterine arteriovenous malformations (AVMs) diagnosed after abortion. METHOD: Twelve patients diagnosed as having AVMs after abortion were followed-up until resolution of the lesions. RESULTS: The 9 asymptomatic patients were managed expectantly for 4 to 10 weeks without further complications. None of the 12 required aggressive interventions such as transcatheter arterial embolization, and 6 had uncomplicated pregnancies after resolution of the lesions. CONCLUSION: Expectant management is an option in many women with pregnancy-related uterine AVMs. Language: English Keywords: ISRAEL | RESEARCH REPORT | WOMEN | POSTABORTION | POSTABORTION CARE | UTERINE EFFECTS | MANAGEMENT | ULTRASONICS | Developed Countries | Middle East | Demographic Factors | Population | Reproduction | Health Services | Delivery of Health Care | Health | Uterus | Genitalia, Female | Genitalia | Urogenital System | Physiology | Biology | Organization and Administration | Medical Procedures | Medicine Document Number: 342604 |
| 7. Peer Reviewed Title: Complications of surgical abortion. Author: Diedrich J; Steinauer J Source: Clinical Obstetrics and Gynecology. 2009 Jun;52(2):205-12. Abstract: Surgical abortion is one of the most common procedures performed in reproductive-aged women and when performed by a skilled provider in the appropriate setting, it is one of the safest surgeries. Though the risk of complications is low, it increases exponentially with gestational age. Factors increasing risk of morbidity may be demographic, such as increasing patient age; medical, such as prior cesarean delivery; and procedural, such as inadequate dilation. This chapter will provide information on how to recognize factors that increase risk, steps to minimize risk, and to identify and manage complications promptly. Language: English Keywords: UNITED STATES OF AMERICA | CALIFORNIA | RESEARCH REPORT | WOMEN | ABORTION | PREGNANCY, SECOND TRIMESTER | MORBIDITY | BLEEDING | POSTABORTION CARE | CERVICAL LACERATION | Developed Countries | North America | Americas | Demographic Factors | Population | Fertility Control, Postconception | Family Planning | Pregnancy | Reproduction | Diseases | Signs and Symptoms | Health Services | Delivery of Health Care | Health Document Number: 342243 Notification |
| 8. Peer Reviewed Title: Use of combined oral contraceptives post abortion. Author: Gaffield ME; Kapp N; Ravi A Source: Contraception. 2009 Oct;80(4):355-62. Abstract: BACKGROUND: Providing combined oral contraceptives (COCs) following surgical or medical induced abortion offers women an opportune moment to initiate a reliable contraceptive method. STUDY DESIGN: We conducted a systematic review, searching MEDLINE and The Cochrane Library for articles in any language concerning COC use following spontaneous, induced (medical or surgical) or septic abortion, from 1966 through June 2008. Seven articles were identified and evaluated using the United States Preventive Services Task Force system. RESULTS: Immediate COC initiation after first-trimester medical or surgical induced abortion did not increase side effects or prolong vaginal bleeding compared with use of a placebo, copper-bearing intrauterine device (IUD), nonhormonal contraceptive method or COC initiation at a later time. Initiating COCs after first-trimester surgical abortion produced small increases in coagulation parameters compared with IUD use; although they are statistically significant, their clinical relevance is unlikely. No study examined second-trimester induced or spontaneous abortion, or septic abortion. CONCLUSIONS: Evidence shows that COCs can be safely initiated immediately following surgical and medical abortion in the first-trimester of pregnancy. Language: English Keywords: GLOBAL | LITERATURE REVIEW | ABORTION | ABORTION, SPONTANEOUS | PREGNANCY, FIRST TRIMESTER | POSTABORTION CARE | ORAL CONTRACEPTIVES, COMBINED | CONTRACEPTIVE SAFETY | MENSTRUATION | ORAL CONTRACEPTIVES, SIDE EFFECTS | BLOOD COAGULATION EFFECTS | Fertility Control, Postconception | Family Planning | Pregnancy Complications | Diseases | Pregnancy | Reproduction | Health Services | Delivery of Health Care | Health | Oral Contraceptives | Contraceptive Methods | Contraception | Safety | Public Health | Hematological Effects | Hemic System | Physiology | Biology Document Number: 342771 Notification |
| 9. Peer Reviewed Title: Uterine artery embolization to treat hemorrhage following second-trimester abortion by dilatation and surgical evacuation. Author: Haddad L; Delli-Bovi L Source: Contraception. 2009 Jun;79(6):452-5. Abstract: BACKGROUND: This study was conducted to review cases of second-trimester postabortal hemorrhage (PAH) occurring at a private women's health facility that were treated with uterine artery embolization (UAE). METHODS: A retrospective review was conducted on all second-trimester terminations performed at a private women's health facility between 1999 and 2006. Cases of PAH treated with UAE were reviewed in detail, reviewing progress, operative and discharge notes along with anesthesia records. RESULTS: Fifteen cases of PAH were identified among 3936 second-trimester terminations that were performed. Seven cases were identified in which UAE was used to treat PAH. Etiologies leading to hemorrhage varied in the seven cases as did the presence of coexisting factors such as infection and anatomic lesions. All cases were successfully treated by UAE, requiring no additional surgical intervention. CONCLUSION: Given the success of embolization, we offer this as an alternative to exploratory surgery and hysterectomy and as a first-line approach in cases of PAH after conservative management strategies have failed. Language: English Keywords: UNITED STATES OF AMERICA | RESEARCH REPORT | RETROSPECTIVE STUDIES | PREGNANCY, SECOND TRIMESTER | POSTABORTION | POSTABORTION CARE | BLEEDING | TREATMENT | Developed Countries | North America | Americas | Studies | Research Methodology | Pregnancy | Reproduction | Health Services | Delivery of Health Care | Health | Signs and Symptoms | Diseases | Medical Procedures | Medicine Document Number: 342598 |
| 10. Peer Reviewed Title: Health care providers' attitudes towards termination of pregnancy: A qualitative study in South Africa. Author: Harries J; Stinson K; Orner P Source: BMC Public Health. 2009 Aug 18;9(1):296. Abstract: ABSTRACT: BACKGROUND: Despite changes to the abortion legislation in South Africa in 1996, barriers to women accessing abortion services still exist including provider opposition to abortions and a shortage of trained and willing abortion care providers. The dearth of abortion providers undermines the availability of safe, legal abortion, and has serious implications for women's access to abortion services and health service planning. In South Africa, little is known about the personal and professional attitudes of individuals who are currently working in abortion service provision. Exploring the factors which determine health care providers' involvement or disengagement in abortion services may facilitate improvement in the planning and provision of future services. METHODS: Qualitative research methods were used to collect data. Thirty four in-depth interviews and one focus group discussion were conducted during 2006 and 2007 with health care providers who were involved in a range of abortion provision in the Western Cape Province, South Africa. Data were analysed using a thematic analysis approach. RESULTS: Complex patterns of service delivery were prevalent throughout many of the health care facilities, and fragmented levels of service provision operated in order to accommodate health care providers' willingness to be involved in different aspects of abortion provision. Related to this was the need expressed by many providers for dedicated, stand-alone abortion clinics thereby creating a more supportive environment for both clients and providers. Almost all providers were concerned about the numerous difficulties women faced in seeking an abortion and their general quality of care. An overriding concern was poor pre and post abortion counselling including contraceptive counselling and provision. CONCLUSIONS: This is the first known qualitative study undertaken in South Africa exploring providers' attitudes towards abortion and adds to the body of information addressing the barriers to safe abortion services. In order to sustain a pool of abortion providers, programmes which both attract prospective abortion providers, and retain existing providers, needs to be developed and financial compensation for abortion care providers needs to be considered. Language: English Keywords: SOUTH AFRICA | RESEARCH REPORT | QUALITATIVE RESEARCH | HEALTH PERSONNEL | HEALTH SERVICES | DELIVERY OF HEALTH CARE | ABORTION | ATTITUDES | SAFETY | POSTABORTION CARE | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Research Methodology | Health | Fertility Control, Postconception | Family Planning | Psychological Factors | Behavior | Public Health Document Number: 342550 Notification |
| 11. Peer Reviewed Title: Humanizing access to modern contraceptive methods in national hospitals in Guatemala, Central America. Author: Kestler E; Barrios B; Hernandez EM; del Valle V; Silva A Source: Contraception. 2009 Jul;80(1):68-73. Abstract: BACKGROUND: The overall situation in Guatemala, Central America, regarding programs caring for women's reproductive health has been lagging behind for some decades. Since the year 2000, 56% of Guatemalan families have lived below the poverty line. Guatemala has one of the highest fertility rates (lifetime births per woman) in Latin America and the Caribbean countries, comparable to those observed in less developed countries in Africa. Considering the lack of sex education, poor access to effective contraceptive methods and issues of unwanted pregnancy, Guatemalan women engage in illegal and unsafe abortions, which often causes harm and sometimes death. A key strategy designed to improve women's health is through free and informed access to contraceptive methods that are effective and accepted by Guatemalan women. STUDY DESIGN: From July 1, 2003, to December 31, 2006, specially hired trained facilitators visited 22 public hospitals for 1 week to train corresponding physician staff in postabortion counseling, enabling them to assist patients to select and use an effective contraceptive method. To monitor the progress achieved, the trained facilitators returned 4 weeks later. The main purpose of the training was to focus in strengthening the understanding and technical capacity of the hospital staff to implement postabortion contraceptive counseling and to enable women to obtain an effective contraceptive method prior to hospital discharge. RESULTS: Out of 22 hospitals, 21 managed to improve their record for counseling patients admitted for postabortion complications, from 31% to 96%. Furthermore, the percentage of women being discharged from the hospital with an effective contraceptive method rose from 20% to 64% from 2003 to 2006. CONCLUSION: The successful results obtained during this study to meet postabortion demands by Guatemalan women point out to the urgent need for the government to expand this initiative within the national health system, including health centers nationwide. This is one of the worldwide recommendations previously made by the World Health Organization. Language: English Keywords: GUATEMALA | RESEARCH REPORT | POSTABORTION CARE | CONTRACEPTION | COUNSELING | HOSPITALS | HEALTH SERVICES | PROGRAM ACCESSIBILITY | Central America | Latin America | Americas | Developing Countries | Delivery of Health Care | Health | Family Planning | Clinic Activities | Program Activities | Programs | Organization and Administration | Health Facilities | Program Evaluation Document Number: 341581 |
| 12. Peer Reviewed Title: Adjustment to termination of pregnancy for fetal anomaly: a longitudinal study in women at 4, 8, and 16 months. Author: Korenromp MJ; Page-Christiaens GC; van den Bout J; Mulder EJ; Visser GH Source: American Journal of Obstetrics and Gynecology. 2009 Aug;201(2):160.e1-7. Abstract: OBJECTIVE: We studied psychological outcomes and predictors for adverse outcome in 147 women 4, 8, and 16 months after termination of pregnancy for fetal anomaly. STUDY DESIGN: We conducted a longitudinal study with validated self-completed questionnaires. RESULTS: Four months after termination 46% of women showed pathological levels of posttraumatic stress symptoms, decreasing to 20.5% after 16 months. As to depression, these figures were 28% and 13%, respectively. Late onset of problematic adaptation did not occur frequently. Outcome at 4 months was the most important predictor of persistent impaired psychological outcome. Other predictors were low self-efficacy, high level of doubt during decision making, lack of partner support, being religious, and advanced gestational age. Strong feelings of regret for the decision were mentioned by 2.7% of women. CONCLUSION: Termination of pregnancy for fetal anomaly has significant psychological consequences for 20% of women up to > 1 year. Only few women mention feelings of regret. Language: English Keywords: NETHERLANDS | RESEARCH REPORT | LONGITUDINAL STUDIES | WOMEN | POSTABORTION | POSTABORTION CARE | PSYCHOLOGICAL FACTORS | STRESS | DEPRESSION | CONGENITAL ABNORMALITIES | DECISION MAKING | IMPACT | Europe, Western | Europe | Developed Countries | Studies | Research Methodology | Demographic Factors | Population | Reproduction | Health Services | Delivery of Health Care | Health | Behavior | Mental Disorders | Diseases | Neonatal Diseases and Abnormalities | Communication Document Number: 342609 |
| 13. Title: With woman: midwifery care of women with unintended pregnancies [editorial] Author: Likis FE Source: Journal of Midwifery and Women's Health. 2009 Jan-Feb;54(1):1-3. Abstract: Language: English Keywords: UNITED STATES OF AMERICA | SUMMARY REPORT | WOMEN | PREGNANCY, UNPLANNED | MIDWIVES AND MIDWIFERY | REPRODUCTIVE RIGHTS | POSTABORTION CARE | Developed Countries | North America | Americas | Demographic Factors | Population | Reproductive Behavior | Fertility | Population Dynamics | Health Personnel | Delivery of Health Care | Health | Human Rights | Political Factors | Sociocultural Factors | Health Services Document Number: 330013 |
| 14. Peer Reviewed Title: Rates of follow-up and repeat pregnancy in the 12 months after first-trimester induced abortion. Author: Madden T; Westhoff C Source: Obstetrics and Gynecology. 2009 Mar;113(3):663-8. Abstract: OBJECTIVE: To estimate the proportion of women who returned for a routine follow-up visit after elective abortion and to identify factors associated with repeat pregnancy in the subsequent year. METHODS: We performed a historical cohort study of 865 women who underwent first-trimester surgical abortion at a hospital-based family planning clinic between March 2003 and February 2004. We collected demographic and clinical data from procedure notes and a computerized hospital patient database. We used univariable and multivariable logistic regression to analyze associations between patient characteristics and repeat pregnancy within 1 year. RESULTS: There were a total of 865 women in our cohort. Of these, 753 (87%) returned to the medical center for care; 485 women returned on time, 268 women returned late, and 112 had no further visit. There were 161 repeat pregnancies; 87 (17.9%) in the on-time group and 74 (27.6%) in the late group (P<.001). There were 85 repeat abortions; 42 (8.7%) in the on-time group and 43 (16.0%) in the late group (P<.001). Multivariable analysis demonstrated that on-time follow-up was associated with a reduction in repeat pregnancy (odds ratio [OR] 0.54, 95% confidence interval [CI] 0.37-0.77) and repeat abortion (OR 0.53, 95% CI 0.33-0.86). A total of 130 women received injectable depot medroxyprogesterone acetate (DMPA) at the time of abortion. The rates of repeat pregnancy and abortion in these women were 13.7% and 6.2%, respectively. Women who received DMPA had a decrease in rates of repeat pregnancy (OR 0.41, 95% CI 0.23-0.73) and repeat abortion (OR 0.45, 95% CI 0.20-0.99). CONCLUSION: Timely follow-up and immediate administration of DMPA are associated with a decrease in repeat pregnancy in the 12 months after first-trimester elective abortion. Language: English Keywords: NEW YORK | RESEARCH REPORT | CLINICAL RESEARCH | COHORT ANALYSIS | MULTIVARIATE ANALYSIS | WOMEN IN DEVELOPMENT | PREGNANT WOMEN | PREGNANCY, FIRST TRIMESTER | POSTABORTION CARE | TIME FACTORS | PREGNANCY RATE | DEPO-PROVERA | POSTABORTAL PROGRAMS | Developed Countries | United States of America | North America | Americas | Research Methodology | Data Analysis | Economic Development | Economic Factors | Population Characteristics | Demographic Factors | Population | Pregnancy | Reproduction | Health Services | Delivery of Health Care | Health | Population Dynamics | Fertility Measurements | Fertility | Medroxyprogesterone Acetate | Contraceptive Agents, Progestin | Contraceptive Agents, Female | Contraceptive Agents | Contraception | Family Planning | Family Planning Programs Document Number: 331068 |
| 15. Peer Reviewed Title: Successful management of second-trimester postabortion hemorrhage with an intrauterine tamponade balloon. Author: Madden T; Burke AE Source: Obstetrics and Gynecology. 2009 Feb;113(2 Pt 2):501-3. Abstract: BACKGROUND: Legally induced abortion is a safe procedure. However, hemorrhage is a significant cause of abortion-related morbidity and mortality. We describe a case in which a uterine tamponade balloon was successfully used to control a second-trimester postabortion hemorrhage. CASE: A gravida 1 para 0 woman underwent dilation and evacuation at 18 weeks of gestation for fetal aneuploidy. Her procedure was complicated by intraoperative hemorrhage not resulting from uterine atony. This was successfully managed by tamponade with a large intrauterine balloon. CONCLUSION: Uterine balloon tamponade should be considered in the management of second-trimester postabortion hemorrhage unresponsive to medical therapy. Language: English Keywords: WASHINGTON | RESEARCH REPORT | CLINICAL RESEARCH | CASE STUDIES | WOMEN | PREGNANCY, SECOND TRIMESTER | POSTABORTION | POSTABORTION CARE | BLEEDING | ABORTION | TREATMENT | United States of America | North America | Americas | Developed Countries | Research Methodology | Studies | Demographic Factors | Population | Pregnancy | Reproduction | Health Services | Delivery of Health Care | Health | Signs and Symptoms | Diseases | Fertility Control, Postconception | Family Planning | Medical Procedures | Medicine Document Number: 330359 Notification |
| 16. Peer Reviewed Title: Determinants of contraceptive acceptance among Cambodian abortion patients. Author: McDougall J; Fetters T; Clark KA; Rathavy T Source: Studies in Family Planning. 2009 Jun;40(2):123-132. Abstract: Although Cambodia's total fertility rate is declining, limited access to and use of contraceptives has meant that some women rely upon induced abortion, legal since 1997, to achieve their fertility intentions. This study identifies factors that facilitate acceptance of postabortion contraception among women using Cambodia's public health facilities. Data were collected in all of Cambodia's hospitals with obstetric and delivery services (n = 71) and a representative sample of 115 of its 887 health-care centers, and from women seeking induced abortion or with abortion complications who presented to selected facilities during a three-week period (n = 933). Weighted data from 316 women who reported not wanting to become pregnant within the next few months and who presented to facilities that provide postabortion contraceptives were analyzed for bivariate and multivariate associations. Approximately 42 percent of women accepted contraceptives at the conclusion of care. After controlling for individual and facility characteristics, women who presented at facilities where a nurse/midwife managed abortion services, where contraceptives and abortions were provided in the same room, and where a larger range of methods were offered had significantly higher odds of contraceptive acceptance following abortion care. Improving contraceptive counseling and training for midwives and physicians, increasing contraceptive choices, and promoting access to contraceptives on site may reduce Cambodian women's risk of unwanted pregnancy and, potentially, unsafe abortion. Language: English Keywords: CAMBODIA | RESEARCH REPORT | SAMPLING STUDIES | ABORTION | CONTRACEPTIVE USAGE DETERMINANTS | POSTABORTAL PROGRAMS | POSTABORTION CARE | PROGRAM ACCESSIBILITY | PARITY | PREGNANCY, UNWANTED | QUESTIONNAIRES | Developing Countries | Asia, Southeastern | Asia | Studies | Research Methodology | Fertility Control, Postconception | Family Planning | Contraceptive Usage | Contraception | Family Planning Programs | Health Services | Delivery of Health Care | Health | Program Evaluation | Programs | Organization and Administration | Fertility Measurements | Fertility | Population Dynamics | Demographic Factors | Population | Reproductive Behavior Document Number: 341896 Notification |
| 17. Peer Reviewed Title: Second-trimester surgical abortion. Author: Prager SW; Oyer DJ Source: Clinical Obstetrics and Gynecology. 2009 Jun;52(2):179-87. Abstract: Surgical abortion in the second trimester became popularized in the 1970s, and now accounts for the majority of abortion procedures performed in this country. Dilation and evacuation is the most commonly used method in the second trimester, but dilation and curettage can be used with earlier gestations, and intact dilation and extraction accounts for a minority of later procedures. These various procedures will be addressed in detail. Other considerations such as preoperative and intraoperative use of ultrasound, use of uterotonics, pain management, appropriate location for second-trimester abortion provision, and routine postoperative care will also be reviewed. Language: English Keywords: UNITED STATES OF AMERICA | WASHINGTON | RESEARCH REPORT | ABORTION | PREGNANCY, SECOND TRIMESTER | HYSTEROTOMY | GYNECOLOGIC SURGERY | POSTABORTION CARE | Developed Countries | North America | Americas | Fertility Control, Postconception | Family Planning | Pregnancy | Reproduction | Urogenital Surgery | Surgery | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health Document Number: 342246 Notification |
| 18. Title: Estimates of health care system costs of unsafe abortion in Africa and Latin America. Author: Vlassoff M; Walker D; Shearer J; Newlands D; Singh S Source: International Perspectives on Sexual and Reproductive Health. 2009 Sep;35(3):114-121. Abstract: Each year, 19 million unsafe abortions occur in developing countries, and an estimated five million women are treated for the resulting serious medical complications. Meanwhile, the economic impact of postabortion care on health care systems in Africa and Latin America is poorly understood (data for Asia are lacking). METHODS: Two main approaches were used to estimate the cost of postabortion care: calculating the average cost of care per patient, as represented in 20 empirical studies, and analyzing treatment costs using the WHO Mother-Baby Package model, which enumerates the costs of specific components of treatment related to postabortion complications. The average cost estimates from each approach were multiplied by the annual number of cases of hospitalization for postabortion care to generate regional cost estimates. Three methods (low severity, weighted severity, and inclusion of overhead and capital costs) were used to generate a range of per-patient and regional cost estimates. RESULTS: The average per-patient cost of postabortion care ranged from $83 in Africa to $94 in Latin America (2006 US$); estimates based on the WHO Mother-Baby Package model were between $57 and $109 per case. The health system costs of postabortion care in the two regions combined ranged from $159 million to $333 million per year. The average estimates from the two approaches were similar: $280 million and $274 million, respectively. CONCLUSIONS: The costs of treating medical complications from unsafe abortion constitute a significant financial burden on public health care systems in the developing world, and postabortion complications are a significant cause of maternal morbidity. Spanish Abstract: Contexto: Cada año ocurren 19 millones de abortos inseguros en los países en desarrollo y se estima que cincomillones de mujeres reciben tratamiento por complicaciones médicas graves resultantes. Entretanto, es poco lo que se conoce sobre el impacto económico de la atención postaborto en los sistemas de salud en África y América Latina (en Asia no hay estudios).Métodos: Dos enfoques principales fueron utilizados para estimar el costo de la atención postaborto: calcular el costo promedio de atención por paciente, como se describe en 20 estudios empíricos; y analizar los costos de tratamiento con el modelo de PaqueteMadre-Bebé de la OMS, el cual enumera los costos de componentes específicos de tratamiento relacionados con las complicaciones postaborto. Las estimaciones de costo promedio de cada enfoque se multiplicaron por el número anual de casos de hospitalización por atención postaborto para generar estimaciones regionales de costo. Tresmétodos (severidad baja, severidad ponderada e inclusión de costos administrativos y de capital) fueron usados para generar una gama de estimaciones de costo por paciente y por región. Resultados: El costo promedio de la atención postaborto por paciente. en US dólares de 2006, varió de $83 en África a $94 en América Latina; las estimaciones basadas en el modelo de Paquete Madre-Bebé de la OMS fueron entre $57 y $109 por caso. Los costos de la atención postaborto para el sistema de salud en las dos regiones combinadas variaron entre $159 millones y $333 millones por año. Las estimaciones centrales de los dos enfoques fueron similares: $280 millones y $274 millones, respectivamente. Conclusiones: Los costos del tratamiento de las complicacionesmédicas derivadas del aborto inseguro constituyen una significativa carga financiera para los sistemas de salud pública en elmundo en desarrollo; y las complicaciones postaborto son una causa significativa de morbilidad materna. French Abstract: Contexte: Chaque année, 19 millions d’avortements non médicalisés sont pratiqués dans lemonde en développement et on estime à cinq millions le nombre de femmes traitées pour les complications médicales graves qui en résultent. L’impact économique des soins après avortement sur les systèmes de soins de santé d’Afrique et d’Amérique latine est cependantmal compris (aucune étude n’est disponible pour l’Asie). Méthodes: Deux grandes approches ont été adoptées pour estimer le coût des soins après avortement: le calcul du coût moyen des soins par patiente, tel que représenté dans 20 études empiriques, et l’analyse des coûts de traitement selon le modèle du Dossier mère-enfant de l’OMS, qui énumère les coûts des composants spécifiques du traitement des complications de l’avortement. Les estimations de coûts moyens obtenues de chaque approche ont été multipliées par le nombre annuel de cas d’hospitalisation pour soins après avortement dans le but de produire des estimations de coûts régionales. Troisméthodes (faible gravité, gravité pondérée et inclusion des frais généraux et coûts en capital) ont été utilisées pour générer une plage d’estimations des coûts par patiente et régionaux. Résultats: Le coût moyen par patiente des soins après avortement varie entre 83 dollars en Afrique et 94 dollars en Amérique latine (en dollars américains de 2006). Les estimations basées sur le modèle du Dossier mère-enfant de l’OMS varient entre 57 et 109 dollars par cas. La charge sanitaire des soins après avortement dans les deux régions combinées varie entre 159 et 333millions de dollars par an. Les deux approches produisent des estimations centrales similaires: 280 millions et 274 millions de dollars, respectivement. Conclusions: Les coûts du traitement des complications médicales de l’avortement non médicalisé représentent une charge financière considérable pour les systèmes de soins de santé publique du monde en développement. Les complications de l’avortement représentent en outre une cause significative de morbidité maternelle. Language: English Keywords: AFRICA | LATIN AMERICA | RESEARCH REPORT | WOMEN | CLIENTS | IMPACT | POSTABORTION CARE | TREATMENT | MORBIDITY | Developing Countries | Americas | Demographic Factors | Population | Program Activities | Programs | Organization and Administration | Communication | Health Services | Delivery of Health Care | Health | Medical Procedures | Medicine | Diseases Document Number: 343001 |
| 19. Title: Saving women's lives in refugee and other crisis situations. Manual vacuum aspiration. Author: Ipas Source: Chapel Hill, North Carolina, Ipas, 2008. 4 p. Abstract: The United Nations Population Fund estimates that 25-50 percent of maternal deaths in refugee settings are attributable to unsafe abortions. Making pregnancy safer includes timely and appropriate management of unsafe and spontaneous abortion for all women, and the provision of or referral for safe abortion services to the full extent allowed by law. Manual vacuum aspiration (MVA) has been used worldwide for more than three decades, enabling millions of women in developed and developing countries to undergo safe and effective uterine evacuation for treatment of incomplete abortion and first-trimester abortion, as well as endometrial biopsy. This brochure highlights how MVA is an important part of safe, effective abortion and postabortion care in conflict settings. Language: English Keywords: GLOBAL | RECOMMENDATIONS | WOMEN | REFUGEES | ABORTION | SAFETY | POSTABORTION CARE | WHO | EQUIPMENT AND SUPPLIES | TRAINING ACTIVITIES | WAR | NATURAL DISASTERS | Demographic Factors | Population | Migrants | Migration | Population Dynamics | Fertility Control, Postconception | Family Planning | Public Health | Health | Health Services | Delivery of Health Care | UN | International Agencies | Organizations | Political Factors | Sociocultural Factors | Medical Procedures | Medicine | Training Programs | Education | Environment Document Number: 342498 Notification |
| 20. Title: Best practices in maternal and newborn care: a learning resource package for essential and basic emergency obstetric and newborn care. Facilitator's guide. Author: JHPIEGO. Access to Clinical and Community Maternal, Neonatal and Women’s Health Services Program [ACCESS] Source: [Baltimore, Maryland], JHPIEGO, ACCESS Program, 2008. [775] p. Abstract: Language: English Keywords: DEVELOPING COUNTRIES | SUMMARY REPORT | WOMEN | POSTPARTUM WOMEN | POSTABORTION CARE | IUD | INSERTION | CONTRACEPTIVE EFFECTIVENESS | SAFETY | Demographic Factors | Population | Puerperium | Reproduction | Health Services | Delivery of Health Care | Health | Contraceptive Methods | Contraception | Family Planning | Treatment | Medical Procedures | Medicine | Public Health Document Number: 331780 |
| 21. Title: Best practices in maternal and newborn care: a learning resource package for essential and basic emergency obstetric and newborn care. Participant's guide. Author: JHPIEGO. Access to Clinical and Community Maternal, Neonatal and Women’s Health Services Program [ACCESS] Source: [Baltimore, Maryland], JHPIEGO, ACCESS Program, 2008. [522] p. Abstract: This selection provides specific learning resources for basic emergency obstetric and newborn care. Learning guides and checklists are provided to test knowledge at the end of modules. Language: English Keywords: DEVELOPING COUNTRIES | MANUAL | STANDARDS | TEACHING MATERIALS | EMERGENCY SERVICES | CHILDBIRTH | ANTENATAL CARE | INFECTION PREVENTION | PREVENTION OF MOTHER-TO-CHILD TRANSMISSION | BLEEDING | POSTABORTION CARE | SIGNS AND SYMPTOMS | MATERNAL NUTRITION | LACTATION | BREASTFEEDING | BONDING | TREATMENT | OBSTETRICAL SURGERY | Research Methodology | Health Services | Delivery of Health Care | Health | Pregnancy Outcomes | Pregnancy | Reproduction | Maternal Health Services | Maternal-Child Health Services | Primary Health Care | Infections | Diseases | Disease Transmission Control | Prevention and Control | Nutrition | Maternal Physiology | Physiology | Biology | Infant Nutrition | Interpersonal Relations | Behavior | Medical Procedures | Medicine | Surgery Document Number: 331781 |
| 22. Title: Best practices in maternal and newborn care: a learning resource package for essential and basic emergency obstetric and newborn care. Participant's guide. Learning guides and checklists. Author: JHPIEGO. Access to Clinical and Community Maternal, Neonatal and Women’s Health Services Program [ACCESS] Source: [Baltimore, Maryland], JHPIEGO, ACCESS Program, 2008. 82 p. Abstract: This selection provides specific learning resources for basic emergency obstetric and newborn care. Various learning modules provide education opportunities on the best practices in maternal and newborn care. Language: English Keywords: DEVELOPING COUNTRIES | MANUAL | TEACHING MATERIALS | STANDARDS | ANTENATAL CARE | CHILDBIRTH | POSTABORTION CARE | POSTPARTUM WOMEN | EXAMINATIONS AND DIAGNOSES | Research Methodology | Maternal Health Services | Maternal-Child Health Services | Primary Health Care | Health Services | Delivery of Health Care | Health | Pregnancy Outcomes | Pregnancy | Reproduction | Puerperium | Medical Procedures | Medicine Document Number: 331782 |
| 23. Title: Scaling up access to reproductive health services in Romania. The Romanian Family Health Initiative, 2001-2007. Final project report. Author: JSI Research and Training Institute Source: Boston, Massachusetts, JSI Research and Training Institute, 2008 Jan. [63] p. (USAID Cooperative Agreement No. 186-A-00-01-00013-00) Abstract: The Romanian Family Health Initiative (RFHI), funded by the United States Agency for International Development (USAID) and managed by JSI Research & Training Institute, Inc. (JSI), worked to expand access to reproductive and women's health services to all Romanians, with an emphasis on underserved populations. Language: English Keywords: ROMANIA | RESEARCH REPORT | RURAL POPULATION | PERSONS LIVING WITH HIV/AIDS | LOW INCOME POPULATION | WOMEN | REPRODUCTIVE HEALTH | FAMILY PLANNING | POSTABORTION CARE | ANTENATAL CARE | CERVICAL CANCER | SCREENING | AWARENESS | EMERGENCY SERVICES | DISEASE PREVENTION | PROGRAM ACCESSIBILITY | Europe, Southeastern | Europe | Developing Countries | Population Characteristics | Demographic Factors | Population | HIV Infections | Viral Diseases | Diseases | Social Class | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Health | Health Services | Delivery of Health Care | Maternal Health Services | Maternal-Child Health Services | Primary Health Care | Cancer | Neoplasms | Examinations and Diagnoses | Medical Procedures | Medicine | Knowledge | Sociocultural Factors | Prevention and Control | Program Evaluation | Programs | Organization and Administration Document Number: 331607 |
| 25. Title: Assessing integration methodology (AIM): a handbook for measuring and assessing the integration of family planning and other reproductive health services. Author: Population Council. Frontiers in Reproductive Health Source: Washington, DC, Population Council, 2008. viii, 156 p. (USAID Contract No. HRN-A-00-98-00012-00) Abstract: The Assessing Integration Methodology (AIM) was developed to guide decisions regarding the feasibility, quality, and effectiveness of specific service combinations. The AIM handbook covers integration of family planning with the following services: HIV counseling and testing; Postabortion care; Antenatal care; Detection and management of sexually transmitted infections; Postpartum care. Decisionmakers can use the AIM handbook to assess the feasibility of linking services, identify programmatic or structural barriers to integration, pilot-test approaches to integrating services, evaluate the effect of linked or integrated services, and assess and evaluate the costs of models to integrate services. The handbook includes data-collecting forms to support and evaluate integration efforts, including forms for client and provider interviews, service and equipment inventory, and other documentation forms. Language: English Keywords: AFRICA | MANUAL | RESEARCH METHODOLOGY | DATA COLLECTION | FAMILY PLANNING | REPRODUCTIVE HEALTH | MATERNAL HEALTH | CHILD HEALTH | HEALTH SERVICES | ANTENATAL CARE | POSTABORTION CARE | HIV PREVENTION | AIDS PREVENTION | SEXUALLY TRANSMITTED DISEASE PREVENTION | INTEGRATED PROGRAMS | Developing Countries | Health | Delivery of Health Care | Maternal Health Services | Maternal-Child Health Services | Primary Health Care | HIV Infections | Viral Diseases | Diseases | AIDS | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Programs | Organization and Administration Document Number: 315210 |
| 26. Title: Clinical guidelines for integrating family planning into postpartum and postabortion care. Author: Population Council. Frontiers in Reproductive Health Source: Cairo, Egypt, Population Council, Frontiers in Reproductive Health, 2008 May. [2], 64 p. (USAID Contract No. HRN-A-00-98-00012-00) Abstract: This document describes care that should be provided to postpartum / postabortion women regardless of who the health care provider is. A companion document has been developed in Arabic to explain tasks that are expected to be performed by the attending nurse in providing postpartum / postabortion services. This document has been reviewed by a panel of experts in the fields of Ob/Gyn, pediatrics, nursing, and public health as well as senior officials at the Egyptian Ministry of Health and Population. Language: English Keywords: DEVELOPING COUNTRIES | RECOMMENDATIONS | EVALUATION | POSTPARTUM WOMEN | POSTPARTUM PROGRAMS | POSTABORTION CARE | INTEGRATED PROGRAMS | FAMILY PLANNING PROGRAMS | USAID | BREASTFEEDING, EXCLUSIVE | LACTATIONAL AMENORRHEA METHOD | INJECTABLES | CONTRACEPTIVE IMPLANTS | CONTRACEPTIVE SAFETY | Puerperium | Reproduction | Family Planning | Health Services | Delivery of Health Care | Health | Programs | Organization and Administration | Government Agencies | Organizations | Political Factors | Sociocultural Factors | Breastfeeding | Infant Nutrition | Nutrition | Family Planning, Behavioral Methods | Contraceptive Methods | Contraception | Safety | Public Health Document Number: 308941 |
| 27. Title: Using operations research to enhance delivery of postpartum / postabortion family planning services in the Arab region. Author: Population Council. Frontiers in Reproductive Health Source: [Washington, D.C.], Population Council, Frontiers in Reproductive Health, 2008 Sep. [19] p. (USAID Cooperative Agreement No. HRN-A-00-98-00012-00) Abstract: Over the last ten years FRONTIERS has worked in many countries to integrate family planning services within postpartum and postabortion care services in order to help women achieve healthy birth intervals. The FRONTIERS program in Cairo organized a two-and-half day workshop to share programmatic experiences and lessons learned in integrating family planning with service providers from Egypt, Jordan, Sudan, and Yemen representing mid-level program managers and researchers. The workshop was held on March 25 - 27, 2008 in tandem with a national end of project seminar for stakeholders in Egypt. The workshop was largely participatory and combined plenary sessions, discussions and working groups, with objectives to enhance utilization of those best practices and to increase their impact. Throughout the presentations and discussions, participants emphasized the need to capture missed opportunities in antenatal, delivery, postpartum or postabortion care by providing family planning services in all encounters between women and the health care system. They also agreed on an overarching need for operations research in assisting policy makers and program managers in selecting model(s) of integration best suited for the individual local settings. (Excerpt) Language: English Keywords: MIDDLE EAST | SUMMARY REPORT | USAID | MANUAL | INTEGRATED PROGRAMS | POSTPARTUM | POSTABORTION CARE | FAMILY PLANNING | REPRODUCTIVE HEALTH | QUALITY OF HEALTH CARE | HEALTH SERVICES | DELIVERY OF HEALTH CARE | FAMILY PLANNING PROGRAMS | Government Agencies | Organizations | Political Factors | Sociocultural Factors | Programs | Organization and Administration | Puerperium | Reproduction | Health | Health Services Evaluation | Program Evaluation Document Number: 331441 |
| 28. Title: Decentralization of postabortion care in Senegal and Tanzania. Author: United States. Agency for International Development [USAID] Source: Washington, D.C., USAID, [2008]. [2] p. (Technical Brief) Abstract: Postabortion care (PAC) is an important intervention to treat complications related to miscarriage and unsafe abortion, reduce the incidence of repeat unplanned pregnancy, and decrease the incidence of repeat abortion. To protect maternal health and avert abortions USAID funds PAC programs that comprehensively address women's needs through three core components: 1. Emergency treatment for complications of spontaneous or induced abortion; 2. Family planning (FP) counseling and services, and, depending on disease prevalence and available resources, evaluation and treatment of sexually transmitted infections (STIs) and HIV counseling and / or referral for testing; 3. Community empowerment through community awareness and mobilization. In developing countries, PAC programs are frequently available only in urban or regional health facilities, placing rural women at greater risk for mortality and morbidity from complications because they lack access to services. To improve access, USAID has worked with two focus countries, Senegal and Tanzania, to decentralize PAC activities. In 2007, the Frontiers Project evaluated these activities. The evaluation showed that PAC can be safely and successfully decentralized with services capably provided by mid-level personnel in health centers, dispensaries, and some health posts when providers are trained and supervised and equipment and supplies are available. (Excerpts) Language: English Keywords: TANZANIA | SENEGAL | RESEARCH REPORT | DECENTRALIZATION | POSTABORTION CARE | NEEDS | EMERGENCY SERVICES | INTERVENTIONS | SOCIAL MOBILIZATION | AWARENESS | Developing Countries | Africa, Eastern | Africa, Sub Saharan | Africa | Africa, Western | Political Factors | Sociocultural Factors | Health Services | Delivery of Health Care | Health | Economic Factors | Programs | Organization and Administration | Social Change | Knowledge Document Number: 331610 |
| 29. Title: Saving young lives: Pathfinder International’s youth-friendly postabortion care project. Author: Burket MK; Hainsworth G; Boyce C Source: Watertown, Massachusetts, Pathfinder International, 2008. 24 p. Abstract: This report describes Pathfinder's recent experience implementing the Youth-Friendly Postabortion Care (YFPAC) Project in eight African countries. The document is a longer companion piece to Pathfindings: Youth-Friendly Postabortion Care Services in Africa. It contains program descriptions, an overview of the process of making PAC services youth friendly, key results, challenges, lessons learned, and recommendations. Language: English Keywords: DEVELOPING COUNTRIES | SUMMARY REPORT | ADOLESCENTS, FEMALE | PREGNANCY, UNPLANNED | ABORTION | SAFETY | RISK FACTORS | MATERNAL MORTALITY | CONTRACEPTIVE USAGE | FEMALE ROLE | CULTURE | POSTABORTION CARE | HEALTH SERVICES | QUALITY OF HEALTH CARE | PEER EDUCATORS | PROGRAM ACTIVITIES | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Reproductive Behavior | Fertility | Population Dynamics | Fertility Control, Postconception | Family Planning | Public Health | Health | Biology | Mortality | Contraception | Social Behavior | Behavior | Sociocultural Factors | Delivery of Health Care | Health Services Evaluation | Program Evaluation | Programs | Organization and Administration | Education Document Number: 329520 Notification |
| 30. Title: The need for integrating family planning and postabortion care in China. Author: Cheng Y; Xu X; Xu J; Wuillaume F; Zhu J; Gibson D; Temmerman M Source: International Journal of Gynaecology and Obstetrics. 2008 Nov;103(2):140-3. Abstract: OBJECTIVE: To assess the need for integrating postabortion care with family planning services in China. METHOD: We collected data from a clinic-based study of 24 abortion clinics in 3 large cities in China. RESULTS: There was a total of 287 (10.3%) high-risk abortions among the 2780 respondents, 974 (35%) of whom had had repeated abortions and 48.4% had had 2 abortions within 1 year; 63.7% of the current pregnancies resulted from not using contraceptives; 28.8% and 19.8% of these new pregnancies, respectively, were due to the failure of the rhythm or the withdrawal method; only 9.7% of the respondents consistently used condoms; and only 9.1% could identify the correct time of their first ovulation following an abortion. CONCLUSION: Contraceptive neglect and the high rates of repeated and high-risk abortions call for the integration of postabortion care with family planning services in China. Language: English Keywords: CHINA | RESEARCH REPORT | DATA ANALYSIS | ADOLESCENTS | FAMILY PLANNING | POSTABORTION CARE | REPRODUCTIVE HEALTH | HEALTH SERVICES | NEEDS | FAMILY PLANNING PROGRAMS | Asia, Eastern | Asia | Developing Countries | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Delivery of Health Care | Health | Economic Factors Document Number: 329587 |
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