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Medical abortion

Marie-Eve Murray, Margaret Casson, Jessica Pudwell, Ashley Waddington
OBJECTIVE: Induced abortion is the second most common reproductive health procedure in Canada. Among all Canadian women, 31% will have at least one induced abortion in their life. Unfortunately, abortion services are disparate throughout the country. With the recent introduction of mifepristone in Canada, it is hoped that access to abortion will be improved. However, it is recognized that some women who are eligible for medical abortion with mifepristone will still choose surgical abortion...
March 13, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
M Vidyadhari, M Sujatha, P Krupa, Pratibha Nallari, A Venkateshwari
PURPOSE: The study estimates the association of VEGF gene polymorphism (-1154 G/A, -2549 I/D, -2578 C/A, and +936 C/T) in recurrent pregnancy loss from South Indian population. METHODS: A total of 100 couples with the history of recurrent pregnancy loss and 100 couples with medically terminated pregnancies were considered. Fetal tissues with < 20 weeks of gestation including peripheral blood from case and control couples were collected. VEGF gene polymorphisms were determined by allele-specific polymerase chain reaction...
March 15, 2019: Journal of Assisted Reproduction and Genetics
Margit Endler, Antonella Lavelanet, Amanda Cleeve, Bela Ganatra, Rebecca Gomperts, Kristina Gemzell-Danielsson
BACKGROUND: Telemedicine is increasingly used to access abortion services. OBJECTIVE: To assess the success rate, safety and acceptability for women and providers of medical abortion using telemedicine. SEARCH STRATEGY: We searched Pubmed, EMBASE,, and Web of Science up until November 10th 2017. STUDY CRITERIA: We selected studies where telemedicine was used for comprehensive medical abortion services i...
March 14, 2019: BJOG: An International Journal of Obstetrics and Gynaecology
Mushtaq H Qureshi, Gregory J Esper, Ferhad F Bashir
PURPOSE OF REVIEW: Headache is not an uncommon complaint in children, and recognition of migraine is increasing in children and adolescents. Treatment options consist of abortive and preventive medications; however, when to start the preventive treatment is not clear in the pediatric population. This article reviews current guidelines and practices to provide a better clinical approach in the management of migraines in children and adolescents. RECENT FINDINGS: Currently, the only FDA-approved medical treatment option for preventive therapy in chronic migraine in adolescents is topiramate...
March 14, 2019: Current Treatment Options in Neurology
David Lissauer, Amie Wilson, Catherine A Hewitt, Lee Middleton, Jonathan R B Bishop, Jane Daniels, Abi Merriel, Andrew Weeks, Chisale Mhango, Ronald Mataya, Frank Taulo, Theresa Ngalawesa, Agatha Chirwa, Colleta Mphasa, Tayamika Tambala, Grace Chiudzu, Caroline Mwalwanda, Agnes Mboma, Rahat Qureshi, Iffat Ahmed, Humera Ismail, Olufemi T Oladapo, Godfrey Mbaruku, Jerome Chibwana, Grace Watts, Beatus Simon, James Ditai, Charles Otim Tom, JaneFrances Acam, John Ekunait, Hellen Unzia, Margaret Iyaku, Joshua J Makiika, Javier Zamora, Tracy Roberts, Ilias Goranitis, Sarah Bar-Zeev, Nicola Desmond, Sabaratnam Arulkumaran, Zulfiqar A Bhutta, Ahmet M Gulmezoglu, Arri Coomarasamy
BACKGROUND: Surgical intervention is needed in some cases of spontaneous abortion to remove retained products of conception. Antibiotic prophylaxis may reduce the risk of pelvic infection, which is an important complication of this surgery, particularly in low-resource countries. METHODS: We conducted a double-blind, placebo-controlled, randomized trial investigating whether antibiotic prophylaxis before surgery to complete a spontaneous abortion would reduce pelvic infection among women and adolescents in low-resource countries...
March 14, 2019: New England Journal of Medicine
Daniel Hernández-Rosete, Rocío Estrada-Hipólito
In this article, we analyze beliefs and practices among young high school students who seek out or consider the possibility of terminating a pregnancy. We selected students from a public school located in a rural, peasant community in México City, México. This is a constructivist ethnographic study based on in-depth interviews with 15 sexually-active women aged between 18 and 24 years. The interviews were recorded with participants' authorization and informed consent. Results indicate that social stigmas persist which affect the dignity of women who have chosen to have an abortion...
March 11, 2019: Cadernos de Saúde Pública
Caroline M de Costa, Kirsten I Black, Darren B Russell
No abstract text is available yet for this article.
March 12, 2019: Medical Journal of Australia
Tamima Al-Dughaishi, Mussab Mubarak Hamed Al-Jabri, Amjad Hamed Al-Haddabi, Vaidyanathan Gowri
Background: This study aimed to find out the patients preference towards the management of pregnancy loss to either Misoprostol or dilatation and evacuation or curettage (D&C) in two different study periods. Methods: Retrospective chart review study included a total of 411 patients. The first study period was January to December 2010 and the second study period was January to December 2014. All patients were managed in Sultan Qaboos University Hospital of Oman...
January 2019: Journal of Reproduction & Infertility
Christine Leong, Dan Chateau, Matthew Dahl, Jamie Falk, Alan Katz, Shawn Bugden, Colette Raymond
We aimed to describe medication use in pregnancies that resulted in births and abortions, as well as use after a pregnancy-related visit to characterize the receipt of medication after knowledge of pregnancy. Abortions included both spontaneous and induced abortions. Rates of medication use among women with a pregnancy outcome (2001-2013) were described using the Manitoba Population Research Data Repository at the Manitoba Centre for Health Policy. Use was determined as ≥ 1 prescription filled during pregnancies that resulted in births (livebirth/stillbirth) and abortions...
2019: PloS One
Leonard E G Mboera, Coleman Kishamawe, Evord Kimario, Susan F Rumisha
Introduction: Toxoplasmosis is a parasitic zoonosis and an important cause of abortions, mental retardation, encephalitis, blindness, and death worldwide. Few studies have quantified toxoplasmosis mortality and associated medical conditions in Sub-Saharan Africa. This retrospective hospital-based study aimed to determine the mortality patterns of toxoplasmosis and its comorbidities among in-patients in Tanzania. Methods: Data on causes of death were collected using customized paper-based collection tools. Sources of data included death registers, inpatient registers, and International Classification of Diseases report forms...
2019: Frontiers in Public Health
Katrina Kimport, Colin Doty
INTRODUCTION: In July 2015, the antiabortion Center for Medical Progress released a covertly filmed video of a Planned Parenthood official discussing the dispensation of postabortion remains for research, a practice the general public was not familiar with. Research shows that people use preexisting frameworks (such as support for or opposition to abortion rights) to make sense of new information. We examine the presence and use of abortion-related movement heuristics, language, and framing in the lay public's engagement with this video and their response to it...
February 27, 2019: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Mahboobeh Shirazi, Maryam Rabiei, Fatemeh Rahimi, Shirin Niroomanesh, Fateme Golshahi, Mitra Eftekhar Yazdi
Background: Chorionic villus sampling (CVS) and amniocentesis are two methods for prenatal diagnosis. The goal of this study was to compare amniocentesis and CVS-related complications in a large sample of Iranian women. Methods: Medical records of 1624 women who underwent amniocentesis or CVS due to medical indications between 2008 and 2016 were reviewed. Data regarding age, gravidity, parity, gestational age, type of procedure, neonatal weight (and percentile), trisomia, abortion, intrauterine growth restriction (IUGR), severe IUGR, preeclampsia, and gestational hypertension were recorded...
2019: International Journal of Preventive Medicine
Jamuna Tamrakar Sayami
BACKGROUND: One of the leading cause of maternal mortality and morbidity is unsafe abortion. Globally 55.7million of abortions occurred each year between 2010 and 2014. In lower resource countries 24.3 million abortions were unsafe which is significantly higher. Nepal is one of the lower resource countries among others. Comprehensive abortion care (CAC) service can reduce this burden among women. METHODS: A retrospective review of CAC service register at Tribhuvan University Teaching Hospital (TUTH) was conducted to collect data from 2006 to2015 with approval from the Nursing Department to identify the trends of CAC service delivery, client characteristics, category of service providers, and reason for seeking CAC services, its effectiveness and complications...
February 28, 2019: BMC Women's Health
Jess Marie Newman
In Morocco, where extramarital sex and abortion are illegal, single mothers' ambiguous status before the law inflects medical decision-making. Leaky boundaries between the court and the hospital required doctors and administrators to work with multiple forms of documentation while anticipating external surveillance. Gaps between everyday experience and legalized forms of identity created confusion across multiple institutions. When discussing single mothers, hospital staff often spoke of "question marks" that flagged tensions between legibility and liability, disappearance and documentation...
February 28, 2019: Medical Anthropology Quarterly
Zhen Yu Jia, Yun Sun Song, Jae Jon Sheen, Joong Goo Kim, Deok Hee Lee
OBJECTIVE: Symptomatic non-acute intracranial arterial occlusion (NAICO) is not uncommon. We report a single-center experience of the feasibility and safety of endovascular treatment of anterior circulation NAICO and summarize the outcomes of patient groups with successful or failed recanalization. METHODS: Patients who underwent endovascular therapy for intracranial arterial stenosis between January 2010 and May 2017 were retrospectively reviewed. Thirty-eight patients with symptomatic NAICO (symptom onset > 24 hours) in the anterior circulation were identified...
February 27, 2019: Interventional Neuroradiology
Wenhua Feng, Chao Ma, Guoqiang Gao, Hong Wang, Yang Sui, Wei Xu, Wei Liu, Weitian Han, Hongtu Li
PURPOSE: Mifepristone in conjunction with midoprostol is widely used in China as an effective medical abortifacient. However, a small proportion of women experience the unpleasant side effects of prolonged vaginal bleeding caused by delayed embryo expulsion. The aims of this study were to determine whether the expression levels of prostanoid receptors in human decidua are associated with delayed embryo expulsion in mifepristone-misoprostol induced early medical abortion. METHODS: Discharged decidua tissues were collected from females undergoing artificial abortion (AA) (n = 28), females with early embryo expulsion during medical abortion (EEMA) (n = 20) and delayed embryo expulsion in medical abortion (DEMA) (n = 30)...
February 27, 2019: Journal of Maternal-fetal & Neonatal Medicine
Jin-Sung Yuk, Jong Chul Baek, Ji Eun Park, Hyen Chul Jo, Ji Kwon Park, In Ae Cho
Introduction: We investigated the rate and longitudinal trends of gestational trophoblastic disease (GTD) incidence in the Republic of Korea between 2009 and 2015 using population-based data. Materials and Methods: Data of patients diagnosed with GTD from 2009 to 2015 were obtained from the Health Insurance Review and Assessment Service/National Inpatient Sample (HIRA-NIS) in the Republic of Korea. The HIRA annually provides the HIRA-NIS, a collection of clinical data from over one million people...
2019: PeerJ
Hervé Lefevre, Stéphanie Samain, Nour Ibrahim, Christine Fourmaux, Anne Tonelli, Sébastien Rouget, Emmanuelle Mimoun, Renaud De Tournemire, Marie Devernay, Marie Rose Moro, Jonathan Lachal
OBJECTIVE: Vaccination coverage against HPV in France is among the lowest in the industrialized world, although the public authorities have recently become aware of this issue. Few studies have looked at teenaged girls' representations of this vaccination, even though they are the most concerned by it. This qualitative study explored the experiences and representations of HPV vaccination by adolescent girls seeing doctors at least occasionally. STUDY DESIGN: We used a written essay question to explore this issue among 101 adolescent girls at six urban medical centers and a semi-structured interview to discuss it in further depth with five of them...
February 23, 2019: Vaccine
Claire Rogers, Sabitri Sapkota, Anita Tako, Jaya A R Dantas
BACKGROUND: Globally, women face many barriers in the attainment of sexual and reproductive health and rights (SRHR). Since 2002, the legalisation of abortion in Nepal has seen significant progress in the expansion of safe abortion and family planning services. METHODS: This qualitative, exploratory study was conducted in 2014 and uses nine in-depth, open-ended interviews with a cross-section of SRHR professionals, to explore their perspectives on abortion in Nepal...
February 26, 2019: BMC Women's Health
Volodymyr I Boiko, Alla V Boychuk, Irina M Nikitina, Tetyana V Babar, Alesya V Boiko, Maryna A Bolotna
OBJECTIVE: Introduction: In order to evaluate the value of the Placenta Growth Factor (PlGF) in the developing the gestational complications during multiple pregnancies, a study of this indicator in serum of 320 pregnant women with multiple pregnancies in the first trimester, as well as 40 pregnant women with single pregnancy, constituted a control group. The aim: of the study is to investigate the effect of the placental growth factors on gestational process during multiple pregnancies...
2019: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
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