Abstract:
:This paper summarises the findings of a study on second trimester abortion in England and Wales in 2005. Second trimester abortions constitute a relatively small proportion of the total number of legal abortions performed in these countries yet attract quite substantial public, and particularly media, attention. Discussion of these abortions has, however, been conducted within a context of little understanding of the factors which explain why they happen. This paper starts with a brief introduction to the policy context for provision of second trimester abortion, and a summary of existing research in the area. It then presents the results of a survey of 883 women on their own reasons why they had abortions in the second trimester. The key concept is that of "delay" and reasons for delay in seeking or obtaining abortion at five stages in the pathway to abortion. No clear, single reason emerges. Amongst the main reasons identified are uncertainty about what to do if they were pregnant, not realising they were pregnant, experiencing bleeding which may have been confused with continuing to have periods, and changes in personal circumstances. The paper ends with a consideration of the implications of the results for education, policy development and service provision.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
Ingham R,Lee E,Clements SJ,Stone Ndoi
10.1016/S0968-8080(08)31375-5subject
Has Abstractpub_date
2008-05-01 00:00:00pages
18-29issue
31 Suppleissn
0968-8080issn
1460-9576pii
S0968-8080(08)31375-5journal_volume
16pub_type
杂志文章abstract::Unmet need for contraception represents a major failure in the provision of reproductive health services and reflects the extent of access to services for spacing and limiting births, which are also affected by personal, partner, community and health system factors. In the context of the Millennium Development Goals, ...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(07)29284-5
更新日期:2007-05-01 00:00:00
abstract::High unmet need for limiting contraception persists in most states of India despite wide access to sterilisation. Qualitative evidence from a rural community in which child mortality is high and women's autonomy is low suggests that women may seek reversibility in a contraceptive even if they have finished childbearin...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(00)90194-0
更新日期:2000-11-01 00:00:00
abstract::Recent years have seen a push to apply criminal law to HIV exposure and transmission, often driven by the wish to respond to concerns about the ongoing rapid spread of HIV in many countries. Particularly in Africa, some groups have begun to advocate for criminalization in response to the serious phenomenon of women be...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(09)34462-6
更新日期:2009-11-01 00:00:00
abstract::This paper is about the economic consequences of the stigmatisation and illegality of abortion and its almost complete removal from public health services in Poland since the late 1980s. Once abortion left the public sphere, it entered the grey zone of private arrangements, in which a woman's private worries became so...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(11)37548-9
更新日期:2011-05-01 00:00:00
abstract::Health sector reformers, particularly the economists among them, are prone to reject calls for more financial support for reproductive health as "special pleading" even when the argument is made that reproductive health is a basic human right. Reproductive health is not alone in this. Up to now, however, the idea that...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(02)00079-4
更新日期:2002-11-01 00:00:00
abstract::Unsafe abortion in Sudan results in significant morbidity and mortality. This study of treatment for complications of unsafe abortion in five hospitals in Khartoum, Sudan, included a review of hospital records and a survey of 726 patients seeking abortion-related care from 27 October 2007 to 31 January 2008, an interv...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(09)34476-6
更新日期:2009-11-01 00:00:00
abstract::Since 1995, sector-wide approaches (SWAps) to health development have significantly influenced health aid to developing countries. SWAps offer guidelines for new partnerships with international donors led by government, new relationships between donors and shared financing, development and implementation of agreed pac...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(02)00082-4
更新日期:2002-11-01 00:00:00
abstract::Women and girls are increasingly the direct and targeted victims of armed conflict and studies show that they are disproportionately and differentially affected. However, humanitarian laws, policies, and protocols have yet to be meaningfully interpreted and adapted to respond to their specific needs, including to sexu...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1080/09688080.2017.1400361
更新日期:2017-11-01 00:00:00
abstract::Western countries have reported an increased risk of maternal mortality among African immigrants. This study aimed to identify cases of maternal mortality among immigrants from the Horn of Africa living in Sweden using snowball sampling, and verify whether they had been classified as maternal deaths in the Cause of De...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(07)30322-4
更新日期:2007-11-01 00:00:00
abstract::The Global Commission on HIV and the Law was established in 2010 to identify and analyse the complex framework of international, national, religious and customary law shaping national responses to HIV and the well-being of people living with HIV and key populations. Two years of deliberation, based on an exhaustive re...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(14)44807-9
更新日期:2014-11-01 00:00:00
abstract::Viet Nam has high modern contraceptive prevalence (68%), with most services received through the public sector. As the country transitions to middle-income status, Viet Nam's donors have ceased donations of contraceptive supplies, causing a large projected shortfall in the family planning budget. In response, the Mini...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(10)36529-3
更新日期:2010-11-01 00:00:00
abstract::In support of maternal health, disease-specific and target-oriented global policy initiatives, such as in Millennium Development Goal 5, have led to a prioritisation of narrow indicators at the expense of more comprehensive approaches. In line with global policy, Nicaragua has made skilled attendants and institutional...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(13)42728-3
更新日期:2013-11-01 00:00:00
abstract::In Argentina adolescent pregnancy is still regarded as a public health problem or a "social epidemic". However, it is necessary to ask from which perspective and for whom it is a problem, and what type of problem. This article presents the findings of a large quantitative and qualitative study conducted in five Northe...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(08)31358-5
更新日期:2008-05-01 00:00:00
abstract::In the last days of 2011, President of Brazil Dilma Rousseff issued a provisional measure (or draft law) entitled "National Surveillance and Monitoring Registration System for the Prevention of Maternal Mortality" (MP 557), as part of a new maternal health programme. It was supposed to address the pressing issue of ma...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(12)39616-X
更新日期:2012-06-01 00:00:00
abstract::A rights-based approach in HIV service delivery for adults is increasingly taking root in sub-Saharan Africa in the context of greater availability of antiretroviral therapy. Yet there has been comparatively little progress in strengthening a rights-based approach to adolescent HIV services, which we learned during a ...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(13)41701-9
更新日期:2013-05-01 00:00:00
abstract::In 1997, the Supreme Court of India recognised sexual harassment in the workplace as a violation of human rights. However, little is known about the extent or persistence of sexual harassment. To obtain an understanding of women's experiences of sexual harassment in the health sector, an exploratory study was undertak...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(07)30319-4
更新日期:2007-11-01 00:00:00
abstract::Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabo...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1080/09688080.2017.1402670
更新日期:2017-11-01 00:00:00
abstract::Since Spain's transition to democracy, abortion has been a public policy issue both inside and outside parliament. This paper describes the history of abortion law reform in Spain from 1979 to 2004 and analyses the discourse on abortion of members of the Spanish parliament by sex and political allegiance. The analysis...
journal_title:Reproductive health matters
pub_type: 历史文章,杂志文章
doi:10.1016/S0968-8080(07)29295-X
更新日期:2007-05-01 00:00:00
abstract::Uganda is often cited as a role model in the fight against HIV/AIDS because of its success in reducing both prevalence and incidence of HIV infection since the late 1980s. Although an increase in sexual abstinence has been highlighted as a primary cause of the declines, large increases have also been recorded in monog...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(04)23118-4
更新日期:2004-05-01 00:00:00
abstract::In 2007, the US Supreme Court upheld the Partial Birth Abortion Ban Act of 2003, also known as the Federal Abortion Ban or "the Ban." The decision undermines decades of established US abortion law that had recognised the preservation of the health of women as a paramount consideration. The Ban asserts that the state's...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(08)31374-3
更新日期:2008-05-01 00:00:00
abstract::This paper examines different dimensions of sexual health as related to the measurement of sexual health indicators and the proposed changes in the International Classification of Diseases to address issues related to sexuality and sexual health with an aim of informing health policy-making and programming. The lack o...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/j.rhm.2015.11.008
更新日期:2015-11-01 00:00:00
abstract::Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data ...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(13)42738-6
更新日期:2013-11-01 00:00:00
abstract::We aimed to describe the prevalence of intimate partner violence (IPV) during pregnancy across 19 countries, and examine trends across age groups and UN regions. We conducted a secondary analysis of data from the Demographic and Health Surveys (20 surveys from 15 countries) and the International Violence Against Women...
journal_title:Reproductive health matters
pub_type: 杂志文章
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更新日期:2010-11-01 00:00:00
abstract::Organizational changes, increased funding and the demands of HIV antiretroviral (ARV) treatment create particular challenges for governance in the health sector. We assess resource allocation, policy making and integration of the national responses to ARV provision and reproductive health in Burkina Faso, using nation...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(11)38587-4
更新日期:2011-11-01 00:00:00
abstract::Menopausal symptoms can be grim, and the desire to replace the hormonal "deficit" with exogenous hormones remains strong. Since the 1950s, hormone replacement therapy has been used increasingly, while evidence on the risks of unwanted side effects has accumulated. What have we learned over these decades? Firstly, curr...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(04)24144-1
更新日期:2004-11-01 00:00:00
abstract::Pregnant women routinely undergo prenatal screening in Australia and this has become a common experience of motherhood. When prenatal screening or prenatal testing results in diagnosis of a serious fetal abnormality, women are presented with a decision to continue or terminate their pregnancy. Few recent studies have ...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/j.rhm.2016.04.003
更新日期:2016-05-01 00:00:00
abstract::A trained health service workforce is critical to ensuring good quality service delivery to people with HIV. There is only limited documented information on the challenges and constraints facing health care providers in meeting the sexual and reproductive health needs of HIV positive women and men. This paper reviews ...
journal_title:Reproductive health matters
pub_type: 杂志文章,评审
doi:10.1016/S0968-8080(07)29030-5
更新日期:2007-05-01 00:00:00
abstract::South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper des...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(00)90187-3
更新日期:2000-11-01 00:00:00
abstract::After almost 500 years of Spanish colonial rule, Canon law and laws of Spanish origin continue to dominate Philippine family, civil and penal law. Most if not all of these laws place serious limitations on the realisation of women's sexual and reproductive rights. Since 2002, the current president, Gloria Mocapagal Ar...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(04)24152-0
更新日期:2004-11-01 00:00:00
abstract::This article offers some insights into the experiences of HIV positive women with the female condom, drawing on my own personal experience and responses of 18 members of the International Community of Women Living with HIV/AIDS to an e-mail survey conducted in 2005. Major barriers reported to female condom use were co...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(06)28267-3
更新日期:2006-11-01 00:00:00