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::The Irish Protection of Life During Pregnancy Act seeks to clarify the legal ground for abortion in cases of risk to life, and to create procedures to regulate women's access to services under it. This article explores the new law as the outcome of an international human rights litigation strategy premised on state du...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(14)44798-0
更新日期:2014-11-01 00:00:00
abstract::Population-Health-Environment (PHE) is an interdisciplinary model of programme design which recognises the complex interconnections between people, their health and their environment. PHE responds holistically to the challenges faced by ecosystems and the communities dependent on them, with thematically distinct but i...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(14)43766-2
更新日期:2014-05-01 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::In 2011, the Committee on the Elimination of Discrimination against Women (CEDAW) issued two landmark decisions. In Alyne da Silva Pimentel v. Brazil, the first maternal death case decided by an international human rights body, it confirms that States have a human rights obligation to guarantee that all women, irrespe...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(12)39610-9
更新日期:2012-06-01 00:00:00
abstract::In spite of wide availability of menstrual regulation services, women often resort to a variety of medicines for inducing abortion. The Bangladeshi Government is now supporting attempts to investigate the introduction of medical menstrual regulation in the public sector. This study examined the acceptability of medica...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(14)43795-9
更新日期:2015-02-01 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::Abortion has been available legally in Moldova since 1955, and since then the abortion rate has gradually declined. The quality of abortion care remains low, however, and there is a high level of maternal mortality related to unsafe abortion. The goals of the 2005-2015 National Reproductive Health Strategy are to redu...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(05)26206-7
更新日期:2005-11-01 00:00:00
abstract::Drug regimens and procedures now exist that will prevent parents from transmitting HIV to infants, and the ethical and legal obligation to promote and protect the reproductive rights of those living with HIV should form part of training for HIV/AIDS care and prevention. This paper reports a study that investigated iss...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(03)02293-6
更新日期:2003-11-01 00:00:00
abstract::Due to a long-term shortage of obstetricians, the Ministry of Health of Senegal and Dakar University Obstetric Department agreed in 1998 to train district teams consisting of an anaesthetist, general practitioner and surgical assistant in emergency obstetric surgery. An evaluation of the policy was carried out in thre...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(09)33437-0
更新日期:2009-05-01 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
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::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::Sex workers remain a vulnerable population at risk for HIV acquisition and transmission. Research suggests that interventions at the individual level, such as condom distribution, are less effective in preventing HIV among sex workers than structural changes such as allowing safer work settings and reducing the harass...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/j.rhm.2015.06.008
更新日期:2015-05-01 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::Although Chile is a traditionally conservative country, considerable legal advances in sexual and reproductive rights over the past decade have brought discourses on sexuality into mainstream political, social and media agendas. In light of these changes it is important to explore how adolescents conceptualize sexuali...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/j.rhm.2015.11.003
更新日期:2015-11-01 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::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::Withdrawal is an ancient and prevalent form of male contraception which has largely been ignored by family planning programme managers all over the world. The objective of this study was to understand men's perspectives on withdrawal use, both users and non-users. In-depth interviews with 62 male factory workers in we...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(05)25175-3
更新日期:2005-05-01 00:00:00
abstract::Outdated second trimester abortion methods are still being used in some countries, and very few studies have compared them to currently recommended methods. To this end, we studied the efficacy and safety of vaginal misoprostol used alone for abortions in 189 women at 13-20 weeks gestation, in 2004-2006. We also retro...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(08)31392-5
更新日期:2008-05-01 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::Structural and social inequalities, a harsh political economy and neglect on the part of the state have made married adolescent girls an extremely vulnerable group in the urban slum environment in Bangladesh. The importance placed on newly married girls' fertility results in high fertility rates and low rates of contr...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(06)27221-5
更新日期:2006-05-01 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::How rurality relates to women's abortion decision-making in the United States remains largely unexplored in existing literature. The present study relies on qualitative methods to analyze rural women's experiences related to pregnancy decision-making and pathways to abortion services in Central Appalachia. This analys...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1080/09688080.2018.1513270
更新日期:2018-12-01 00:00:00
abstract::The female condom has received surprisingly little serious attention since its introduction in 1984. Given the numbers of women with HIV globally, international support for women's reproductive and sexual health and rights and the empowerment of women, and, not least, due to the demand expressed by users, one would ha...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(10)35499-1
更新日期:2010-05-01 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::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::This paper discusses the type of work migrant women from the former Eastern European countries perform in nightclubs in Amman, Jordan. The fieldwork for this qualitative study was conducted in 2010 and is based on in-depth interviews with 13 women. The topic is approached from the perspective of describing women's cho...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1080/09688080.2017.1378063
更新日期:2017-10-01 00:00:00
abstract::Abortion was completely illegal in Portugal until 1984. Illegal abortion provision was a matter of silence until then and treated as a "black market" issue rather than as a health issue. The first attempts to change the abortion law began in 1982 after two trials and a national campaign for legal abortion and contrace...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(02)00025-3
更新日期:2002-05-01 00:00:00
abstract::In April and May 2006, internal conflict in Timor-Leste led to the displacement of approximately 150,000 people, around 15% of the population. The violence was most intense in Dili, the capital, where many residents were displaced into camps in the city or to the districts. Research utilising in-depth qualitative inte...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(08)31355-X
更新日期:2008-05-01 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