Reasons for second trimester abortions in England and Wales.

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 Matters

authors

Ingham R,Lee E,Clements SJ,Stone N

doi

10.1016/S0968-8080(08)31375-5

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

18-29

issue

31 Suppl

eissn

0968-8080

issn

1460-9576

pii

S0968-8080(08)31375-5

journal_volume

16

pub_type

杂志文章
  • A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples.

    abstract::Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmis...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(12)39639-0

    authors: Crankshaw TL,Matthews LT,Giddy J,Kaida A,Ware NC,Smit JA,Bangsberg DR

    更新日期:2012-12-01 00:00:00

  • Misoprostol preferable to ethacridine lactate for abortions at 13-20 weeks of pregnancy: Cuban experience.

    abstract::Outdated second trimester abortion methods are still being used in some countries, and very few studies have compared them to currently recommended methods.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

    authors: Boza AV,de León RG,Castillo LS,Mariño DR,Mitchell EM

    更新日期:2008-05-01 00:00:00

  • Embodied experiences of prenatal diagnosis of fetal abnormality and pregnancy termination.

    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

    authors: Pitt P,McClaren BJ,Hodgson J

    更新日期:2016-05-01 00:00:00

  • Expanding safer sex options: introducing the female condom into national programmes.

    abstract::Although the female condom has been introduced into over 90 countries since 1997, it has only been accepted in sexual and reproductive health programmes as a mainstream method in a few. This paper describes introductory strategies developed by Ministries of Health and non-governmental organisations in Brazil, Ghana, Z...

    journal_title:Reproductive health matters

    pub_type: 杂志文章,评审

    doi:10.1016/s0968-8080(03)02178-5

    authors: Warren M,Philpott A

    更新日期:2003-05-01 00:00:00

  • Abortion: the Portuguese case.

    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

    authors: Vilar D

    更新日期:2002-05-01 00:00:00

  • Providing family planning services to remote communities in areas of high biodiversity through a Population-Health-Environment programme in Madagascar.

    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

    authors: Mohan V,Shellard T

    更新日期:2014-05-01 00:00:00

  • Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda.

    abstract::The unmet need for family planning in Uganda is among the world's highest. Injectable contraceptives, the most available method, were used by only 14.1% of married women in 2011. Recent data suggest that the main reason for unmet need is not lack of access, but fear of and unacceptability of side effects. In this qual...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(12)40654-1

    authors: Hyttel M,Rasanathan JJ,Tellier M,Taremwa W

    更新日期:2012-12-01 00:00:00

  • Sexual and reproductive health and rights in the United Kingdom at ICPD+10.

    abstract::At the mid-point of the Programme of Action of the 1994 International Conference on Population and Development, we reviewed the situation in the UK in key areas. In recent years, greater attention has been paid to sexual health at a national policy level, including strategies on teenage pregnancy and sexual health, bu...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(05)25182-0

    authors: Davey C

    更新日期:2005-05-01 00:00:00

  • Abortion law reform in Nepal: women's right to life and health.

    abstract::In Nepal, the effects of the low social status of women and lack of access to health care and family planning have resulted in a maternal mortality ratio that is among the highest in South Asia. By the mid-1990s, the contribution of unsafe abortions to maternal deaths and morbidity was acknowledged by key individuals ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)24007-1

    authors: Shakya G,Kishore S,Bird C,Barak J

    更新日期:2004-11-01 00:00:00

  • Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries.

    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

    doi:10.1016/S0968-8080(10)36533-5

    authors: Devries KM,Kishor S,Johnson H,Stöckl H,Bacchus LJ,Garcia-Moreno C,Watts C

    更新日期:2010-11-01 00:00:00

  • Microbicides 2000: report of an international conference, 13-16 March, Washington DC.

    abstract::'Microbicide' is the name for a number of new products currently under research which could become a new class of barrier method for use in the vagina and rectum for protection against HIV, prevention and/or treatment of other sexually transmitted diseases and/or act as a contraceptive. This is a summary report of thi...

    journal_title:Reproductive health matters

    pub_type:

    doi:10.1016/s0968-8080(00)90014-4

    authors: Berer M

    更新日期:2000-05-01 00:00:00

  • Speaking of sex workers: How suppression of research has distorted the United States' domestic HIV response.

    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

    authors: Forbes A

    更新日期:2015-05-01 00:00:00

  • From unwanted pregnancy to safe abortion: Sharing information about abortion in Asia through animation.

    abstract::Although unsafe abortion continues to be a leading cause of maternal mortality in many countries in Asia, the right to safe abortion remains highly stigmatized across the region. The Asia Safe Abortion Partnership, a regional network advocating for safe abortion, produced an animated short film entitled From Unwanted ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2015.06.013

    authors: Krishnan S,Dalvie S

    更新日期:2015-05-01 00:00:00

  • Unsafe abortion and abortion care in Khartoum, Sudan.

    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

    authors: Kinaro J,Ali TE,Schlangen R,Mack J

    更新日期:2009-11-01 00:00:00

  • Achieving effective cervical screening coverage in South Africa through human resources and health systems development.

    abstract::South Africa's cervical screening policy recommends three free Pap smears at ten-year intervals for all women over 30 years of age, aiming to achieve 70% coverage by 2010 by targeting the age group most at risk of developing pre-cancerous cervical lesions. Attaining wide coverage requires an adequate supply of motivat...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)32403-3

    authors: Kawonga M,Fonn S

    更新日期:2008-11-01 00:00:00

  • Task shifting for emergency obstetric surgery in district hospitals in Senegal.

    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

    authors: De Brouwere V,Dieng T,Diadhiou M,Witter S,Denerville E

    更新日期:2009-05-01 00:00:00

  • Educating skilled birth attendants in Mexico: do the curricula meet international confederation of midwives standards?

    abstract::Although the majority of births in Mexico are attended by skilled birth attendants, maternal mortality remains moderately high, raising questions about the quality of training and delivery care. We conducted an exhaustive review of the curricula of three representative schools for the education and clinical preparatio...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(07)30332-7

    authors: Cragin L,DeMaria LM,Campero L,Walker DM

    更新日期:2007-11-01 00:00:00

  • Abortion: the legal right has been won, but not the moral right.

    abstract::In 1978 the abortion law was liberalised in Norway. It permits abortion on request up to 12 weeks of pregnancy, and after that with the agreement of a medical commission, taking the woman's own views into consideration. In 2003, 96% of abortions took place before 12 weeks of pregnancy. There is considerable support am...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)24016-2

    authors: Løkeland M

    更新日期:2004-11-01 00:00:00

  • Clear and compelling evidence: the Polish tribunal on abortion rights.

    abstract::On 25 July 2001 the Polish Federation for Women and Family Planning organised a Tribunal on Abortion Rights in Warsaw, to publicize the negative consequences of the criminalization of abortion in Poland. A panel of Polish and foreign experts heard the testimonials of seven Polish women's experiences under the 1993 "An...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(02)00023-x

    authors: Girard F,Nowicka W

    更新日期:2002-05-01 00:00:00

  • Materno-infantilism, feminism and maternal health policy in Brazil.

    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

    authors: Diniz S

    更新日期:2012-06-01 00:00:00

  • Let's talk about sex work in humanitarian settings: piloting a rights-based approach to working with refugee women selling sex in Kampala.

    abstract::Although it is well known that refugees engage in sex work as a form of livelihood, stigma and silence around this issue persist within humanitarian circles. As a result, these refugees' sexual and reproductive health and rights, and related vulnerabilities, remain overlooked. Their protection and health needs, which ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1405674

    authors: Rosenberg JS,Bakomeza D

    更新日期:2017-11-01 00:00:00

  • HIV treatment and reproductive health in the health system in Burkina Faso: resource allocation and the need for integration.

    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

    authors: Windisch R,de Savigny D,Onadja G,Somda A,Wyss K,Sié A,Kouyaté B

    更新日期:2011-11-01 00:00:00

  • Between intent and achievement in sector-wide approaches: staking a claim for reproductive health.

    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

    authors: Hill PS

    更新日期:2002-11-01 00:00:00

  • The church, the state and women's bodies in the context of religious fundamentalism in the Philippines.

    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

    authors: Ruiz Austria CS

    更新日期:2004-11-01 00:00:00

  • The value of advocacy in promoting social change: implementing the new Domestic Violence Act in South Africa.

    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

    authors: Usdin S,Christofides N,Malepe L,Maker A

    更新日期:2000-11-01 00:00:00

  • A project to improve the quality of abortion services in Moldova.

    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

    authors: Comendant R

    更新日期:2005-11-01 00:00:00

  • Protecting safe abortion in humanitarian settings: overcoming legal and policy barriers.

    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

    authors: Radhakrishnan A,Sarver E,Shubin G

    更新日期:2017-11-01 00:00:00

  • "Sexuality? A million things come to mind": reflections on gender and sexuality by Chilean adolescents.

    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

    authors: Macintyre AK,Montero Vega AR,Sagbakken M

    更新日期:2015-11-01 00:00:00

  • The business of desire: "Russian" bars in Amman, Jordan.

    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

    authors: Beňová L

    更新日期:2017-10-01 00:00:00

  • Where are we now with hormone replacement therapy?

    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

    authors: Mcpherson K

    更新日期:2004-11-01 00:00:00