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Philip D. Darney - One of the best experts on this subject based on the ideXlab platform.

  • risk factors for repeat Elective Abortion
    American Journal of Obstetrics and Gynecology, 2007
    Co-Authors: Sarah Prager, Philip D. Darney, Jody Steinauer, Diana Greene Foster, Eleanor A Drey
    Abstract:

    Objective Repeat Abortions account for 48% of all induced Abortions in the United States. This study aims to identify correlates of repeat Abortion in a US clinic. Study Design This cross-sectional study investigates a consecutive sample of 398 women who received Elective Abortion in an urban hospital. All participants answered demographic, reproductive, and other questions. Results Older women were more likely to have had a previous Abortion than teenagers (odds ratio for women 20-29 years old, 2.9 [95% CI, 1.5-5.7]; odds ratio for women ≥30 years old, 6.7 [95% CI, 2.8-16.0]). Alcohol/drug abuse (odds ratio, 2.6; 95% CI, 1.3-5.3) also correlated with increased odds of previous Abortion. Depo medroxyprogesterone acetate use approached a significant association (odds ratio, 3.2; 95% CI, 1.0-10.5). Conclusion The associations between both alcohol/drug abuse and depo medroxyprogesterone acetate use and repeat Abortion are new findings. Future studies are needed to identify modifiable risk factors for repeat Abortion and to identify populations in which interventions, such as long-term contraception, may lower the risk.

  • reducing maternal mortality due to Elective Abortion potential impact of misoprostol in low resource settings
    International Journal of Gynecology & Obstetrics, 2007
    Co-Authors: Cynthia C Harper, Kelly Blanchard, Daniel Grossman, Jillian T Henderson, Philip D. Darney
    Abstract:

    Over 99% of deaths due to Abortion occur in developing countries. Maternal deaths due to Abortion are preventable. Increasing the use of misoprostol for Elective Abortion could have a notable impact on maternal mortality due to Abortion. As a test of this hypothesis, this study estimated the reduction in maternal deaths due to Abortion in Africa, Asia and Latin America. The estimates were adjusted to changes in assumptions, yielding different possible scenarios of low and high estimates. This simple modeling exercise demonstrated that increased use of misoprostol, an option for pregnancy termination already available to many women in developing countries, could significantly reduce mortality due to Abortion. Empirical testing of the hypothesis with data collected from developing countries could help to inform and improve the use of misoprostol in those settings.

  • misoprostol administered by epithelial routes drug absorption and uterine response
    Obstetrics & Gynecology, 2006
    Co-Authors: Karen R Meckstroth, Alisa B. Goldberg, Amy K Whitaker, Suzanne M Bertisch, Philip D. Darney
    Abstract:

    OBJECTIVE:To quantify and compare serum levels and uterine effects following vaginal (dry), vaginal (moistened), buccal, and rectal misoprostol administration.METHODS:Forty women seeking Elective Abortion between 6 and 12 6/7 weeks were randomly assigned to receive 400 μg of misoprostol by one of fo

  • Manual versus electric vacuum aspiration for early first-trimester Abortion: a controlled study of complication rates.
    Obstetrics and gynecology, 2004
    Co-Authors: Alisa B. Goldberg, Gillian Dean, Mi-suk Kang, Sarah Youssof, Philip D. Darney
    Abstract:

    OBJECTIVE:Manual vacuum aspiration is an alternative to electric suction curettage for first-trimester Elective Abortion. Although many studies have demonstrated that manual vacuum aspiration is safer than sharp curettage for Abortion, only a few studies have directly compared it with electric sucti

  • the effect of training on the provision of Elective Abortion a survey of five residency programs
    American Journal of Obstetrics and Gynecology, 2003
    Co-Authors: Jody Steinauer, Uta Landy, Rebecca A Jackson, Philip D. Darney
    Abstract:

    Abstract Objective: We investigated the correlation of residency Abortion training and other variables with Abortion provision. Study Design: We surveyed obstetrician-gynecologists who graduated from five residency programs. Subjects were asked about demographic characteristics, residency Abortion training, and Abortion provision. We used a logistic regression model that included all variables that were correlated significantly with Abortion provision in univariate analyses. Results: Of 161 physicians (61%) who responded, 131 physicians (83%) participated in Abortion training. Seventy-six physicians (47%) provided Abortions currently, and 95 physicians (58%) had provided Abortions at some time since residency. Three variables were independently, positively correlated with Abortion provision: the number of Abortions that were performed during residency, the gestational age limit of Abortion training, and urban practice. Negatively correlated with provision were membership in a restrictive practice and training outside the teaching hospital. Conclusion: Variables that were indicative of more extensive residency Abortion training were associated positively with the current provision of Abortion. (Am J Obstet Gynecol 2003;188:1161-3.)

Alisa B. Goldberg - One of the best experts on this subject based on the ideXlab platform.

  • without any indication stigma and a hidden curriculum within medical students discussion of Elective Abortion
    Social Science & Medicine, 2018
    Co-Authors: Benjamin Elliot Yelnosky Smith, Alisa B. Goldberg, Deborah Bartz, Elizabeth Janiak
    Abstract:

    Pregnancy termination is a common, beneficial medical procedure, but Abortion care in the United States is stigmatized. Language, including categorization of some Abortions as Elective, may both reflect and convey stigma. We present a history of the term "Elective" in reference to Abortion, followed by data demonstrating its use by a sample of contemporary medical trainees and an analysis of the term's relationship to Abortion stigma, medical training, and patient access to Abortion care. We analyzed interviews with 41 U.S. medical students who had applied to residency programs in obstetrics and gynecology. Participants discussed experiences with, and attitudes toward, Abortion before and during medical school, and plans to perform Abortions in future practice. We inductively coded participants' use of "Elective" in reference to Abortion and analyzed their meanings. Participants did not use "Elective" according to its medical definition, which conveys an absence of urgency for surgery. Instead, "Elective" identified a subset of Abortions that lacked maternal or fetal medical indications. "Elective" negatively marked and isolated some Abortions, and participants used the term to convey judgment about patients' social and reproductive histories. Participants saw medical and psychosocial indications as mutually exclusive, and became confused when interrelated factors influenced patients' Abortion decisions. They ignored the voluntary nature of Abortion in the setting of medical illness, sexual violence, or fetal complications, and accepted discrimination against women seeking Abortion for psychosocial indications as normal and ethical. The term "Elective" enables the creation and perpetuation of Abortion stigma, and contributes to a hidden curriculum for Abortion training in medical education that distracts from core content, incorporates social judgment of patients into medical practice, and promotes normative gender concepts. Our findings support calls to improve the language of Abortion care to ensure policies and training environments are consistent with professional standards.

  • eliminating the phrase Elective Abortion why language matters
    Contraception, 2016
    Co-Authors: Alisa B. Goldberg, Elizabeth Janiak
    Abstract:

    The phrase "Elective Abortion" is often used to describe induced Abortions performed for reasons other than a direct, immediate threat to maternal physical health. We argue that the term "Elective Abortion" is variably defined, misrepresents the complexity and multiplicity of indications for Abortion and perpetuates stigma. In practice, restricting access to Abortion at the legal, regulatory or institutional level based on subjective perceptions of patient need constrains health care providers' ability to act according to their best clinical judgments and limits patient access to care. The phrase "Elective Abortion" should be eliminated from scientific and medical discourse to prevent further damage to the public understanding of the variety of indications for which women require expeditious and equitable access to induced Abortion.

  • misoprostol administered by epithelial routes drug absorption and uterine response
    Obstetrics & Gynecology, 2006
    Co-Authors: Karen R Meckstroth, Alisa B. Goldberg, Amy K Whitaker, Suzanne M Bertisch, Philip D. Darney
    Abstract:

    OBJECTIVE:To quantify and compare serum levels and uterine effects following vaginal (dry), vaginal (moistened), buccal, and rectal misoprostol administration.METHODS:Forty women seeking Elective Abortion between 6 and 12 6/7 weeks were randomly assigned to receive 400 μg of misoprostol by one of fo

  • Manual versus electric vacuum aspiration for early first-trimester Abortion: a controlled study of complication rates.
    Obstetrics and gynecology, 2004
    Co-Authors: Alisa B. Goldberg, Gillian Dean, Mi-suk Kang, Sarah Youssof, Philip D. Darney
    Abstract:

    OBJECTIVE:Manual vacuum aspiration is an alternative to electric suction curettage for first-trimester Elective Abortion. Although many studies have demonstrated that manual vacuum aspiration is safer than sharp curettage for Abortion, only a few studies have directly compared it with electric sucti

Janet M Turan - One of the best experts on this subject based on the ideXlab platform.

  • are there differences in the impact of partner violence on reproductive health between postpartum women and women who had an Elective Abortion
    Journal of Urban Health-bulletin of The New York Academy of Medicine, 2012
    Co-Authors: Vicenta Escribaaguir, Patrizia Romito, Federica Scrimin, Janet M Turan
    Abstract:

    The aim of this study was to determine if the effects of intimate partner violence (IPV) in the previous 12 months (current IPV) on newborn’s health, pregnancy outcomes and couple’s reproductive behaviours were different for postpartum (PP) women as compared to women who had undergone an Elective Abortion (EA) in Trieste (Italy). This study is part of an unmatched case–control study. The major findings are that current IPV was positively associated with previous stillbirth among both groups of women, but the association was only marginally significant. Among EA women only, current IPV was significantly associated with previous miscarriages (adjusted odds ratio, 2.41; 95 %CI, 1.13–5.14). In both groups of women, current IPV was associated with a lack of joint couple decision making about contraception; however, the magnitude of this effect was higher among PP women. This study reveals that IPV was associated with poor obstetrical history among both groups of women. But the associations of current IPV with previous EA and couple reproductive behaviours were stronger among PP women.

  • violence in the lives of women in italy who have an Elective Abortion
    Womens Health Issues, 2009
    Co-Authors: Patrizia Romito, Vicenta Escribaaguir, Laura Pomicino, Chiara Lucchetta, Federica Scrimin, Janet M Turan
    Abstract:

    Background Violence is an important health problem for pregnant women, with numerous studies showing that it may compromise maternal and infant health. Many women who seek an Elective Abortion (EA) live in difficult personal and social circumstances, in which violence often has a central role, yet few studies have analyzed the relationships between violence and having an EA. Objectives To analyze the role of family and partner violence among women seeking an EA, exploring the role of women's age, and controlling for sociodemographic factors. Methods An unmatched, case-control study was carried out in the Trieste Public Hospital, including all consecutive EAs (n = 445) and live births (n = 438). With an anonymous questionnaire, we collected information on sociodemographic characteristics, current violence (psychological, physical, and sexual) perpetrated by a partner or by other family members, and past violence. Results Compared with postpartum women, EA women were significantly more likely to report any type of current and past violence. Among women younger than 30 years old, adjusting for relevant social factors, partner psychological violence and family violence were strongly associated with EA, whereas among women 30 years old or older, there was no association with partner and family violence after adjustment. Conclusion These results highlight the role of violence in the lives of women, especially younger women, seeking an Abortion, and the need for sensitive screening for partner and family violence among these women. Health professionals should be able to recognize violence among women seeking an EA and to support them.

Hauwa Shekerau - One of the best experts on this subject based on the ideXlab platform.

  • correlates of individual level Abortion stigma among women seeking Elective Abortion in nigeria
    International Journal of Women's Health, 2018
    Co-Authors: Ayodeji Oginni, Sikiratu Kailani Ahmadu, Nkiruka Okwesa, Isaac Adejo, Hauwa Shekerau
    Abstract:

    Objective This study aimed to measure individual-level Abortion stigma (ILAS) and determine its correlates among women receiving safe Elective Abortion services. Patients and methods Data were collected from a cross-section of women who received safe Elective Abortion services in select intervention health facilities. Respondents were recruited through a self-selection sampling. ILAS was assessed using a 16-item scale (Cronbach's alpha =0.9122). Respondents were categorized as high (summed score >40) or low ILAS (summed score ≤40) on a spectrum of a summed minimum score of 16 to a maximum score of 64. A log-binomial regression model was constructed to determine the ILAS correlates. Results Among 382 respondents, 43% expressed high ILAS. Women's age and education, provider's cadre and type of Abortion procedure were significant correlates in the model. Older women (age 25-34 and age ≥35) were less likely (prevalence ratio [PR]=0.60 and 0.39, p<0.001) to express high ILAS than the younger women (age ≤24); those with higher educational status were more likely to express (PR=1.64, p<0.05) high ILAS than those with None/Primary education; those who had medical Abortion were less likely (PR=0.54, p<0.01) to express high ILAS than those who had surgical Abortion; and lastly, those who received care from midlevel providers were more likely (PR=1.31, p<0.05) to express high ILAS than those who received care from physicians. Conclusion High ILAS still exists among women accessing safe Elective Abortion care in Nigeria. Therefore, interventions at all levels of the socioecological model of Abortion stigma need to be considered to address this societal problem that affects and impacts women.

Sara Boemi - One of the best experts on this subject based on the ideXlab platform.

  • evidence for hpv dna in the placenta of women who resorted to Elective Abortion
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Maria Teresa Bruno, Salvatore Caruso, Francesca Bica, Giulia Arcidiacono, Sara Boemi
    Abstract:

    It is believed that HPV infection can result in the death of placental trophoblasts and cause miscarriages or preterm birth. In clinical cases of placental villi positive for HPV DNA reported by other authors, contamination is suspected in the act of crossing the cervical canal. We analyzed placental samples of women who resorted to Elective Abortion obtained by hysterosuction of ovular material, bypassing any contact with the cervical canal and vagina. We studied the chorionic villi of the placenta of 64 women who resorted to voluntary termination of pregnancy, in the first trimester. To avoid contamination of the villi by the cervical canal, we analyzed placental samples obtained by hysterosuction of ovular material, bypassing any contact with the cervical canal and vagina. All samples of chorionic villi were manually selected from the aborted material and subjected to research for HPV DNA. HPV DNA was detected in 10 out of 60 women (16.6%). The HPV DNA identified in the placenta belonged to genotypes 6, 16, 35, 53, and 90. The study shows that papillomavirus DNA can infect the placenta and that placenta HPV infection can occur as early as the first trimester of pregnancy.

  • Evidence for HPV DNA in the placenta of women who resorted to Elective Abortion
    'Springer Science and Business Media LLC', 2021
    Co-Authors: Maria Teresa Bruno, Salvatore Caruso, Francesca Bica, Giulia Arcidiacono, Sara Boemi
    Abstract:

    Abstract Background It is believed that HPV infection can result in the death of placental trophoblasts and cause miscarriages or preterm birth. In clinical cases of placental villi positive for HPV DNA reported by other authors, contamination is suspected in the act of crossing the cervical canal. We analyzed placental samples of women who resorted to Elective Abortion obtained by hysterosuction of ovular material, bypassing any contact with the cervical canal and vagina. Methods We studied the chorionic villi of the placenta of 64 women who resorted to voluntary termination of pregnancy, in the first trimester. To avoid contamination of the villi by the cervical canal, we analyzed placental samples obtained by hysterosuction of ovular material, bypassing any contact with the cervical canal and vagina. All samples of chorionic villi were manually selected from the aborted material and subjected to research for HPV DNA. Results HPV DNA was detected in 10 out of 60 women (16.6%). The HPV DNA identified in the placenta belonged to genotypes 6, 16, 35, 53, and 90. Conclusion The study shows that papillomavirus DNA can infect the placenta and that placenta HPV infection can occur as early as the first trimester of pregnancy