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Clare Oliverwilliams - One of the best experts on this subject based on the ideXlab platform.
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the risk of cardiovascular disease in women after miscarriage stillbirth and Therapeutic Abortion a protocol for a systematic review and meta analysis
Systematic Reviews, 2020Co-Authors: Charlotte Muehlschlegel, Harry Kyriacou, Abdulrahman Almohammad, Lowri A Fosterdavies, Fiona Simmonsjones, Clare OliverwilliamsAbstract:Cardiovascular disease (CVD) is the leading cause of death in women, responsible for approximately a third of all female deaths. Pregnancy complications are known to be associated with a greater risk of incident CVD in mothers. However, the relationships between pregnancy loss due to miscarriage, stillbirth, or Therapeutic Abortion, and future maternal cardiovascular health are under-researched. This study seeks to provide an up-to-date systematic review and meta-analysis of the relationship between these three forms of pregnancy loss and the subsequent development of CVD. This systematic review will follow the Preferred Reporting Items for Systematic Review and Meta-Analysis checklist (PRISMA) and the Meta-analyses Of Observational Studies in Epidemiology (MOOSE) Checklist. A systematic search will be undertaken using publications identified in MEDLINE (PubMed), Scopus, Web of Knowledge, the CINAHL Nursing Database, and the Cochrane Library. The eligibility of each publication will be determined by predefined selection criteria. The quality of the included studies will be rated using the Newcastle-Ottawa Scale. Pooled measures of association will be computed using random-effects model meta-analyses. Between-study heterogeneity will be assessed using the I2 statistic and the Cochrane χ2 statistic. Small study effects will be evaluated for meta-analyses with sufficient studies through the use of funnel plots and Egger’s test. The results of this systematic review will discuss the long-term risks of multiple types of cardiovascular disease in women who have experienced miscarriage, stillbirth, and/or Therapeutic Abortion. It will contribute to the growing field of cardio-obstetrics as the first to consider the full breadth of literature regarding the association between all forms of pregnancy loss and future maternal cardiovascular disease. PROSPERO registration number [CRD42020167587]
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changes in association between previous Therapeutic Abortion and preterm birth in scotland 1980 to 2008 a historical cohort study
PLOS Medicine, 2013Co-Authors: Clare Oliverwilliams, Michael Fleming, Kirsten Monteath, Angela M Wood, Gordon C S SmithAbstract:Background Numerous studies have demonstrated that Therapeutic termination of pregnancy (Abortion) is associated with an increased risk of subsequent preterm birth. However, the literature is inconsistent, and methods of Abortion have changed dramatically over the last 30 years. We hypothesized that the association between previous Abortion and the risk of preterm first birth changed in Scotland between 1 January 1980 and 31 December 2008. Methods and Findings We studied linked Scottish national databases of births and perinatal deaths. We analysed the risk of preterm birth in relation to the number of previous Abortions in 732,719 first births (≥24 wk), adjusting for maternal characteristics. The risk (adjusted odds ratio [95% CI]) of preterm birth was modelled using logistic regression, and associations were expressed for a one-unit increase in the number of previous Abortions. Previous Abortion was associated with an increased risk of preterm birth (1.12 [1.09–1.16]). When analysed by year of delivery, the association was strongest in 1980–1983 (1.32 [1.21–1.43]), progressively declined between 1984 and 1999, and was no longer apparent in 2000–2003 (0.98 [0.91–1.05]) or 2004–2008 (1.02 [0.95–1.09]). A statistical test for interaction between previous Abortion and year was highly statistically significant (p<0.001). Analysis of data for Abortions among nulliparous women in Scotland 1992–2008 demonstrated that the proportion that were surgical without use of cervical pre-treatment decreased from 31% to 0.4%, and that the proportion of medical Abortions increased from 18% to 68%. Conclusions Previous Abortion was a risk factor for spontaneous preterm birth in Scotland in the 1980s and 1990s, but the association progressively weakened and disappeared altogether by 2000. These changes were paralleled by increasing use of medical Abortion and cervical pre-treatment prior to surgical Abortion. Although it is plausible that the two trends were related, we could not test this directly as the data on the method of prior Abortions were not linked to individuals in the cohort. However, we speculate that modernising Abortion methods may be an effective long-term strategy to reduce global rates of preterm birth. Please see later in the article for the Editors' Summary
Noles Cotito - One of the best experts on this subject based on the ideXlab platform.
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hacia la implementacion del aborto terapeutico en el peru haciendo viable el aborto legal en el peru analisis a partir del caso karen llantoy towards the implementation of Therapeutic Abortion in peru case study karen llantoy v peru
Social Science Research Network, 2008Co-Authors: Noles Cotito, Mariela InesAbstract:Spanish Abstract: A partir de la teoria del diseno de Politicas Publicas, evaluamos la posicion del Estado peruano de no regular la institucion legal del aborto terapeutico a pesar de las decisiones internacionales en contrario, a traves de la decision politica de no decidir sobre el asunto. Ademas, revisamos algunos elementos que contribuyen a esta decision politica a partir del Estudio de caso: Karen Llantoy v. Peru We use the Public Policy Theory to evaluate the political decision of Peru of not deciding on the matter of Therapeutic Abortion although it is legal in the country. In order to illustrate our assertions we use the Karen Llantoy case (Communication 1153/2003 of the Human Rights Committee of the United Nations of 10/24/2005)Nota: A la fecha, el Estado Peruano finalmente ha emitido la Guia Tecnica Nacional para la estandarizacion del procedimiento de la Atencion Integral de la gestante en la Interrupcion Voluntaria por Indicacion Terapeutica del Embarazo menor de 22 semanas con consentimiento informado en el marco de lo dispuesto en el articulo 119 del Codigo Penal, reglamento que permite la aplicacion nacional del aborto terapeutico el 27 de junio de 2014.English Abstract: We use the Public Policy Theory to evaluate the political decision of Peru of not deciding on the matter of Therapeutic Abortion although it is legal in the country. In order to illustrate our assertions we use the Karen Llantoy case (Communication 1153/2003 of the Human Rights Committee of the United Nations of 10/24/2005)Note: To date the Peruvian government has enacted the Technical Guide that enables the national application of the Therapeutic Abortion nationally when solicited.
Mariela Ines - One of the best experts on this subject based on the ideXlab platform.
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hacia la implementacion del aborto terapeutico en el peru haciendo viable el aborto legal en el peru analisis a partir del caso karen llantoy towards the implementation of Therapeutic Abortion in peru case study karen llantoy v peru
Social Science Research Network, 2008Co-Authors: Noles Cotito, Mariela InesAbstract:Spanish Abstract: A partir de la teoria del diseno de Politicas Publicas, evaluamos la posicion del Estado peruano de no regular la institucion legal del aborto terapeutico a pesar de las decisiones internacionales en contrario, a traves de la decision politica de no decidir sobre el asunto. Ademas, revisamos algunos elementos que contribuyen a esta decision politica a partir del Estudio de caso: Karen Llantoy v. Peru We use the Public Policy Theory to evaluate the political decision of Peru of not deciding on the matter of Therapeutic Abortion although it is legal in the country. In order to illustrate our assertions we use the Karen Llantoy case (Communication 1153/2003 of the Human Rights Committee of the United Nations of 10/24/2005)Nota: A la fecha, el Estado Peruano finalmente ha emitido la Guia Tecnica Nacional para la estandarizacion del procedimiento de la Atencion Integral de la gestante en la Interrupcion Voluntaria por Indicacion Terapeutica del Embarazo menor de 22 semanas con consentimiento informado en el marco de lo dispuesto en el articulo 119 del Codigo Penal, reglamento que permite la aplicacion nacional del aborto terapeutico el 27 de junio de 2014.English Abstract: We use the Public Policy Theory to evaluate the political decision of Peru of not deciding on the matter of Therapeutic Abortion although it is legal in the country. In order to illustrate our assertions we use the Karen Llantoy case (Communication 1153/2003 of the Human Rights Committee of the United Nations of 10/24/2005)Note: To date the Peruvian government has enacted the Technical Guide that enables the national application of the Therapeutic Abortion nationally when solicited.
Charlotte Muehlschlegel - One of the best experts on this subject based on the ideXlab platform.
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the risk of cardiovascular disease in women after miscarriage stillbirth and Therapeutic Abortion a protocol for a systematic review and meta analysis
Systematic Reviews, 2020Co-Authors: Charlotte Muehlschlegel, Harry Kyriacou, Abdulrahman Almohammad, Lowri A Fosterdavies, Fiona Simmonsjones, Clare OliverwilliamsAbstract:Cardiovascular disease (CVD) is the leading cause of death in women, responsible for approximately a third of all female deaths. Pregnancy complications are known to be associated with a greater risk of incident CVD in mothers. However, the relationships between pregnancy loss due to miscarriage, stillbirth, or Therapeutic Abortion, and future maternal cardiovascular health are under-researched. This study seeks to provide an up-to-date systematic review and meta-analysis of the relationship between these three forms of pregnancy loss and the subsequent development of CVD. This systematic review will follow the Preferred Reporting Items for Systematic Review and Meta-Analysis checklist (PRISMA) and the Meta-analyses Of Observational Studies in Epidemiology (MOOSE) Checklist. A systematic search will be undertaken using publications identified in MEDLINE (PubMed), Scopus, Web of Knowledge, the CINAHL Nursing Database, and the Cochrane Library. The eligibility of each publication will be determined by predefined selection criteria. The quality of the included studies will be rated using the Newcastle-Ottawa Scale. Pooled measures of association will be computed using random-effects model meta-analyses. Between-study heterogeneity will be assessed using the I2 statistic and the Cochrane χ2 statistic. Small study effects will be evaluated for meta-analyses with sufficient studies through the use of funnel plots and Egger’s test. The results of this systematic review will discuss the long-term risks of multiple types of cardiovascular disease in women who have experienced miscarriage, stillbirth, and/or Therapeutic Abortion. It will contribute to the growing field of cardio-obstetrics as the first to consider the full breadth of literature regarding the association between all forms of pregnancy loss and future maternal cardiovascular disease. PROSPERO registration number [CRD42020167587]
Jo Ann Rosenfeld - One of the best experts on this subject based on the ideXlab platform.
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emotional responses to Therapeutic Abortion
American Family Physician, 1992Co-Authors: Jo Ann RosenfeldAbstract:Healthy women who choose to terminate an unintended pregnancy in the first trimester have few serious or negative emotional consequences. Although a few women may have ambivalent feelings or feelings of guilt, most have a sense of relief and other positive reactions. However, the emotional response of a woman and her family to Therapeutic Abortion is complicated. A number of factors may help identify women at risk of emotional difficulty and depressive symptoms after Abortion. Women who terminate their pregnancy during the second trimester, have a history of multiple Abortions, have preexisting psychiatric problems or perceive a lack of support at home are more likely to have emotional difficulty. Women who have an Abortion for medical or genetic reasons are at increased risk of developing depressive symptoms.