Misoprostol in Midtrimester Termination of Pregnancy

Author: Asmaa Kadhim Al-Sarraji
Publisher: LAP Lambert Academic Publishing
ISBN: 9783659436918
Category :
Languages : en
Pages : 68

Book Description
The development of safe and effective technique for 2nd trimester termination of pregnancy and intrauterine fetal death become a major clinical challenge. Different management protocols are continuously revised to achieve improved success rates and reduced discomfort for the patients. The introduction of PGs in the early 1970s has revolutionized the management protocols in this area. PG analogue alone or in combination with mifeprostone have been shown to be effective for the 2nd trimester termination of pregnancy.

The Safety and Quality of Abortion Care in the United States

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309468183
Category : Medical
Languages : en
Pages : 223

Book Description
Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.

Safe Abortion

Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241590343
Category : Medical
Languages : en
Pages : 107

Book Description
At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.

Second Trimester Pregnancy Termination

Author: M.J.N.C. Keirse
Publisher: Springer
ISBN:
Category : Medical
Languages : en
Pages : 228

Book Description
Views and attitudes. towards termination of pregnancy have shown con siderable evolution over the past few decades. Along with these changes has come a growing concern to adopt means and methods which could make termination easier, safer and more effective. In this evolution, termination in the second trimester in par~icular is notable as being responsible for a dis proportionate share ofthe complications and adverse experiences associated with pregnancy termination. Although the almost universal shift towards earlier abortion has reduced the number of second trimester procedures as a percentage of the whole, the problems of interrupting pregnancy in the second trimester remain conspicuous. Delay in either seeking or obtaining abortion is still, in many parts of the world, all too frequent. AdditiDnally, recent developments in the prenatal diagnosis of fetal malformations, alphafeto protein screening programmes and changes in the pattern of and approaches to intrauterine fetal death now also place greater emphasis on the need for adequate methods of interrupting pregnancy in the second trimester. Unlike the first trimester in which vacuum aspiration is universally con sidered to be the method of choice, in the second trimester of pregnancy the clinician is faced with alternatives; one method may be more appropriate than another in a particular circumstance and no single method is unequivocall~ accepted as best. Neither do second trimester terminations form a neatly defined single category.

Evidence-based Obstetrics and Gynecology

Author: Errol R. Norwitz
Publisher: John Wiley & Sons
ISBN: 1444334336
Category : Medical
Languages : de
Pages : 646

Book Description
The most comprehensive evidence-based guide to both obstetrics and gynecology Aimed at practicing obstetricians, gynecologists, and trainees in the specialty, Evidence-based Obstetrics and Gynecology concentrates on the clinical practice areas of diagnosis, investigation and management. The first section of the book discusses evidence-based medicine methodology in the context of the two specialties. The second and third sections cover all the major conditions in obstetrics and gynecology, with each chapter reviewing the best available evidence for management of the particular condition. The chapters are structured in line with EBM methodology, meaning the cases generate the relevant clinical questions. Evidence-based Obstetrics and Gynecology provides in-depth chapter coverage of abnormal vaginal bleeding; ectopic pregnancy; pelvic pain; lower genital tract infections; contraception and sterilization; breast diseases; urogynecology; endocrinology and infertility; puberty and precocious puberty; cervical dysplasia and HPV; cervical, vaginal, vulvar, uterine, and ovarian cancer; preconception care; prenatal care and diagnosis; drugs and medications in pregnancy; maternal complications; chronic hypertension; diabetes mellitus; thyroid disease; neurologic disease; psychiatric disease; postterm pregnancy; fetal complications; preeclampsia; and more. First book to address evidence-based practice for obstetrics and gynecology combined EBM is a highly relevant approach for this high risk specialty Edited by leading US specialist involved in the evidence-based medicine movement Evidence-Based Obstetrics and Gynecology is an important text for obstetricians and gynecologists in practice and in training, as well as for specialist nurses.

Medical Management of Abortion

Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241550406
Category : Medical
Languages : en
Pages : 72

Book Description
Medical abortion care encompasses the management of various clinical conditions including spontaneous and induced abortion (both viable and non-viable pregnancies) incomplete abortion and intrauterine fetal demise as well as post-abortion contraception. Medical management of abortion generally involves either a combination regimen of mifepristone and misoprostol or a misoprostol-only regimen. Medical abortion care plays a crucial role in providing access to safe effective and acceptable abortion care. In both high- and low-resource settings the use of medical methods of abortion have contributed to task shifting and sharing and more efficient use of resources. Moreover many interventions in medical abortion care particularly those in early pregnancy can now be provided at the primary-care level and on an outpatient basis which further increases access to care. Medical abortion care reduces the need for skilled surgical abortion providers and offers a non-invasive and highly acceptable option to pregnant individuals.

Second-Trimester Abortion

Author: G. Berger
Publisher: Springer Science & Business Media
ISBN: 9400982933
Category : Medical
Languages : en
Pages : 343

Book Description
Irvin M. Cushner, MD, MPH It is both remarkable and, at the same time, a sign of this era of rapid change that one can refer back to the "infancy" of a field which has existed for barely more than a decade. Yet, one now reads of the "maturing" of the family planning and abortion fields, both of which were incorporated into our society and integrated into our health care system within the past ten years. Indeed, in the very year that this book is being prepared, we note the tenth anniversaries of several significant events of 1970: 1) the enactment of Title X of the Public Health Service Act, establishing a Federal program in family planning; 2) the first issuance by a major health-related organization (the APHA) of a policy statement advocating repeal of all abortion laws; and 3) the enactment, by New York State, of an abortion law whose only restric tion was that it be performed by a licensed physician and the subse quent action, the first by any local health department (New York City), to assure both its implementation and its quality. They were, indeed, eventful days. These three events seemed to presage a then-unprecedented acceptance of fertility regulation as a right and as a needed service.

Abortion Care

Author: Sam Rowlands
Publisher: Cambridge University Press
ISBN: 110764738X
Category : Health & Fitness
Languages : en
Pages : 279

Book Description
This multidisciplinary review of abortion is invaluable reading for clinicians and other care providers in the area of women's health.

Management and Therapy of Early Pregnancy Complications

Author: Antonio Malvasi
Publisher: Springer
ISBN: 3319313770
Category : Medical
Languages : en
Pages : 367

Book Description
This richly illustrated book draws on recently acquired knowledge to provide the reader with comprehensive, up-to-date information on the full range of obstetric complications that may be encountered during the first and second trimesters of pregnancy. For all complications, including those potentially involved in malpractice issues, risk factors and clinical presentation are described and detailed guidance is provided on the appropriate treatment. The lucid text is complemented by a wealth of images, diagrams, flow charts, and drawings. The volume has been compiled in collaboration with a large group of gynecologists, obstetricians and internationally renowned scientists to provide an essential guide. Accordingly, this book will be a valuable tool for every obstetrician and gynecologist. Practitioners across the world will be enabled to deepen their knowledge and to refine their approach to complications in daily clinical practice.

Dewhurst's Textbook of Obstetrics and Gynaecology

Author: Keith Edmonds
Publisher: John Wiley & Sons
ISBN: 0470753331
Category : Medical
Languages : en
Pages : 750

Book Description
This time honoured classic has been re-built completely: after sixeditions the editor has decided that a radical revision isnecessary. The new edition has been developed as a result ofintensive consultation with trainees in OB/GYN as to what theywant, what they need and how they learn. The book is organised into two halves covering obstetrics andgynaecology. Within each, the chapters are structured into sectionscontaining pedagogic features such as boxes, highlights and keypoints for the first time. It contains everything the clinicianneeds to practice the art of obstetrics and gynaecology andsufficient information to help sub-specialists develop theirspecific interests. This text is recommended reading for the RoyalCollege of Obstetrics and Gynaecology membership examination. This seventh edition contains 21 new chapters: Anatomy of the Pelvis and Reproductive Tract Placenta and Fetal Membranes Antenatal Care Anaesthesia and Analgesia Recurrent Miscarriage Ectopic Pregnancy Trophoblastic Disease Genetics and Prenatal Diagnosis Drugs and Pregnancy Obstetric Emergencies Prolonged Pregnancy Renal Disease Termination of Pregnancy Imaging in Gynaecology PMS Assisted Reproduction Hysteroscopy and Laparoscopy Sexual Dysfunction Psychological Aspects of Pregnancy Domestic Violence and Sexual Assault - now on MRCOG curriculum Ethical Dilemmas This seventh edition has been significantly updated with a widerange of internationally renowned contributors who are all expertsin their field, bringing this book to the cutting edge of knowledgein obstetrics and gynaecology. "It was my favourite textbook when I was working for myexaminations and I am still using it. I can recommend this editionto current trainees wholeheartedly. It is certainly worth buying."Journal of Obstetrics and Gynaecology