Socionormative barriers further complicate access to safe abortion and postabortion care pac in drc, where fear of abortionrelated stigma may lead. Caring for yourself after an abortion planned parenthood. Supporting this, the rcog provides a best practice guide. Chapter 8 postabortal care learning objectives by the end of this chapter, the participant will. Post abortion problems are rare but, as with all medical procedures, we are concerned about infection and too much bleeding. Ab119e post operative instructions planned parenthood. Pdf safe abortion care, utilization of post abortion. Pdf psychological consequences of abortion among the post.
As one of the worlds leading prochoice organisations, we are unapologetic in our defence of a womans right to abortion, and we are proud to provide safe abortion services wherever the law permits. Although obria medical clinics doesnt perform or refer for abortions, we do provide informational resources regarding abortion so that, in the event you or someone you know has an abortion, youll know what is considered a normal response versus an abnormal response. Postabortion care may be required when a woman experiences abortion that is deliberately induced, by the woman herself or by another, or that occurs spontaneously. It has four interrelated components and these constitute the major focus for pac performance standards. A reference manual for improving quality of care, which was published by the postabortion care consortium.
For some women struggling with a past abortion, seclusion from those memories can create the illusion that what. Call 18002307526 between the hours of 8 am and 5 pm. Pdf in this comment we chronicle the development and expansion of a postabortion care model designed to promote interventions that address. Postabortion care services for youth and adult clients in kenya. A service delivery toolkit supply guidance and tools. Postabortion care 1 for managing complications of spontaneous and unsafe abortion. Health systems capacity to provide postabortion care. Structural barriers such as a restrictive legal environment, limited medical resources, and high costs inhibit access to safe abortion in the democratic republic of the congo drc.
Suggested outline pdf file, 18k to help design your presentation questions pdf file, 15k you may use as an introductory activity. Essential elements of postabortion care guttmacher institute. Spotting or bleeding which may be continuous or may start and stop several times over the three weeks following the abortion. Complications from spontaneous abortions and unsafely induced abortions pose a serious global threat to womens health and lives. Caring for yourself after an abortion planned parenthood of. The service you actually provide will depend on care protocols in your specific site. A number of fp2020s core indicators pertain to postabortion care. Caring for yourself after an abortion is important. Aug 12, 20 abortion is an important public health problem in sub saharan africa.
The background and rationale for pac can be found in this reference manual. This postabortion care curriculum was developed after wide consultation. Jan 21, 2014 barriers and facilitators in the provision of post abortion care norms and values with regard to abortion. When highquality post abortion care is available, the morbidity and mortality associated with unsafe or incomplete abortions can be greatly reduced. View post abortion care research papers on academia.
It has stated that both women who have terminated a pregnancy through unsafe, unhygienic, and often illegal abortions, and those who have utilized elective induced abortion services as allowed by. The following steps should be taken to manage post abortion complications. The informants described different types of abortion. A practical guide, whos complications of abortion, technical and managerial guidelines for prevention and treatment and the postabortion care. Recognize postabortal care as an essential component of emergency obstetrical care and that it should be. National abortion federation clinical policy guidelines can be accessed on the internet at. Nickson nyakundi from marie stopes shades more light on post abortion care services in our. A practical guide, whos complications of abortion, technical and managerial guidelines for prevention and treatment and the post abortion care. Bleeding patterns after early abortion with mifepristone and misoprostol or manual vacuum aspiration. Access to legal abortion is rare, and limited to circumstances of rape, incest, fetal impairment, or to save the womans life.
Home post abortion care restores blog finding the strength to heal after an abortion to escape from an experience we may not want to remember, our minds may construct a protective screen, closing us off from the event. A training curriculum, engenderhealth nurses, midwives, social workers, and counselors and whatever other staff hold primary counseling responsibility should attend the full training. An introductory guidebook pdf file misoprostol for treatment of incomplete abortion. Educational resources national abortion federation. Efforts to address abortion and abortion mortality can contribute to the attainment of the millennium. At a later stage of pregnancy, this may be defined as miscarriage. Best practice in comprehensive postabortion care 3 royal college of obstetricians and gynaecologists best practice paper no 3 if the woman is in septic shock, start iv fluids normal saline or hartmanns. Quality family planning, safe abortion, and post abortion care services for women and girls in settings of protracted or chronic crisis. Womancentered, comprehensive abortion care trainers. All of these factors stand in the way of malawian women and young girls being able to access quality postabortion care services. Postabortion care comprises the comprehensive health care provided to dients with problems of incomplete abortion, the experience of or having had an abortion. Reference manual may be used for countries where there are no legal indications for induced abortion, where there are significant restrictions on induced abortion, or where there is a need to strengthen a particular component of pac, such as postabortion. This abstract can be submitted as a professional conference workshop proposal.
Post abortion care services for youth and adult clients in kenya. The objective of this study is to expand the research findings of these four. A reference manual for improving quality of care, post abortion care consortium 1995. Health care provider a week in advance for your 3 week check.
An estimated 46 million induced abortions are performed annually. Women who are taking anticoagulants or have bleeding disorders may be at increased risk of bleeding with abortion. Respecting a clients right to confidentiality absolute respect for the patients right to privacy, discretion. Barriers and facilitators in the provision of postabortion care norms and values with regard to abortion. Sep 22, 2017 every year, many women in kenya become victims of unsafe abortions which put their lives at risk.
Abortion and post abortion care linkedin slideshare. Any woman who presents with complications of unsafe abortion or miscarriage needs immediate highquality care. Substantial gaps exist in the onsite provision of contraceptive methods and family planning counseling to postabortion patients. Comprehensive postabortion care best practice paper no. Empower and serve post abortion women of all ages to prevent unintended pregnancies and further. The who has also established that postabortion family planning is an essential element of postabortion care.
Post abortion care1 free download as powerpoint presentation. Best practice in comprehensive postabortion care 1 royal college of obstetricians and gynaecologists best practice paper no 3 introduction each year, 22 million unsafe abortions are estimated to take place, resulting in approximately 47 000 deaths. Abortionpsychological aspectsoutlines, syllabi, etc. Barriers and facilitators in the provision of post. Background zimbabwe has the highest contraceptive prevalence rate in subsaharan africa, but also one of the highest maternal mortality ratios in the world. Over the last five years, comprehensive national surveys of the cost of postabortion care pac to national health systems have been undertaken in ethiopia, uganda, rwanda and colombia using a specially developed costing methodologythe postabortion care costing methodology paccm. Who standards for management of postabortion complications. Abortion either medical or criminal has distinctive physical, social, and psychological side effects. Normal recovery following your abortion you may experience one or more of the following.
Trainers manual, which includes trainer instructions, activity materials and competencybased evaluation and other. To date, emphasis has been on the treatment of the medical emergency using mva, which is only one aspect of pac. Detecting types and frequent psychological side effects of abortion among post abortion care. Little is known, however, about the incidence of abortion and postabortion care pac in zimbabwe. If you need to speak to a clinician after the health centers are closed, call the afterhours telephone number referenced on the paperwork you received at. Post abortion care may be required when a woman experiences abortion that is deliberately induced, by the woman herself or by another, or that occurs spontaneously. Abortion and abortion care factsheet the pshe association. Postabortion care pac consists of emergency treatment for. Services should be responsive to each womans particular circumstances and needs. Recognize post abortal care as an essential component of emergency obstetrical care and that it should be.
Postabortion care pac postabortion care is the management of a medical emergency it is care for women with complications of abortion you are already providing pac services our aim is to improve the quality and expand the services available. There is a clear need for improving the quality of postabortion care and for scaling up the use of safer, whorecommended methods for postabortion care, such as mva and medication abortion. Every year, many women in kenya become victims of unsafe abortions which put their lives at risk. List the methods of medical and surgical post abortal care. Womancentered, comprehensive abortion care trainers manual.
Effective, safe and simple interventions exist for safe abortion and post abortion care. Discuss the impact of unsafe abortion on maternal morbidity and mortality. Ten years after cairo by gunta lazdane 4 the state of medical abortion in europe today by hillary bracken and beverly winikoff 7 abortion safety challenged in sweden by silvia sjodahl 10 why ippf has chosen abortion as one of the five as by jeffrey v. Please keep a copy of this sheet until after your 3 week. Spontaneous abortions were described as uncontrollable and undesired, and perceived to need extra care. Providing access to safe abortion and post abortion care is at the core of our mission. Study setting this study involved research on women who sought post abortion services. Health system and patient cost for scaling up post abortion and post abortion care family planning services in tanzania, 2018. Transfer to a specialist unit for surgical uterine evacuation. In many highvolume sites, nonphysician staff take the first call phone coverage and see patients for routine followup. Two recent, large, registrybased cohort studies found that 12% of patients who underwent firsttrimester surgical abortion had bleeding that necessitated a visit or secondary surgical intervention 7,8. Provision of counseling should be an integral part of comprehensive postabortion care pac services.
Our mission is to ensure safe, legal, and accessible abortion care, which promotes health and justice for women. Addressing policy guidelines or advocacy to increase access to pac services. Reproductive healthfamily planning policy guidelines and standards for service. Pdf psychological consequences of abortion among the. Training guide pdf file misoprostol for treatment of incomplete abortion powerpoint presentation ppt file misoprostol use in postabortion care. Providing access to safe abortion and postabortion care is at the core of our mission. Minimum standard for the provision of emergency management of postabortion complications by level of health care facility and staff. A reference manual for improving quality of care, postabortion care consortium 1995 postabortion care pac is the strategy to reduce death and suffering from.
The national abortion federation is the professional association of abortion providers. Philosophers and the issue of abortion page 1 of 6 72700 philosophers and the issue of abortion published in essays in the philosophy of humanism, m. Post abortion womens perceptions of utilizing long acting. Abortions and post abortion care linkedin slideshare. Results from senegal senegal has recently emerged as a leader in west africa in the extension of postabortion care pac. Ethical responsibilities in postabortion care figo. Clinical training postabortion reproductive health. For women with spontaneous abortion or those whose abortion was performed unsafely, postabortion care can reduce.
General guidelines for management of vaginal bleeding. Clinical training for reproductive health in emergencies. Those planning to conduct pac training courses should obtain the womancentered, comprehensive abortion care. Abortion is an important public health problem in sub saharan africa. However, ciac does not provide presentation materials. To escape from an experience we may not want to remember, our minds may construct a protective screen, closing us off from the event. Barriers and facilitators in the provision of postabortion. Chapter 8 post abortal care learning objectives by the end of this chapter, the participant will. Staff is available 24 hours a day to answer your questions or discuss concerns. Classification clinical, onset, legal magnitude global, africa, ethiopia spontaneous, induced outcome and complications cost to the health system 3. Supporting access to family planning and postabortion. Aip chapter 8 post abortal care, 4th edition glowm.
Care s supporting access to family planning and post abortion care safpac initiative aims to reduce unintended pregnancies and deaths from unsafe abortion by increasing access to. However, most available training materials on postabortion counseling focus. The study was carried out in the emergency gynecological ward of mulago national referral and university teaching hospital from 3rd february 2014 to 14th march 2014. A public health approach based on primary, secondary and tertiary prevention can reduce the rate of mortality associated with induced abortion in developing countries. When highquality postabortion care is available, the morbidity and mortality associated with unsafe or incomplete abortions can be greatly reduced. Deliberately inducing abortion may be lawful or unlawful, depending on locally prevailing laws. This second edition of ipass womancentered postabortion care. The best practices described are drawn from current evidencebased guidance produced by organisations such as the world health organization who, the royal college of obstetricians and gynaecologists, and ipas. Endale and others published safe abortion care, utilization of post abortion contraception and associated factors, jimma ethiopia find, read and cite all the. Post abortion women are at risk of pregnancy almost immediately. This paper describes the extension of pac to the district level in senegal, where complications of abortion continue to claim too many womens lives. Safe abortion and postabortion care marie stopes international.
Because of this concern, many clinicians discontinue anticoagulants before abortion, a practice that may increase a patients overall risk, depending on the reason for anticoagulation. Reproductive health access information and services in emergencies initiative. This section introduces the trainee to the essentials of postabortion care and followup. This document is part of the clinicians in abortion care ciac abstract series. Around 5 million women suffer injury as a result of complications due to unsafe abortion.