Provider and Women Characteristics as Risk Factors for Postpartum Copper IUD Expulsion and Discontinuation in Nepal.
CONCLUSION: The findings highlight the need for increased training and supervision of providers during their first 10 PPIUD insertions. Counselling on risk of expulsion may especially benefit younger and Dalit women, and should include partners and other family members to avoid any stigma surrounding PPIUD use by women whose partner is away from home for a prolonged period. PMID: 33544562 [PubMed - as supplied by publisher] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - February 7, 2021 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Women's Perspectives on Contraceptive-Induced Amenorrhea in Burkina Faso and Uganda.
CONCLUSIONS: Addressing misconceptions about contraception and menstruation may result in more informed method decision making. PMID: 33544563 [PubMed - as supplied by publisher] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - February 7, 2021 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Assessing Readiness to Provide Comprehensive Abortion Care in the Democratic Republic of the Congo After Passage of the Maputo Protocol.
CONCLUSIONS: Most DRC facilities were not ready to provide comprehensive abortion care. Improving supplies of vital health commodities will improve readiness, and has the potential to reduce the prevalence of unplanned pregnancies and future demand for abortions. PMID: 33326395 [PubMed - in process] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

An Application of the List Experiment to Estimate Abortion Prevalence in Karachi, Pakistan.
CONCLUSIONS: That the estimate of abortion prevalence in Karachi generated from the list experiment was twice that generated from direct questioning suggests that the indirect method reduced underreporting, and may have utility to estimate abortion in similar settings and to improve the accuracy of data collecting for other sensitive health topics. PMID: 33326396 [PubMed - in process] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Chilean Medical and Midwifery Faculty's Views on Conscientious Objection for Abortion Services.
CONCLUSIONS: The broader support for CO in abortion among religious-university faculty raises concerns about whether students are being taught their ethical responsibility to put the needs of their patients above their own. Future research should monitor whether Chile's CO regulations and practices are guaranteeing people's access to abortion care. PMID: 33326397 [PubMed - in process] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Contraceptive Receipt Among First-Trimester Abortion Clients and Postpartum Women in Urban Mexico.
CONCLUSIONS: Women receiving abortions in Mexico City's public abortion program were more likely than urban postpartum women to receive a reversible modern contraceptive method before leaving the facility. Women should be offered the full range of contraceptive methods after any obstetric event, to help them prevent unintended pregnancy and avoid short interpregnancy intervals. PMID: 33326398 [PubMed - in process] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Expanding Access to Comprehensive Abortion Care in Humanitarian Contexts: Case Study from the Rohingya Refugee Camps in Bangladesh.
Authors: Sultana S, Tofigh S, Chowdhury R, Rubayet S, Samandari G, Edelman A Abstract The need for comprehensive sexual and reproductive health (SRH) care can be especially acute during humanitarian crises, as women and girls are at increased vulnerability of experiencing sexual violence, unintended pregnancy and pregnancy-related complications. However, in such settings, the chaos of displacement and basic survival may supplant the importance of SRH care, and individuals may also have diminished access to safe services. Abortion and abortion-related care may be particularly limited in humanitarian context...
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Global Developments in Laws on Induced Abortion: 2008-2019.
CONCLUSIONS: The global trend toward liberalization continued over the past decade; however, even greater progress is needed to guarantee all women's right to legal abortion and to ensure adequate access to safe services in all countries. PMID: 33326400 [PubMed - in process] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Feasibility of Multilevel Pregnancy Tests for Telemedicine Abortion Service Follow-Up: A Pilot Study.
CONCLUSIONS: Incorporating MLPTs into telemedicine abortion services is feasible and associated with high client satisfaction. Enabling people to manage their own abortion follow-up care could greatly improve their overall abortion experience. PMID: 33326401 [PubMed - in process] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Refugee and Internally Displaced Women's Abortion Knowledge, Attitudes and Practices: Addressing the Lack of Research in Low- and Middle-Income Countries.
Authors: Erhardt-Ohren B, Lewinger S Abstract Induced abortion is common: In 2017, an estimated 56% of all unintended pregnancies worldwide ended in abortion. Despite the frequency with which women terminate pregnancies, however, 135 countries impose restrictions on induced abortion beyond gestational age limits, which lead some women to seek unsafe abortion. The World Health Organization (WHO) defines unsafe abortion as a procedure for terminating an unwanted pregnancy carried out by individuals who lack the requisite training and skills, in a setting that does not meet minimum medical standards, or both....
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

COVID-19 and Abortion: Making Structural Violence Visible.
Authors: Nandagiri R, Coast E, Strong J Abstract COVID-19 has compromised and disrupted sexual and reproductive health (SRH) across multiple dimensions: individual-level access, health systems functioning, and at the policy and governance levels. Disruptions to supply chains, lockdown measures and travel restrictions, and overburdened health systems have particularly affected abortion access and service provision. The pandemic, rather than causing new issues, has heightened and exposed existing fractures and fissures within abortion access and provision. In this viewpoint, we draw on the concept of "struct...
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Abortion Self-Care: A Forward-Looking Solution To Inequitable Access.
Authors: Vázquez-Quesada L, Shukla A, Vieitez I, Acharya R, RamaRao S Abstract Following the World Health Organization's (WHO) definition of self-care, abortion self-care is the ability of pregnant individuals to manage their unwanted pregnancies with or without the support of health care providers-particularly, in the early weeks of pregnancy (up to 12 weeks' gestation). The advent of medication abortion (MA) has made this possible, as early self-managed MA at home is a safe, acceptable and cost-effective method of pregnancy termination. The drugs currently available for MA are mifepristone and misoprost...
Source: International Perspectives on Sexual and Reproductive Health - December 18, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Factors Associated with Disposable Menstrual Absorbent Use Among Young Women in India.
CONCLUSIONS: Promoting awareness of proper menstrual hygiene-through education, media campaigns and discussion with reproductive health workers-and targeted interventions to disseminate and subsidize the purchase of disposable sanitary napkins should be pursued to address health disparities. PMID: 33108760 [PubMed - in process] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - October 29, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

Reconceptualizing Women's and Girls' Empowerment: A Cross-Cultural Index for Measuring Progress Toward Improved Sexual and Reproductive Health.
CONCLUSIONS: The cross-cultural WGE-SRH index can be used to assess existence of choice related to contraception and volitional sex. Further work is needed to improve measures of SRH exercise of choice, and investigate the index's multidimensionality and associations with SRH outcomes. PMID: 33027031 [PubMed - in process] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - October 9, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research

An Application of the Confidante Method to Estimate Induced Abortion Incidence in Java, Indonesia.
CONCLUSIONS: The Confidante Method relies on several assumptions that did not hold in this study. Although the method performed better than the direct-report approach, it underestimated the incidence of abortion in Java. More research is needed to understand how abortion-related information is shared within social networks and to assess the appropriateness of applying the Confidante Method to estimate abortion in a given context. PMID: 33001827 [PubMed - in process] (Source: International Perspectives on Sexual and Reproductive Health)
Source: International Perspectives on Sexual and Reproductive Health - October 3, 2020 Category: International Medicine & Public Health Tags: Int Perspect Sex Reprod Health Source Type: research