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In their papers, Sally Bjorklund and Hillary Grill investigate the negative impact of the reversal of Roe v.Wade on women's ability to choose when and how to manage their bodies and minds. Bjorklund offers an historical perspective, while Grill presents personal and clinical material to illustrate how misogyny and male dominance are reinforced through the intersection of externally imposed laws, socially transmitted beliefs, and the perpetuation of such beliefs through models of mind that implicitly devalue women—models such as psychoanalysis. Iinvite psychoanalysts to continue to interrogate misogyny while also asking how our clinical work might challenge and change psychoanalytic theorizing about female development, theorizing that continues to pathologize women and valorize male dominance. [ABSTRACT FROM AUTHOR]

The papers of Beck and Snider (this issue) grapple with the place of abortion in our psychoanalytic thought and practice, locating abortion within the larger cultural and political world. At the heart of much of the difficulty surrounding a thoughtful consideration of abortion is the accompanying dissociative pressure arising from the binaries of life and death, of maternal versus fetal well-being, and the confounding of socio-cultural and personal decision making. I offer an intergenerational lens juxtaposing the polarized present with the open and accessible abortion landscape of the late 1970s. In both eras, examples are discussed where the political and cultural zeitgeist exerts dissociative pressure on patient and therapist alike, leaving little room for psychoanalytic exploration. The role of both partners in any conception is also discussed. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the risk of miscarriage in IVF cycles in women with PCOS. Methods: Systematic review and meta-analysis. Systematic search of MEDLINE, EMBASE and Google Scholar. The language search was restricted to English, Spanish and French, from 2000 to 2019, with crosschecking of references from relevant articles. Inclusion criteria were: (1) IVF cycles (2) a group of patients with PCOS was considered separately, (3) the miscarriage rate was reported, (4) there was a control group, (5) definition of PCOS according the Rotterdam criteria. Exclusion criteria were been excluded from the meta-analysis: (1) publication prior to the year 2000, (2) animal studies, (3) reviews, (4) abstracts or conference papers, (5) letters, (6) case reports, (7) studies comparing different IVF techniques, (8) studies comparing groups with and without metformin or other treatments, (9) studies on induced abortions. Risk of bias was assessed by the Newcastle–Ottawa score (NOS). All the included studies had a low risk of bias (NOS scores ranging 7–8). The review protocol was registered in PROSPERO (CRD42020186713). Seventeen studies were included in the meta-analysis. There was a total of 10,472 pregnancies (2650 in PCOS and 7822 in controls) of which 1885 were miscarriages (682 in PCOS and 1203 in controls). We considered the miscarriage rate (MR), preclinical MR, early MR, and late MR. Results: In IVF pregnancies the risk of miscarriage was significantly increased when considering miscarriages in total (RR = 1.59; CI = 1.45–1.75), preclinical miscarriages (RR = 1.59; CI = 1.35–1.88), and early miscarriages (RR = 1.44; CI = 1.16–1.79). The increased miscarriage rate persisted in Chinese and Western populations when considered separately. The risk of miscarriage was increased in the subgroup of fresh transfers (RR = 1.21; CI = 1.06–1.39) as well as in the subgroup including either fresh or frozen transfers (RR = 1.95; CI = 1.72–2.22). Conclusion: PCOS is linked to an increased MR in IVF pregnancies both of miscarriages in total, and to an increase in preclinical and early miscarriages. Prospero number: CRD42020186713. [ABSTRACT FROM AUTHOR]

A call for papers for the special issue of the journal on topics like theologies of choice, abortion and morality, and secular law is presented.

In-clinic follow-up to assess completion of medical abortion is no longer a requirement according to World Health Organization guidance, provided adequate counselling is given. However, timely recognition of ongoing pregnancy, complications or incomplete abortion, which require treatment, is important. As part of a larger trial, this study aimed to establish whether women having a medical abortion could self-assess whether their abortion was complete using an automated, interactive questionnaire on their mobile phones. All 469 participants received standard abortion care and all returnees filled in a self-assessment on paper at clinic follow-up 2–3 weeks later. The 234 women allocated to receive the phone messages were also asked to do a mobile phone assessment at home ten days post-misoprostol. Completion of the mobile assessment was tracked by computer and all completed assessments, paper and mobile, were compared to providers’ assessments at clinic follow-up. Of the 226 women able to access the mobile phone assessment, 176 (78%) completed it; 161 of them (93%) reported it was easy to do so. Neither mobile nor paper self-assessments predicted all cases needing additional treatment at follow-up. Prediction of complete procedures was good; 71% of mobile assessments and 91% of paper assessments were accurate. We conclude that an interactive questionnaire assessing completion of medical abortion on mobile phones is feasible in the South African setting; however, it should be done later than day 10 and combined with an appropriate pregnancy test to accurately detect incomplete procedures. [ABSTRACT FROM AUTHOR]

In-clinic follow-up to assess completion of medical abortion is no longer a requirement according to World Health Organization guidance, provided adequate counselling is given. However, timely recognition of ongoing pregnancy, complications or incomplete abortion, which require treatment, is important. As part of a larger trial, this study aimed to establish whether women having a medical abortion could self-assess whether their abortion was complete using an automated, interactive questionnaire on their mobile phones. All 469 participants received standard abortion care and all returnees filled in a self-assessment on paper at clinic follow-up 2–3 weeks later. The 234 women allocated to receive the phone messages were also asked to do a mobile phone assessment at home ten days post-misoprostol. Completion of the mobile assessment was tracked by computer and all completed assessments, paper and mobile, were compared to providers’ assessments at clinic follow-up. Of the 226 women able to access the mobile phone assessment, 176 (78%) completed it; 161 of them (93%) reported it was easy to do so. Neither mobile nor paper self-assessments predicted all cases needing additional treatment at follow-up. Prediction of complete procedures was good; 71% of mobile assessments and 91% of paper assessments were accurate. We conclude that an interactive questionnaire assessing completion of medical abortion on mobile phones is feasible in the South African setting; however, it should be done later than day 10 and combined with an appropriate pregnancy test to accurately detect incomplete procedures. RésuméSelon les directives de l’Organisation mondiale de la santé, le suivi dans le centre de santé pour s’assurer que l’avortement médicamenteux est complet n’est plus nécessaire, pourvu que des conseils adaptés soient prodigués. Néanmoins, il est important de déceler rapidement une poursuite de la grossesse, des complications ou un avortement incomplet, qui exigent un traitement. Dans le cadre d’un essai plus large, cette étude visait à déterminer si femmes ayant eu un avortement médicamenteux pouvaient évaluer elles-mêmes si leur avortement était complet, à l’aide d’un questionnaire interactif automatisé sur leur téléphone portable. Toutes les 469 participantes ont reçu des soins types liés à l’avortement et toutes les patientes revenues au centre ont rempli une autoévaluation sur papier lors du suivi dans ce centre, deux ou trois semaines plus tard. Les 234 femmes sélectionnées pour recevoir les messages téléphoniques ont aussi été invitées à faire une évaluation sur téléphone portable chez elles dix jours après la prise de misoprostol. L’achèvement de l’évaluation sur le portable a été contrôlé par ordinateur et toutes les évaluations complétées, sur papier et téléphone, ont été comparées à l’évaluation des praticiens lors du suivi dans le centre. Des 226 femmes ayant eu accès à l’évaluation sur portable, 176 (78%) l’ont complétée ; 161 d’entre elles (93%) ont indiqué que cela avait été facile. Les autoévaluations, que ce soit sur portable ou sur papier, n’ont pas prévu tous les cas nécessitant un traitement complémentaire lors du suivi. Les prédictions de la complétude de la procédure étaient bonnes : 71% des évaluations sur portable et 91% sur papier étaient exactes. Nous avons conclu qu’un questionnaire interactif évaluant la complétude de l’avortement médicamenteux sur le téléphone portable est faisable dans le contexte sud-africain ; néanmoins, il devrait être soumis plus tard que le dixième jour et associé à un test de grossesse approprié pour détecter rigoureusement les procédures incomplètes. ResumenEl seguimiento en la unidad de salud para determinar si la mujer tuvo un aborto con medicamentos completo ya no es un requisito, según la guía de la Organización Mundial de la Salud, siempre y cuando se brinde consejería adecuada. Sin embargo, es importante reconocer con prontitud la continuación del embarazo, complicaciones o aborto incompleto, que requiere tratamiento. Como parte de un ensayo clínico más extenso, este estudio tuvo como objetivo establecer si mujeres en proceso de aborto con medicamentos podrían determinar por sí mismas si tuvieron un aborto completo, utilizando un cuestionario interactivo automatizado en su teléfono móvil. Todas las 469 participantes recibieron servicios estándares de aborto y todas las que regresaron llenaron un formulario de autoevaluación durante el seguimiento en la unidad de salud 2 o 3 semanas después. A las 234 mujeres asignadas para recibir los mensajes por teléfono también se les pidió que hicieran una evaluación domiciliaria por teléfono móvil diez días post-misoprostol. La conclusión de la evaluación móvil fue seguida por computadora y todas las evaluaciones terminadas, en versión impresa y móvil, fueron comparadas con las evaluaciones de los prestadores de servicios durante el seguimiento en la unidad de salud. De las 226 mujeres que tenían acceso a su evaluación por teléfono móvil, 176 (78%) la concluyeron; 161 de ellas (93%) informaron que fue fácil de hacer. Ni la autoevaluación móvil ni la impresa previeron todos los casos que necesitaban tratamiento adicional en el seguimiento. La predicción de procedimientos completos fue buena; el 71% de las evaluaciones móviles y el 91% de las evaluaciones impresas fueron precisas. Concluimos que un cuestionario interactivo que evalúa la finalización del aborto con medicamentos por teléfono móvil es factible en Sudáfrica; sin embargo, debe hacerse después del décimo día y combinarse con una prueba de embarazo apropiada para detectar con precisión los procedimientos incompletos. [ABSTRACT FROM PUBLISHER]

This article is a response to a letter regarding a case report titled "Maternal strangulated diaphragmatic hernia with gangrene of the entire stomach during Pregnancy: A Case Report and Review of the Recent Literature." The author addresses comments made about the paper, clarifying that it focused on a specific type of hernia and provided a comprehensive review of reported cases. The author also defends the references used in the paper and provides insights from colleagues in radiology and surgery. The article emphasizes the importance of early diagnosis and treatment for favorable outcomes in cases of maternal hernia during pregnancy. The author concludes by discussing the limitations of research on rare tumors and suggesting improvements for treatment guidelines. [Extracted from the article]

Copyright of Persona y Derecho is the property of Servicio de Publicaciones de la Universidad de Navarra, S.A. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Editors of Obstetrics & Gynecology are pleased to announce the winners of the 2018 Roy M. Pitkin Award and the 2018 Harold A. Kaminetzky Prize Paper. Articles published in 2018 were selected by the editors, and a panel of former Editorial Board members chose the winner. On behalf of the selection committee, the Editors, and the Editorial Board, we congratulate each recipient of the 2018 Roy M. Pitkin Award and the 2018 Harold A. Kaminetzky Prize Paper. [Extracted from the article]

"Abortion Care is Health Care" by Barbara Baird provides a historical account of abortion services in Australia from the 1990s to the 2020s. The book argues that although abortion has been effectively pro-choice for decades, access to abortion services remains uneven and inequitable. Baird highlights that the majority of abortion services are provided by private clinics, resulting in limited access for marginalized and disadvantaged women. The book is meticulously researched and provides comprehensive information on providers, laws, regulations, and events in each Australian state and territory. However, it may be more suitable for scholars than a general audience. [Extracted from the article]

Background: A maternal mortality ratio is a sensitive indicator when comparing the overall maternal health between countries and its very high figure indicates the failure of maternal healthcare efforts. Cambodia, Laos, Myanmar, and Vietnam-CLMV countries are the low-income countries of the South-East Asia region where their maternal mortality ratios are disproportionately high. This systematic review aimed to summarize all possible factors influencing maternal mortality in CLMV countries. Methods: This systematic review applied "The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Checklist (2020)", Three key phrases: "Maternal Mortality and Health Outcome", "Maternal Healthcare Interventions" and "CLMV Countries" were used for the literature search. 75 full-text papers were systematically selected from three databases (PubMed, Google Scholar and Hinari). Two stages of data analysis were descriptive analysis of the general information of the included papers and qualitative analysis of key findings. Results: Poor family income, illiteracy, low education levels, living in poor households, and agricultural and unskilled manual job types of mothers contributed to insufficient antenatal care. Maternal factors like non-marital status and sex-associated work were highly associated with induced abortions while being rural women, ethnic minorities, poor maternal knowledge and attitudes, certain social and cultural beliefs and husbands' influences directly contributed to the limitations of maternal healthcare services. Maternal factors that made more contributions to poor maternal healthcare outcomes included lower quintiles of wealth index, maternal smoking and drinking behaviours, early and elderly age at marriage, over 35 years pregnancies, unfavourable birth history, gender-based violence experiences, multigravida and higher parity. Higher unmet needs and lower demands for maternal healthcare services occurred among women living far from healthcare facilities. Regarding the maternal healthcare workforce, the quality and number of healthcare providers, the development of healthcare infrastructures and human resource management policy appeared to be arguable. Concerning maternal healthcare service use, the provisions of mobile and outreach maternal healthcare services were inconvenient and limited. Conclusion: Low utilization rates were due to several supply-side constraints. The results will advance knowledge about maternal healthcare and mortality and provide a valuable summary to policymakers for developing policies and strategies promoting high-quality maternal healthcare. [ABSTRACT FROM AUTHOR]

Copyright of Mexican Studies / Estudios Mexicanos is the property of University of California Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Teenage pregnancy is a concerning public health problem in India. Misperception and misunderstanding about pregnancy and its preventive methods lead to pregnancy when adolescents are involved in unsafe sexual intercourse. This scoping review aims to discuss the evidence on the perception, practices, and understanding related to teenage pregnancy among adolescent girls in the Indian context. Method: The Arksey and O'Malley scoping review framework and Joanna Briggs Institute Reviewers' Manual were used for the scoping review. The Population, Concept, and Context strategy (PCC) ensured the review questions, eligibility criteria, and search strategy. The Systematic Review and Meta-analysis: Extension for Scoping Review (PRISMA-ScR) was used. A literature search was done using electronic databases by specific keywords such as "teenage", "adolescences", "pregnancy", "perception", "knowledge", "awareness", etc. Relevant grey literature was identified through further searching. The review included studies that fulfil inclusion criteria having female adolescent groups aged from 10 to 19 years in the Indian context between the years 2000 and 2021. Result: We found 40 eligible studies; more than half of these were from southern (35%) and northern (27.5%) regions, and studies from the rest of India were very sporadically distributed. Most studies (72.5%) were published in the last 10 years. The relevant extracted data from individual studies were synthesized and presented in the two major sections, perception, practices, and the second one, understanding and experiences among teenage girls. The understanding of pregnancy and teenage pregnancy-related preventive methods was detailed analysis in about 72% of papers whereas other aspects, such as perception (22.5%), practices (25%), and experiences (7.5%) were discussed in the remaining papers related to pregnancy among adolescent girls. Conclusion: Evidence in the selected studies shows that understanding and practices are the major areas that were primarily explored, where perception, practices and experiences are the topics that are relatively less investigated. Literature synthesis derives misconception, lack of understanding, and practices without knowing the consequences are the key factors responsible for early pregnancies. Future interventions like increasing awareness, providing comprehensive reproductive knowledge, convenient health care aids, and proper counselling are adequate measures for minimalising the problem. The present analysis showed that studies are limited in their scope concerning various aspects of teenage pregnancy in India, so this scoping review gives essential perspectives on future research and implementation plans and policies in this field. [ABSTRACT FROM AUTHOR]

These two dimensions of abortion-related stigma continue to be evident in major political and legal shifts that negatively impact abortion access. This international collection of papers from contexts with variable social and legal restrictions on abortion, offers progressive insights into community activism, abortion-related healthcare, and community attitudes, including how women perceive abortion and value abortion care. Debates about human rights, the sanctity of life and the rights of the unborn continue to play out internationally, often placing women seeking abortion in the crosshairs of politicians, faith leaders, community members and others who consider abortion a moral ill rather than a health need. [Extracted from the article]

The paper presents the analysis of the approaches to define the areas of research on the injury, damage and harm to human health in criminal law. The obtained results proved that crimes, connected to drugs abuse, their legislation become an essential part of the issues. At the same, developing of government control, medical standards, improving quality of medical education balancing the «medical mistake - injury to human's health - jurisprudence consequences» triangle in the tendency of the injury, damage and harm in criminal law are becoming very important to the healthcare system due to increasing requirements of regulators, customers and shareholders. The paper aimed to analyse the tendency in the literature on the injury, damage and harm in criminal law, which published in books, journals, conference proceedings etc. to identify future research directions. The methodological tools are VOSviewer, Scopus and Web of Science (WoS) software. This study covers 1072 papers from Scopus and WoS database. The time for analysis were 1970-2020. The Scopus and WoS analyse showed that in 2012-2019 the numbers of papers on the injury, damage and harm in criminal law issues began to increase. However, the topics changed from general issues to the problem of decriminalisation of drug trafficking, and the corresponding paradigm shift in the punishment of some crimes, increasing interest in punishing corporations for violating environmental regulations. In 2017 the number of documents dedicated to injury, damage and harm in criminal law was increased by 667% compared to 2012. The main subject areas of analyses of the injury, damage and harm in criminal law were the next: Law, Public environmental, occupational health, Criminology penology, Substance abuse, Psychiatry, Medicine. The biggest amount of investigations of the injury, damage and harm in criminal law was published by the scientists from the USA, United Kingdom, Australia and Canada. In 2019 such journals with high impact factor as International Journal of Drug Policy, International Journal of Law and Psychiatry, The Lancet etc. published the number of issues, which analysed of the injury, damage and harm to human health in criminal law. Such results proved that theme on the injury, damage and harm to human health in criminal law is actually in the ongoing trends of the modern jurisprudence and regulation. The findings from VOSviewer defined 6 clusters of the papers which analysed the injury, damage and harm to human health in criminal law from the different points of views. The first biggest cluster (with the biggest number of connections) merged the keywords as follows: criminal justice, law enforcement, public health, health care policy, harm reduction, drug legislation, drug and narcotic control, substance abuse, homelessness etc. The second significant cluster integrated the keywords as follows: criminal behaviour, crime victim, adolescent, violence, mental health, mental disease, prisoner, young people, rape, police etc. The third biggest cluster concentrated on criminal aspects of jurisprudence, criminal law, human right, legal liability, social control, government regulation etc. The obtained results allow concluding that balancing the triangles «medical mistakes - criminal - education» and «drugs - criminal - justice» and «abortion - criminal - women/children» form an important part of the injury, damage and harm in criminal law issues. [ABSTRACT FROM AUTHOR]

Copyright of Ruch Prawniczy, Ekonomiczny i Socjologiczny (0035-9629) is the property of Adam Mickiewicz University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In an era of accelerating biomedical innovations, partial ectogenesis looms as a double-edged sword for female bodily autonomy and reproductive rights. Rather than simplifying or 'solving' abortion access and the ethical issues inherent to that right, this technology wields the alarming potential to curtail women's right to safe and legal abortions. This article investigates the potential of partial ectogenesis as a 'solution' to the abortion debate, focusing on two significant hypotheses. Foremost, the paper scrutinizes the dilemma of ectogenesis abortion; specifically, instances where a woman intending to terminate her pregnancy is obliged to undergo foetal transfer surgery. This scrutiny engages with Räsänen's concept of the right to the death of a foetus, yet ultimately concludes that this supposed right is unconvincing. Despite there being no such right, this paper argues that the prospect of partial ectogenesis is incapable of resolving the core issues of the abortion debate, not least because of the inherent conflict between a woman's right to her own body and the proposed technology or rather, compulsion of such surgeries. Instead, this article posits that a more significant ethical and logical concern lies in misconceptions surrounding the term 'foetus' and how such misconceptions impact considerations of autonomy. Thereafter, this paper examines the potential for partial ectogenesis to alter the legal viability threshold set by the Abortion Act 1967-in particular, this paper explores the impact a shift in the viability threshold would have on female bodily autonomy. In the aim of resolving these concerns, this article concludes by advocating for the decriminalisation of abortion to safeguard female bodily autonomy against constraints on abortion access were the viability threshold legally revised. By addressing these crucial topics, this article aims to provide a nuanced analysis of the dialogue surrounding reproductive rights, bodily autonomy, and the complex interplay between emerging biotechnologies, medical ethics and legislative frameworks. [ABSTRACT FROM AUTHOR]

Copyright of Zeitschrift für Sozialreform is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Ireland's 2018 referendum on the Eighth Amendment, in which a majority of the Irish electorate voted to repeal the state's quasi-total ban on abortion, saw important public discussions regarding Irish national identity in the twenty-first century. From a linguistic perspective, this begs the question of what role language played in the construction of national identity during the referendum campaign. This paper will examine Irish English features in the referendum campaign's linguistic landscape and the extent to which they were used to index national identity. While there has been a significant amount of research on language ideologies connected to Irish, there has been little attention paid to Irish English and its relationship with national identity in the linguistic landscape literature. Drawing on a dataset of 1680 LL items collected from the 2018 referendum campaign (including campaign posters, placards, banners and stickers), this paper examines signs containing distinctive Irish English features, employing a qualitative, multimodal approach to the indexing of national identity. Specifically, it asks whether and under what conditions it is possible to claim that the use of Irish English features can be taken to index national identity. [ABSTRACT FROM AUTHOR]

A response from Peimin Ni to commentaries on his essay about a Confucian concept of human dignity is presented. Particular focus is given to the issue of continued infanticide or abortion in China despite the Confucian emphasis on love and humanity. Topics discussed include the Confucian view on the value of human life, Confucian normativity, and the difference between the Confucian and Kantian source of value.

This article introduces the four manuscripts for this special issue of CS/CM. The order of the articles is the same as the introduction: Planned Parenthood Before and After Roe: Historical Lessons for the Current Fight, Relocating Reproductive Justice in Donor Sperm and Egg Capitalism, Let's Make the Womb Safe Again, and Everyday Practices, Unaffordable Rights, Radical Liberation. [ABSTRACT FROM AUTHOR]

Copyright of Revista Catalana de Dret Públic is the property of Revista Catalana de Dret Public and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this article, I will present a personal journey of making sense of the experience of sibling abortion under China's Once-child Policy and transgenerational trauma related to China's Cultural Revolution in a group analysis training group. The first part of this paper will reflect on and analyse how groups helped me to claim the identity as a mourner, allowed both the presence and absence of my unborn brother to become real, and offered me reparative family relationships when I dealt with my grief. Drawing on the concept of large-group identity and transgenerational transmission, the second part of this paper will explore how experiences in groups enabled me to discover and understand the transgenerational transmission of trauma related to the Cultural Revolution in my family. [ABSTRACT FROM AUTHOR]

Background: Despite the increased availability of safe abortion methods in sub-Saharan Africa, women and girls continue to use unsafe abortion methods and procedures to terminate their unwanted pregnancies, resulting in severe complications, lifelong disabilities, and death. Barriers to safe abortion methods include restrictive laws, low awareness of safe abortion methods, poverty, and sociocultural and health system barriers. Nonetheless, there is a paucity of data on the decision-making around and use of abortion methods. This paper aims to provide answers to the following questions: Which abortion methods do women and girls use and why? Who and what influences their decisions? What can we learn from their decision-making process to enhance the uptake of safe abortion methods? We focus our in-depth analysis on the rationale behind the choice of abortion methods used by women and girls in Kilifi County in Kenya and Atlantique Department in Benin. Methods: We draw on data collected as part of an ethnographic study conducted between January and August 2021 on lived experiences, social determinants, and pathways to abortion. Data were collected using repeated in-depth interviews with 95 girls and women who had a recent abortion experience. Data from the interviews were supplemented using information from key informant interviews, focus group discussions, and participant observation. Data analysis was conducted through an inductive process. Results: Our findings reveal that women and girls use various methods to procure abortions, including herbs, high doses of pharmaceutical drugs, homemade concoctions, medical abortion drugs, and surgical abortion methods. Procedures may involve singular or multiple attempts, and sometimes, mixing several methods to achieve the goal of pregnancy termination. The use of various abortion methods is mainly driven by the pursuit of social safety (preservation of secrecy and social relationships, avoidance of shame and stigmatization) instead of medical safety (which implies technical safety and quality). Conclusion: Our findings reaffirm the need for comprehensive access to, and availability of, abortion-related information and services, especially safe abortion and post-abortion care services that emphasize both medical and social safety. Plain Language Summary: Despite the availability of safe abortion methods in sub-Saharan Africa, women and girls in the region continue to resort to unsafe methods, leading to severe complications, disabilities, and maternal death. This can be attributed to restrictive abortion laws, lack of awareness on safe abortion methods, poverty, and sociocultural and health system barriers. This paper uses data from a larger ethnographic study in Kilifi County, Kenya, and Atlantique Department, Benin, to understand which methods women and girls use, and why, to help improve the use of safe abortion methods. Data were collected through in-depth interviews with 95 girls and women who had recently undergone an abortion, as well as key informant interviews, focus group discussions, and participant observation. The findings reveal that women and girls use various methods to terminate their pregnancies, including herbs, high doses of pharmaceutical drugs, homemade concoctions, medical abortion drugs, and surgical methods. They often use these methods once, multiple times, or in combination to achieve their goal. The main reason for their choice of methods is not medical safety but social safety, including preserving social relationships and avoiding shame and stigma. We conclude that there is a pressing need for greater access to accurate, well-framed information about safe abortion methods. Abortion services should consider not only medical safety but also discretion to mitigate the social implications of having an abortion in a medical facility. By addressing these factors, it is possible to enhance the use of safe abortion methods and reduce the reliance on unsafe practices. [ABSTRACT FROM AUTHOR]

Objective: Given Iran's recent shift towards pronatalist population policies, concerns have arisen regarding the potential increase in abortion rates. This review study examines the trends of (medical), intentional (illegal), and spontaneous abortions in Iran over the past two decades, as well as the factors that have contributed to these trends. Methods: This paper reviewed research articles published between 2005 and 2022 on abortion in Iran. The study employed the PRISMA checklist for systematic reviews. Articles were searched from international (Google Scholar, PubMed, Science Direct, and Web of Science) and national databases (Magiran, Medlib, SID). Once the eligibility criteria were applied, 42 records were included from the initial 349 records. Results: Abortion is influenced by a variety of socioeconomic and cultural factors and the availability of family planning services. Factors that contribute to unintended pregnancy include attitudes toward abortion, knowledge about reproductive health, access to reproductive health services, and fertility desires, among others. In addition to health and medical factors, consanguineous marriage plays an important role in spontaneous and therapeutic abortion. A higher number of illegal abortions were reported by women from more privileged socioeconomic classes. In comparison, a higher number of medical and spontaneous abortions were reported by women from less privileged socioeconomic classes. Conclusion: Iranian policymakers are concerned about the declining fertility rate and have turned to pronatalist policies. From a demographic standpoint, this seems to be a reasonable approach. However, the new population policies, particularly, the Family Protection and Young Population Law, along with creating limitations in access to reproductive health services and prenatal screening tests as well as stricter abortion law could potentially lead to an increase in various types of abortions and their associated consequences. [ABSTRACT FROM AUTHOR]

Medication abortion has been established globally as safe and effective. This modality has increased accessibility and the opportunity to centre individual autonomy at the heart of abortion care, by facilitating self-managed abortion. Previous research has shown how self-managed abortion is beneficial in myriad settings ranging from problematic to (relatively) unproblematic contexts of access. In this paper we explore the relationship between self-management and sources of support (including health professionals, family, and friends); as well as considering issues of reproductive control and autonomy. Drawing on qualitative, experience-centred interviews, we utilise the concept of social connectedness to examine how supported self-managed abortion was experienced in the United Kingdom during the COVID-19 pandemic. Overall, self-management was welcomed, with participants speaking positively about managing their own abortion at home. However, a sense of connectedness was crucial in helping participants deal with difficult experiences; and functioned to support individual autonomy in self-care. This paper is the first to examine factors of connection, support, and isolation, as experienced by those undergoing self-managed abortion in the UK in detail. Our research suggests a continued need to advocate for high quality support for self-managed abortion, as well as for choice of abortion method, to support patient-centered care. [ABSTRACT FROM AUTHOR]

Background: There are few reliable Iranian‑induced abortion data. The aim of this paper was to investigate the prevalence and socioeconomic characteristics of women and men who report having had or been a partner in an abortion. Materials and Methods: A cross‑sectional survey of women and men aged 15–49 years referred to the health center that randomly selected from 110 health center that was used. Results: Data from 1520 women and men surveys were analyzed. One in 10 women and one in 12 men had experienced or been a partner in an abortion. In adjusted analyses, women and men in the 34–49 age group [adjusted odds ratio (AOR) 0.62, 95% (CI) 0.41, 0.96], the importance of religion in fertility (AOR = 0.42; 95% CI 0.26, 0.67), dissatisfied general health (AOR = 0.52; 95% CI 0.32, 0.87), and history of unwanted pregnancy for twice (AOR = 2.32; 95% CI 1.43, 3.77) and history of unwanted pregnancy for three‑time or more (AOR = 2.69; 95% CI 1.59, 5.49) were associated with significantly increased odds of abortion. Haven’t heard of medication abortion, that is, abortion with tablets (AOR = 0.43; 95% CI 0.29, 0.67) was associated with significantly reduced odds of abortion. Conclusions: The findings contribute to scarce information about abortion in Iranian. Due to the high prevalence of abortion and the country’s population growth policy, Iranian women need a full range of sexual and reproductive health services, including contraceptive counseling and accessible abortion care. [ABSTRACT FROM AUTHOR]

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Don Marquis' future‐like‐ours account is regarded as the best secular anti‐abortion position because he frames abortion as a wrongful killing via deprivation of a valuable future. Marquis objects to the reductio ad absurdum of contraception as being immoral because it is too difficult to identify an individual that is deprived of a future. To demonstrate why Marquis' treatment of the contraception reductio is flawed by his own future‐like‐ours line of reasoning, I offer an argument for why there is indeed a candidate for harm—the ovum—for it can be viewed as providing the functional foundation for a new life through (1) mitochondrial DNA inheritance, (2) paternal histone restructuring during fertilization, and (3) ability to initiate parthenogenesis. As evidenced by these distinct and natural features of ova, candidate (2) "some ovum or other" should be morally prioritized as the direct candidate for harm in the contraception reductio. By assessing the philosophical inconsistencies in Marquis' future‐like‐ours argument, this paper provides strong metaphysical grounds for rejecting the best secular anti‐abortion position. [ABSTRACT FROM AUTHOR]

Presents a call for papers on sexual and reproductive health to be published in "The Lancet." Reference to the 1994 International Conference on Population and Development; Report that sexual and reproductive ill-health still accounts for almost 20 percent of the burden of ill-health for women and 14 percent for men; Lack of safe and effective contraception for couples in developing countries; Prevalence of unwanted pregnancy and abortion; Prevalence of sexually transmitted infections, viral infections, and HIV infections; Impact of sociocultural factors on reproductive health; Availability of the oral contraceptive pill and the emergency contraception pill; Report that unsafe sex is the second most important risk factor leading to disease, disability, or death in the poorest countries.