Pub Date : 2020-04-22DOI: 10.5772/intechopen.86270
Affonso Renato Meira
The provoked abortion is seen in many different ways in various countries. The woman that is supposed to be the main character of unfolding this procedure is usually unable to request it. The doctor that should be focused on doing the diagnosis about what the patient really wants for herself is also unable to do it, even if it is the best way to treat the situation. The values of different cultures act as impediments through laws that are oriented by religious beliefs and moral definitions leading to difficulties in the abortion scenario. Some facts are quite clear relating the woman and the doctor, who are the characters on this medical action, and that many times these are stopped or punished when they decide for themselves about abortion. The chapter intends to discuss the problem in many of countries of different continents, which focus the position of the doctor.
{"title":"Provoked Abortion","authors":"Affonso Renato Meira","doi":"10.5772/intechopen.86270","DOIUrl":"https://doi.org/10.5772/intechopen.86270","url":null,"abstract":"The provoked abortion is seen in many different ways in various countries. The woman that is supposed to be the main character of unfolding this procedure is usually unable to request it. The doctor that should be focused on doing the diagnosis about what the patient really wants for herself is also unable to do it, even if it is the best way to treat the situation. The values of different cultures act as impediments through laws that are oriented by religious beliefs and moral definitions leading to difficulties in the abortion scenario. Some facts are quite clear relating the woman and the doctor, who are the characters on this medical action, and that many times these are stopped or punished when they decide for themselves about abortion. The chapter intends to discuss the problem in many of countries of different continents, which focus the position of the doctor.","PeriodicalId":142065,"journal":{"name":"Induced Abortion and Spontaneous Early Pregnancy Loss - Focus on Management","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115697261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-30DOI: 10.5772/intechopen.88819
J. Kocourková
In the late 1980s, the East-West divide by birth control was identified in Europe as both parts differed by contraceptive practices and abortion rates. The aim of this chapter is to investigate changes in abortion behaviour and ‘whether the East-West divide in abortion behaviour remained relevant by 2009’. As the large variation in terms of abortion rates and contraceptive patterns is still identified in Europe, we want to investigate ‘to what extent it has reflected in the birth control patterns’. The main results could be summed up as follows: (1) the East-West divide in abortion behaviour was distorted, but not fully eliminated. Besides the former Eastern and Western abortion patterns, the new ‘low abortion’ pattern has emerged. (2) Within the EU countries, convergent trends towards lower abortion level were identified since 1990. However, as regards the structure of abortions, a pattern of divergence has been apparent due to differences in transition to modern contraception use. (3) The use of modern methods of contraception rather depends on structural macro-level factors and contextual incentives and barriers as the impact of individual characteristics on the use of contraception does not differ much between countries under study.
{"title":"East-West Divide in Abortion Behaviour in the EU Countries Since 1990: Ongoing or Vanished Differentiation?","authors":"J. Kocourková","doi":"10.5772/intechopen.88819","DOIUrl":"https://doi.org/10.5772/intechopen.88819","url":null,"abstract":"In the late 1980s, the East-West divide by birth control was identified in Europe as both parts differed by contraceptive practices and abortion rates. The aim of this chapter is to investigate changes in abortion behaviour and ‘whether the East-West divide in abortion behaviour remained relevant by 2009’. As the large variation in terms of abortion rates and contraceptive patterns is still identified in Europe, we want to investigate ‘to what extent it has reflected in the birth control patterns’. The main results could be summed up as follows: (1) the East-West divide in abortion behaviour was distorted, but not fully eliminated. Besides the former Eastern and Western abortion patterns, the new ‘low abortion’ pattern has emerged. (2) Within the EU countries, convergent trends towards lower abortion level were identified since 1990. However, as regards the structure of abortions, a pattern of divergence has been apparent due to differences in transition to modern contraception use. (3) The use of modern methods of contraception rather depends on structural macro-level factors and contextual incentives and barriers as the impact of individual characteristics on the use of contraception does not differ much between countries under study.","PeriodicalId":142065,"journal":{"name":"Induced Abortion and Spontaneous Early Pregnancy Loss - Focus on Management","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115765487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-19DOI: 10.5772/intechopen.86342
Jinlin Liu, Y. Englert, W. Zhang
Family planning policy is one of the basic policies in China. Since the founding of New China, it has gone through three stages during its development process, which include free fertility policy, one-child policy (including selective two-child policy), and universal two-child policy. The number of induced abortions in China has increased from 3,910,110 in 1971 to 9,626,731 in 2017, and the proportion of induced abortions in birth control surgeries of family planning in China has increased from 30.0% in 1971 to 50.6% in 2017. It is concluded that although induced abortion is not a part of the family planning policy of China, it has been a part of family planning services in China.
{"title":"Is Induced Abortion a Part of Family Planning in China?","authors":"Jinlin Liu, Y. Englert, W. Zhang","doi":"10.5772/intechopen.86342","DOIUrl":"https://doi.org/10.5772/intechopen.86342","url":null,"abstract":"Family planning policy is one of the basic policies in China. Since the founding of New China, it has gone through three stages during its development process, which include free fertility policy, one-child policy (including selective two-child policy), and universal two-child policy. The number of induced abortions in China has increased from 3,910,110 in 1971 to 9,626,731 in 2017, and the proportion of induced abortions in birth control surgeries of family planning in China has increased from 30.0% in 1971 to 50.6% in 2017. It is concluded that although induced abortion is not a part of the family planning policy of China, it has been a part of family planning services in China.","PeriodicalId":142065,"journal":{"name":"Induced Abortion and Spontaneous Early Pregnancy Loss - Focus on Management","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133006475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-25DOI: 10.5772/INTECHOPEN.86194
P. Tsikouras, T. Deftereou, X. Anthoulaki, A. Bothou, A. Chalkidou, F. Gaitatzi, Ioannis Tsirkas, A. C. Bourazan, Eirini Bampageorgaka, G. Stanulov, Elefterios Chatzimichael, S. Michalopoulos, Panagiotis Petsidis, G. Iatrakis, S. Zervoudis, M. Lambropoulou, W. Rath, G. Galazios
The miscarriages’ investigation should include a familiar history, gynecological examination and a full laboratory testing including hormonal control, as well as karyotype, maternal immune control and thrombophilia testing. If the physician suspects the cause of abortions is chromosomal due to heredity, a special blood test (karyotype) for the pair is recommended. Chromosomal abnormalities are the most common reason for first trimester abortions, and are impossible to be prevented. Based on the above data, abortion and the subsequent possible infertility should not be considered as a personal failure for the woman and the treating physician. Nowadays, medical advancement provides many options combined with psychological support can actually reduce the miscarriages’ risk.
{"title":"Abortions in First Trimester Pregnancy, Management, Treatment","authors":"P. Tsikouras, T. Deftereou, X. Anthoulaki, A. Bothou, A. Chalkidou, F. Gaitatzi, Ioannis Tsirkas, A. C. Bourazan, Eirini Bampageorgaka, G. Stanulov, Elefterios Chatzimichael, S. Michalopoulos, Panagiotis Petsidis, G. Iatrakis, S. Zervoudis, M. Lambropoulou, W. Rath, G. Galazios","doi":"10.5772/INTECHOPEN.86194","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.86194","url":null,"abstract":"The miscarriages’ investigation should include a familiar history, gynecological examination and a full laboratory testing including hormonal control, as well as karyotype, maternal immune control and thrombophilia testing. If the physician suspects the cause of abortions is chromosomal due to heredity, a special blood test (karyotype) for the pair is recommended. Chromosomal abnormalities are the most common reason for first trimester abortions, and are impossible to be prevented. Based on the above data, abortion and the subsequent possible infertility should not be considered as a personal failure for the woman and the treating physician. Nowadays, medical advancement provides many options combined with psychological support can actually reduce the miscarriages’ risk.","PeriodicalId":142065,"journal":{"name":"Induced Abortion and Spontaneous Early Pregnancy Loss - Focus on Management","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116406990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-03DOI: 10.5772/INTECHOPEN.86282
G. Dikke, V. Ostromenskiy
Summary objective: To assess the risks and identify effective and safe methods of abortion in women with uterine scar. Material: Literary sources published in the databases of Medline, PubMed, and others, of which 57 are included in this review. The main provisions: Termination of pregnancy in women with a scar on the uterus involves the use of any available method. For women with a scar on the uterus, it is necessary to prepare the cervix before a surgical abortion in all terms. Abnormal implantation of the embryo within the fibrous tissue of the scar after caesarean section can cause life-threatening bleeding of the mother during or after the termination of the pregnancy. Surgical excision of the affected area by hysteroscopic access, as well as transvaginal or transabdominal local administration of Methotrexate with or without an additional intramuscular dose of the same drug, seems to be optimal from the point of view of minimizing the frequency of complications. Conclusion: A scar on the uterus after caesarean section presents a high risk of abnormal attach-ment of the ovum and fatal bleeding during abortion. present in past medical history ): uterine scar (caesarean section or myomectomy), manual ectomy of placenta, multiple gestation, dilation and curettage, endometriosis, multiple confinement, advanced age of the mother, IVF induced pregnancy.
{"title":"Interruption of Pregnancy in Women with the Uterine Scar: Potential Risks","authors":"G. Dikke, V. Ostromenskiy","doi":"10.5772/INTECHOPEN.86282","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.86282","url":null,"abstract":"Summary objective: To assess the risks and identify effective and safe methods of abortion in women with uterine scar. Material: Literary sources published in the databases of Medline, PubMed, and others, of which 57 are included in this review. The main provisions: Termination of pregnancy in women with a scar on the uterus involves the use of any available method. For women with a scar on the uterus, it is necessary to prepare the cervix before a surgical abortion in all terms. Abnormal implantation of the embryo within the fibrous tissue of the scar after caesarean section can cause life-threatening bleeding of the mother during or after the termination of the pregnancy. Surgical excision of the affected area by hysteroscopic access, as well as transvaginal or transabdominal local administration of Methotrexate with or without an additional intramuscular dose of the same drug, seems to be optimal from the point of view of minimizing the frequency of complications. Conclusion: A scar on the uterus after caesarean section presents a high risk of abnormal attach-ment of the ovum and fatal bleeding during abortion. present in past medical history ): uterine scar (caesarean section or myomectomy), manual ectomy of placenta, multiple gestation, dilation and curettage, endometriosis, multiple confinement, advanced age of the mother, IVF induced pregnancy.","PeriodicalId":142065,"journal":{"name":"Induced Abortion and Spontaneous Early Pregnancy Loss - Focus on Management","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123364605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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