NIGERIA – Trends in misoprostol use and abortion complications: a cross-sectional study from nine referral hospitals in Nigeria

A cross-sectional study at nine referral hospitals in south-west Nigeria aimed to assess the use of misoprostol and complications associated with abortions in referral hospital. Nine years’ data were retrieved from medical records, including 699 induced abortions amongst 2,463 abortions found in records. Independent variable was the method of abortion; dependent variables were complications, need for treatment and mortality.

COCHRANE REVIEW – Medical and surgical abortion for women living with HIV

by Haneefa T Saleem, Manjula Narasimhan, Bela Ganatra, Caitlin E Kennedy Cochrane Database of Systematic Reviews Issue 12:19 December 2018. No.: CD012834   Abstract (summarised) WHO guidelines on safe abortion methods do not include specific clinical considerations for women living with HIV. Concerns have been raised that women living with HIV may be at greater risk of adverse abortion outcomes compared to HIV‐uninfected women due to immunosuppression, high rates of co‐infection with other sexually transmitted … Continued

UK – Abortion and Abortion Care Factsheet: To support relationships and sex education in secondary schools

This factsheet is a free resource for professionals in secondary schools to use in relationships and sex education lessons. It aims to ensure that professionals involved in educating young people have a factually accurate, unbiased and evidence-based source of information about abortion in the UK. It was prepared jointly by the Faculty of Sexual and Reproductive Healthcare (FSRH) and the Royal College of Obstetricians and Gynaecologists (RCOG). This gives background and details about the report. FULL … Continued

GABON – Transient reduction in abortion-related deaths after interventions to reduce delays in provision of care at Centre Hospitalier de Libreville, Gabon

In this article, we describe the results of changes in abortion-related fatalities in CHL over four consecutive 3-year periods: 2005-07, 2008-10, 2011-13, and 2014-16. The outcome evaluated was the number of abortion-related deaths per 1000 women and the proportion of all maternal deaths caused by abortion. Analysis was based on retrospective evaluation of clinical records without identification of patients; thus, informed consent was not requested. This study was approved by the administration of CHL acting as the ethical review committee. No statistical analysis was done. The abortion-related fatality rate fell from 12.3 per 1000 abortions between 2005 and 2007, to 2.9 per 1000 in 2008–10, and 0.7 per 1000 in 2011–13 (Table 1). Abortion-related maternal deaths accounted for 25% of all maternal deaths in the first period, with this percentage decreasing to 10% in the second period and to 2% in the third period. After the changes in hospital administration, the abortion-related fatality rate increased to 10 per 1000 abortions and to 14% of all maternal deaths between 2014 and 2016. Our findings suggest that abortion-related mortality can be substantially reduced by interventions within the hospital aimed at improving the care of women with abortion-related complications, particularly by reducing delays in the provision of effective care. These findings also highlight the importance of constantly motivating hospital staff to ensure that this beneficial effect remains.

ARGENTINA: Three articles on changing abortion law at the federal & provincial/local level and strategy for action at both levels.

The implementation of the 2012 Argentinean Supreme Court landmark ruling, which declared abortion legal in all cases of rape and established standards of implementation of lawful abortions at all levels of government, shows an uneven pattern of compliance by sub-national governments throughout the country.

ISLE OF MAN – First place in the British Isles to decriminalise abortion

The Abortion Reform Bill was passed in late 2018 with unanimous support of members of the House of Keys (the parliament) and has now received royal assent. The law allows abortion on request to 14 weeks and in certain circumstances at 15–23 weeks. From 24 weeks, it is permitted when pregnancy is a risk to the woman’s life or if the baby when born would suffer serious impairment or die shortly after birth. The law also obliges … Continued

TURKEY – De facto abortion ban means women face dangerous conditions to obtain abortion

“I thought I’d go to some sort of hospital. But instead, it was an apartment on the second floor of a three-story building. A man with a cigarette in hand opened the door. I entered an apartment with a living room and kitchen. The bathroom in what apparently was the parents’ bedroom had been converted into an abortion room. The operating table was filthy and covered in blood.” Turkish law states: “Until the end of … Continued

SOUTH KOREA – No arrests or charges following hospital investigation in Gyeongsang provinces

On 8 January 2019, we reported that women’s rights groups in the Gyeongsang provinces condemned a provincial police agency for investigating whether 26 women had had abortions in one maternity hospital. The police obtained information about the 26 women from the Health Insurance Review and Assessment Service. Reportedly, a staffperson at the hospital had threatened to report the doctor and asked the doctor for 8 million won (± US$ 7,200) because the doctor had refused … Continued

SPAIN – Court rules in favour of Association of Accredited Abortion Clinics and dismisses all charges

The Association of Christian Lawyers had sued the Association of Accredited Abortion Clinics (ACAI) “for unfair competition and for disseminating misleading information on its website”. The court rejected all the charges against ACAI as having no legitimacy because there was no economic competition between the two nor any commercial activity involved. The judge also considered that the “spiritual interests” of the Christian association could not enter into this lawsuit. In dismissing all the charges against … Continued

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