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Provision of abortion by mid-level
providers.
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| Article Type: | Author abstract |
| Subject: |
Abortion
(Laws, regulations and rules) Abortion (Management) Maternal health services (Laws, regulations and rules) Midwives (Training) Nurses (Training) |
| Pub Date: | 11/01/2009 |
| Publication: | Name: Reproductive Health Matters Publisher: Reproductive Health Matters Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2009 Reproductive Health Matters ISSN: 0968-8080 |
| Issue: | Date: Nov, 2009 Source Volume: 17 Source Issue: 34 |
| Topic: | Event Code: 930 Government regulation; 940 Government regulation (cont); 980 Legal issues & crime; 200 Management dynamics; 280 Personnel administration Advertising Code: 94 Legal/Government Regulation Computer Subject: Government regulation; Company business management |
| Product: | Product Code: 8043500 Midwives; 8043100 Nurses NAICS Code: 621399 Offices of All Other Miscellaneous Health Practitioners SIC Code: 8049 Offices of health practitioners, not elsewhere classified |
| Geographic: | Geographic Scope: United States Geographic Code: 1USA United States |
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| Accession Number: | 225074385 |
| Full Text: |
Based on articles found on PubMed and Popline on the provision of
first-trimester abortion by mid-level providers, this article describes
policies on type of abortion provider, comparative studies of different
types of abortion provider, provider perspectives, and programmatic
experience in Bangladesh, Cambodia, France, Mozambique, South Africa,
Sweden, United States and Viet Nam. It shows that it is safe and
beneficial for suitably trained mid-level health care providers,
including nurses, midwives and other non-physician clinicians, to
provide first-trimester vacuum aspiration and medical abortions.
Moreover, it finds that projects in Kenya, Myanmar and Uganda have
successfully trained nurse-midwives to provide post-abortion care for
incomplete abortion with manual vacuum aspiration, and that studies in
Ethiopia and India have recommended that providers such as auxiliary
nurse-midwives should be trained in abortion service delivery to ensure
that they provide safe abortions for low-income women. The paper
recommends the authorisation of all qualified mid-level health care
providers to carry out first-trimester abortions, and also recommends
the integration of training in providing first-trimester abortion care
into basic education and clinical training for all mid-level providers
and medical students interested in obstetrics and gynaecology. Finally,
it calls for documentation of the role of mid-level providers in
managing second-trimester medical abortions to further inform policy and
practice. (1) (1.) Berer M. Provision of abortion by mid-level providers: international policy, practice and perspectives. Bulletin of WHO 2009;87(1): 58-63. |
| Gale Copyright: | Copyright 2009 Gale, Cengage Learning. All rights reserved. |
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