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Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
A study of the importance of self-trust for women's autonomy in reproductive health. The power of new medical technologies, the cultural authority of physicians, and the gendered power dynamics of many patient-physician relationships can all inhibit women's reproductive freedom. Often these factors interfere with women's ability to trust themselves to choose and act in ways that are consistent with their own goals and values. In this book Carolyn McLeod introduces to the reproductive ethics literature the idea that in reproductive health care women's self-trust can be undermined in ways that threaten their autonomy. Understanding the importance of self-trust for autonomy, McLeod argues, is crucial to understanding the limits on women's reproductive freedom. McLeod brings feminist insights in philosophical moral psychology to reproductive ethics, and to health-care ethics more broadly. She identifies the social environments in which self-trust is formed and encouraged. She also shows how women's experiences of reproductive health care can enrich our understanding of self-trust and autonomy as philosophical concepts. The book's theoretical components are grounded in women's concrete experiences. The cases discussed, which involve miscarriage, infertility treatment, and prenatal diagnosis, show that what many women feel toward themselves in reproductive contexts is analogous to what we feel toward others when we trust or distrust them. McLeod also discusses what health-care providers can do to minimize the barriers to women's self-trust in reproductive health care, and why they have a duty to do so as part of their larger duty to respect patient autonomy.
Presents data on a wide range of topics based on personal interviews with a national sample of women 15-44 years of age in the U.S. It is organized around the central theme of pregnancy & its determinants & consequences. Contents: children ever born & total births expected; wanted & unwanted births; sexual intercourse; marriage & cohabitation; contraceptive use; fecundity, infertility, & sterilization operations; breastfeeding, maternity leave, & child care; adoption, stepchildren, & foster children; health insurance coverage; family planning & other medical services; cigarette smoking; HIV testing; pelvic inflammatory disease; & sex educ.
Gender and body-based distinctions continue to be a defining component of women’s identities, both in psychoanalytic treatment and in life. Although females have made progress in many areas, their status within the human community has remained unstable and subject to societal whim. A Womb of Her Own brings together a distinguished group of contributors to explore, from a psychoanalytic perspective, the ways in which women’s sexual and reproductive capabilities, and their bodies, are regarded as societal and patriarchal property, not as the possession of individual women. It further examines how women have been viewed as the "other" and thus become the focus of mistreatment such as rape, sexual slavery, restriction of reproduction rights, and ongoing societal repression. Postmodern gender theories have greatly enhanced understanding of the fluidity of gender and freed women from repressive stereotypes, but attention has shifted prematurely from the power differential that continues to exist between men and women. Before the male/female binary is transcended, the limitations imposed upon women by the still prevailing patriarchal order must be addressed. To this end, A Womb of Her Own addresses issues such as the prevalence of rape culture and its historical roots; the relationship of the LGBT movement to feminism; current sexual practices such as sexting and tattooing and their meaning to women; reproductive issues including infertility; adoption; postpartum depression and the actual experience of birthing—all from the perspectives of women. The book also explores the cultural definitions of motherhood, and how such definitions set exacting standards both for the acceptable face of motherhood and for women generally. While women’s unique anatomy and biology have historically contributed to their oppression in a patriarchal society, it is the exploration and illumination of these capabilities from their own perspective that will allow women to claim and control them as their own. Covering a broad, topical range of contemporary subjects, A Womb of Her Own will appeal to psychoanalysts, psychoanalytic psychotherapists, as well as scholars and students of gender and women’s studies.
This book tells the real-life horror story of states' abusing laws and infringing on rights to police women and their pregnancies.
Se estudian las consecuencias sanitarias de los diferentes patrones reproductivos en la salud de la mujer y de los niños. Tambien se evaluan el riesgo y los beneficios de los diferentes metodos anticonceptivos, aunque algunos de los datos en los que se basa son de paises desarrollados, el nucleo central del informe son los paises en desarrollo.
The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.
Recent years have seen many changes in human reproduction resulting from state and medical interventions in childbearing processes. Based on empirical work in a variety of societies and countries, this volume considers the relationship between reproductive processes (of fertility, pregnancy, childbirth and the postpartum period) on the one hand and attitudes, medical technologies and state health policies in diverse cultural contexts on the other. Maya Unnithan-Kumar is Senior Lecturer in Anthropology at the University of Sussex. Her research in the early 1990s focused on kinship and gender relations in northwest India and appeared as Identity, Gender and Poverty (Berghahn Books 1997).