SEXUAL AND REPRODUCTIVE HEALTH

Sexual and Reproductive Health for Nurses Course

Abstract

Despite the legalization of abortion in numerous nations worldwide, get access to abortion is often constrained in numerous ways. Lack of accessibility of taught and eager physicians, insufficient and poor infrastructure as well as affordability are matters that are still assisting to poor get access to abortion for numerous women dwelling in nations that have legalized abortion. Improving get access to early abortion regardless of the falling number of medical practitioners eager to supply abortions is being addressed in some nations by increasing the function of sophisticated nurse-midwife practitioners in this field. There are good clues to propose that the conclusion of first-trimester abortions presented by suitably taught non-medical practitioners is comparable in periods of security and efficacy to abortions presented by doctors. These mid-level practitioners furthermore have a key function in supplying post-abortion care and contraception to women. We require addressing outdated regulations and guidelines as well as political trials that constraint both the proficiency of sophisticated nurse-midwife practitioners to supply abortion care and the possibilities to train them appropriately.

Table of Contents

Abstract2

Table of Contents3

Introduction4

Scope of the problem4

Background5

An international perspective of Sexual and Reproductive Health9

The United States of America9

Canada11

Europe11

Africa13

Asia14

Expanding the Advanced Nurse Practitioner's role in abortion care15

Recent developments in the UK23

Conclusion27

References29

Sexual and Reproductive Health for Nurses Course

Introduction

Scope of the problem

Obtaining accurate data for abortions is challenging, and especially so for unsafe abortion and its consequences. Each year, there are an estimated 19 million unsafe abortions worldwide. Nearly 7000 women die each year as a result of illegal, unsafe abortions, mostly in developing countries, making this a significant cause of maternal mortality. In addition, annually, an estimated 8 million women experience complications related to unsafe abortion that need medical treatment. These estimates have hardly changed over the past 10 years. Data suggest that even though, globally, the overall abortion rate has declined, the proportion of unsafe abortion is on the rise, especially in the developing world. In countries with restrictive abortion laws, untrained providers and poor access to high-quality abortion services, women are much more likely to experience immediate complications, long-term disabilities or, sometimes, death due to unsafe abortions.



Background

Why has the number of maternal deaths from unsafe abortions remained unchanged over the past decade, despite increasing legalization of abortions? To answer this question we need to analyze the available, albeit incomplete, data worldwide relating all aspects of abortion.

Legalization of abortion is a fundamental step towards addressing access to abortion care but such services ultimately depend on a number of factors, including the availability of affordable clinicians who are skilled and willing to provide abortions within realistic traveling distances for women. Even in countries with liberal abortion laws and safe abortion services, access to abortion is influenced by the availability of trained clinicians willing to offer this service. Early abortion is one of the safest surgical procedures, yet it carries a significant stigma for both women and health-care providers. This is evident in the United States where access to abortion services ...