Delay in termination of pregnancy among unmarried adolescents and young women attending a tertiary hospital abortion clinic in Trivandrum, Kerala, India

The Choice on Termination of Pregnancy Act (no 92 of 1996) was implemented during 1997. This study attempted to investigate professional nurses’ attitudes towards rendering termination of pregnancy (TOP) services at a tertiary hospital in the North West Province of South Africa. A quantitative descriptive research design was used to study professional nurses’ attitudes towards providing TOP services. The research results, obtained from questionnaires completed by professional nurses, indicated that most professional nurses’ attitudes included that women should be at least 16 years of age to access these services; women should not be able to access repeated TOPs; nurses would prefer to administer pills rather than to use vacuum aspirations; nurses should work in TOP services by choice only. TOP centers should have better equipment, more resources and more staff members. Nurses working in TOP services would appreciate receiving more support from their families, friends, managers and communities. Some professional nurses experienced guilt, depression, anxiety and religious conflicts as a result of providing TOP services. Despite the legalisation of TOPs, these services remained stigmatised. Professional nurses did not want to work in these services and also did not want to be associated with them.

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Termination of pregnancy following a Down Syndrome diagnosis: decision-making process and influential factors in a Muslim but secular country, Turkey

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0147 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Duygu Adiyaman ◽

Bahar Konuralp Atakul ◽

Melda Kuyucu ◽

Alkim Gulsah Sahingoz Yildirim ◽

Halil Gursoy Pala

Keyword(s):

Decision Making ◽

Down Syndrome ◽

Chromosome Analysis ◽

Tertiary Hospital ◽

Influential Factors ◽

Termination Of Pregnancy ◽

Decision Making Process ◽

Muslim Country ◽

Hospital Data ◽

Maternal Characteristics

AbstractShort CommunicationsThis study aims to present the termination of pregnancy (TOP) rates and elucidate the decision-making process following a prenatal diagnosis of Trisomy 21 in Turkey.Objectives and MethodsThis retrospective single-center study was conducted with 146 pregnant women between January 2016 and December 2019 in a tertiary hospital. Data on maternal characteristics, sonographic findings, indications for chromosome analysis, and educational, religious, and economic factors that can influence the parental decision process were collected.ResultsThe TOP rate of Down syndrome (DS) in our center was 78.8%. We concluded that maternal age, earlier diagnosis, indication for chromosome analysis, and previous pregnancies had no effect on the TOP decision. On the other hand, not having a minor or a major sonographic sign, employed mothers, middle- and high-income families, and families having a secondary or higher education tended to terminate the pregnancy affected by DS at statistically higher rates.ConclusionsThere are many studies worldwide investigating the TOP preferences for DS. However, there is limited data about TOP rates and influential factors affecting the decision-making process in Muslim countries. This study contributes by clarifying the factors in the decision-making process and elucidating perspectives about TOP in a Muslim country with a unique status: Turkey.

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Antimicrobial susceptibility of Mycoplasma genitalium isolates from Pretoria, South Africa in 2012 and 2016

Southern African Journal of Infectious Diseases ◽

10.4102/sajid.v33i2.17 ◽

2018 ◽

Vol 33 (2) ◽

pp. 46-49

Author(s):

Marie C. Le Roux ◽

Maanda Mafunise ◽

Barbara E. De Villiers ◽

Ramalau M. Ditsele

Keyword(s):

South Africa ◽

Resistance Mutation ◽

Mycoplasma Genitalium ◽

Tertiary Hospital ◽

Vaginal Swab ◽

Termination Of Pregnancy ◽

Fluoroquinolone Resistance ◽

First Line ◽

Sexually Transmitted ◽

First Line Treatment

Background: Mycoplasma genitalium is a sexually transmitted pathogen associated with non-gonococcal urethritis and cervicitis. Azithromycin regimens have been considered first-line treatment for M. genitalium infections, with fluoroquinolone regimens effective as second-line treatments. However, the proportion of M. genitalium harbouring macrolide or fluoroquinolone resistance-associated mutations has been increasing worldwide. This study was done to compare the genotypic macrolide and fluoroquinolone resistance of M. genitalium strains obtained from women attending a termination of pregnancy clinic five years apart.Methods: M. genitalium was detected by PCR in vaginal swab samples from 100 and 104 termination of pregnancy attendees at a tertiary hospital in Pretoria, South Africa during 2012 and 2016 respectively. Genes associated with macrolide and fluoroquinolone resistance in the M. genitalium isolates were sequenced and analysed.Results: The prevalence of M. genitalium was 6.0% (6/100) in 2012 and 7.7% (8/104) in 2016. No resistance-associated mutations were seen in the 2012 isolates. Among the 2016 M. genitalium isolates, two (25%) harboured a macrolide-associated resistance mutation and one (12.5%) a fluoroquinolone resistance-associated mutation in the parC gene.Conclusions: There is an increase in macrolide and fluoroquinolone resistance among local M. genitalium strains. This highlights the need for improved surveillance.

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Views and attitudes of pregnant women regarding late termination of pregnancy for severe fetal abnormalities at a tertiary hospital in KwaZulu-Natal

South African Journal of Obstetrics and Gynaecology ◽

10.7196/sajog.645 ◽

2013 ◽

Vol 19 (2) ◽

Author(s):

J Moodley ◽

C Ndjapa-Ndamkou ◽

L Govender

Keyword(s):

Pregnant Women ◽

Tertiary Hospital ◽

Termination Of Pregnancy ◽

Fetal Abnormalities ◽

Kwazulu Natal

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How Do Young Women with Cancer Experience Oncofertility Counselling during Cancer Treatment? A Qualitative, Single Centre Study at a Danish Tertiary Hospital

Cancers ◽

10.3390/cancers13061355 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1355

Author(s):

Line Bentsen ◽

Helle Pappot ◽

Maiken Hjerming ◽

Lotte B. Colmorn ◽

Kirsten T. Macklon ◽

...

Keyword(s):

Communication Skills ◽

Young Women ◽

Tertiary Hospital ◽

Structured Interviews ◽

National Guidelines ◽

Single Centre ◽

Cancer Data ◽

Single Centre Study ◽

Patient Consultation ◽

Cancer Experience

Background: Adolescents and young adults (AYAs) with cancer are at risk of therapy-induced infertility. The importance of initial and specialized fertility counselling to this patient group is undisputed. Despite international guidelines, oncofertility counselling is still inadequate. The purpose of this study was to examine how female AYA cancer patients and survivors experienced initial and specialized oncofertility counselling, and to present their specific suggestions on how to improve the oncofertility counselling. Methods: Twelve individual semi-structured interviews were performed with AYAs aged 20–35 with cancer or who were survivors. Participants were recruited via a youth support centre and social organization for AYAs with cancer. Data was analysed using thematic analysis. Results: Three main themes were found: Support is needed for navigating the fertility information jungle; The doctor’s approach determines the content of the patient consultation; Inadequate and worrying information causes mistrust and frustration. Conclusion: Results indicate a continuing problem regarding insufficient oncofertility counselling to AYAs with cancer. To ensure adequate and uniform information, especially in the initial oncofertility counselling, national guidelines for oncology specialists are suggested including multidisciplinary effort and collaboration between oncology and fertility specialists in mind. In addition, participants suggest focus on communication skills.

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Severe Paradoxical Dysphonia in Two Young Women

American Journal of Speech-Language Pathology ◽

10.1044/1058-0360.0203.52 ◽

1993 ◽

Vol 2 (3) ◽

pp. 52-55 ◽

Cited By ~ 1

Author(s):

Michael Collins ◽

Robert McDonald ◽

Robert Stanley ◽

Timothy Donovan ◽

C. Frank Bonebrake

Keyword(s):

Young Women ◽

Theoretical Basis ◽

Therapeutic Regimen ◽

Instrumental Data ◽

Relationship Of ◽

The Relationship

This report describes an unusual and persistent dysphonia in two young women who had taken a therapeutic regimen of isotretinoin for intractable acne. We report perceptual and instrumental data for their dysphonia, and pose a theoretical basis for the relationship of dysphonia to this drug. We also provide recommendations for reducing the risk of acquiring a dysphonia during the course of treatment with isotretinoin.

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