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Barb: /* Effectiveness of Post-Abortion Counseling Programs */

2017-03-29T21:13:25Z

Effectiveness of Post-Abortion Counseling Programs

← Older revision		Revision as of 16:13, 29 March 2017
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	:In this study, we preliminarily examined the effects of the Informational and Emotional Support Program for Women after Pregnancy Termination in 30 Thai women. A literature review and House's theory of social support informed the program content, which consisted of the following elements: (i) an evaluation of grief; (ii) an analysis of the problems and needs of each woman; (iii) informational and emotional support tailored to individual problems and needs; (iv) telephone support; and (v) an exit phone interview. The Grief Questionnaire for Women after Pregnancy Termination was used to measure changes in the grief levels of participants. The data were analyzed using descriptive statistics and the contingency coefficient. At the completion of the study, the participants' average grief score had decreased from the prior grief score and was in the moderate to low range. These preliminary findings indicate that the support program can be effective in real-life situations in Thailand to assist women who are grieving after the termination of pregnancy. Our findings highlight the need for nursing and emotional support to be provided to help Thai women after the TOP.		:In this study, we preliminarily examined the effects of the Informational and Emotional Support Program for Women after Pregnancy Termination in 30 Thai women. A literature review and House's theory of social support informed the program content, which consisted of the following elements: (i) an evaluation of grief; (ii) an analysis of the problems and needs of each woman; (iii) informational and emotional support tailored to individual problems and needs; (iv) telephone support; and (v) an exit phone interview. The Grief Questionnaire for Women after Pregnancy Termination was used to measure changes in the grief levels of participants. The data were analyzed using descriptive statistics and the contingency coefficient. At the completion of the study, the participants' average grief score had decreased from the prior grief score and was in the moderate to low range. These preliminary findings indicate that the support program can be effective in real-life situations in Thailand to assist women who are grieving after the termination of pregnancy. Our findings highlight the need for nursing and emotional support to be provided to help Thai women after the TOP.


			[https://www.ncbi.nlm.nih.gov/pubmed/2027854 The impact of supportive intervention after second trimester termination of pregnancy for fetal abnormality.] Elder SH, Laurence KM. Prenat Diagn. 1991 Jan;11(1):47-54.


			:The reactions of women who had had a termination of pregnancy for fetal abnormality in the second trimester have been studied retrospectively using a semi-structured questionnaire. The severity of the grief reaction was measured and the outcome at 6 months was compared with the findings from a previous study in South Wales which had led to the introduction of skilled support from genetic fieldworkers and formal genetic counselling after the termination. Of the 69 women interviewed, 55 (80 per cent) experienced an acute grief reaction and 17 (25 per cent) had not resolved their grief 6 months after the termination, compared with 37 (77 per cent) and 22 (46 per cent) out of 48 respectively in the previous study. Fifty-seven (83 per cent) women had found the fieldworker's intervention useful or very useful, some describing her support as essential. An association between poor resolution of the grief reaction with increasing maternal age and with poor perceived support from partners was noted. Improved follow-up support and counselling have lessened the adverse emotional consequences and support should therefore be offered to all women undergoing termination for fetal malformation.

			:PIP: The reactions of women who had undergone a termination of pregnancy for fetal abnormality in the 2nd trimester have been studied retrospectively using a semistructured questionnaire. The severity of the grief reaction was measured and the outcome at 6 months compared with the findings from a previous study in South Wales which had led to the introduction of skilled support from genetic fieldworkers and formal genetic counseling after the termination. Of the 69 women interviewed, 55 (80%) experienced an acute grief reaction and 17 (25%) had not resolved their grief 6 months after the termination, compared with 37 (77%) and 22 (46%) of 48, respectively, in the previous study. 57 (83%) women has found the fieldworker's intervention useful or very useful, some describing the support received as essential. An association between poor resolution of the grief reaction with increasing maternal age and with poor perceived support from partners was noted. Improved followup support and counseling have reduced the adverse emotional consequences, and support should thus be offered to all women undergoing pregnancy termination for fetal malformations.

	== Morning After Abortion Pill & Higher Abortion Rates ==		== Morning After Abortion Pill & Higher Abortion Rates ==

Barb: /* Effectiveness of Post-Abortion Counseling Programs */

2017-03-29T20:59:16Z

Effectiveness of Post-Abortion Counseling Programs

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	''SD Layer, C Roberts, K Wild, J Walters. [http://rsw.sagepub.com/cgi/content/abstract/14/5/344 Postabortion Grief: Evaluating the Possible Efficacy of a Spiritual Group Intervention.] Research on Social Work Practice, Vol. 14, No. 5, 344-350 (2004)''		''SD Layer, C Roberts, K Wild, J Walters. [http://rsw.sagepub.com/cgi/content/abstract/14/5/344 Postabortion Grief: Evaluating the Possible Efficacy of a Spiritual Group Intervention.] Research on Social Work Practice, Vol. 14, No. 5, 344-350 (2004)''

	Objective: Although not every woman is negatively affected by an abortion, researchers have identified a subgroup of women susceptible to grief and trauma. The primary providers for postabortion grief (PAG) groups are community faith-based agencies. Principle features of PAG are shame and post-traumatic stress disorder (PTSD) symptoms. Method: This study measured the efficacy of a spiritually based grief group intervention for women grieving an abortion. Thirty-five women completed the Impact of Event Scale-Revised(IES-R) and the Internalized Shame Scale (ISS) pre- and postintervention along with posttest open-ended questions. Results: Postintervention measures indicated significant decrease in shame (p < .000) and PTSD symptoms (p < .002). More than 80% reported their religious beliefs and the spiritual intervention played a strong to very strong role in the group. Conclusion: Social workers need to screen for PAG with a postabortive woman and when appropriate refer her to agencies offering such groups.		Objective: Although not every woman is negatively affected by an abortion, researchers have identified a subgroup of women susceptible to grief and trauma. The primary providers for postabortion grief (PAG) groups are community faith-based agencies. Principle features of PAG are shame and post-traumatic stress disorder (PTSD) symptoms. Method: This study measured the efficacy of a spiritually based grief group intervention for women grieving an abortion. Thirty-five women completed the Impact of Event Scale-Revised(IES-R) and the Internalized Shame Scale (ISS) pre- and postintervention along with posttest open-ended questions. Results: Postintervention measures indicated significant decrease in shame (p < .000) and PTSD symptoms (p < .002). More than 80% reported their religious beliefs and the spiritual intervention played a strong to very strong role in the group. Conclusion: Social workers need to screen for PAG with a postabortive woman and when appropriate refer her to agencies offering such groups.


			[https://www.ncbi.nlm.nih.gov/pubmed/27620532 Support program for women suffering grief after termination of pregnancy: A pilot study.] Sriarporn P, Turale S, Lordee N, Liamtrirat S, Hanpra W, Kanthino A. Nurs Health Sci. 2017 Mar;19(1):75-80. doi: 10.1111/nhs.12307. Epub 2016 Sep 12.

			:In this study, we preliminarily examined the effects of the Informational and Emotional Support Program for Women after Pregnancy Termination in 30 Thai women. A literature review and House's theory of social support informed the program content, which consisted of the following elements: (i) an evaluation of grief; (ii) an analysis of the problems and needs of each woman; (iii) informational and emotional support tailored to individual problems and needs; (iv) telephone support; and (v) an exit phone interview. The Grief Questionnaire for Women after Pregnancy Termination was used to measure changes in the grief levels of participants. The data were analyzed using descriptive statistics and the contingency coefficient. At the completion of the study, the participants' average grief score had decreased from the prior grief score and was in the moderate to low range. These preliminary findings indicate that the support program can be effective in real-life situations in Thailand to assist women who are grieving after the termination of pregnancy. Our findings highlight the need for nursing and emotional support to be provided to help Thai women after the TOP.

	== Morning After Abortion Pill & Higher Abortion Rates ==		== Morning After Abortion Pill & Higher Abortion Rates ==

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2013-09-13T16:35:27Z

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	Linda A. Bartlett, Cynthia J. Berg, Holly B. Shulman, Suzanne B. Zane, Clarice A. Green, Sara Whitehead, Hani K. Atrash Risk Factors for Legal Induced Abortion–Related Mortality in the United States Obstet Gynecol 2004 103: 729-737.		Linda A. Bartlett, Cynthia J. Berg, Holly B. Shulman, Suzanne B. Zane, Clarice A. Green, Sara Whitehead, Hani K. Atrash Risk Factors for Legal Induced Abortion–Related Mortality in the United States Obstet Gynecol 2004 103: 729-737.

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	[[Broen]] AN, Moum T, Bødtker AS, Ekeberg O. [http://www.ncbi.nlm.nih.gov/pubmed/16343341?ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum The course of mental health after miscarriage and induced abortion: a five-year follow-up study.] BMC Medicine 2005, 3:18 (12 December 2005) Broen et al.'s results show that women who had a miscarriage suffer more mental distress up until six months after the event than women who had an abortion. Women who had an abortion, however, experienced more mental distress long after the event - two and five years afterwards - than women who had a miscarriage.

	== [[Broen]] AN, Moum T, Bödtker AS, Ekeberg O. [http://www.ncbi.nlm.nih.gov/pubmed/16553180?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Predictors of anxiety and depression following pregnancy termination: a longitudinal five-year follow-up study.] Acta Obstet Gynecol Scand. 2006;85(3):317-23.

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2013-09-13T16:35:07Z

← Older revision		Revision as of 11:35, 13 September 2013
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	Linda A. Bartlett, Cynthia J. Berg, Holly B. Shulman, Suzanne B. Zane, Clarice A. Green, Sara Whitehead, Hani K. Atrash Risk Factors for Legal Induced Abortion–Related Mortality in the United States Obstet Gynecol 2004 103: 729-737.		Linda A. Bartlett, Cynthia J. Berg, Holly B. Shulman, Suzanne B. Zane, Clarice A. Green, Sara Whitehead, Hani K. Atrash Risk Factors for Legal Induced Abortion–Related Mortality in the United States Obstet Gynecol 2004 103: 729-737.

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	[[Broen]] AN, Moum T, Bödtker AS, Ekeberg O. [http://www.ncbi.nlm.nih.gov/pubmed/15039513?ordinalpos=4&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Psychological Impact on Women of Miscarriage Versus Induced Abortion: A 2-Year follow-up study.] Psychosomatic Medicine, 2004, 66:265-271. p 268, "The feeling relief (at T1) had no significant influence on the IES scores at T3, unadjusted or adjusted." This supports an argument that researchers who place too much emphasis on measure of relief may be missing the full picture. p270, "mental health before the event suprisingly had no significant independent influence on IES scores."

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2013-09-13T16:29:30Z

← Older revision		Revision as of 11:29, 13 September 2013
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	[[Broen]] AN, Moum T, Bödtker AS, Ekeberg O. [http://www.ncbi.nlm.nih.gov/pubmed/15039513?ordinalpos=4&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Psychological Impact on Women of Miscarriage Versus Induced Abortion: A 2-Year follow-up study.] Psychosomatic Medicine, 2004, 66:265-271. p 268, "The feeling relief (at T1) had no significant influence on the IES scores at T3, unadjusted or adjusted." This supports an argument that researchers who place too much emphasis on measure of relief may be missing the full picture. p270, "mental health before the event suprisingly had no significant independent influence on IES scores."		[[Broen]] AN, Moum T, Bödtker AS, Ekeberg O. [http://www.ncbi.nlm.nih.gov/pubmed/15039513?ordinalpos=4&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Psychological Impact on Women of Miscarriage Versus Induced Abortion: A 2-Year follow-up study.] Psychosomatic Medicine, 2004, 66:265-271. p 268, "The feeling relief (at T1) had no significant influence on the IES scores at T3, unadjusted or adjusted." This supports an argument that researchers who place too much emphasis on measure of relief may be missing the full picture. p270, "mental health before the event suprisingly had no significant independent influence on IES scores."

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	[[Broen]] AN, Moum T, Bodtker AS, Ekeberg O: [http://www.ncbi.nlm.nih.gov/pubmed/15694217?ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Reasons for induced abortion and their relation to women's emotional distress: a prospective, two-year follow-up study.] Gen Hosp Psychiatry 2005, 27:36-43. OBJECTIVE: The present study aimed to identify the most important reasons for induced abortion and to examine their relationship to emotional distress at follow-up. METHODS: Eighty women were included in the study. The women were interviewed 10 days, 6 months (T2) and 2 years (T3) after they underwent an abortion. At all time points, the participants completed the Impact of Event Scale and a questionnaire about feelings connected to the abortion. RESULTS: Reasons related to education, job and finances were highly rated. Also, "a child should be wished for," "male partner does not favour having a child at the moment," "tired, worn out" and "have enough children" were important reasons. "Pressure from male partner" was listed as the 11th most important reason. When the reasons for abortion and background variables were included in multiple regression analyses, the strongest predictor of emotional distress at T2 and T3 was "pressure from male partner." CONCLUSION: Male pressure on women to have an induced abortion has a significant, negative influence on women's psychological responses in the 2 years following the event. Women who gave the reason "have enough children" for choosing abortion reported slightly better psychological outcomes at T3.

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2013-09-13T16:22:30Z

← Older revision		Revision as of 11:22, 13 September 2013
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	== [[Broen]] AN, Moum T, Bödtker AS, Ekeberg O. [http://www.ncbi.nlm.nih.gov/pubmed/16553180?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Predictors of anxiety and depression following pregnancy termination: a longitudinal five-year follow-up study.] Acta Obstet Gynecol Scand. 2006;85(3):317-23.		== [[Broen]] AN, Moum T, Bödtker AS, Ekeberg O. [http://www.ncbi.nlm.nih.gov/pubmed/16553180?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Predictors of anxiety and depression following pregnancy termination: a longitudinal five-year follow-up study.] Acta Obstet Gynecol Scand. 2006;85(3):317-23.

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	Shelton JD, Schoenbucher AK Death after legally induced abortion. A comprehensive approach for determination of abortionrelated deaths based on record linkage. Public Health Rep 1978 JulAug;93(4):3758 The finding of a heightened risk of death from violent causes reported in this small CDC were dismissed by the authors, but in retrospect are consistent with the findings of the Gissler and Reardon studies. Shelton linked data from the state of Georgia covering an average of eight months after 19,877 abortions. In that case, ten deaths were found, of which eight were related to violent causes (three suicides, two homicides, and three accidents of which one may have been a suicide). The expected number of deaths due to violent causes was 5.7. This study did not include a full year follow-up and used a very small sample (only 10 deaths) compared to the thousands of deaths examined by Gissler and Reardon. (See study for additional notes)

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2013-09-13T15:44:24Z

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	McMahon JM, Ananth CV, Litson RL Gestational Diabetes Mellitus: Risk Factors, Obstetric Complications and Infant Outcomes, J Reprod Med 1998 43:372-378. Prior abortion is significantly associated with a higher risk of GDM (RR=1.41, 95% CI= 1.18-1.68)		McMahon JM, Ananth CV, Litson RL Gestational Diabetes Mellitus: Risk Factors, Obstetric Complications and Infant Outcomes, J Reprod Med 1998 43:372-378. Prior abortion is significantly associated with a higher risk of GDM (RR=1.41, 95% CI= 1.18-1.68)

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	Cagnacci A, Volpe A. Is voluntary abortion a seasonal disorder of mood? Human Reproduction 2001, 16(8):1748-52. The rate of abortion shows a seasonal rythm that is similar in amplitude and maximal rate to the seasonal rhythmic pattern observed for female suicide.

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2012-04-18T16:48:19Z

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	Fisher WA, Singh SS, Shuper PA, Carey M, Otchet F, MacLean-Brine D, et al. Characteristics of women undergoing repeat induced abortion. CMAJ 2005;172(5):637-41		Fisher WA, Singh SS, Shuper PA, Carey M, Otchet F, MacLean-Brine D, et al. Characteristics of women undergoing repeat induced abortion. CMAJ 2005;172(5):637-41

	Phillips SP. Violence and abortions: What's a doctor to do? CMAJ 2005; 172 (5):653
			Phillips SP. Violence and abortions: What's a doctor to do? CMAJ 2005; 172 (5):653

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WikiSysop at 16:21, 8 June 2010

2010-06-08T16:21:44Z

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	Gómez Lavín C, Zapata García R. Actas Esp Psiquiatr. 2005 Jul-Aug;33(4):267-72.		Gómez Lavín C, Zapata García R. Actas Esp Psiquiatr. 2005 Jul-Aug;33(4):267-72.

	=== Domestic Violence and Abortion ===		=== Domestic Violence and Abortion ===

	Aston, G, Bewley, S. "Abortion and domestic violence." The Obsterician and Gynaecologist 2009, 11: 163-168.		Aston, G, Bewley, S. "Abortion and domestic violence." The Obsterician and Gynaecologist 2009, 11: 163-168.
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	And a New Zealand study published last August found that one in 10 women reported being abused while pregnant and that abused women were 2.5 times more likely to undergo an abortion compared to women who were not abused.		And a New Zealand study published last August found that one in 10 women reported being abused while pregnant and that abused women were 2.5 times more likely to undergo an abortion compared to women who were not abused.

	[[Category:Research]][[Category:~~Needs Editing~~]]		<references />

			[[Category:Research]] [[Category:Needs_Editing]]

WikiSysop at 16:20, 8 June 2010

2010-06-08T16:20:58Z

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