RAARN Citations
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- Key determinants of induced abortion in women seeking postabortion care in hospital facilities in Ouagadougou, Burkina Faso.
- Despite the universal recognition of unsafe abortion as a major public health problem, very little research has been conducted to document its precipitating factors in Burkina Faso. Our aim was to investigate the key determinants of induced abortion in a sample of women who sought postabortion care., A cross-sectional household survey was carried out from February to September 2012 in Ouagadougou, Burkina Faso. Data of 37 women who had had an induced abortion and 267 women who had had a spontaneous abortion were prospectively collected on sociodemographic characteristics, pregnancy and birth history, abortion experience, including previous abortion experience, and selected clinical information, including the type of abortion. A two-step regression analysis consisting of a univariate and a multivariate logistic regression was run on Stata version 11.2 in order to identify the key determinants of induced abortion., The findings indicated that 12% of all abortions were certainly induced. Three key factors were significantly and positively associated with the probability of having an induced abortion: whether the woman reported that her pregnancy was unwanted (odds ratio [OR] 10.45, 95% confidence interval [CI] 3.59-30.41); whether the woman reported was living in a household headed by her parents (OR 6.83, 95% CI 2.42-19.24); and if the woman reported was divorced or widowed (OR 3.47, 95% CI 1.08-11.10). On the contrary, being married was protective against induced abortion, with women who reported being married having an 83% (OR 0.17, CI 0.03-0.89) lower chance of having an induced abortion, even when the pregnancy was unwanted., This study has identified three major determinants of induced abortion in Ouagadougou, Burkina Faso. Improved targeted programs on family planning counseling, methods of contraception, and availability of contraceptives should be widely promoted., journal article, 2014, 2014 05 29, imported
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- Perceptions of the effects of armed conflict on maternal and reproductive health services and outcomes in Burundi and Northern Uganda: a qualitative study.
- Armed conflict potentially poses serious challenges to access and quality of maternal and reproductive health (MRH) services, resulting in increased maternal morbidity and mortality. The effects of armed conflict may vary from one setting to another, including the mechanisms/channels through which the conflict may lead to poor access to and quality of health services. This study aims to explore the effects of armed conflict on MRH in Burundi and Northern Uganda., This is a descriptive qualitative study that used in-depth interviews (IDIs) and focus group discussions (FGDs) with women, health providers and staff of NGOs for data collection. Issues discussed include the effects of armed conflict on access and quality of MRH services and outcomes, and the mechanisms through which armed conflict leads to poor access and quality of MRH services. A total of 63 IDIs and 8 FGDs were conducted involving 115 participants., The main themes that emerged from the study were: armed conflict as a cause of limited access to and poor quality of MRH services; armed conflict as a cause of poor MRH outcomes; and armed conflict as a route to improved access to health care. The main mechanisms through which the conflict led to poor access and quality of MRH services varied across the sites: attacks on health facilities and looting of medical supplies in both sites; targeted killing of health personnel and favouritism in the provision of healthcare in Burundi; and abduction of health providers in Northern Uganda. The perceived effects of the conflict on MRH outcomes included: increased maternal and newborn morbidity and mortality; high prevalence of HIV/AIDS and SGBV; increased levels of prostitution, teenage pregnancy and clandestine abortion; and high fertility levels. Relocation to government recognised IDP camps was perceived to improve access to health services., The effects of armed conflict on MRH services and outcomes are substantial. The mechanisms through which armed conflict leads to poor access and quality of MRH services vary from one setting to another. All these issues need to be considered in the design and implementation of interventions to improve MRH in these settings., journal article, 2015, 2015 04 03, imported
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- Politics, policies, pronatalism, and practice: availability and accessibility of abortion and reproductive health services in Turkey
- Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We aimed to better understand the current availability of abortion and reproductive health services in Istanbul and explore whether access to services has changed since 2012. In 2015, we completed 14 in-depth interviews with women and 11 semi-structured interviews with key informants. We transcribed all interviews and completed content and thematic analyses of the data. Key informants had good knowledge about the political discourse and the current abortion law. In contrast, women were familiar with the political discourse but had mixed information about the current status of abortion and were unsure about the legality of their own abortions. There was consensus that access to services has become more limited in the last five years due to the political climate, thus advocacy to prioritize reproductive health services, and abortion care in particular, in the public health system are needed., article
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- Preterm subtypes by immigrants' length of residence in Norway: a population-based study.
- The reduction of the preterm delivery (PTD) rate is a maternal and child health target. Elevated rates have been found among several immigrant groups, but few studies have distinguished between PTD according to the mode of birth start. In addition, migrants' birth outcomes have further been shown to be affected by the time in residence; however, the association to PTD subtypes has not previously been assessed. In this study we examined if the risk of spontaneous and non-spontaneous, or iatrogenic, PTD among immigrants in Norway varied according to the length of residence and the country of birth, and compared with the risks among the majority population., We linked population-based birth and immigration data for 40 709 singletons born to immigrant women from Iraq, Pakistan, the Philippines, Somalia, Sri Lanka and Vietnam and 868 832 singletons born to non-immigrant women from 1990-2009. Associations between the length of residence and subtypes of PTD were estimated as relative risks (RRs) with 95% confidence intervals (CIs) from multivariable models., In total, 48 191 preterm births occurred. Both spontaneous and non-spontaneous PTD rates were higher among immigrants (4.8% and 2.0%) than among non-immigrants (3.6% and 1.6%). Only non-spontaneous PTD was associated with longer lengths of residence (p trend <0.001). Recent immigrants (<5 years of residence) and non-immigrants had a similar risk of non-spontaneous PTD, whereas immigrants with lengths of residence of 5-9 years, 10-14 years and ≥ 15 years had adjusted RRs of 1.18 [95% CI 1.03,1.35], 1.43 [95% CI 1.20,1.71] and 1.66 [95% CI 1.41,1.96]. The association was reduced after further adjustments for maternal and infant morbidity. Conversely, the risk of spontaneous PTD among immigrants was not mitigated by length of residence, but varied with country of birth according to the duration of pregnancy in term births., Non-spontaneous PTD increased with the length of residence whereas spontaneous PTD remained elevated regardless of the length of residence. Policies to improve birth outcomes in ethnically mixed populations should address the modifiable causes of PTD rather than aiming to reduce absolute PTD rates., journal article, research support, non-u.s. gov't, 2014, 2014 07 21, imported
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- RENAL AND OBSTETRIC OUTCOMES AFTER KIDNEY TRANSPLANTATION I˙N PREGNANCY: A SINGLE CENTER EXPERIENCE
- Introduction and Aims: Kidney transplantation in patients with chronic kidney disease increases the chances of pregnancy. However, graft dysfunction, risk of fetal growth retardation and fetal anomaly should be monitored closely. In this study, pregnant kidney recipients datas who were followed in our center were evaluated.
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- Reproductive Justice: An Introduction
- Reproductive Justice is a first-of-its-kind primer that provides a comprehensive yet succinct description of the field. Written by two legendary scholar-activists, Reproductive Justice introduces students to an intersectional analysis of race, class, and gender politics. Loretta J. Ross and Rickie Solinger put the lives and lived experience of women of color at the center of the book and use a human rights analysis to show how the discussion around reproductive justice differs significantly from the pro-choice/anti-abortion debates that have long dominated the headlines and mainstream political conflict. Arguing that reproductive justice is a political movement of reproductive rights and social justice, the authors illuminate, for example, the complex web of structural obstacles a low-income, physically disabled woman living in West Texas faces as she contemplates her sexual and reproductive intentions. In a period in which women’s reproductive lives are imperiled, Reproductive Justice provides an essential guide to understanding and mobilizing around women’s human rights in the twenty-first century.
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- Reproductive States: Global Perspectives on the Invention and Implementation of Population Policy
- When it comes to government's role in personal matters such as family planning, most bristle at any interference from the State on how to exercise their reproductive rights. China's infamous "one child" policy is a well-known example of reproductive politics, but history is filled with other examples of governmental population control to advance its interests. Reproductive States is the first volume of a collection of case studies that explores when and how some of the most populous countries in the world invented and implemented state population policies in the 20th century.
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- The Moral Economy of Abortion Policy in Burkina Faso
- As in many African countries, in Burkina Faso induced abortion is socially censured and legally restricted, but still frequently practiced, often resulting in complications and even death. Abortion is thus both a serious public health problem and a major social issue. Based on an anthropological study, this paper analyzes how the Burkinabe State has dealt with the issue of abortion, drawing on the concept of moral economy to understand tension between the private and public/institutional spheres. The national policy is positioned in relation to international (global) policy and, as such, focuses on post-abortion care aimed at reducing maternal mortality rates. The Burkinabe government’s commitment to post-abortion care illustrates the influence of transnational policies anchored in a public health paradigm. However, instead of opening the way for a debate on the broader issue of abortion that would focus on human rights, the post-abortion care option has been used to stifle the uncomfortable political and moral debate that would arise from any societal questioning around abortion. These are the contours within which national choices contribute to the logics underlying the silence around abortion. The paper shows how the political authorities’ reticence to address the possible liberalization of abortion is an arena within which the private sphere and public space collide. In fact, the authorities’ silence around rights related to abortion, and the implicit consensus among national and international authorities on post-abortion care as a potential opening toward a debate around abortion, are moral logics.
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- The first welfare case: money, sex, marriage, and white supremacy in Selma, 1966: a reproductive justice analysis.
- King v. Smith, the first welfare case heard by the U.S. Supreme Court, overturned the Alabama substitute father law. Such laws directed or allowed welfare officials to use the sexual behavior and reproductive capacity of poor African American women to alienate this population from "cash-money"; to reassert political and bureaucratic control over the intimate relationships of African Americans, demonstrating that this population was unprepared for civil rights and full citizenship; and to shore up white supremacy in the civil rights era. The context for this case which originated in Selma, Alabama in 1966 illustrates that even if poor African American women had had access to contraception and legal abortion at that time, they would still have lacked reproductive autonomy and dignity as the state surveilled their sexual behavior and enforced laws making sex, itself, as well as reproduction, and the right to define their own intimate relationships and families, a race and class privilege., historical article, journal article, 2010, imported
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- Transcending Borders
- This multidisciplinary volume investigates different abortion and reproductive practices across time, space, geography, national boundaries, and cultures. The authors specialize in the reproductive politics of Australia, Bolivia, Cameroon, France, ‘German East Africa,’ Ireland, Japan, Sweden, South Africa, the United States, and Zanzibar, with historical focuses on the pre-modern era, nineteenth and twentieth centuries, as well as the present day. This timely work complicates the many histories and ongoing politics of abortion by exploring the conditions in which women have been forced to make these life-altering decisions., monograph, Published