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Unsupervised Medical Abortions: A Cause for Concern of Safety

Authors: Kalra, Ruchi;

Unsupervised Medical Abortions: A Cause for Concern of Safety

Abstract

{"references": ["1. World Health Organization. Health Worker Roles in Providing Safe Abortion Care and Post-Abortion Contraception. Geneva: World Health Organization; 2015. 2. Singh S, Shekhar C, Acharya R, Moore AM, Stillman M, Pradhan MR, et al. The incidence of abortion and unintended pregnancy in India, Lancet Glob Health. 2015;2018;6:e111\u201320. 3. Thaker R, Deliwala KJ, Shah PT. Self-medication of abortion pill: Women's health in Jeopardy. NHL J Med Sci. 2014;3:26\u201331. 4. Yokoe R, Rowe R, Choudhury SS, et al. Unsafe abortion and abortion-related death among 1.8 million women in India. BMJ Glob Health. 2019;4:e001491. doi:10.1136/ bmjgh-2019-001491 5. Srivastava A, Saxena M, Percher J. Nadia Diamond- Smith, Mellissa H. Withers. (2019) Pathways to seeking medication abortion care: A qualitative research in Uttar Pradesh, India. PLOS ONE. 14:5, pages e0216738. 6. Footman K, Keenan K, Reiss K, Reichwein B, Biswas P, Church K. Medical Abortion Provision by Pharmacies and Drug Sellers in Low- and Middle-Income Countries: A Systematic Review. Studies in Family Planning. 2018;49:57-70. 7. Sarojini, Ashakiran, TR, Bhanu BT, et al. Over-thecounter MTP Pills and Its Impact on Women's Health. J Obstet Gynecol India. 2017;67:37\u201341. https://doi.org/ 10.1007/s13224-016-0916-9 8. Sushanta K, Andersen BK. Exploring the pathways of unsafe abortion in Madhya Pradesh, India Global Public Health. 2012;7(8):882-896. 9. Gambir K, Kim C, Necastro KA, Ganatra B, Ngo TD. Self-administered versus provider-administered medical abortion. Cochrane Database of Systematic Reviews 2020, Issue 3. Art. No.: CD013181. DOI: 10.1002/14651858.CD013181.pub2. 10. WHO guideline on self-care interventions for health and wellbeing, 2022 revision https://www.who.int /publications/i/ item/97892 40052192. 11. Yokoe R, Rowe R, Choudhury SS, et al. Unsafe abortion and abortion-related death among 1.8 million women in India. BMJ Glob Health. 2019;4:e001491. doi:10.1136/ bmjgh-2019-001491 12. FOGSI FOCUS ON Medical Termination of Pregnancy (MTP) Recent Update on Clinical and Legal Aspects 2021. 13. Kapp N, Mao B, Menzel J, et al. BMJ Sex Reprod . doi:10.1136/ bmjsrh-2022-201722 14. Stillman M, Frost JJ, Singh S, Moore AM, Kalyanwala S. Abortion in India: A Literature Review. Guttmacher Institute. 2014 15. Diamond-Smith N, Percher J, Saxena, M. et al. Knowledge, provision of information and barriers to high-quality medication abortion provision by pharmacists in Uttar Pradesh, India. BMC Health Serv Res 2019;19:476. https://doi.org/10.1186/s12913-019- 4318-4 16. Upadhyaya UD, Cartwright AF. Daniel Grossmana. Barriers to abortion care and incidence of attempted selfmanaged abortion among individuals searching Google for abortion care: A national prospective study. Contraception. 2022;106:49\u201356. 17. Nivedita K, Fatima Shanthini. Is It Safe to Provide Abortion Pills over the Counter? A Study on Outcome Following Self-Medication with Abortion Pills. Journal of Clinical and Diagnostic Research. 2015;9(1):1-4. DOI: 10.7860/JCDR/2015/11626.5388. Kalra R. Unsupervised Medical Abortions: A Concern 46"]}

Medical abortions have been a national as well as social concern for the society, especially in India. There have been certain laws, acts and amendments that have been designed to promote safe abortions. Despite, the rules in place, there is still need to have more awareness as the women still face difficulties in accessing abortion services. The reasons may include legal hurdles, stigma, financial concerns and many more. Through this article, we would like to emphasize the role of government, medical professionals, health care providers to come together and form more dependable guidelines that may help women to access safer abortions.

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Keywords

KEY WORDS: abortions; MTP Act; contraception, abortion pills

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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