Postabortum insertion of multiload IUD.
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The purpose of this study was to compare adolescent and adult reactions to abortion. A sample of 252 women from 42 states was obtained from a national survey of organizations serving as support groups for women who have had negative reactions to abortion. The age analysis was run using t-tests. Results indicated that the adolescents were significantly more likely to be dissatisfied with the choice of abortion than were the older subjects, to have abortions later in the gestational period, to be dissatisfied with services at the time of the abortion, to feel forced by circumstances to have the abortion, to report being misinformed at the time of the abortion, and to report greater severity of psychological stress. The conclusions suggest that the adolescents' problems may be due to a combination of developmental limitations and the nature of counseling at the time of the abortion.
Unwanted pregnancies put women in Kenya at risk of morbidity and mortality associated with childbearing; induced abortion is an option some women seek as a response to that situation. Qualitative research was carried out to document the case histories of 30 Kenyan women who underwent induced abortion. In-depth interviews were conducted among an urban group of low-income women to identify sources of information about induced abortion and the decision-making process, and to describe the abortion experience among this group. Being unmarried and unemployed contributed to the decision to abort. Two main types of induced abortion, one provided in private facilities by medical personnel, and the other performed by a variety of untrained practitioners, are described.
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A new anaesthetic method (fentanyl-midazolam-flumazenil) was compared with recently administered (pethidine-diazepam-ketamine) anaesthesia in two groups of 25 women, each undergoing termination of pregnancy. No significant difference was found between the two groups in the quality of anaesthesia. Recovery was assessed by means of the Aldrete score and a visual analogue scale. The recovery time was significantly shorter in patients who received midazolam-flumazenil. In the ketamine group, 36% of the patients complained of unpleasant dreams. The recovery in the midazolam group was comfortable.
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