Abortion care guideline. Laurence Läser (laserl@who.

We also extend our thanks to the International Youth Alliance for Family Planning (IYAFP) for their The WHO Guideline Steering Group led the guideline development process. The option is feasible and has the potential to increase equitable access to quality abortion care. 9Kb)‎ viii Abortion care guideline implementing organizations who provided feedback on the draft guidelines: Bethan Cobley (MSI Reproductive Choices, United Kingdom), Rasha Dabash (Ipas, USA), Eva Lathrop (Population Services International, USA), Steve The. To achieve consensus on indicators that can be used to effectively document progress in quality abortion care at programmatic and country levels, a scoping review and multiple expert consultation processes have been conducted by scientists from the London School of Hygiene and Tropical Medicine (LSHTM) and WHO. Sep 25, 2019 · Guidance. This meeting facilitated discussion and the development of new approaches to guideline development for (i) abortion law and policy, and (ii) integration of human rights. Jun 17, 2022 · In March 2022, the WHO released updated guidelines consolidating the current evidence and best practices for provision of quality abortion care, which, for the first time, include self-management of medical abortion as a fully recommended model of abortion care. Even for procedures that take place at a health-care facility, some elements of the care (e. Where mifepristone is either not legally available or inaccessible, misoprostol-alone regimens may be offered. 23 March 2022. Adolescents’ Health, which includes evidence-based interventions for abortion and post-abortion care as one effective way to help individuals thrive and communities transform. 2 Constellation of services 64 3. Actions to facilitate and strengthen abortion-related service delivery should be based on human rights, local health needs and a thorough understanding of the service-delivery system and the broader social Sep 3, 2022 · Based on the latest scientific evidence, these consolidated guidelines bring together over 50 recommendations spanning clinical practice, health service delivery, and legal and policy interventions to support quality abortion care. It serves as a repository of basic instruments intended for policymakers and program planners who are designing or revising their current postabortion care program. nz. Jan 4, 2017 · Incidence of Abortion. The guideline sets forth three cornerstones of an enabling environment for abortion care: “(1) respect for human rights including a supportive framework of law and policy, (2) the availability and accessibility of information, and (3) a support. These include task sharing by a wider range of health workers; ensuring access to medical abortion pills, which mean more women can obtain safe abortion services, and making sure that Mar 16, 2022 · Drawing on the latest evidence and data on the clinical, service delivery, legal, and human rights aspects of abortion care, the World Health Organization (WHO) released its Abortion Care Guideline on March 9, 2022, updating and replacing the recommendations in its guideline published a decade ago. 11 Medical abortion after 23+6 weeks. Resources for obstetrician–gynecologists and partners to connect, engage, and advocate to defend and expand access to abortion at all levels—in their practices, their communities, and their government. Our mission is to unite, represent, serve, and support abortion providers in delivering It is being made publicly available for transparency purposes and information, in accordance with the WHO handbook for guideline development, 2nd edition (2014). For trusted, in-depth advice from ob-gyns, turn to Your Pregnancy and Childbirth: Month to Month. 1 Under-girded by a framework of human rights standards and in recognition of the centrality of an enabling environment, the new set of recommendations span law, policy, clinical Law and policy domain: Geneva, November 2018. Wellington: Ministry of Health. Geneva: World Health Organization; 2022. If you do not have access to the PCPNC, use the national guidelines for the management of post-abortion care. Methods and preliminary results. The publication provides detailed clinical advice to support implementation of WHO’s consolidated guidance on abortion care, published in 2022. While abortion is very safe overall, there was evidence that morbidity and mortality increases for every additional week of gestation, so earlier abortions are safer. 5. Detailed recommendations on conducting abortions at different gestational stages are also included, to ensure that women get the What is post-abortion care? The WHO PCPNC outlines the key clinical examinations, treatment and care that should be provided to a woman who has experienced bleeding in early pregnancy or an abortion. 告が統合されて新しい勧告として含んでいま . int), Prevention of Unsafe Abortion WHO Department of Sexual and Reproductive Health and Research viii Abortion care guideline implementing organizations who provided feedback on the draft guidelines: Bethan Cobley (MSI Reproductive Choices, United Kingdom), Rasha Dabash (Ipas, USA), Eva Lathrop (Population Services International, USA), Steve Indirect evidence was found for the safety, effectiveness and acceptability of nurses providing medical abortion (moderate certainty), and the skills required for managing incomplete abortion with misoprostol are similar. Induced abortion ends a pregnancy with medication or a medical procedure. 。(詳細は下記「ガイドライン作成の方法」参照)本ガイドラインは、中絶ケアの提供に不可欠な3つの領域、すなわち、「法律と政策」「臨床サービス」「サービスの. New and updated recommendations presented in this guideline were formulated by the expert panels formed for the development of this guideline, including Mar 24, 2022 · The release of the guideline provides an opportunity for the Philippines government to meet its constitutional obligation to the right to health and make quality abortion care accessible to all Abortion. 1 Pre-abortion care 32 2. Chaired by the WHO Department of Sexual and Reproductive Health and Research (SRH), it was composed of eight staff members from the Department, including seven from the Prevention of Unsafe Abortion (PUA) Unit and the Department’s human rights adviser. Sep 25, 2019 · This guideline covers care for women of any age (including girls and young women under 18) who request an abortion. This guideline updates and replaces the recommendations in the following previous WHO guidance: . Washington, DC 20005 . 10 Based For medication abortion at 64-70 days, the regimen may include a second dose of misoprostol, 800 mcg, four hours after the first misoprostol dose. It aims to improve the organisation of services and make them easier for women to access. United Nations Committee on the Elimination of Discrimination against Women; 2013 (CEDAW/C/GC/30). 9 Medical abortion up to and including 10+0 weeks. ); O = outcome(s)11For further information on the findings of the reviews based on the PICOs presented in this annex, refer to the EtD frameworks in Jul 18, 2023 · For the most recent edition of the guideline—the Abortion Care Guideline 9 —the WHO did not shy away from this research challenge and undertook systematic evidence reviews of seven law and policy interventions to capture their health and social impacts, with a focus on quality abortion care rather than on safe (or unsafe) abortion. AN. 4 Equipping facilities and training health-care Nov 6, 2023 · A new clinical guideline developed by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) has been released. 1 Background. United Nations Committee on Economic, Social and Cultural Rights. 7. Provide information to the woman about the process of inducing fetal asystole and what to expect, and follow the informed consent process by outlining the risks and benefits of the procedure (see section 1. 7. g. Web annex : Key international human rights standards on abortion. Laurence Läser (laserl@who. President-Elect Dr Gill Gibson, who chaired the guideline development group, said: “RANZCOG supports equitable access to sexual and reproductive health services, including abortion, a viii Abortion care guideline implementing organizations who provided feedback on the draft guidelines: Bethan Cobley (MSI Reproductive Choices, United Kingdom), Rasha Dabash (Ipas, USA), Eva Lathrop (Population Services International, USA), Steve PICO 4: Vacuum aspiration for all indications at gestational ages < 14 weeks (see Recommendation 24) PICO question: For a pregnant person seeking induced abortion or treatment for incomplete abortion or miscarriage (i. WHO also maintains the Global Abortion Policies Database. Abortion care guideline. The choice of health worker or management by the woman, girl or other pregnant person, and the location of service Dec 8, 2023 · Note: Funding Information: MISSING Conflict of Interests: The author served as a technical advisor with the World Health Organization’s Department of Reproductive Health and Research and as member of the Law and Policy Evidence and Recommendation Review Group, and the Guideline Development Group for the 2022 Abortion Care Guideline. NOTE: NEW recommendation 16 indicates pain management that is ADDITIONAL to NSAIDS (15). 5) Key elements of woman centered abortion care: a. 15. 3 Post-abortion care and follow-up 52 Chapter 3 62 Planning and managing safe abortion care 63 3. 1090 Vermont Ave, NW, Suite 1000 . pregnancy services regardless of the level of care of the health institution or the. While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and Abortion care guideline Web annex : Key international human rights standards on abortion Key to abbreviations of treaties and treaty monitoring bodies Treaty (in chronological order) Abbreviation Year of adoption Year entered into force Treaty monitoring body (TMB)* Abbreviation International Convention on the Elimination of All Forms of Racial PICO: P = population; I = intervention; C = comparator (where applicable**Where a comparator is available, these data have been included, but very few studies that report on abortion-related policy interventions include a comparator of any kind. The objective of this guideline is to present the complete set of all WHO recommendations and best practice statements relating to abortion. Session 9. Equity, inclusivity and people-centred care. Web annex B: Technical meetings during guideline development. Feb 26, 2024 · 26 February 2024. PDF (316 KB) PDF (316 KB) RANZCP submission to Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) on the Clinical Guideline for Abortion Care. Vol 10 April 2022. 4. 2 Methods of abortion 37 2. non-steroidal anti-inflammatory drugs [NSAIDs]) and that it should be provided for the individual to use if and when wanted. A service of the National Library of Medicine, National Institutes of Health. The CPGs are developed by consensus, based on rigorous review of the The PAC Global Resources Guide provides comprehensive, standardized scientifically accurate, and evidence-based information on postabortion care. 5 to 1. auxiliary nurse. ISBN 9789240045163 (‎electronic version)‎ 9789240045170 (‎print version)‎ Clinicians should be familiar with and comply with state restrictions on abortion, including medication abortion. NAF’s programs make it possible for people to obtain the highest quality abortion care. Excerpt. all indications for vacuum aspiration), is provision of vacuum aspiration by a traditional and complementary medicine Mar 9, 2022 · The new guidelines include recommendations on many simple primary care level interventions that improve the quality of abortion care provided. Common symptoms include vaginal bleeding and abdominal pain. prochoice. 提供方法」についての勧告が提示されてい 3. www. These guidelines will go a long way in saving many women and girls’ lives in Zimbabwe through As indicated throughout this chapter so far, abortion care services can be provided by a range of health workers and some tasks can be managed by individuals themselves. Aug 25, 2023 · 4082-President-RANZCP-to-RANZCOG-abortion-guidelines-25-August-2023. These guidelines follow the World Health Organisation’s Post Abortion Care Guidelines of 2022. 9789240039506-eng. Clinical care for women undergoing abortion 31 2. While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in this document aim to enable evidence-based Policy: A law, regulation, procedure, administrative action, incentive or voluntary practice of governments and other institutions (11). Procedural abortion is done in a hospital or clinic and is a minor medical procedure to end a pregnancy, the most common method being vacuum aspiration. 提供方法」についての勧告が提示されてい English: Best practice in abortion care (PDF 290kb) Français: Bonnes pratiques en soins liés à l’avortement (PDF 260kb) Arabic: أفضل ممارسات الرعاية يف حاالت اإلجهاض (PDF 309kb) Español: Mejores prácticas en la atención de abortos (PDF 146kb) luding during armed conflict, is of concern and requires specific attention. The World Health Organization (WHO) serves a critical role in shaping health policy through the coordination and development of normative technical guidance, and WHO guidelines on abortion care represent the global standard of care for comprehensive abortion services. Abortion care guideline [Internet]. pdf (‎599. Clinical services relating to abortion include The following WHO staff members contributed as members of the WHO Guideline Steering Group, which managed the guideline development process (all from WHO’s Department of Sexual and Reproductive Health and Research [SRH], Prevention of Unsafe Abortion [PUA] Unit): Mekdes Daba Feyssa (provided support for the clinical services domain and availability, accessibility, acceptability and quality. This document is available at health. 8. Targeted at registered health professionals who provide abortion advice and care in both Australia and New Zealand, the document is the first binational guideline on abortion. 1 For women who are having a surgical abortion up to and including 13+6 weeks' gestation, offer cervical priming with: 400 micrograms sublingual misoprostol, given 1 hour before the abortion. e. Service delivery domain: Geneva, June 2019. Sep 25, 2019 · 1. govt. These include task sharing by a wider range of health workers; ensuring access to medical abortion pills - which mean more women can obtain safe abortion services - and making sure that accurate Found. Quality of abortion care is foundational to this abortion care guideline. Mar 15, 2022 · Using this holistic approach to the provision of quality abortion care, the Abortion Care guideline carries a consistent message: access to quality abortion care is both a health and human rights issue. CEDAW. 1. 3. General Recommendation No. CESCR. 6. Clinical services domain: Virtual meeting, December 2018. Within the health system, multiple actions are needed to realize human rights obligations. Mar 9, 2022 · The guideline includes recommendations on many simple primary care level interventions that improve the quality of abortion care provided to women and girls. The Slovak version is published by the organization Freedom of choice. 13 In a simple but critical diagram, the Guideline presents abortion care not as a linear path but as a diversity of providers, places, and practices that encircle a person The updated Standards and Guidelines on Comprehensive Abortion Care in Zambia are as a result of efforts from many organizations and partners that have collaborated with the Ministry of Health to reduce morbidity and mortality from unsafe abortion. viii Abortion care guideline implementing organizations who provided feedback on the draft guidelines: Bethan Cobley (MSI Reproductive Choices, United Kingdom), Rasha Dabash (Ipas, USA), Eva Lathrop (Population Services International, USA), Steve Enabling access to quality abortion care: WHO's Abortion Care guideline. 2022 Apr;10 (4):e467-e468. org . 1 Introduction 64 3. country, the WHO Abortion Care guideline aims to enable evidence-based decision making with respect to quality abortion care that is efective, eficient, accessible, acceptable, person-centred, equitable, and safe. New Zealand Aotearoa Abortion Clinical Guideline. The Clinical practice handbook for quality abortion care is intended to facilitate the practical application of the clinical recommendations from the Abortion care guideline (World Health Organization [WHO] 2022). Making health for all a reality, and moving towards the progressive realization of human rights, requires that all individuals have access to quality health care, including comprehensive abortion care “The WHO guideline puts rigorous public health data on what the Center for Reproductive Rights has long argued and women and people across the globe know: that quality abortion care is an essential health service and access to abortion care is a human right. Guiding our work is a holistic, systems-based approach that addresses the ecosystem around abortion decisions and is grounded in human rights standards. In 2014, an estimated 620,300 abortions were performed in Ethiopia. Medication abortion is the process by which a pregnancy is interrupted by taking medicine. (21) Recommendation 6. Over the last 30 years, significant progress has been made in recognizing the need for implementation of essential sexual and reproductive health (SRH) services from the onset of an emergency. 3. “Being able to obtain safe abortion is a crucial part of health care,” said Craig Lissner, acting Director for Sexual and Sep 25, 2019 · Up to and including 13+6 weeks. 12. evaluation issues related to quality abortion care. 4). 2. 10 Based Jun 12, 2023 · The World Health Organization (WHO) today released a new handbook for health workers to help them deliver quality abortion services for women and girls. guideline is meant to ensure that women obtain standard, consistent, safe termination of. The Japanese version is published by the Japan Academy of Midwifery. The recommendations concerning the laws and policies that should or should not be in place in order to fully implement and sustain quality abortion care cover seven areas: criminalization of abortion, grounds-based approaches to permitting abortion, gestational age limits set for abortion, mandatory waiting periods before receiving a requested 1. 8 Expulsion at home for medical abortion up to and including 10+0 weeks. Like its precursors, the 2024 edition of NAF’s Clinical Policy Guidelines for Abortion Care (CPGs) serve to provide guidance for facilities to use in establishing their clinical policies. Access Resources and Training. 1. Each and every recommendation in the guideline development of this document, and also the development of the Abortion care guideline, on which much of this document is based. The needs of all individuals with respect to abortion are recognized and acknowledged in this guidance. If you’ve previously worked with the WHO guidelines on abortion care (2012 Safe abortion guideline, 2015 Health worker roles in providing safe abortion care and post-abortion contraception and 2018 Medical management of abortion) , you may benefit from starting here for a quick glance at what’s additional (either entirely new recommendations; or recommendations that are As outlined in Chapter 1, section 1. Ministry Jun 12, 2023 · 22 23. Detailed recommendations on conducting abortions at different gestational stages are also included, to ensure that women get the safest and The recommendations presented in this guideline provide guidance on how to involve a wider range of health workers and pregnant individuals themselves in the provision or self-management of abortion care, to encourage optimization of the available health workforce, address health system shortages of specialized health-care professionals, reduce Jun 15, 2023 · Overview. Lancet Glob Health. While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in this document aim to enable evidence-based decision-making with respect to quality abortion care. For medical abortion at any gestational age: Recommend that pain medication should be offered routinely (e. The recommendations in this guideline build on human rights law and public health evidence to outline an approach under which abortion is regulated similarly to other health-care interventions, that is, by general health-care law and policy, best practice, training and evidence-based guidelines. hrpe human reproduction programme research for impact U q) World J Organ. Ethiopia’s abortion rate remains lower than the estimated rate of 34 per 1,000 women for East Africa region as a whole, which xxxv, 170 p. doi: 10. Quality of care (see Glossary) encompasses multiple components. However, few general practitioners (GPs) currently provide this service, and there remains great inequity in access to abortion Jul 18, 2023 · For the most recent edition of the guideline—the Abortion Care Guideline 9 —the WHO did not shy away from this research challenge and undertook systematic evidence reviews of seven law and policy interventions to capture their health and social impacts, with a focus on quality abortion care rather than on safe (or unsafe) abortion. The Ministry wishes to thank these partners individually and as a team. The new guidelines have the potential to transform abortion access if international Sep 21, 2022 · Abortion can be effectively managed by a wide range of health workers using medication or a surgical procedure, all of which can be provided at the primary care level. 2 Incomplete abortion Incomplete abortion is defined by clinical presence of an open cervical os and bleeding, whereby all products of conception have not been expelled from the uterus, or the expelled products are not consistent with the estimated duration of pregnancy. World Health Organization (WHO) The use of a combination of medicines – a sedative to relax and an anaesthetic to block pain – to induce a depressed level of consciousness during a medical procedure. The guideline is for health managers, program coordinators and health care providers –. Background. 400 micrograms vaginal misoprostol, given 3 hours before the abortion. for Abortion Care ©2020 National Abortion Federation . Description xxxv, 170 p. As a standard approach to human rights-based health care, all norms, standards and clinical practice related to abortion should promote and protect: the continuum of care. The methodology is described and the contributors are listed in Annex 1. Clinical practice handbook for quality abortion careDraft Draft. This corresponds to an annual rate of 28 abortions per 1,000 women aged 15–49, an increase from 22 per 1,000 in 2008. Post-abortion care: Provision of services after an abortion, such as contraceptive services and linkage to other needed services in the community or beyond. The recommendations and best practice statements in this guideline are only the first step and they still need to be operationalised and Clinical Policy Guidelines . A human rights approach that advances gender equality is essential and must be applied in all contexts providing services to people seeking health care. The 2022 WHO Abortion Care Guideline (“the guideline”) presents a historic opportunity to ground advocacy strategies even more firmly in global standards for public health and human rights. Production has been supported by the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Sep 25, 2019 · This guideline covers care for women of any age (including girls and young women under 18) who request an abortion. pre-abortion information and counselling, cervical priming or post-abortion follow-up care) can Abortion care guideline: web annex A: key international human rights standards on abortion. Midwives: Recommend Abortion Is Essential Health Care. Mar 9, 2022 · The World Health Organization (WHO) is releasing new guidelines on abortion care today, in a bid to protect the health of women and girls and help prevent over 25 million unsafe abortions that currently occur each year. View/ Open. This guideline covers care for women of any age (including girls and young women under 18) who request an abortion. qualification of the service provider. While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in this document aim to enable evidence-based Mar 9, 2022 · The objective of this guideline is to present the complete set of all WHO recommendations and best practice statements relating to abortion. This interactive online NCBI Bookshelf. DOWNLOAD. Uncomplicated incomplete abortion can result Mar 16, 2022 · World Health Organization’s new Abortion Care Guideline affirms abortion access as essential to health and human rights, calling for the Abortion , At the United Nations , Engaging Policymakers , Around the World , Reporting on Rights 6. Recognizing the important role that unsafe abortion plays in maternal 3) Comprehensive Abortion Care Training and Service Delivery Guidelines, published by the Government of India, recommend the use of internationally approved technologies such as MVA, MMA and EVA – True or False 4) Unsafe abortion contributes to _____ % of all maternal deaths in India. The practice of health-care professionals refusing to provide abortion care on the basis of personal conscience or religious belief. Virtual Joint Meeting 28 November – 1 December 2022 . The medicines that have been used for Sep 25, 2019 · Recommendations 1. Read ACOG’s complete disclaimer. We thank the “Economics of abortion” review team, led by Ernestina Coast, Samantha Lattof, Brittany Moore and Yana Rodgers, for their collaboration and contributions to the guideline. Medical abortion (using mifepristone followed by misoprostol to end an early pregnancy) is a more accessible and less invasive option than surgical termination and can be provided in primary care settings. 30: Women in conflict prevention, conflict, and post-conflict situations. Published in October 2021 by the Ministry of Health PO Box 5013, Wellington 6140, New Zealand. ANM. 3 Evidence-based standards and guidelines 65 3. The objective of this guideline is to present the complete set of all WHO recommendations and best practice statements relating to abortion, with the goal of enabling evidence-based quality abortion care globally. May 17, 2024 · In 2022, WHO published an updated, consolidated guideline on abortion care, including all WHO recommendations and best practice statements across three domains essential to the provision of abortion care: law and policy, clinical services and service delivery. auxiliary nurse midwife. The National Abortion Federation is the professional association of abortion providers. RANZCOG released a Clinical Guideline for Abortion Care today, evidence-based guidance for Australia and Aotearoa New Zealand. Detailed recommendations on conducting abortions at different gestational stages are also included, to ensure that women get the safest and 3. 2 Medical management of induced abortion Medical management of spontaneous and induced abortion (for both viable and non-viable pregnancies) at early or later gestational ages involves the use of a single-dose regimen or a combination regimen of medicines used in sequence, with specific dosages and routes of administration. WHO defines health as a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity. There was also evidence of long waiting times and delays for women trying to access abortion services. 1016/S2214-109X (21)00552-0. In early pregnancy, medical abortion can also be self-managed. Health system factors (1. 3 Sexual and Reproductive Health Guidelines. 3, one element of an enabling environment is that law and policy promote and protect sexual and reproductive health and rights (SRHR). (22, 23) Recommendation 6. A number of common approaches to law and policy on abortion mentioned in Chapter 1 (section 1. 5 The conceptual framework for abortion care in this guideline (figure) further recognizes and acknowledges the Abortion care guideline & Medical abortion medicines . French instructions for navigating While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in this document aim to enable evidence-based decision-making with respect to quality abortion care. Maintaining essential health services: operational guidance for the COVID-19 context, interim guidance. Convention on the Elimination of All Forms of Discrimination against Women. 1) pose barriers to access to abortion, are inconsistent with international cept of abortion care trajectories, the path from awareness of preg-nancy to abortion care, and the events that shape a person's access to care and their experience of it. ISBN 978-1-99-100758-2 (online) HP 7856. Key to abbreviations of treaties and treaty monitoring bodies Treaty. Description 17 p. Implementation considerations for abortion care in humanitarian settings. @world Abortion care guideline Safe abortion: technical and policy guidance for health systems Second editicm Health worker roles in providing safe abortion care and post-abortion contraception Medical management of abortion Safe abortion. Learn About the Book. 10 Medical abortion between 10+1 and 23+6 weeks. Mar 8, 2022 · Overview. SHARE. In March 2022, the World Health Organi-zation (WHO) released updated guidelines consolidating the current evidence and best practices for quality abortion care. The document has moved here. 3) Share or print. Go to: 2. Medication abortion regimens are equivalent to early procedural abortion in terms of safety, efficacy 49: 15 and 16 (CS) for medical abortion. 7 Abortion before definitive ultrasound evidence of an intrauterine pregnancy. ro ww yk na an mo de hz nn ho