South Dakota Task Force to Study Abortion Pierre, South Dakota September 21, 2005

Size: px
Start display at page:

Download "South Dakota Task Force to Study Abortion Pierre, South Dakota September 21, 2005"

Transcription

1 South Dakota Task Force to Study Abortion Pierre, South Dakota September 21, 2005 Section III. : The review and exposition of the body of medical, psychological, and sociological knowledge that has accumulated since 1973 concerning the physical and mental health of women who have undergone abortions and their subsequent life, health, and socioeconomic experiences. Reviewing the Medical Evidence: Short and Long-Term Physical Consequences of Induced Abortion Elizabeth M. Shadigian, M.D. Clinical Associate Professor of Obstetrics and Gynecology University of Michigan Medical School Thank you, legislators and committee members, for the opportunity to address this group. I am a medical expert on abortion complications, gender issues in obstetrics and gynecology and violence against women. I am not here to argue a pro-life or pro-choice political stand. I am here as a medical expert advocating for accurate and accessible medical information for women, and society in general, on the short and long-term health effects of abortion. I am a clinician who must explain to women the complications and risks of surgical procedures, such as induced abortion, and get their permission for procedures. This is called informed consent. I also co-authored a compilation of research articles, called a systematic review, evaluating the long-term physical and psychological health consequences of induced abortion (1). In addition, I co- authored an article on pregnancy-associated death, specifically death from homicide and suicide during pregnancy and in the year after pregnancy (2). I have testified in the United States Senate and in the House of Representatives in similar matters. Approximately 25% of all pregnancies are terminated in the United States and 43% of all women undergo an abortion at some time in their lives. Therefore, if there is a small positive or negative effect of induced abortion on subsequent health, a large number of women will be affected. As physicians, we generally divide complications or effects from an intervention or procedure into 1) short-term effects, which are up to six weeks after the procedure and 2) long-term effects, which are seen as persistent effects after the six week window has ended. Approximately 10% of women undergoing induced abortion will suffer immediate complications, of which approximately one fifth (or 2%) is considered life threatening. Complication rates increase with greater gestational age of the pregnancy. Immediate complications include: infection, fever, abdominal pain and cramping, bleeding, hemorrhage, blood transfusion with its subsequent risks, deep vein thromboses, pulmonary or amniotic fluid embolism, injury to the cervix, vagina, uterus, Fallopian tubes and ovaries, bowel, bladder, and other internal organs, anesthesia complications (which are higher with general anesthesia), failure to remove all the contents of the uterus

2 (leaving behind parts of the fetus/baby or placenta), need to repeat the surgery, possible hospitalization, risk of more surgery such as laparoscopy or exploratory laparotomy, possible hysterectomy (loss of the uterus and subsequent infertility), allergic reactions to medicines, misdiagnosis of an intrauterine pregnancy with a tubal or abdominal pregnancy being present (which necessitates different treatment with medicines or more extensive surgery), possible molar pregnancy with the need for further work-up and treatment), emotional reactions (including but not limited to depression, guilt, relief, anxiety, etc.) death of the woman, risk of a live or live and injured fetus/baby. All these short-term risks should appear on abortion consent forms. In addition, the long-term risks that should also appear on abortion consent forms, but usually do not in this country, include increased risks of: breast cancer, placenta previa (a condition that necessitates a c-section and has higher rates of complications), preterm birth in subsequent pregnancies (births before 37 weeks gestation, many of which require neonatal intensive care unit stays for babies and higher rates of death), depression, suicidal ideation and attempt, deaths from all causes including suicide, medical diseases, accidents and homicide. My study (1) concluded that increased long-term risks of the following were found to be associated with induced abortion enough to warrant disclosure: breast cancer (from the loss of protective effect that a full-term delivery would have given a woman and a possible independent effect of induced abortion on breast cancer risk), placenta previa, pre-term birth, and maternal suicide. Three other reproductive outcomes that were studied, but we concluded were not found to be associated with induced abortion were: subsequent spontaneous abortion (miscarriage), ectopic pregnancy, and infertility. The Centers for Disease Control (CDC) reports approximately one death for every 100,000 abortion procedures performed in the United States. However, this only includes short-term risks (only those deaths in the six-week period following abortion) and is based on those states that require reporting. A recent study by Horon showed that the number of maternal deaths is substantially underestimated if death certificates alone are used to identify deaths (3), as is usually the case in reporting to the CDC. Deaths of women that occur after the six-week window following pregnancy should be considered long-term risks. Compared to women who give birth, women who have an induced abortion have an elevated risk of death: approximately three times greater than the risk associated with childbirth (4, 5, and 6). This elevated risk of death associated with induced abortion persists for at least eight years (7). Most prominent is the higher risk of death from homicide, suicide and accidents, although deaths from natural causes are also elevated (8). Excluding these long-term deaths underestimates the number of deaths associated with induced abortion by thousands each year. In the most recent edition of medical opinions set forth by the American College of Obstetricians and Gynecologists (Compendium of Selected Publications, 2005, Practice Bulletin #26), ACOG inexplicably states: Long-term risks sometimes attributed to surgical abortion include potential effects on reproductive functions, cancer incidence, and psychological sequelae. However, the medical literature, when carefully evaluated, clearly demonstrates no significant negative impact on any of these factors with surgical abortion. I am a proud member and fellow of ACOG. Because of groups like ACOG American women enjoy some of the best health, and health care, in the world. However,

3 I am deeply troubled that ACOG makes assurances to their membership, and to women everywhere, claiming a lack of long-term health consequences of induced abortion. Instead, ACOG should be insisting that these long-term health consequences appear on abortion consent forms. Why doesn t ACOG insist that long-term health consequences of induced abortion be included? ACOG seems to claim that they have adequately evaluated the medical literature, but they do not consider our study or the many other studies we evaluated. This situation is akin to the early studies that indicated that cigarette smoking was linked to heart disease and lung cancer in the 1950 s and 1960 s, but that those medical establishments initially denied. Eventually, larger, improved studies were funded that could thoroughly assess the health effects of smoking and medical organizations had to change their positions. We are at a similar crossroads for women and induced abortion today just as we were regarding smoking and long-term health effects in the 1950 s and 1960 s. A clear and overwhelming need exists to study a large group of women with unintended pregnancies who choose - and do not choose - abortion. If done properly, a dramatic advance in knowledge will be afforded to women and their health care providers - regardless of the study s outcome. A commitment to such long-term research concerning the health effects of abortion including maternal mortality would seem to be the morally neutral common ground upon which both sides of the abortion/choice debate could agree. In the meantime, there is enough medical evidence to inform women about the long-term health consequences of induced abortion, specifically breast cancer, placenta previa, pre-term birth, maternal suicide and maternal death from all causes, including homicide. Physicians, policy makers, medical governing bodies and society in general should also be informed of the inadequate manner in which maternal death and pregnancy-associated death is reported on death certificates and to the government, thus grossly underestimating the risk of death from abortion. I applaud this South Dakota Task Force to Study Abortion for looking critically at these issues and inviting me to participate in the forum.

4 Bibliography 1) Thorp JM, Hartmann KE, Shadigian EM: Long-Term Physical and Psychological Health Consequences of Induced Abortion: A Review of the Evidence, Obstetrical and Gynecological Survey, 58(1), ) Shadigian EM and Bauer ST: Pregnancy-Associated Death: A Qualitative Systematic Review of Homicide and Suicide, Obstetrical and Gynecological Survey, 60 (3), ) Horon IL: Underreporting of Maternal Deaths on Death Certificates and the Magnitude of the Problem of Maternal Mortality, American Journal of Public Health, 95(3), ) Gissler M, Berg C, Bouvier-Colle MH, Buekens P. Pregnancy-associated mortality after birth, spontaneous abortion or induced abortion in Finland, American Journal of Obstetrics and Gynecology 2004; 190: ) Gissler M, Kauppila R, Merilainen J, Toukomaa H, Hemminki E. Pregnancyassociated deaths in Finland definition problems and benefits of record linkage. Acta Obstet Gynecol Scand 1997; 76(7): ) Gissler M, Berg C, Bouvier-Colle MH, Buekens P. Methods for identifying pregnancy-associated deaths: population-based data from Finland Paediatr Perinat Epidemiol Nov; 18(6): ) Reardon DC, Ney PG, Scheuren FJ,, Cougle JR, Coleman, PK, Strahan T. Deaths associated with pregnancy outcome: a record linkage study of low income women. Southern Medical Journal. 95(8): , ) Reardon DC, Strahan TW, Thorp JM and Shuping, MW: Deaths Associated with Abortion Compared To Childbirth A Review Of New And Old Data And The Medical And Legal Implications, The Journal of Contemporary Health Law & Policy, 20(2): , 2004.

5

Deaths Associated with Abortion and Childbirth: A Brief Summary with Attention to Mental Health Issues Martha Shuping, M.D.

Deaths Associated with Abortion and Childbirth: A Brief Summary with Attention to Mental Health Issues Martha Shuping, M.D. Deaths Associated with Abortion and Childbirth: A Brief Summary with Attention to Mental Health Issues Martha Shuping, M.D. 1. Suicide: A large record based study in Finland reported a higher rate of suicide

More information

Summa Health System. A Woman s Guide to Hysterectomy

Summa Health System. A Woman s Guide to Hysterectomy Summa Health System A Woman s Guide to Hysterectomy Hysterectomy A hysterectomy is a surgical procedure to remove a woman s uterus (womb). The uterus is the organ which shelters and nourishes a baby during

More information

DISCLOSURE AND CONSENT FORM MEDICAL, SURGICAL, AND DIAGNOSTIC PROCEDURES

DISCLOSURE AND CONSENT FORM MEDICAL, SURGICAL, AND DIAGNOSTIC PROCEDURES Figure: 22 TAC 165.6(f) DISCLOSURE AND CONSENT FORM MEDICAL, SURGICAL, AND DIAGNOSTIC PROCEDURES PATIENT NAME: DATE OF BIRTH: AGE: This Form has been adopted by the Texas Medical Board in accordance with

More information

No. 125 April 2001. Enhanced Surveillance of Maternal Mortality in North Carolina

No. 125 April 2001. Enhanced Surveillance of Maternal Mortality in North Carolina CHIS Studies North Carolina Public Health A Special Report Series by the 1908 Mail Service Center, Raleigh, N.C. 27699-1908 www.schs.state.nc.us/schs/ No. 125 April 2001 Enhanced Surveillance of Maternal

More information

Facts for Women Termination of pregnancy, abortion, or miscarriage management

Facts for Women Termination of pregnancy, abortion, or miscarriage management Patient Education Facts for Women Termination of pregnancy, abortion, or miscarriage management This handout answers common questions about miscarriage management and the termination of a pregnancy, also

More information

A List of Abortion Risks and Complications

A List of Abortion Risks and Complications ABORTION HURTS WOMEN PHYSICALLY (The following information is used with the permission of the Elliot Institute, 1997, 2000, All Rights Reserved.) A List of Abortion Risks and Complications Death According

More information

Vaginal Birth After Cesarean and Planned Repeat Cesarean Birth

Vaginal Birth After Cesarean and Planned Repeat Cesarean Birth More Information PATIENT INFORMATION BOOKLET The website of the Best Birth Clinic has links to more resources and information on VBAC and repeat cesarean: www.powertopush.ca This booklet was produced by

More information

Trial of Labor After Cesarean Section

Trial of Labor After Cesarean Section Trial of Labor After Cesarean Section 1 After you have a baby by cesarean section, you can choose how to have your next baby. You can choose to schedule another cesarean section ( scheduled repeat cesarean

More information

Birth after previous caesarean. What are my choices for birth after a caesarean delivery?

Birth after previous caesarean. What are my choices for birth after a caesarean delivery? Birth after previous caesarean Information for you Published September 2008 What are my choices for birth after a caesarean delivery? More than one in five women (20%) in the UK currently give birth by

More information

About the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include:

About the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include: Hysterectomy removal of the uterus is a way of treating problems that affect the uterus. Many conditions can be cured with hysterectomy. Because it is major surgery, your doctor may suggest trying other

More information

Discuss the post-operative counselling and the implications for future fertility of a woman who had laparoscopic surgery for an ectopic pregnancy.

Discuss the post-operative counselling and the implications for future fertility of a woman who had laparoscopic surgery for an ectopic pregnancy. Discuss the post-operative counselling and the implications for future fertility of a woman who had laparoscopic surgery for an ectopic pregnancy. Emily Hutchinson 5 th Year Medical Student Imperial College

More information

Hysterectomy. What is a hysterectomy? Why is hysterectomy done? Are there alternatives to hysterectomy?

Hysterectomy. What is a hysterectomy? Why is hysterectomy done? Are there alternatives to hysterectomy? ROBERT LEVITT, MD JESSICA BERGER-WEISS, MD ADRIENNE POTTS, MD HARTAJ POWELL, MD, MPH COURTNEY LEVENSON, MD LAUREN BURNS, MSN, RN, WHNP OBGYNCWC.COM What is a hysterectomy? Hysterectomy Hysterectomy is

More information

the abortion pill by W. David Hager, M.D.

the abortion pill by W. David Hager, M.D. the abortion pill by W. David Hager, M.D. A positive pregnancy test is one of the most life-changing moments for a woman. Never is it more important to base your decisions on accurate information. Try

More information

Considering Hysterectomy? Learn about minimally invasive da Vinci Surgery

Considering Hysterectomy? Learn about minimally invasive da Vinci Surgery Considering Hysterectomy? Learn about minimally invasive da Vinci Surgery The Conditions: Chronic Pain, Heavy Bleeding, Fibroids, Endometriosis, Adenomyosis, Prolapse Many benign (non-cancerous) conditions

More information

Hysterectomy. The time to take care of yourself

Hysterectomy. The time to take care of yourself Hysterectomy The time to take care of yourself The time to take care of yourself Women spend a lot of time taking care of others spouses, children, parents. We often overlook our own needs. But when our

More information

Sterilisation for women and men: what you need to know

Sterilisation for women and men: what you need to know Sterilisation for women and men: what you need to know Published January 2004 by the RCOG Contents Page number Key points 1 About this information 2 What are tubal occlusion and vasectomy? 2 What do I

More information

Pregnancy-associated mortality after birth, spontaneous abortion, or induced abortion in Finland, 1987-2000

Pregnancy-associated mortality after birth, spontaneous abortion, or induced abortion in Finland, 1987-2000 American Journal of Obstetrics and Gynecology (2004) 190, 422e7 www.elsevier.com/locate/ajog Pregnancy-associated mortality after birth, spontaneous abortion, or induced abortion in Finland, 1987-2000

More information

Fetal Development, Abortion And Adoption

Fetal Development, Abortion And Adoption INFORMATION ON Fetal Development, Abortion And Adoption Written Materials in Compliance with West Virginia Law [Section 16-2I-1, et. seq.] as enacted by Senate Bill No. 170 of the year 2003 WEST VIRGINIA

More information

Clinical Interruption of Pregnancy (Medical/Surgical Abortion)

Clinical Interruption of Pregnancy (Medical/Surgical Abortion) Clinical Interruption of Pregnancy (Medical/Surgical Abortion) Approximately one fifth of all pregnancies in the United States end in abortion (Ventura et al., 2009). According to the CDC (2011a), there

More information

Uterine fibroids (Leiomyoma)

Uterine fibroids (Leiomyoma) Uterine fibroids (Leiomyoma) What are uterine fibroids? Uterine fibroids are fairly common benign (not cancer) growths in the uterus. They occur in about 25 50% of all women. Many women who have fibroids

More information

Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer

Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer The Condition: Early Stage Gynecologic Cancer A wide variety of gynecologic cancers

More information

Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer

Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer Facing? Learn why may be your best treatment option for early stage gynecologic cancer The Condition: Early Stage Gynecologic Cancer A wide variety of gynecologic cancers can affect a woman s reproductive

More information

OBGYN Orientation & Billing Guide 9/22/2014

OBGYN Orientation & Billing Guide 9/22/2014 OBGYN Orientation & Billing Guide 2014 Welcome to Magnolia Health! We thank you for being part of or considering Magnolia s network of participating providers, hospitals, and other healthcare professionals.

More information

Induced Abortion. Dr. Anan Sacdpraseuth Mahosot Hospital

Induced Abortion. Dr. Anan Sacdpraseuth Mahosot Hospital Induced Abortion Dr. Anan Sacdpraseuth Mahosot Hospital GFMER - WHO - UNFPA - LAO PDR Training Course in Reproductive Health Research Vientiane, 26 November 2009 Induced Abortion Introduction 40 to 60

More information

Birth after Caesarean Choices for delivery

Birth after Caesarean Choices for delivery Birth after Caesarean Choices for delivery page 2 What are my choices for birth after a Caesarean? Currently, approximately 1 in 4 women (25%) in England give birth by Caesarean delivery. Some women have

More information

IMAP Statement on Safe Abortion

IMAP Statement on Safe Abortion International Planned Parenthood Federation IMAP Statement on Safe Abortion Key points: When performed early in pregnancy by trained health personnel in adequate facilities, abortion is a very safe procedure

More information

Uterine Fibroids. fibroids or have had Treatments. them in the past, How you can help relieve the pain

Uterine Fibroids. fibroids or have had Treatments. them in the past, How you can help relieve the pain Uterine Fibroids WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Uterine fibroids are benign (not cancer) growths in the uterus. They are the most common type of growth found in a woman s

More information

CHLAMYDIA SCREENING IN WOMEN

CHLAMYDIA SCREENING IN WOMEN CHLAMYDIA SCREENING IN WOMEN APPLICATIONS OBJECTIVE Purpose of Measure: ELIGIBLE POPULATION Which members are included? STANDARD OF CARE What screening should be done? NCQA ACCEPTED CODES DOCUMENTATION

More information

Information for you Abortion care

Information for you Abortion care Information for you Abortion care Published in February 2012 This information is for you if you are considering having an abortion. It tells you: how you can access abortion services the care you can expect

More information

An Overview of Abortion in the United States. Guttmacher Institute January 2014

An Overview of Abortion in the United States. Guttmacher Institute January 2014 An Overview of Abortion in the United States Guttmacher Institute January 2014 Objectives Provide an overview of unintended pregnancy and abortion in the United States. Review the incidence of pregnancy

More information

The main surgical options for treating early stage cervical cancer are:

The main surgical options for treating early stage cervical cancer are: INFORMATION LEAFLET ON TOTAL LAPAROSCOPIC RADICAL HYSTERECTOMY (TLRH) FOR EARLY STAGE CERVICAL CANCER (TREATING EARLY STAGE CERVICAL CANCER BY RADICAL HYSTERECTOMY THROUGH KEYHOLE SURGERY) Aim of the leaflet

More information

BUTTE COUNTY PUBLIC HEALTH DEPARTMENT POLICY & PROCEDURE

BUTTE COUNTY PUBLIC HEALTH DEPARTMENT POLICY & PROCEDURE BUTTE COUNTY PUBLIC HEALTH DEPARTMENT POLICY & PROCEDURE SUBJECT: Pregnancy Testing and Counseling Protocol P&P # APPROVED BY: EFFECTIVE DATE: Mark Lundberg MD Health Officer REVISION DATE: 2/20/2010 Phyllis

More information

Short-Term Physical Risks of Abortion

Short-Term Physical Risks of Abortion Significant Potential for Harm: Growing Medical Evidence of Abortion s Negative Impact on Women By Dr. Byron C. Calhoun, M.D. 1 Mailee R. Smith, Staff Counsel, Americans United for Life [I]f courts were

More information

ABORTION. Making. Decision

ABORTION. Making. Decision ABORTION Making Decision T h i s p u b l i c a t i o n w a s p r o d u c e d i n c o m p l i a n c e w i t h R. S. 40:1299.35.6 (ACT 648, 1995). The Louisiana Department of Health and Hospitals acknowledges

More information

WHAT YOU SHOULD KNOW ABOUT ABORTION

WHAT YOU SHOULD KNOW ABOUT ABORTION WHAT YOU SHOULD KNOW ABOUT ABORTION It is the public policy of the state of Idaho to prefer live childbirth over abortion: "The Supreme Court of the United States having held that the states have a "profound

More information

FEMM Fertility Education + Medical Management. Dr. Robert Scanlon, M.D.

FEMM Fertility Education + Medical Management. Dr. Robert Scanlon, M.D. Dr. Robert Scanlon, M.D. Women need a Mulligan The path that Reproductive Health has wandered needs to back up and start over A Do-Over Women deserve it FEMM will provide it What do I mean? Let s look

More information

Considering Endometriosis Surgery? Learn about minimally invasive da Vinci Surgery

Considering Endometriosis Surgery? Learn about minimally invasive da Vinci Surgery Considering Endometriosis Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Endometriosis Endometriosis is a condition in which the tissue that lines your uterus (the endometrium)

More information

A Guide to Hysteroscopy. Patient Education

A Guide to Hysteroscopy. Patient Education A Guide to Hysteroscopy Patient Education QUESTIONS AND ANSWERS ABOUT HYSTEROSCOPY Your doctor has recommended that you have a procedure called a hysteroscopy. Naturally, you may have questions about

More information

Reproductive Outcomes and Mortality: Debunking the Myth that Abortion is Safer than Childbirth

Reproductive Outcomes and Mortality: Debunking the Myth that Abortion is Safer than Childbirth Reproductive Outcomes and Mortality: Debunking the Myth that Abortion is Safer than Childbirth Priscilla K. Coleman, Ph.D. Professor of Human Development Bowling Green State University Director, World

More information

Protecting women and babies with anti-d Immunoglobulin

Protecting women and babies with anti-d Immunoglobulin Protecting women and babies with anti-d Immunoglobulin Blood Groups Just as every human being is unique, so are the factors in your blood. People can belong to one of four blood groups, A, B, AB and O,

More information

The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures

The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures by R. Louise Floyd, DSN, RN; Brian W. Jack, MD; Robert Cefalo, MD, PhD; Hani Atrash, MD, MPH; Jeanne Mahoney, BSN,

More information

Infertility History Form

Infertility History Form Date form completed: Infertility History Form Patients name: Age: Date of Birth: Occupation: Partner s name: Age: Date of Birth: Occupation: Prior marriage: # Prior marriage: # Attempted pregnancy prior

More information

WHAT YOU SHOULD KNOW ABOUT ABORTION

WHAT YOU SHOULD KNOW ABOUT ABORTION WHAT YOU SHOULD KNOW ABOUT ABORTION It is the public policy of the state of Idaho to prefer live childbirth over abortion: "The Supreme Court of the United States having held that the states have a "profound

More information

the abortion pill by David Hager, M.D.

the abortion pill by David Hager, M.D. the abortion pill by David Hager, M.D. A positive pregnancy test is one of the most life-changing moments for a woman. Never is it more important to base your decisions on accurate information. Try to

More information

Project proposal. Reproductive tourism in India: A description of surrogate mothers and their offspring. Medical student Malene Tanderup Kristensen

Project proposal. Reproductive tourism in India: A description of surrogate mothers and their offspring. Medical student Malene Tanderup Kristensen Project proposal Reproductive tourism in India: A description of surrogate mothers and their offspring Background Medical student Malene Tanderup Kristensen Traditional surrogacy is defined as where the

More information

TALKING POINTS: BIASED APA REPORT IGNORES ABORTION RISKS

TALKING POINTS: BIASED APA REPORT IGNORES ABORTION RISKS TALKING POINTS: BIASED APA REPORT IGNORES ABORTION RISKS Moira Gaul, M.P.H. I. The American Psychological Association s (APA) report from its Task Force on Mental Health and Abortion is fundamentally flawed

More information

Testimony of Anne Davis, MD, MPH. Medical Director. September 12, 2008

Testimony of Anne Davis, MD, MPH. Medical Director. September 12, 2008 Testimony of Anne Davis, MD, MPH Medical Director Physicians for Reproductive Choice and Health Before the President s Council on Bioethics September 12, 2008 My name is Dr. Anne Davis, and I am an Associate

More information

The ovaries are part of a woman s reproductive system. There are two ovaries, the size and shape of almonds, one on either side of the womb.

The ovaries are part of a woman s reproductive system. There are two ovaries, the size and shape of almonds, one on either side of the womb. Surgery for Suspicious Ovarian Cysts Patient Information sheet The Ovaries The ovaries are part of a woman s reproductive system. There are two ovaries, the size and shape of almonds, one on either side

More information

Brad J. Cohen, MD, MBA 2477 Route 516, Suite 103, Old Bridge, New Jersey Office Fax SURGICAL CONSENT

Brad J. Cohen, MD, MBA 2477 Route 516, Suite 103, Old Bridge, New Jersey Office Fax SURGICAL CONSENT Brad J. Cohen, MD, MBA 2477 Route 516, Suite 103, Old Bridge, New Jersey Office 732-679-6900 Fax 732-679-7900 SURGICAL CONSENT You have elected to have Dr. Brad J. Cohen perform a minimally invasive laparoscopic

More information

Cardiovascular Disease and Maternal Mortality what do we know and what are the key questions?

Cardiovascular Disease and Maternal Mortality what do we know and what are the key questions? Cardiovascular Disease and Maternal Mortality what do we know and what are the key questions? AFSHAN HAMEED, MD, FACOG, FACC Associate Clinical Professor Maternal Fetal Medicine and Cardiology University

More information

MATERNAL MORTALITY IN THE UNITED STATES: Current Status

MATERNAL MORTALITY IN THE UNITED STATES: Current Status MATERNAL MORTALITY IN THE UNITED STATES: Current Status Jeffrey C. King, M.D., FACOG Professor and Director Division of Maternal-Fetal Medicine University of Louisville Chair, ACOG Special Interest Group

More information

Patient information leaflet for Termination of Pregnancy (TOP) / Abortion

Patient information leaflet for Termination of Pregnancy (TOP) / Abortion Patient information leaflet for Termination of Pregnancy (TOP) / Abortion Families Division Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please

More information

Postpar tum Hemorrhage: A challenge for safe motherhood

Postpar tum Hemorrhage: A challenge for safe motherhood Postpar tum Hemorrhage: A challenge for safe motherhood Background Complications of pregnancy and childbirth are among the leading causes of death and illness for women around the world. Over half a million

More information

Having a Baby with a Gestational Carrier Page 1 of 6

Having a Baby with a Gestational Carrier Page 1 of 6 Gestational Carrier Page 1 of 6 This information is intended for all couples considering a pregnancy using a gestational carrier. It is also intended for couples proceeding with a gestational carrier pregnancy

More information

Evidence-Based Ethics

Evidence-Based Ethics Evidence-Based Ethics Abortion Overview Extent of the Problem Medical Implications Psychological Implications Sociological Implications Spiritual Dimension of the Problem Philosophical Issues Lessons from

More information

2003 Texas Department of Health. All rights reserved. Photos: Lennart Nilsson / Albert Bonniers Forlag AB, A Child Is Born, Dell Publishing Company.

2003 Texas Department of Health. All rights reserved. Photos: Lennart Nilsson / Albert Bonniers Forlag AB, A Child Is Born, Dell Publishing Company. 2003 Texas Department of Health. All rights reserved. Photos: Lennart Nilsson / Albert Bonniers Forlag AB, A Child Is Born, Dell Publishing Company. Used by permission. Drawings courtesy of TDH Art Department.

More information

The time to take care of yourself.

The time to take care of yourself. understanding Hysterectomies are the second most common surgery among women in the U.S., behind only C-sections. 1 The time to take care of yourself. Women spend a lot of time taking care of others spouses,

More information

Women and girls deserve to know the facts about abortion. Information is the lynchpin of true choice. Consider the following:

Women and girls deserve to know the facts about abortion. Information is the lynchpin of true choice. Consider the following: Summary of Known Health-Risks of Abortion: How Abortion Harms Women and Why Concerns for Women s Health must be part of Abortionrelated Policies and Media Debate The grisly trial of now-convicted murderer

More information

Physician. Patient HYSTERECTOMY HYSTERECTOMY. Treatment Options Risks and Benefits Experience and Skill

Physician. Patient HYSTERECTOMY HYSTERECTOMY. Treatment Options Risks and Benefits Experience and Skill HYSTERECTOMY Physician Treatment Options Risks and Benefits Experience and Skill Patient Personal Preferences Values and Concerns Lifestyle Choices HYSTERECTOMY Shared Decision Making A process of open

More information

Abdominal Hysterectomy

Abdominal Hysterectomy Abdominal Hysterectomy Families Division Patient Information Leaflet Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please call: 01253 955588

More information

Fallopian Tube Catheterization - Recanalization

Fallopian Tube Catheterization - Recanalization Fallopian Tube Catheterization - Recanalization Introduction Fallopian tube catheterization, also known as recanalization, is a procedure to help clear a blockage in the Fallopian tubes. A blockage in

More information

EmONC Training Curricula Comparison

EmONC Training Curricula Comparison EmONC Training Curricula Comparison The purpose of this guide is to provide a quick resource for trainers and course administrators to decide which EmONC curriculum is most applicable to their training

More information

Welcome to Mirena Congratulations, you ve chosen birth control that may help simplify your life.

Welcome to Mirena Congratulations, you ve chosen birth control that may help simplify your life. We l c o m e. Model used for illustrative purposes only. Welcome to Mirena Congratulations, you ve chosen birth control that may help simplify your life. You re now part of a special group of women the

More information

Funding for Access to Family Planning: A Necessity for Community Health in Rural Areas

Funding for Access to Family Planning: A Necessity for Community Health in Rural Areas SC - 0-0 - RECP - HEA - Access to Family Planning Page of 0 Funding for Access to Family Planning: A Necessity for Community Health in Rural Areas WHEREAS family planning services improve health care outcomes

More information

SUBSEROSAL FIBROIDS TREATMENT

SUBSEROSAL FIBROIDS TREATMENT INTRODUCTION Uterine fibroids, also known as leiomyomas, are the most common pelvic mass found in women. Fibroids are benign tumors that arise from the uterine muscular tissue (myometrium). They occur

More information

Vaginal or Cesarean Birth:

Vaginal or Cesarean Birth: Vaginal or Cesarean Birth: What Is at Stake for Women and Babies? A Best Evidence Review Executive Summary Contributors Henci Goer Amy Romano, MSN, CNM Carol Sakala, PhD, MSPH 2012, Childbirth Connection

More information

The Rh Factor: How It Can Affect Your Pregnancy

The Rh Factor: How It Can Affect Your Pregnancy The American College of Obstetricians and Gynecologists f AQ FREQUENTLY ASKED QUESTIONS FAQ027 PREGNANCY The Rh Factor: How It Can Affect Your Pregnancy What is the Rh factor? How does a person get the

More information

Statement to the House Health and Government Operations and Judiciary Committees Re: House Bill 961: Maryland Women s Late-Term Pregnancy Health Act

Statement to the House Health and Government Operations and Judiciary Committees Re: House Bill 961: Maryland Women s Late-Term Pregnancy Health Act Statement to the House Health and Government Operations and Judiciary Committees Re: House Bill 961: Maryland Women s Late-Term Pregnancy Health Act Monday March 16, 2015 SUPPORT What do we know about

More information

Specialists In Reproductive Medicine & Surgery, P.A.

Specialists In Reproductive Medicine & Surgery, P.A. Specialists In Reproductive Medicine & Surgery, P.A. Craig R. Sweet, M.D. www.dreamababy.com Fertility@DreamABaby.com Excellence, Experience & Ethics Endometriosis Awareness Week/Month Common Questions

More information

Maternity billing codes

Maternity billing codes Maternity Billing The Maternity Period - For billing purposes, the obstetrical period begins on the date of the initial visit in which pregnancy was confirmed and extends through the end of the postpartum

More information

FEMALE ANATOMY. the Functions of the Female Organs

FEMALE ANATOMY. the Functions of the Female Organs FEMALE ANATOMY the Functions of the Female Organs An educational video for every woman who is told she needs pelvic surgery, including exploratory surgery or removal of the uterus, fallopian tubes, or

More information

טופס הסכמה לטיפולי הפרייה חוץ גופית

טופס הסכמה לטיפולי הפרייה חוץ גופית טופס הסכמה לטיפולי הפרייה חוץ גופית CONSENT FORM: IN-VITRO FERTILIZATION (IVF) 1. General In-vitro fertilization is performed in cases of impaired fertility, which may be caused by the following: Obstruction

More information

Chapter 6. Maternal Mortality

Chapter 6. Maternal Mortality Chapter 6 Maternal Mortality Although infrequently, women do die as a result of abortion, yet abortion-related maternal mortality is generally underreported. One reason for this is that codes in hospitals

More information

Artificial insemination with donor sperm

Artificial insemination with donor sperm Artificial insemination with donor sperm Ref. 123 / 2009 Reproductive Medicine Unit Servicio de Medicina de la Reproducción Gran Vía Carlos III 71-75 08028 Barcelona Tel. (+34) 93 227 47 00 Fax. (+34)

More information

Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer

Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer The Condition: Early Stage Gynecologic Cancer A wide variety of gynecologic cancers

More information

Consent for Frozen Donor Oocyte In Vitro Fertilization and Embryo Transfer (Recipient)

Consent for Frozen Donor Oocyte In Vitro Fertilization and Embryo Transfer (Recipient) Name of Patient: Name of Partner: We, the Patient and Partner (if applicable) named above, are each over the age of twenty-one (21) years. By our signatures below, I/we request and authorize the performance

More information

Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery

Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery The Condition: Early Stage Gynecologic Cancer A variety of gynecologic

More information

Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery

Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery The Condition: Early Stage Gynecologic Cancer A variety of gynecologic

More information

Decades of research have demonstrated that legal

Decades of research have demonstrated that legal Original Research The Comparative Safety of Legal Induced Abortion and Childbirth in the United States Elizabeth G. Raymond, MD, MPH, and David A. Grimes, MD OBJECTIVE: To assess the safety of abortion

More information

Understanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE

Understanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE Understanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE Introduction This guide is designed to help you clarify and understand the decisions that need to be made about your care for the

More information

In Vitro Fertilization

In Vitro Fertilization Patient Education In Vitro Fertilization What to expect This handout describes how to prepare for and what to expect when you have in vitro fertilization. It provides written information about this process,

More information

INTERVENTIONAL PROCEDURES PROGRAMME

INTERVENTIONAL PROCEDURES PROGRAMME NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE INTERVENTIONAL PROCEDURES PROGRAMME Interventional procedure overview of radical laparoscopic hysterectomy for early stage cervical cancer Introduction This overview

More information

Psychological outcomes for women following abortion. Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK

Psychological outcomes for women following abortion. Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK Psychological outcomes for women following abortion Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK Abortion Difficult decision Different reasons for abortion Different

More information

Miscarriages: Information to help you understand

Miscarriages: Information to help you understand Miscarriages: Information to help you understand www.bcwomens.ca This pamphlet will help answer questions you may have about miscarriages. If you have any questions about the information in this pamphlet,

More information

Ultrasound in the First Trimester of Pregnancy. Elizabeth Lipson, HMS III

Ultrasound in the First Trimester of Pregnancy. Elizabeth Lipson, HMS III Ultrasound in the First Trimester of Pregnancy Elizabeth Lipson, HMS III First Trimester Sonography Localization of Gestational Sac Intrauterine vs. ectopic Identification of abnormalities Embryonic demise

More information

Hysterectomy for womb cancer

Hysterectomy for womb cancer Gynaecology Oncology Service Hysterectomy for womb cancer April 2014 Great Staff Great Care Great Future INTRODUCTION This leaflet has been produced to provide you with general information about your operation.

More information

Principals of Birth Defects Surveillance

Principals of Birth Defects Surveillance Principals of Birth Defects Surveillance Hani K. Atrash, MD, MPH Associate Director for Program Development National Center on Birth Defects and Developmental Disabilities Centers for Disease control and

More information

International Journal of Basic and Clinical Studies (IJBCS) 2014;3(1): Ingec M and Yilmaz M

International Journal of Basic and Clinical Studies (IJBCS) 2014;3(1): Ingec M and Yilmaz M Multiple Myomectomy During First Trimester of Pregnancy: A Metin Ingec 1 Mehmet Yilmaz 1 1 Department of Obstetrics and Gynecology, Faculty of Medicine, Ataturk University, Erzurum, Turkey. Corresponding

More information

Considering Hysterectomy? Learn about minimally invasive da Vinci Surgery

Considering Hysterectomy? Learn about minimally invasive da Vinci Surgery Considering Hysterectomy? Learn about minimally invasive da Vinci Surgery The Conditions: Chronic Pain, Heavy Bleeding, Fibroids, Endometriosis, Adenomyosis, Prolapse Many benign (non-cancerous) conditions

More information

Specialty Excellence Award and America s 100 Best Hospitals for Specialty Care 2013-2014 Methodology Contents

Specialty Excellence Award and America s 100 Best Hospitals for Specialty Care 2013-2014 Methodology Contents Specialty Excellence Award and America s 100 Best Hospitals for Specialty Care 2013-2014 Methodology Contents Introduction... 2 Specialty Excellence Award Determination... 3 America s 100 Best Hospitals

More information

Women s Health Victoria

Women s Health Victoria Women s Health Victoria Termination of Pregnancy Post 20 Weeks Background Paper March 2007 Prepared by Kerrilie Rice Policy and Research Officer Published by Level 1, 123 Lonsdale Street Melbourne Victoria

More information

Dear Chairman Goodlatte and Members of the House Judiciary Committee:

Dear Chairman Goodlatte and Members of the House Judiciary Committee: September 8, 2015 The Honorable Bob Goodlatte, Chairman United States House of Representatives Committee on the Judiciary 2138 Rayburn House Office Building Washington, D.C. 20515 Dear Chairman Goodlatte

More information

Surgery for Ovarian Cancer. Patient Information sheet

Surgery for Ovarian Cancer. Patient Information sheet Surgery for Ovarian Cancer Patient Information sheet The operation for ovarian cancer usually involves a hysterectomy (removal of the womb and cervix) and bilateral salpingo - oophorectomy (removal of

More information

The Olive BRA NCH Fertility unit PATIENT INFORMATION SERIES

The Olive BRA NCH Fertility unit PATIENT INFORMATION SERIES The Olive BRA NCH Fertility unit PATIENT INFORMATION SERIES This information sheet has been written to provide general advice for patients considering assisted conception treatment. This includes the following

More information

K: Maternal / Newborn Care

K: Maternal / Newborn Care K: Maternal / Newborn Care Alberta Licensed Practical Nurses Competency Profile 103 Competency: K-1 Prenatal Care, Assessment and Teaching K-1-1 K-1-2 K-1-3 Demonstrate knowledge of human anatomy and physiology

More information

University College Hospital. Miscarriage Women s Health

University College Hospital. Miscarriage Women s Health University College Hospital Miscarriage Women s Health 2 Introduction The purpose of this leafl et is to: Describe what a miscarriage is and why it happens What it means for your health What treatment

More information

Abortion and Women s Reproductive Health Care Rights Approved by the Assembly, May 2009 Approved by the Board of Trustees, September 2009

Abortion and Women s Reproductive Health Care Rights Approved by the Assembly, May 2009 Approved by the Board of Trustees, September 2009 American Psychiatric Association Resource Document Abortion and Women s Reproductive Health Care Rights Approved by the Assembly, May 2009 Approved by the Board of Trustees, September 2009 "The findings,

More information

Choosing a Birth Control Method

Choosing a Birth Control Method Choosing a Birth Control Method What is birth control? Birth control is any method used to prevent pregnancy. Another word for birth control is contraception. If you have sex without birth control, there

More information

Information About Pregnancy and Abortion

Information About Pregnancy and Abortion Information About Pregnancy and Abortion Information About Pregnancy and Abortion This booklet was produced by the North Dakota Department of Health to meet the requirements of North Dakota Century Code

More information

FDA-Approved Patient Labeling IMPLANON (etonogestrel implant) Subdermal Use

FDA-Approved Patient Labeling IMPLANON (etonogestrel implant) Subdermal Use FDA-Approved Patient Labeling IMPLANON (etonogestrel implant) Subdermal Use IMPLANON does not protect against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases. Read this

More information