Ireland: Rhona Mahony: Eighth Amendment creates ‘unacceptable clinical risk’

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Rhona Mahony: Eighth Amendment creates ‘unacceptable clinical risk’
Oireachtas committee told the provision ‘makes no clinical sense’ before foetus is viable

Oct 11, 2017
Pat Leahy, Jack Power

Dr Rhona Mahony, master of the National Maternity Hospital, has said the Eighth Amendment “makes no clinical sense” before the foetus is viable.

Dr Mahony told the Oireachtas Committee on the Eighth Amendment that it the Constitutional provision “creates unacceptable clinical risk and should be removed”.

“Prior to foetal viability, we do not have the option of delivering a foetus because the foetus cannot survive and if a pregnant mother dies her baby dies too”.

Continued at source: Irish Times: https://www.irishtimes.com/news/politics/rhona-mahony-eighth-amendment-creates-unacceptable-clinical-risk-1.3252250

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Make access to abortion easier, UK’s top gynaecologist demands

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Make access to abortion easier, UK's top gynaecologist demands

Prof Lesley Regan wants nurses and midwives to be allowed to administer abortion pills, and only one doctor’s approval to be required
Prof Lesley Regan, head of the Royal College of Obstetricians and Gynaecologists

Denis Campbell Health policy editor
Thursday 5 October 2017

Nurses and midwives should be allowed to give women the pills that end an unwanted pregnancy as part of a relaxation of Britain’s abortion laws, the leader of the country’s specialist women’s health doctors has demanded.

In an interview with the Guardian, Prof Lesley Regan also urged MPs to amend the longstanding legal requirement for two doctors to approve any termination, reducing the number to one except in a few unusual circumstances.

Continued at source: https://www.theguardian.com/world/2017/oct/05/make-access-to-abortion-easier-uks-top-obstetrician-demands

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Women seeking abortions in UK outside formal healthcare system due to ‘insurmountable’ barriers, finds research

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Women seeking abortions in UK outside formal healthcare system due to 'insurmountable' barriers, finds research

Nearly one in five women cite controlling circumstances, including partner violence and partner or family control, as reason for not accessing formal abortion services

May Bulman
Sep 20, 2017

Women in the UK are seeking abortion services outside the formal healthcare system due to access barriers, privacy concerns and controlling circumstances, research has found.

New findings indicate that despite it being legally available in Britain, some women find it challenging or at times “impossible” to access abortion care through current service models.

Continued at source: https://www.independent.co.uk/news/uk/home-news/women-abortions-uk-nhs-outside-formal-healthcare-barriers-immigration-right-free-treatment-a7957141.html

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Despite legal abortion in Great Britain, women cite access barriers, new research finds

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Despite legal abortion in Great Britain, women cite access barriers, new research finds

University of Texas at Austin

Sept. 20, 2017, AUSTIN, Texas

Some women are seeking abortion services outside the formal health care system in Great Britain, where abortion is legally available, citing reasons such as access barriers, privacy concerns and controlling circumstances, according to new research from Abigail Aiken, an assistant professor at the LBJ School of Public Affairs at The University of Texas at Austin. The peer-reviewed study was published Wednesday in Contraception, an international reproductive health journal.

Continued at source: https://www.eurekalert.org/pub_releases/2017-09/uota-dla091917.php

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Online Abortion Service Women on Web: a vital alternative

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Online Abortion Service Women on Web: a vital alternative

May 17th, 2017
A new scientific study published today in the BMJ shows that telemedical abortions are highly effective.

The study was conducted by researchers from the University of Texas in Austin, Princeton University and the University of Edinburgh. They looked at the data of 1,000 women in Ireland and Northern Ireland who used the service of Women on Web. Women on Web is an online service of telemedicine initiated ten years ago by Women on Waves. Women living in countries where access to safe abortions is restricted can use it to access information and be referred to a medical doctor to receive a medical abortion.
For more information about Women on Web: +31624195506 or info@womenonwaves.org

Press release by BMJ:

Online abortion service offers vital alternative to unsafe methods to end pregnancy

Results support growing calls for reform of highly restrictive abortion laws

Early medical abortion using online telemedicine offers a highly effective alternative to unsafe methods to end a pregnancy for women in countries where access to safe abortion is restricted, finds a study published by The BMJ today.
The findings, based on reports from women living in the Republic of Ireland and Northern Ireland where abortion laws are among the most restrictive in the world, show that rates of adverse events are low and that women are able to identify potentially serious complications and seek medical attention when advised.
The results provide the best safety evidence to date for self sourced medical abortion through telemedicine - and have important implications for millions of women worldwide, say the researchers.
About a quarter of the world's population lives in countries with highly restrictive abortion laws. Globally, each year an estimated 43,000 women die as a result of lack of access to safe legal abortion services through their countries' formal healthcare systems. Millions more have complications.
Yet little is known about the safety and effectiveness of medical abortion provided through online clinics.
So a team of international researchers led by Abigail Aiken at the University of Texas, analysed self reported outcome data submitted to a telemedicine clinic by 1,000 women four weeks after receiving and using the drugs mifepristone and misoprostol to end an early pregnancy.
Almost 95% reported successfully ending their pregnancy. Seven women (0.7%) reported receiving a blood transfusion and 26 (2.6%) reported receiving antibiotics. No deaths were reported.
Ninety three women (9.3%) reported experiencing any symptom for which they were advised to seek medical attention and, of these 87 (95%) sought attention.
None of the five women who did not seek medical attention reported experiencing an adverse outcome.
The researchers highlight some study limitations that could have introduced bias and say their results might not be generalisable to all settings. However, key strengths include the large sample size and high follow-up rate.
"For the millions of women worldwide living in areas where access to abortion is restricted, the findings show the vital role played by self sourced medical abortion in providing an option with high effectiveness rates and few reported adverse outcomes," they conclude.
In a linked editorial, researchers in Canada say, while findings from self reported data must always be treated with some degree of caution, these "reassuring study data support growing calls for reform."
They point out that repeal of legal restrictions "would support the safest and most equitable abortion care for women in Irish jurisdictions.
Until then, for the first time in history, women of all social classes in a legally restricted yet high resource setting have equitable access to a reasonable alternative: medical abortion guided by physicians through telemedicine," they conclude.
Note to Editors:
 
Journal: The BMJ

For more information, please contact:

Abigail R A Aiken, LBJ School of Public Affairs, University of Texas at Austin, TX, USA - Research

Email: araa2@utexas.edu

Wendy V Norman, Associate Professor, University of British Columbia, Vancouver, BC, Canada - Editorial

Email: wendy.norman@ubc.ca

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Source: Women on Waves: https://www.womenonwaves.org/en/page/6985/online-abortion-service-women-on-web--a-vital-alternative

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Research finds 95% success from abortion pills bought online

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Research finds 95% success from abortion pills bought online
British Medical Journal publishes findings suggesting abortion pills are safe alternative

May 16, 2017
Kitty Holland

Abortion pills bought online can be a safe “alternative” to travelling for abortion or unsafe abortion, research published in the British Medical Journal finds.

The study, based on self-reported outcome data from 1,000 women in the Republic and Northern Ireland, finds 95 per cent of those who obtained abortion pills online successfully terminated their pregnancies.

Just under 10 per cent sought medical attention.

Continued at source: Irish Times: https://www.irishtimes.com/news/social-affairs/research-finds-95-success-from-abortion-pills-bought-online-1.3085526

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Abortion by telemedicine: an equitable option for Irish women

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Abortion by telemedicine: an equitable option for Irish women

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2237. Cite this as: BMJ 2017;357:j2237
Published 16 May 2017
Wendy V Norman, associate professor, Bernard M Dickens, professor emeritus of health law and policy

Reassuring study data support growing calls for reform

Women’s need for abortion is no less in countries where abortion is legally restricted. Globally, a quarter of all pregnancies end in abortion, with higher rates in countries with severe legal restrictions than in countries offering safe legal abortion.1 In 1969 the United Nations affirmed the rights of parents to determine the number and spacing of their children.2 Half a century later a key component of this right is not equitably accessible.

Continued at source: BMJ: http://www.bmj.com/content/357/bmj.j2237

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