Given the increase in the number of abortions being performed in hospitals throughout the United States and Canada, there is an obvious need for counseling programs for these patients. The authors describe one such program, and emphasize the importance of close working relationships between the counselors and their supervising staff.
This paper examines a number of demographic and sociocultural factors (e.g., age, marital status, family size, religion, religious assiduity, sex-role ideology) as predictors of women's attitudes toward abortion, using data from the Canadian Fertility Survey of 1984. The findings suggest that women's abortion attitudes are to a greater extent based on ideological positions. It appears that anti-abortion stance affects those women who are religious, presumably by increasing the relationship between their general sex-role ideological stances and abortion attitudes. Abortion attitudes also vary according to a woman's education, her size, and province/region of residence.
In this study we evaluated how well maternal serum screening and abortions for Down syndrome were accepted among midwives and public health nurses, and compared how those who accepted and did not accept abortions for Down syndrome differed from each other. The questionnaire was mailed in 1998 to 400 midwives and 400 public health nurses. 79 per cent responded. The majority said that all pregnant women should be offered a screening test for Down syndrome, but less than half accepted abortion for Down syndrome. Thus, the 'informative part' of the screening (serum screening itself) is supported more often than the 'operative part' (selective abortion)-or at least the 'operative part' was found to be a more difficult question. We suggest that whereas screening may be perceived as a question of more choices, information and self-determination, abortion is more clearly a moral question. The professional background characteristics and attitudes of those accepting and not accepting abortion for Down syndrome were relatively similar, but having a midwife's education, practical involvement in serum screening and having patients with Down syndrome were associated with a somewhat higher percentage of acceptance and a lower percentage of 'don't know' responses.
During the period 1984-1986, an investigation concerning sexual behaviour, contraceptive methods and pregnancies was performed among Danes aged 16-20 years in Denmark. A random sample consisting of 286 women (respondent rate = 75.3) and 336 men (respondent rate = 79.6) was interviewed by the Institute of Social Research. During the same time interval, 140 women admitted for legal termination of pregnancy in the County of Funen (respondent rate = 73.6) replied to a corresponding questionnaire. Some results have been published previously (4-6). This paper present results concerning the number of children the adolescents wish to have in the future and the age at which they want to become parents. A remarkable correspondence in the replies was found. The majority, including the women admitted for termination of pregnancy, the non-pregnant women and the young men, want to have two to three children. The majority, however, would prefer to have children when they themselves were between 20 and 30 years of age. In all, 62.9% (n = 171) of the non-pregnant women and 54.5% (n = 181) of the men would choose or advise application for legal termination, in the case of pregnancy. The women admitted for termination of pregnancy were asked to give priority to ten preformulated attitudes and their importance for the choice made when applying for abortion. A total of 70.5% (n = 93) replied that the formulation "It is too early for me to have a child" was of great importance for their choice, while the financial situation, housing problems and the possibility of being a single mother had lower priorities.
The purpose of this study was to describe the attitudes among physicians working in perinatal medicine towards abortion for social reasons or because of abnormal prenatal diagnostic results. A questionnaire was sent to all physicians registered as employed at obstetrical or paediatric departments in Danish hospitals with a neonatal function. Of 994 questionnaires, 687 (69 per cent) were completed and returned. There was strong consensus among all participants that abortion is acceptable until week 21 in the case of trisomy 13 and at least until week 19 in the case of cystic fibrosis. Furthermore, there was strong consensus that abortion in the first trimester is acceptable in the case of an unwanted pregnancy in a 16-year-old girl and in the case of Down syndrome. Major controversy was found in connection with abortion in the case of Turner syndrome until week 21, abortion in week 13 in the case of polycystic kidney disease, abortion in week 24 in the case of Down syndrome, and abortion for social reasons in week 21.
Factors predicting the outcome of the next pregnancy following termination of pregnancy (TOP) are poorly known.
A cohort of 1269 women undergoing medical TOP between 2000 and 2002 were followed up until the next pregnancy or until the end of 2006, using registers of induced abortion, births and hospital discharges. Factors associated with repeat TOP, delivery and failed pregnancy were analysed.
During the mean (+/-SD) follow-up period of 4.2 +/- 1.5 years, 446 (35%) women had at least one subsequent pregnancy. Of these, 207 (46%) resulted in delivery, 169 (38%) in repeat TOP and 16% in failed pregnancy. In multivariate analysis, parity [hazard ratio (HR) 3.42, 95% confidence interval (CI) 1.70-6.91] and history of TOP (HR 1.60, 95% CI 1.10-2.33) were risk factors of repeat TOP. Age above 25 years (HR