Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

5 results

  • Chapter 33 - Abortion Training Models in Sweden

  • from Section IV - Reproductive Health Services & Abortion Training: Global Examples
  • Edited by Uta Landy, University of California, San Francisco, Philip D Darney, University of California, San Francisco, Jody Steinauer, University of California, San Francisco
  • Book: Advancing Women's Health Through Medical Education
  • Published online: 30 July 2021
  • Print publication: 19 August 2021, pp 331-335

  • Summary

    Abortion has been available in Sweden, since 1975, on request and without regards to reason, for up to 18 weeks’ gestation and in specific circumstances through 21 +6 weeks’ gestation. Abortion care is viewed as core component of obstetric and gynecological and midwifery care. Medical students in Sweden all receive theoretical training and are offered clinical rotation to abortion care. Similarly, all students in midwifery receive theoretical training in abortion and some clinical training. Core competencies for the registered nurse-midwives include the ability to care for women in abortion care including post abortion contraceptive counselling and provision. For residents in obstetrics and gynecology, training in abortion care is mandatory. Not permitting conscientious objection for any professional cadre guarantees prompt access to services for women seeking abortion care in Sweden, consistent with the principle that abortion is a right and a core service to which access should not be delayed.

  • 20 - Medicaltermination of pregnancy

  • Edited by Paula Briggs, Gabor Kovacs, Monash University, Victoria
  • Edited in consultation with John Guillebaud, University College London
  • Book: Contraception
  • Published online: 05 August 2013
  • Print publication: 11 July 2013, pp 181-191

  • Summary

    This chapter presents a case study of a 42 year old female (Alison), who suffered from heavy painful periods. Alison's situation is far from unusual for this age group, where the risk of relationship breakdown is high. It is apparent that Alison's first priority is a highly effective contraceptive method. However, she requires much more from her method: effective control of bleeding and dysmenorrhoea; restoration of menstrual predictability and/or amenorrhoea. A bimanual examination for Alison is undertaken to assess for uterine enlargement (fibroids, adenomyosis), uterine mobility and adnexal masses and/or tenderness. Alison was advised about how the levonorgestrel-releasing intrauterine system (LNG-IUS) works by profound endometrial glandular and stromal suppression, cervical mucus changes and a foreign body effect within the endometrium. Progestogen-only pills (POPs) would be an option for Alison if she has contraindications to taking oestrogens.