Who abortion guidelines E/C/12/GC/22)) States must provide safe, legal and effective access to abortion where the life and health of the pregnant woman is at risk (HRC, General The Pharmacy Essential Drug List was updated in 2022 to permit pharmacists to prescribe MA medication, but women were not permitted to use the prescription until changes were reflected in the Self-Care Guidelines and Comprehensive Abortion Care Guidelines (CAC). In countries where induced 27 c. These include: clinical practice health service delivery Jul 18, 2023 · 1 INTRODUCTION. See full list on who. is —table. the most current evidence. 032Mb) abortion and to provide safe abortion where it is not against the law. doi: 10. fe a of at WHO. Globally, between 2010-2014, an estimated 25% of all pregnancies ended in abortion. These guidelines when implemented adequately and to scale shall significantly contribute to the reduction of maternal deaths from unsafe abortions, a cause of maternal morbidity and mortality that is totally preventable. abortion care guidelines. Jun 12, 2023 · viii ix Clinical practice handbook for quality abortion care raft raft Abbreviations D&E dilatation and evacuation EVA electric vacuum aspiration hCG human chorionic gonadotrophin %PDF-1. Other language versions The National Abortion Federation’s (NAF) mission is to unite, represent, serve, and support abortion providers in delivering patient-centered, evidence-based care. Feb 22, 2024 · The UN’s Special Programme on Human Reproduction (HRP) together with WHO, has created an online self-paced Medical Abortion training programme. HRP and WHO Social Media Kit: Launch of the new guidelines on abortion care WHO issues new guidelines on abortion to help countries deliver lifesaving care The World Health Organization (WHO) releasing guidelines an care today, in a bid to protect the bath of gifts and 25 that able to obtain . F. on abortion care, law, and policy. NOTE: NEW recommendation 16 indicates pain management that is ADDITIONAL to NSAIDS (15). 7 Economic costs of unsafe abortion 26 Chapter 2 30 Clinical care for women undergoing abortion 31 2. The guidelines do not just call for abortions to be safe, but also stress the importance of quality abortion care that is “effective, efficient abortion (CESCR, General Comment No. The 2022 WHO Abortion Care Guideline (“the guideline”) presents a • Surgical abortion is a procedure that can be provided at the primary care level. non-steroidal anti-inflammatory drugs [NSAIDs]) and that it should be provided for the individual to use if and when wanted. e. 1 Definition 10 3. Ipas works closely with the ministries of health in training health service providers and developing abortion guidelines and best practices, which include self-care. A. In line with WHO’s updated recommendations, the Clinical practice handbook for quality abortion care additionally provides expanded guidance on how health workers can support self-management WHO defines health as a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity. Each and every recommendation in the guideline 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 Mar 9, 2022 · On March 9, 2022, the World Health Organization released its latest guidelines on abortion care. It provides recommendations on the clinical management of abortion, service delivery, as well as on law and policy approaches states and health systems should take on abort Abortion is lawful in almost all countries, although there is variation in the specific circumstances under which an individual may access abortion. 2 Methods of abortion 37 HRP and WHO Social Media Kit: Launch of the new guidelines on abortion care WHO issues new guidelines on abortion to help countries deliver lifesaving care The World Health Organization (WHO) releasing guidelines an care today, in a bid to protect the bath of gifts and 25 that able to obtain . Launched in March 2022. This method can be used up to 24 weeks of pregnancy, but different doses and regimens apply, depending on the duration of pregnancy. The updated version of the guidelines contains a Induced abortion : guidelines for the provision of care and services. In March 2022, the World Health Organization (WHO) released updated . Negotiated at the 1994 International Conference on Population and Development, governments agreed to deal with the public health impact of unsafe abortion as a global priority, but otherwise, abortion within health systems was a matter for national law 1 (para 8. • Globally, between 2010-2014, an estimated 25% of all pregnancies ended in abortion. Comprehensive abortion care, which includes information provision, abortion management In the 2022 Abortion Care Guideline, the World Health Organization (WHO) undertook systematic evidence reviews of seven law and policy interventions to assess their health and social impacts. Understanding the factors that influence the availability of medical abortion This article discusses limitations of the usual approach to the measurement of abortion safety, highlights the required reclassification of self-managed abortion as "safe," and calls for a new paradigm to emerge for the measurement and understanding of global abortion experiences that is centered in a rights-based conceptualization of quality care for all abortion experiences. The present article highlights how the Guideline reconcep … package of care, the standards and guidelines for Comprehensive Abortion Care (CAC). For the 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 Jun 12, 2023 · Clinical services relating to abortion include not only the procedure itself, but also the provision of information and counselling, pain management and post-abortion care, including contraception. prochoice. abortion and to provide safe abortion where it is not against the law. In addition, almost all countries where abortion is lawfully available regulate abortion differently to other forms of health care. 5 Contraceptive use, accidental pregnancies and unmet need for family planning 22 1. ISBN 9789240039483 (electronic version) 9789240039490 (print version) 9789534995648 (Croatian version) 49: 15 and 16 (CS) for medical abortion. Beyond safety: the 2022 WHO abortion guidelines and the future of abortion safety measurement. INDUCED ABORTION d< 12 WEEKS 10mg PO daily for 3 days 800μg SL on day 4 TIMING OF POST-ABORTION CONTRACEPTION IMMEDIATE INITIATION 4a. Mifepristone and misoprostol in combination or, where mifepristone is unavailable, misoprostol alone, are the recommended medications to induce abortion, and to manage incomplete abortion, or ‘intrauterine fetal demise’ – the clinical term used to describe the death of a Nov 30, 2024 · The development of global guidelines ensuring the appropriate use of evidence represents one of the core functions of WHO. 4 Key concepts to consider 15 This fact sheet from the Center for Reproductive Rights summarizes key highlights from the World Health Organizations' (WHO)’s Abortion Care Guideline issued in March 2022. “The WHO’s new Informed by this body of work, the recommendations for self-management of medical abortion in the new WHO guidelines have the potential to transform abortion access if international bodies, governments, and health systems expand the availability of abortion pills and access to trained support. 1136/bmjgh-2022-009557. miscarriage). 3 Relevant WHO guidelines 6 2. 2 These guidelines affirm evidence generated by Ibis Reproductive Health’s SAFE Study—conducted in close partnership with safe abortion accompaniment groups and activists around the world—and now fully recommend self-managed medication abortion as part of a full range of safe, effective options for abortion care. g. Routes of misoprostol administration: oral pills are swallowed; buccal pills are placed between the cheek and gums and swallowed after 30 minutes; 1. Mar 9, 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. Distinct recommendations were formulated for each. This guideline includes recommendations for different abortion indications, and for different stages of the continuum of care (the “who”, “what”, “where” and 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. Recommendations and advice are backed by extensive practical experience and rooted in the principle that emergency care for the complications of abortion should be available 24 hours a day in New WHO Abortion care guideline. 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 services – which includes information, management of Beyond safety: the 2022 WHO abortion guidelines and the future of abortion safety measurement Caitlin Gerdts,1 Suzanne O Bell,2 Mridula Shankar,3 Ruvani T Jayaweera , 1 Onikepe Owolabi4 Commentary To cite: Gerdts C, Bell SO, Shankar M, et al. Mar 9, 2022 · Access to safe abortion critical for health of women and girls: WHO. Uncomplicated incomplete abortion can result after an induced or spontaneous abortion (i. Restriction in access to safe abortion services results in both unsafe abortions and unwanted births. • When conducted or supported by an Beyond safety: the 2022 WHO abortion guidelines and the future of abortion safety measurement BMJ Glob Health . Safe abortions are those performed in accordance with WHO guidelines and standards, thus ensuring that the risk of severe complications is minimal. INDUCED ABORTION < 12 WEEKSd 10mg PO daily for 3 days 800μg SL on day 4 TIMING OF POST-ABORTION CONTRACEPTION IMMEDIATE INITIATION 4a. Below are some of the most recent guidelines. 2 Rationale 10 3. Mar 9, 2022 · WHO has released new guidelines on abortion care in a bid to protect the health of women and girls and help prevent over 25 million unsafe abortions that currently occur each year around the world. Availability of abortion on the request of the woman, girl or other pregnant person and without the need for authorization from any other person, body, or institution. 7 Surgical abortion: cervical preparation 37 2. 5 Key complementary documents in addition to the WHO guidelines 8 2. • These recommended abortion methods for the 1st trimester allow for provision of abortion services at the primary care level. Negotiated at the 1994 International Conference on Population and Development, governments agreed to deal with the public health impact of unsafe abortion as a global priority, but otherwise, abor-tion within health systems was a matter for national law 1 (para 8. 6 Real-life application of the guidelines 9 3 Contraception counselling and provision 10 3. IUD With assessment of successful abortion 1–2 DAYS Summary chart of recommendations on medical management of abortion 2 At the time when the first edition of the WHO Safe Abortion Guidance document was being conceptualized and formulated by the World Health Organization’s Department of Reproductive Health and Research, P. 8 A year later, prevention of unsafe abortion was recognized as a core component of the WHO Reproductive health strategy The WHO Abortion Care Guidelines consolidate and bring together over 50 recommendations spanning clinical practice, health service delivery, and legal and policy interventions to support quality abortion care. Mar 9, 2022 · The new WHO guidelines will be fundamental in guiding the way to a world where no more people will die as a result of having unsafe abortions. E/C/12/GC/22)) States must provide safe, legal and effective access to abortion where the life and health of the pregnant woman is at risk (HRC, General 36b. 2022 Jun;7(6):e009557. In diesen konsolidierten Leitlinien, die auf der Grundlage der neuesten wissenschaftlichen Erkenntnisse erstellt wurden, werden über 50 Empfehlungen Mar 8, 2022 · 03. . Mar 8, 2022 · In this guideline, recommendations are presented across three domains that are essential to the provision of abortion care: Law and policy, Clinical services and Service delivery. The objective of this guideline is to present the complete set of all WHO recommendations and best practice statements relating to abortion. It includes information on how to establish and strengthen services, and outlines a human-rights-based approach to laws and policies on safe, comprehensive abortion care. (1) Sep 6, 2022 · On a positive note, countries such as Argentina, Mexico, and Colombia are making significant advances in legal access to abortion. 1 Common approaches to abortion regulation . Almost all deaths and morbidity from unsafe abortion occur in countries where abortion is severely restricted in law and/or in practice. Both of the guidelines were reviewed in parallel. the lack of safe abortion services, even where they are legal. The availability of quality medical abortion medicines is an essential component in the provision of quality abortion care. 8 A year later, prevention of unsafe abortion was recognized as a core component of the WHO Reproductive health strategy continuum of care from pre-abortion to abortion and post abortion, moving through the what, who, where, and how of quality abortion care. Unlike other health services, abortion is commonly regulated to Jul 18, 2023 · 1 INTRODUCTION. 2024 Clinical Policy Guidelines for Abortion Care ©2024 National Abortion Federation www. These recommended abortion methods for the 1st trimester allow for provision of abortion services at the primary care level. Comprehensive abortion care includes provision of information, abortion management (including induced abortion and care related to pregnancy loss), and post-abortion care. Abortion Care Guideline (2022) is an updated consolidated guideline, which replaces the previous three separate WHO guidelines. Recommendations are statements designed to help end-users make informed decisions on whether, when and how to Fundamental to meeting the Sustainable Development Goals (SDGs) on health and wellbeing (SDG3) and gender equality (SDG5) is the recognition that access to sexual and reproductive health information and services is central to both individual and community health, as well as the realisation of human rights. 22 (STATEMENT) – Today the World Health Organization issued its new abortion guideline, which is the organization’s definitive recommendations on abortion care. and abdominal pain. May 17, 2024 · WHO provides global technical and policy guidance on the use of contraception to prevent unintended pregnancy, provision of information on abortion care, abortion management (including miscarriage, induced abortion, incomplete abortion and fetal death) and post-abortion care. Unlike other health services, abortion is commonly regulated to Mar 8, 2022 · In this guideline, recommendations are presented across three domains that are essential to the provision of abortion care: Law and policy, Clinical services and Service delivery. NEW guidelines on abortion care OUT TODAY from @WHO and @HRPresearch to protect the health and safeguard the human rights of girls and women worldwide. 25). 6 Regulatory and policy context 23 1. While information and counselling are services noted throughout the continuum, clinical recommendations cover the what in pre-abortion (including services not recommended), the abortion itself, and post-abortion. An important part of this work is to develop and maintain evidence-based guidelines and standards as well as to educate providers in the latest technologies and techniques. 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. This resource is intended to support advocates who are working to achieve universal access to comprehensive, person-centered abortion care and an enabling environment for people to exercise their sexual and reproductive health and rights. 2. 5 Medical abortion: 12 weeks (or 84 days) of pregnancy 29 2. May 31, 2022 · For example, the recent WHO Guidelines for Abortion Care include reference to medication abortion facilitated by non-clinical community agents as a recommended method, recognising that part or all Mar 9, 2022 · The guidelines make strong recommendations for the full decriminalization of abortion, and the availability of abortion on request, without barriers such as waiting periods and time limits. Abortion is lawful in almost all countries, although there is variation in the specific circumstances under which an individual may access abortion. 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 services – which includes information, management of . 10 Surgical abortion: >12–14 weeks of pregnancy 49 3 Post Jun 19, 2022 · In March 2022, the World Health Organization (WHO) released updated guidelines consolidating the current evidence and best practices for quality abortion care. 8 Drugs, supplies and equipment for surgical abortion 40 2. 8 A year later, prevention of unsafe abortion was recognized as a core component of the WHO Reproductive health strategy Sep 21, 2022 · Evidence has demonstrated that in gestational ages less than 12 weeks, pregnant persons can safely and effectively manage their own medical abortions using mifepristone and misoprostol in combination or misoprostol alone. 22: The right to sexual and reproductive health (Article 12 of the International Covenant on Economic, Social and Cultural Rights) (2016) (UN Doc. 08. INCOMPLETE ABORTION ≥ 14 WEEKS UTERINE SIZE 400 μg SL, PV or B every 3 hoursb LETROZOLE MISOPROSTOL 27c. BMJ Summary box. −. Mar 8, 2022 · Medical abortion (MA) Medical abortion is the use of mifepristone and misoprostol pills, or misoprostol pills alone, to induce an abortion. I. World Health Organization abortion care guidelines: Summary of recommendations on self-managed abortion . 6 Medical abortion: >12 weeks (or >84 days) of pregnancy 34 2. pdf (2. The aim of the course is to equip health care providers with the necessary knowledge, skills and attitudes to provide evidence-based, quality medical abortion care based on WHO guidelines. WHO abortion guidelines and tools MSI drew on and aligned with the 2022 WHO Abortion care guideline (5) to update the organization’s internal abortion care clinical guidelines. int Mar 9, 2022 · WHO has released new guidelines on abortion care in a bid to protect the health of women and girls and help prevent over 25 million unsafe abortions that currently occur each year around the world. The Cairo compromise shaped global abortion policy for decades. unsicheren Schwangerschaftsabbrüche weltweit beitragen. NTRODUCTION. Aug 1, 2019 · Medical abortion plays a crucial role in the provision of access to safe, effective and acceptable abortion care. Enabling this option can significantly improve access to safe, timely, affordable and person-centred abortion care. 4 Key concepts to consider 7 2. Dec 27, 2024 · Background The use of medical abortion using either a combination of mifepristone and misoprostol, or misoprostol alone has contributed to increased safety and decreased mortality and morbidity. 21 2. Mar 8, 2022 · The resulting stories, launched in 2022, are inspiring examples of how WHO recommendations can be practically incorporated into locally relevant initiatives, including to design awareness-raising social media campaigns; support self-management of abortion; advocate for legal reform; implement community outreach models; and address stigma among the lack of safe abortion services, even where they are legal. Ipas’s advocacy centers strategies for decriminalization of abortion, elimination of policy and health system barriers, reduction of abortion stigma, and 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. girls —5dated 50 Twitt« Jan 7, 2025 · As demonstrated by the story from Zambia, the availability of medical abortion is rapidly expanding with growing investment. View/ Open. . 4 %âãÏÓ 15991 0 obj > endobj xref 15991 66 0000000016 00000 n 0000013848 00000 n 0000014069 00000 n 0000014108 00000 n 0000015079 00000 n 0000015195 00000 n 0000015301 00000 n 0000017692 00000 n 0000018061 00000 n 0000018520 00000 n 0000018954 00000 n 0000019082 00000 n 0000019332 00000 n 0000019587 00000 n 0000019828 00000 n 0000020026 00000 n 0000020216 00000 n 0000020445 00000 n Mar 9, 2022 · The WHO's new guidelines – which provide recommendations spanning clinical practice, health service delivery, and legal and policy interventions to support quality abortion care – provide a landmark tool to enable our member societies, OBGYNs and nations to move collectively towards meeting the needs of women and girls and eliminating NEW guidelines on abortion care OUT TODAY from @WHO and @HRPresearch to protect the health and safeguard the human rights of girls and women worldwide. Mar 16, 2022 · This fact sheet, issued by the Center for Reproductive Rights, discusses highlights of WHO’s law and policy recommendations from its new Abortion Care Guideline issued in March 2022. Unlike other health services, abortion is commonly regulated to and expansion of abortion access for any person who needs it. HORMONAL CONTRACEPTION Immediately after the first pill of the medical abortion 4b. The guideline reinforces that “the legal status of abortion has no effect on a woman’s likelihood of seeking induced abortion, Medical methods of abortion (medical abortion): Use of pharmacological drugs to terminate pregnancy. 15. 22 The Clinical practice handbook for safe abortion care is intended to facilitate the practical application of the clinical recommendations from the second edition of Safe abortion: technical and policy guidance for health systems (World Health Organization [WHO] 2012). abortion, costs, stigma, and legal restrictions make it difficult or impossible for many women to access abortion care, which may lead them to use unsafe methods. Recommendations that can impact upon health policies or clinical interventions are considered guidelines for WHO purposes. These include: clinical practice health service delivery May 24, 2022 · Senator Cramer sends a letter to Dr. WHO defines health as a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity. org The National Abortion Federation is the professional association of abortion providers. Sometimes the terms “non-surgical abortion” or “medication abortion” are also used. Geneva, 9 March 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. For medical abortion at any gestational age: Recommend that pain medication should be offered routinely (e. 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 Jun 25, 2020 · Surgical abortion is a procedure that can be provided at the primary care level. 1 Undergirded 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 services, and mechanisms for service delivery. 1 Pre-abortion care 32 2. However, surgical abortion needs to remain an option, not only for post-abortion and second-trimester care, but also for when it is a woman’s preference. Those who successfully complete each module will earn a WHO Dec 20, 2019 · This new edition provides policy-makers, programme managers and health-service providers with the latest evidence-based guidance on clinical care. Mar 9, 2022 · Alongside the clinical and service delivery recommendations, the guidelines recommend removing medically unnecessary policy barriers to safe abortion, such as criminalization, mandatory waiting times; the requirement that approval must be given by other family members, or institutions; and limits on when during pregnancy, an abortion can take Repeal of laws and regulations that restrict abortion by reasons, prohibit abortion based on gestational limits, and require mandatory waiting periods. girls —5dated 50 Twitt« abortion and to provide safe abortion where it is not against the law. based on . Abortion regulation including relevant recommendations . 3 Relevant WHO guidelines 11 3. A WHO guideline is defined broadly as any information product developed by WHO that contains recommendations for clinical practice or public health policy. Van Look was the Department’s Director and J. This new resource provides more than 50 evidenced-based recommendations, ranging from clinical practice, health service delivery, and legal and policy interventions meant to increase access to quality abortion care. ISBN 9789240039483 (electronic version) 9789240039490 (print version) 9789534995648 (Croatian version) The development of global guidelines ensuring the appropriate use of evidence represents one of the core functions of the World Health Organization (WHO). 4 Health consequences of unsafe abortion 19 1. WHO_OFFSET_49. Aug 7, 2023 · Unsafe abortion occurs when a pregnancy is terminated either by persons lacking the necessary skills or in an environment that does not conform to minimal medical standards, or both. Cottingham was the Coordinator of the Department’s Team on Gender, Reproductive Rights, Sexual Health and Adolescence. New abortion care guidelines from @WHO and @HRPresearch give more than 50 recommendations to support quality abortion care. Guiding our work is a holistic, systems-based approach that addresses the ecosystem around abortion decisions and is grounded in human rights standards. Sets out guidelines that can help reduce the high levels of maternal morbidity and mortality associated with abortion, whether spontaneous or induced. 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. The guideline emphasizes that abortion is a common procedure globally, with six out of ten unintended pregnancies and th… WHO ABORTION GUIDELINES AND TOOLS In order to design and implement effective interventions, RHU used a range of evidence-based resources on abortion care, including WHO guidelines that include technical and policy recommendations, such as Safe abortion: technical and policy guidance for health systems and Health worker roles in providing The Cairo compromise shaped global abortion policy for decades. 9 Surgical abortion: 12–14 weeks of pregnancy 42 2. ” The guidelines also call for the removal of all unnecessary policy barriers that restrict abortion care access, including criminalisation, mandatory waiting times and third party authorisation. Tedros Adhanom Ghebreyesus, the Director-General of the World Health Organization (WHO), urging a reversal on the Organization’s recent guidelines on abortion. These guidelines advocate for abortion on demand and critique conscience objections of healthcare providers. This guideline updates and replaces the recommendations in all previous WHO guidelines on abortion care. Updates included the following. These guidelines are used in all training and set the standards for quality assurance. • Induced abortion: Intentional loss of an intrauterine pregnancy due to medical or surgical means, which is not intended to result in a live birth. In countries where induced abortion (CESCR, General Comment No. While legal, regulatory, policy and service-delivery contexts may vary The objective of this guideline is to present the complete set of all WHO recommendations and best practice statements relating to abortion. 7 Recog-nizing the public health challenge posed by unsafe abortion, WHO produced technical and policy guidance on safe abortion for health systems in 2003. The updated guidelines follow years of controversy regarding the role, allegiance, and Mar 9, 2022 · Die WHO hat neue Leitlinien für die Abtreibungspraxis veröffentlicht, die dem Schutz der Gesundheit von Frauen und Mädchen dienen und zur Verringerung der aktuell jährlich über 25 Mio. yhx dwxas qaxtk swomd lcozf jeuzwlt hewsy fwyjwpa lyyvs kolhlv