At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.

"Now with a new afterword by the author"--Back cover.

Argues that abortion is a common part of a woman's reproductive life and should not be vilified, but instead accepted as a moral right that can be a force for social good.

How do feminist identity and abortion politics intersect? Specifically, what does feminism mean to women working to feminist health care and abortion services in the late 1980s and early 1990s? What are the ideological consequences and emotional tolls of doing such work in a hostile socio-cultural environment? Can feminism and bureaucracy coexist productively? How do feminists confront the anti-feminist opposition, from anti-abortion protesters outside to racism within feminist organizations? These are the questions that drive Wendy Simonds' Abortion at Work. Simonds documents the ways in which workers at a feminist clinic construct compelling feminist visions, and also watch their ideals fall short in practice. Simonds interprets these women's narratives to get at how abortion works on feminism, and to show what feminism can gain by rethinking abortion utilizing these activists' terms. In thoroughly engaging prose, Simonds frames her analysis with a moving account of her own personal understanding of the issues.

Sets out guidelines that can help reduce the high levels of maternal morbidity and mortality associated with abortion whether spontaneous or induced. 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 every health care system. In view of the need to prevent life-threatening complications the book also establishes standards of safe abortion practice for use in those countries where abortion is permitted by law. Prevention of abortion through education and family planning is likewise discussed. Addressed to health managers administrators and care providers the book follows a step-by-step approach to the provision of emergency and preventive care. The first three chapters describe the magnitude of mortality and morbidity caused by unsafe abortions define the essential components of abortion care at each level in the health system and discuss the ways in which legal and societal factors affect abortion behaviour and care. Against this background the remaining eleven chapters provide technical and managerial guidelines for each component of service at each level of the health system needed to ensure that all women have access to care 24 hours a day. A chapter on planning is followed by three chapters outlining the clinical elements of emergency abortion care. Of particular value is a chapter on patient information and counselling which emphasizes the importance of providing information in a supportive manner. Other chapters offer detailed guidance on the facilities equipment and drugs needed for abortion care on the training and supervision of staff and on ways to overcome several obstacles that make it difficult for women in remote rural areas to receive timely care.

Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.

In the late 1970s and throughout the 1980s, many US private employers enacted foetal protection policies that barred women - that is, women who had not been surgically sterilised - from working in jobs that might expose foetuses to toxins. This text analyses these policies and the ambiguous responses to them by federal and state courts, legislatures, administrative agencies, litigants and interest groups. It poses provocative questions about the implicit links between social welfare concerns and paternalism in the workplace: are women workers or wombs?