In today’s contentious political environment surrounding abortion, clinicians, counselors and social workers need a clear framework for providing skilled, compassionate decision counseling. They need help working with the hard stuff: “What do I do when my patient asks me if God will forgive her?” or “What do I say when a woman says that she feels like she’s killing her baby?” These are the questions asked by clinicians and mental health professionals everywhere; these are also the questions for which this book offers answers. The fields of healthcare and counseling psychology have long-awaited a manual for conducting pregnancy decision counseling across the spectrum of patient issues, employee skill levels, and clinic resources. Using case examples, individual and group exercises, guided self-reflection, and values clarification, the reader will develop the necessary skills to provide compassionate and informed pregnancy decision counseling. This book will define the gold standard for decision assessment and counseling for all pregnancy options and will be cited as the definitive guide for learning, teaching, and providing high-quality, compassionate counseling in abortion and family planning clinics nationwide.

Relationships, sex, pregnancy, and abortion are among the topics discussed with engaging frankness by sixteen women in this collection of oral histories. Our Choices: Women’s Personal Decisions About Abortion presents readers with the opportunity to understand the abortion choice in a way that statistics and abstract debate cannot. The accounts show how pregnancy and abortion are inextricably tied together in the complicated social and psychological lives of men and women. By exploring the women’s feelings about becoming pregnant unintentionally and the circumstances surrounding that occurrence, the stories reveal much about how men and women communicate with each other about sex, the effect of pregnancy and abortion on relationships, and how a woman’s upbringing has shaped her knowledge and attitudes regarding sex and abortion. Our Choices: Women’s Personal Decisions About Abortion includes stories of both legal and illegal abortions from the 1950s through the 1980s. The women included represent a variety of socioeconomic, cultural, and religious backgrounds, reminding readers that any woman can potentially be faced with the decisions surrounding unintended pregnancy and abortion. The issues raised cover the trauma of an illegal abortion, abortion versus adoption, abortion following rape, abortion as a medical procedure, and the role of family and partner support. Women who are considering abortion or who have had an abortion in the past will gain a deeper understanding of this complex and private experience; their partners, families, and friends will be better equipped to provide help and support. Professionals, including counselors and health care providers, will want to read this engrossing book and refer their clients to it. Students in women’s studies and health care programs, policymakers, ethicists, and others with an interest in women’s issues will find the book enlightening. It should be read by anyone wishing a more complete knowledge of abortion and the vast array of issues it encompasses. Our Choices: Women’s Personal Decisions About Abortion can be sold in family planning clinics to clients, used in pregnancy counseling training, and retained for reference by both public libraries and family planning clinics, reproductive rights organizations, universities, and women’s centers.

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

This book explores the spiritual essence of abortion, its historical context, and the empowering lessons of the abortion experience. Abortion can help anyone learn the importance of making conscious choices about how we live our lives. It opens the way to greater connection with life, love, death, and power. It is a rite of passage from identifying as a victim to knowing from the heart. It is a legitimate experience. The essentially pro-life nature of abortion asks us to learn to accept death as part of the flow of life. Misunderstanding and denying the importance of death in life is one of the main reasons for the ferocious "abortion wars". Making conscious choices about pregnancy shows us how we are part of nature, not separate from it. Coming to grips with abortion, both individually and collectively, is a step down the road to taking responsibility for the well being of all life. Women are rising and becoming empowered on a world scale. This book explains how this natural historical development is guided by experiences that put us in direct conflict with limited definitions of ourselves, which can keep us tied to the ways of patriarchy. For many women, having an abortion is fraught with conflicts about personal worth. When the issues are faced and worked through, personal pain transforms into personal power. Embracing the power to carry through with or turn back pregnancy empowers women to bring love into the world in new and stronger ways.

Medical abortion care encompasses the management of various clinical conditions including spontaneous and induced abortion (both viable and non-viable pregnancies) incomplete abortion and intrauterine fetal demise as well as post-abortion contraception. Medical management of abortion generally involves either a combination regimen of mifepristone and misoprostol or a misoprostol-only regimen. Medical abortion care plays a crucial role in providing access to safe effective and acceptable abortion care. In both high- and low-resource settings the use of medical methods of abortion have contributed to task shifting and sharing and more efficient use of resources. Moreover many interventions in medical abortion care particularly those in early pregnancy can now be provided at the primary-care level and on an outpatient basis which further increases access to care. Medical abortion care reduces the need for skilled surgical abortion providers and offers a non-invasive and highly acceptable option to pregnant individuals.

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.