Thursday, March 15, 2012

Five CME for this abortion workshop

It can be a good parenting decision to decide not to parent. p. 56 Early Abortion Trainers Workbook
"This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Association of Reproductive Health Professionals (ARHP) and Advancing New Stanards in Reproductive Health (ANSIRH). ARHP is accredited by ACCME to provide continuing medical education for physicians."

• 52% of U.S. women obtaining abortions are younger than 25. Women aged 20-24 obtain 33% of all abortions, and teenagers obtain 19%.
• 43% of women obtaining abortions identify themselves as Protestant, and 27% identify themselves as Catholic.
• 2/3 of all abortions are among never-married women.
• Over 60% of abortions are among women who have had 1 or more children.
• On average, women give at least 3 reasons for choosing abortion: 3/4 say that having a baby would interfere with work, school or other responsibilities; about 2/3 say they cannot afford a child; and 1/2 say they do not want to be a single parent or are having problems with their husband or partner.
• 54% of women having abortions used a contraceptive method during the month they became pregnant. 76% of pill users and 49% of condom users reported using the methods inconsistently, while 13% of pill users and 14% of condom users reported correct use.
• 8% of women having abortions have never used a method of birth control.
• As much as 43% of the decline in abortion between 1994 and 2000 can be attributed to the use of emergency contraception (Wind 2002).

• 2% of unmarried women place their child for adoption (Moore 1995). This percentage has steadily decreased since the 1970s (National Adoption Information Clearinghouse 2000).

There are interesting "values clarification" exercises, and how to reword the question if the participant remains a reluctant student of abortion.
For patients who express fear that, “this is a sin and God will punish me,” you might respond: “This is a difficult decision. Many women from different religious backgrounds struggle with this decision, even though they know it is the right thing for them to do.” or, “In many religions, people are permitted to ask for and be granted forgiveness.”
Rather than, “Don’t have intercourse for the next week” try instead: “If you want to reduce the risk of infection, then you will want to avoid vaginal intercourse for the next several days. How will this work for you? [Does this sound like the doctor is suggesting oral or anal sex? Do you suppose she knows about HIV or oral HPV?]

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