Twenty one years of legal abortion.
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The effect of the Abortion Act on gynaecological work in one provincial teaching hospital is that despite an increase in patient turnover of 45% the waiting list has increased by 200%. It is suggested that the Act has had little effect on the birth rate or illegitimacy and that there may have been an increase in criminal abortion.
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A sample of 208 pregnant women (78 before the voluntary termination of pregnancy, 63 admitted to hospital because of a threatened miscarriage, 67 at the outpatient clinic for a routine antenatal visit) performed a personality test (EPI) and two tests to evaluate psychological distress (SCL-90 and GHQ). The women who were about to abort exhibited a higher level of psychological distress which was also related to an underlying personality structure with neurotic traits. The group with a threatened miscarriage exhibited an intermediate level of psychological distress but a structure of personality similar to the antenatal group.
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Millar microtransducers were used in 7 patients to record contractile variations in the cervix and corpus during dilatation of the cervical canal by Laminaria tent preceding first-trimester vacuum aspiration. The spontaneous contractile activity was registered in a control group of 5 patients without laminaria pretreatment. Two Millar catheters were used. The sensor tip of one Millar catheter was placed extra-amniotically in the uterine cavity, and the other one in the mid-cervical canal. Both sensor tips faced the wall of the cervix and corpus. The study showed that laminaria tents not only have a gentle dilatating effect on the cervix, but also induce painless uterine contractions, of amplitudes reaching 20 mmHg, and increased contractile activity in the cervix for the duration of dilatation.
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In a study of 404 women (simple random sample), 20-29 years of age, 201 (group A) applying for abortion and 203 (group B) continuing their pregnancies, the women were given a questionnaire and in addition were interviewed. The aim of the study was to evaluate the spontaneous personal motives of women for abortion at a time when age is not supposed to be a common reason. The results showed that more than half of the women expressed that a bad relationship with the partner in one way or another was a motive for the abortion. Other important motives included characteristics of the women and their partners, mainly immaturity, work/studies and unsuitable life situation for having a child. Less common motives seemed to be economy, dwelling and medical and health factors. It is obvious that women in this study wanted to have a stable relationship to the child's father before they dared or wanted to have a child. Social networks in modern society seem to be too weak. The women do not want to face social and emotional problems as lonely mothers. Political decisions in the society, for example with parental benefit according to your income discourage women from continuing their pregnancies during their studies. It also seems important for the woman to feel mature enough to have a child. The provision and encouragement of methods for safer sex may be a possible way by which to reduce the number of abortions.