Unintended pregnancy: Attitudes toward contraception of women obtaining abortions

Forty-nine percent of pregnancies in the United States are unintended and significant numbers of pregnancies are unintended for women of all ages. One possible reason for the high rate is that while 85% of women at risk for an unintended pregnancy use contraception, negative attitudes about the method used make them poor contraceptors. Negative attitudes may prevent the remaining 15% of women from using any method of birth control. This study examined adult women's attitudes toward contraception and its use to see if attitudes correlate with unintended pregnancy. ^ To obtain a sample of women experiencing unintended pregnancies, women obtaining therapeutic abortions were surveyed since almost all women obtaining therapeutic abortions are experiencing an unintended pregnancy. The study used a cross-sectional survey design and included 312 women obtaining abortions at the Planned Parenthood Surgical Services Clinic in Houston in the latter half of 1999. ^ The responses revealed a lack of knowledge about the safety and effectiveness of contraception, particularly for methods other than oral contraceptives and condoms. Thirty-four percent of the participants were uncomfortable buying contraception. While 71% of the participants said their physician recommended their use of contraception, 17% were unsure and 35% did not talk to their physician about contraception on a regular basis. ^ The attitudes of women using contraception were compared with those not using contraception and many differences were seen. Women not using contraception responded with more ‘unsure’ answers and believed contraception was more difficult to use. They felt planning ahead for the use of contraception interfered with the enjoyment of sex (p-value = 0.06). They were less likely to use contraception if their partner disapproved (p-value = 0.01) and more of them believed their church disapproved of contraception (p-value = 0.02). In comparison, women using contraception had negative attitudes about the safety of the pill (p-values = 0.01–0.08) and the effectiveness of the condom (p-value = 0.04). Therefore, the negative attitudes women using contraception had about contraception may interfere with their effective use of birth control. Those not using contraception were found to hold attitudes that may contribute to their non-use of contraception. ^

Youth-focused empowerment evaluation using Photovoice

The Carrera-Children's Aid Society of New York model is a proven model of teen pregnancy prevention. There is a need to evaluate the effect that the model has had on the participants as individuals. Brighter Futures is a replication of the Carrera-Children's Aid Society of New York youth development model operated by Planned Parenthood of Houston and Southeast Texas. A qualitative youth-focused Empowerment Evaluation was initiated to determine the individual impact of the achieved program outcomes. The Empowerment Evaluation assessed what impact the Brighter Futures program has had on the students. The youth used Community-based Participatory Research (CBPR) approaches, such as Photovoice, in conjunction with guided writing and participatory groups to conduct this evaluation with in the framework of Empowerment Evaluation. Additionally, a semi-structured CBPR exercise was used to evaluate the effectiveness of the feasibility of Photovoice methodology with urban youth. ^

The care to share HIV disclosure study - the attitudes toward and beliefs about HIV disclosure among perinatally-infected HIV-positive youth and their caregivers

HIV incidence has not changed since the introduction of the pandemic. Daily 14,000 persons are infected with HIV and 25 to 50% of the HIV-infected population and subgroups respectively are estimated to be unaware of their HIV diagnosis. Perinatally-infected HIV-positive youth, aged 13-24 years, have survived unexpectedly into adulthood, have had unique HIV disclosure experiences and now face HIV disclosure issues of adulthood and perhaps parenthood. Despite new effective HIV therapies, no HIV prevention plan exists that has diminished the rate of new HIV infections. HIV stigma and lack of universal HIV reporting laws dissuade timely HIV disclosure. Missed HIV disclosure perpetuates HIV transmission and infection. Understanding the attitudes and beliefs of HIV disclosure among perinatally-infected HIV-positive youth and their caregivers may uncover reasons to HIV disclosure delays, avoidance and intentions. The Care to Share HIV Disclosure study was designed to identify the attitudes and beliefs of HIV disclosure among HIV-positve youth (aged 13-24 years), who were infected from birth and who knew their HIV diagnosis, along with their caregivers. Twenty-six participants (15 youth and 11 caregivers) completed the theory-based questionnaires of a 21-item multiple choice survey on HIV disclosure framed in the Theory of Reasoned Action and Theory of Planned Behavior and included an additional open-ended survey that applied the Transactional Model of Stress and Coping to address youth's and caregivers' HIV disclosure experiences. Youth were found to have a selective unfavorable HIV disclosure outcome when among referents of close friends. However youth did believe in HIV partner notification. For caregivers, it mattered who disclosed the HIV illness to the youth. HIV stigma was of concern based on the youths' tendency to believe in keeping HIV a secret and their caregivers' ambivalence to HIV secrecy. However, favorable HIV disclosure outcomes were identified for both youth and caregivers the potential for HIV disclosure: when seeking HIV knowledge, when around caregivers and close family and in situations of perceived controllability as when helping others learn about HIV. These findings unveil HIV disclosure attitudes and beliefs within this population and may reveal the attributes that may inhibit or promote HIV disclosure behaviors. HIV disclosure studies that address attitudes and beliefs among larger populations of youth and HIV-infected persons are necessary to identify effective individual, group and society approaches that would promote timely, responsible and meaningful HIV disclosure methods that promote a healthy identity and interrupt HIV transmission.^

¿Confidencialidad o Justicia? La regulación del deber/derecho al secreto profesional médico en el Perú y sus implicancias en el derecho a la salud

Planned Parenthood

El Derecho de las médicas y los médicos al Secreto Profesional en la Jurisprudencia de la Corte Interamericana de Derechos Humanos

Planned Parenthood Federation of America, Inc. International

Opiniones sobre el aborto, un tema para hablar, una agenda para discutir

International Women’s Health Coalition

Un derecho negado, una responsabilidad eludida. Comportamiento del Estado Peruano frente al Aborto terapéutico

International Planned Parenhood Federation Región del Hemisferio Occidental

Validez constitucional del aborto terapéutico en el ordenamiento jurídico peruano

Planned Parenthood Federation of America, Inc. International

Viabilidad jurídica de una Guía Técnica para la interrupción terapéutica del embarazo

Planned Parenthood Federation of America, Inc. International

Aborto y derecho a la información

Presentado en el II Congreso Latinoamericano Jurídico sobre Derechos Reproductivos, 28-30 nov. 2011, San José, CR

Effectiveness of medical abortion with mifepristone and buccal misoprostol through 59 gestational days

BACKGROUND: From 2001 to March 2006, Planned Parenthood Federation of America (Planned Parenthood) health centers throughout the United States provided medical abortions principally by a regimen of oral mifepristone, followed 24-48 h later by vaginal misoprostol. In late March 2006, analyses of serious uterine infections following medical abortions led Planned Parenthood to change the route of misoprostol administration and to employ additional measures to minimize subsequent serious uterine infections. In August 2006, we conducted an extensive audit of medical abortions with the new buccal misoprostol regimen so that patients could be given accurate information about the success rate of the new regimen. OBJECTIVES: We sought to evaluate the effectiveness of the buccal medical abortion regimen and to examine correlates of its success during routine service delivery. METHODS: In 2006, audits were conducted in 10 large urban service points to estimate the success rates of the buccal regimen. Success was defined as medical abortion without vacuum aspiration. These audits also permitted estimates of success rates with oral misoprostol following mifepristone in a subset in which 98% of the subjects stemmed from two sites. RESULTS: The effectiveness of the buccal misoprostol-mifepristone regimen was 98.3% for women with gestational ages below 60 days. The oral misoprostol-mifepristone regimen, used by 278 women with a gestational age below 50 days, had a success rate of 96.8%. CONCLUSION: In conjunction with 200 mg of mifepristone, use of 800 mcg of buccal misoprostol up to 59 days of gestation is as effective as the use of 800 mcg of vaginal misoprostol up to 63 days of gestation.

Los derechos reproductivos: un debate necesario

Planned Parenthood Federation of America (PPFA) y el Centro de Promoción y Defensa de los Derechos Sexuales y Reproductivos (PROMSEX), como organizaciones auspiciantes del Primer Congreso Latinoamericano Jurídico sobre Derechos Reproductivos (Congreso Jurídico), quieren agradecer especialmente a Oscar Cabrera por sus aportaciones y su invaluable compromiso en coordinar, editar y escribir parte de esta publicación. Queremos expresar también nuestro profundo agradecimiento a las académicas que aportaron sus artículos sobre temas centrales para la región en relación al ejercicio de los derechos reproductivos. A ellas, Agustina Ramón Michell, Lidia Casas Becerra, Mercedes Cavallo y Claudia Ahumada, mil gracias. A las profesoras Rebecca Cook y Joanna Erdman y al profesor Bernard Dickens, nuestro sincero reconocimiento por su constante apoyo. Y un especial agradecimiento al Dr. Luis Lamas Puccio, ex vicedecano del Ilustre Colegio de Abogados de Lima, por su compromiso en la defensa de los derechos de las mujeres.

Comité legal de CLACAI

Presentación en el Seminario Acceso al aborto para mujeres sobrevivientes de violencia sexual. Guatemala, el 28 y 29 de octubre de 2014.

Modalidades de la diversidad en los vínculos familiares

Se presenta una síntesis del nuevo proyecto de investigación, en el que se propone indagar las Modalidades de la diversidad en el ejercicio de la parentalidad y en la pareja , en dos campos de problemáticas. Una refiere a la diversidad en relación con las múltiples formas que adquieren hoy las configuraciones vinculares familiares. La otra a la diversidad en relación con la conformación sexual de la pareja. Se desarrollan los núcleos conceptuales con que se abordarán dichas problemáticas: origen y transformaciones del patriarcado ; sexualidad y diversidad ; complejización y ampliación de los conceptos del marco teórico que se vienen utilizando desde las anteriores investigaciones: concepto de familia (organización y aspectos estructurales), principios de permanencia y cambio , vínculo , diversidad y parejas parentales del mismo sexo. De investigaciones anteriores se evalúa que persiste la representación de la madre como eje central de la crianza y que el reparto del poder entre madres y padres en la familia y entre varones y mujeres en la sociedad surge con vacilaciones y ambivalencias. Orientará la presente investigación la indagación sobre los modos actuales de expresión de estas representaciones, en familias de organización y configuración de la pareja no convencionales. El análisis de sus transformaciones posibilitará dilucidar su relación con nuevas formas de lazo familiar que den cuenta de la diversidad

Investigaciones sobre temas del desarrollo : Historización y desafíos de la parentalidad

Se historiza el recorrido teórico metodológico realizado en las actividades de investigación y el proceso de construcción de las diferentes líneas generadas. Se muestran los hallazgos de cada trabajo, desarrollando especialmente los de la investigación actual en familias con niños. Como hipótesis central, se considera que la crisis de las significaciones sociales, la declinación de valores, del sentido del deber y de la autoridad, diluye los marcos contenedores de las subjetividades, con efectos en el ser adolescente, hombre, mujer, madre, padre, abuelo, viejo. La metodología cualitativa utilizada, apunta a describir, analizar, interpretar y categorizar, los datos recogidos en base a: entrevistas en profundidad con madres, padres e informantes clave; entrevistas vinculares con parejas parentales, crónicas grupales, relatos de vida. Se concluye que las mutaciones sociohistóricas actuales, producen profundas transformaciones en la organización y funcionamiento familiar, que se evalúan como expresión de la diversidad propia de nuestra época y no como desviaciones del modelo. Se relevan tres modos predominantes de respuestas: 1) claudicación, confusión, incertidumbre y/o funcionamiento disociado; 2) refugio en la repetición de lo instituido , como así mismo, 3) construcción de estrategias innovadoras de habitar las situaciones, junto al ejercicio de una parentalidad compleja