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Medical Abortion in India continues to face high levels of stigma — this stigma pushes women who seek it away from legal services; curtails free dissemination of information on abortion; and affects the delivery of essential services in the public health system.
Consequently, millions of women prefer not to go to public health facilities for abortion services. It is estimated that 78 percent of the 15.6 million abortions that take place each year in India occur in non-facility settings, mainly through medical abortion pills.
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Newly published evidence (Incidence of Treatment for Postabortion Complications in India, 2015) in BMJ Global Health (by Susheela Singh, Rubina Hussain, Chander Shekhar, Rajib Acharya, Melissa Stillman, Ann M Moore) further suggests that in 2015, 5.2 million women in India received treatment for induced abortion complications, a treatment rate of 15.7 per 1000 women aged 15 to 49 comparable to countries where abortion law is highly restrictive, and unsafe abortion is likely to be prevalent.
Notably, many of the patients who were treated for postabortion complications resulting from the use of medical abortion pills may not have needed treatment to complete their abortion ½ if they had been provided accurate information on how the method works, what to expect after taking the pills, and how to recognize a complication.
On March 16, amendments to the Medical Termination of Pregnancy (MTP) Bill 2020 were passed; while on the one hand, the Bill is being applauded for removing some recurring barriers for women seeking abortions; it could have also empowered women with complete choice. However, we should not underestimate the opportunities this policy reform brings: It has the potential to improve the experiences of millions of women who terminate unintended pregnancies in India each year.
Firstly, the MTP Act and its Regulations and operational guidelines currently only permit obstetrician-gynecologists and MBBS doctors who have been trained and registered to provide abortion in approved facilities. Therefore, policymakers need to consider expanding the provider base for legal abortion services.
Registered providers in unapproved facilities may provide medical abortion, however, they must have referral linkages to approved facilities. The training requirements as laid out in the abortion law are rigorous and do not distinguish between surgical and medical methods of abortion. Given this situation, the government could increase access to safe abortion services by permitting and providing simplified training to a larger number of providers, who would then be certified to provide medical abortion only.
This will not only significantly increase the options for women seeking abortion services but also leverage the potential of medical abortion technology. The paper also recommends that to ensure that women seeking abortions are well-supported and provided credible information, including on referral facilities, policies should extensively cover community health intermediaries and equip them with adequate information to direct and guide women looking to terminate an unwanted pregnancy.
Secondly, there is a need to improve the experience of women seeking treatment for post-abortion complications in public facilities. In the study – ‘Incidence of Treatment for Postabortion Complications in India’, 2015- conducted in six Indian states ½ Assam, Bihar, Gujarat, Madhya Pradesh, Tamil Nadu, and Uttar Pradesh, respondents estimated that a variable but high proportion of all women receiving post-abortion care were admitted with incomplete abortion from use of medical abortion; Prolonged or abnormal bleeding and incomplete abortion resulting from use of methods other than medical abortion were also common complications.
However, it should be noted that the clinical efficacy of medical abortion in the early gestation period is 95 to 98 percent when the method is used correctly and drugs are of high quality, and at a minimum, 5 percent of all users of medical abortion would have incomplete abortions and may need medical treatment.
Since most medical abortion users in India obtain the method outside of the formal health system and the method they are using is highly effective, the paper points to the possibility for patients to experience an incomplete abortion or other complications as a result of the medication being administered incorrectly or the medication is being compromised.
Nevertheless, this points to the important recommendation that to improve women’s experience of using medical abortion, all women who use medical abortion (and especially those who obtain it outside of facilities) must receive accurate information and good quality medical abortion supplies. However, for those who still approach facilities for treatment of post-abortion complications following medical abortion, there is a need to address a range of issues such as inadequate privacy and confidentiality, provider biases, and cost barriers.
Lastly, women must have access to accurate information on medical abortion regardless of the source of care preferences. One way to do this, as the paper recommends, would be to improve access to information via inserts in medical abortion packets to help facilitate women’s ability to use the method correctly, know what to expect and when to seek care. There is also a need for innovative approaches for public dissemination of information about the correct usage of the method by means that reach more women.
Medical abortion is a safe and effective technology that has had a major impact in opening up access to safe abortion for women in India. We must leverage it for expanding legal providers in the formal health system while also making accurate information available to women on the usage of the method. (IANS/AD)
By Monika Manchanda
Eating fruits is one of the most satisfying ways to tackle sweet-tooth cravings while meeting your nutritional needs. Despite many studies and research on fruit consumption in diabetes, there are a lot of speculations on the right kind of fruit consumption and its relation to blood sugar levels.
Eating seasonal and locally available fruit has many health benefits ranging from reducing sugar and inflammation levels to fighting high blood pressure -- thanks to their abundant vitamins and mineral presence! They are a powerhouse of antioxidants like vitamins A, B, C, E, and minerals like iron, calcium, magnesium, and fiber.
The fruits listed below are not just diabetic-friendly but are loaded with fiber and water content which can slow down the sugar spikes and sugar absorption rate. Apples are not just nutritious and filling; According to a study, they are significantly associated with a lower risk of type 2 diabetes if consumed in moderation. Turns out there is a truth in the old saying, "An apple a day keeps the doctor away", after all!
Apples are not just nutritious and filling; According to a study, they are significantly associated with a lower risk of type 2 diabetes if consumed in moderation. | Photo by Pierpaolo Riondato on Unsplash
Avocados are a great source of healthy fats and more than 20 vitamins and minerals. They are high in fibers as well, and have been linked with lowering the risk of diabetes. Berries: Adding berries is one of the best ways to add a variety to your diabetes-friendly diet. You can choose from blackberries, blueberries, or strawberries because all of them are power-packed with antioxidants, vitamins, and fibers. Papaya is rich in natural oxidants, which makes it a perfect pick for people with diabetes. It reduces the chances of future cell damage.
Star fruit: This sweet and sour fruit is rich in dietary fiber and vitamin C. It also positively impacts anti-inflammatory processes and can help repair cell damage, and it has minimal fruit sugars as well. Kiwi fruit is an excellent source of Vitamin E, K, and potassium, and they are low in fruit sugars as well, which makes it a perfect diabetic-friendly fruit.
Avocados are a great source of healthy fats and more than 20 vitamins and minerals. | Photo by Kristine Wook on Unsplash
Melons (Musk melon and watermelon): Powerful hydrating fruits like cantaloupe and melons are recommended for people with diabetes, and people with the risk of developing diabetes. Eat-in moderation for multiple nutritional benefits like fiber, potassium, magnesium, vitamin B, and C. Dragon fruit is full of dietary fibers, vital vitamins, minerals, and antioxidants.
Pear are nutrient-rich, and they are known to fight inflammation and improve digestion.? Studies also suggest that consuming pears along with a healthy diet reduces the risk of type 2 diabetes. Orange: This citrus fruit is full of fiber that helps slow down sugar absorption into the bloodstream, and its vitamin C component helps improve immunity levels.
Add fruit to your salads to enjoy their goodness with a sprinkle of cinnamon, it tastes better and reduces sugar spikes . | Photo by Jo Sonn on Unsplash
Add fruit to your salads to enjoy their goodness with a sprinkle of cinnamon, it tastes better and reduces sugar spikes . Add nuts like walnuts and almonds to complement your fruit snack. you can also add flaxseeds to balance the glycemic load in the body. (IANS/ MBI)
Keywords: Diabetics, Apples, Star fruit, Pear, Melons, Kiwi fruit
By Nimerta C Sharan
Your monthly round up of the latest lifestyle launches, from luxury indulgences to artisanal creations, here's what you can look forward to :
Exciting news for all handbag lovers, luxury fashion house Louis Vuitton recently launched their limited edition handbags 'Artycapucines - Chapter 3'. Six internationally -- acclaimed artists have transformed the black canvas of the timeless Capucines bag into beautiful art pieces. Each bag will be available in a limited edition of 200 and will be released worldwide at the end of October 2021.
Exciting news for all handbag lovers, luxury fashion house Louis Vuitton recently launched their limited edition handbags. | Photo by Erik Mclean on Unsplash
Add To Cart
Looking for a quick festive fashion fix for you and your loved ones? E-commerce giant AJIO has announced it's hottest fashion sale starting September 30, 2021. The shopping platform has roped in stylista Sonam Kapoor as the face of the sale that will offer more than 2500 brands at discounted prices.
E-commerce giant AJIO has announced it's hottest fashion sale starting September 30, 2021. | Photo by Mitchell Luo on Unsplash
The country's leading design house, Good Earth, in collaboration with textile designer Madeline Weinrib will present its collection of 'butah' motif dinnerware and home textiles at the Metropolitan Museum of Arts, New York. The 'Heirloom Project' that honours diverse Islamic design techniques will display curated products from across the globe.
The 'Heirloom Project' that honours diverse Islamic design techniques will display curated products from across the globe. | Photo by Jean Vella on Unsplash
Sweet dreams are made of this! Iconic French patisserie Laduree has opened its first Indian outpost at Delhi's upscale Khan Market. Spread over three floors, the bakery currently has twelve macaron flavours, their signature pastries and tea cakes and other brunch and high-tea items on the menu. Bon appetit.
Iconic French patisserie Laduree has opened its first Indian outpost at Delhi's upscale Khan Market. | Pixabay
Bright And Beautiful
Raw Mango's latest festive edit 'Moomal' goes live on their website on September 26, 2021. Inspired by the richness and diversity of Rajasthan, the collection consists of organza and silk saris and shararas, gota lehengas and kurtas and embroidered odhnis. The colours and silhouettes are just right for the upcoming festive season. (IANS/ MBI)
Raw Mango's latest festive edit 'Moomal' goes live on their website on September 26, 2021. | Photo by Souravi Sinha on Unsplash
Keywords: Lifestle, AJIO, sale, Deepika PAdukone, saris, Motifs, artisan, art
Actress Kangana Ranaut has talked about how her weight adjustments for her latest 'Thalaivii' that "messed up many things" in her body and left her with "permanent stretch marks". For her role in the film, based on the life of late Tamil Nadu Chief Minister and former actress J. Jayalalithaa, Kangana had to gain 20kg and undergo major physical transformation several times.
She took to Instagram to share her experience, detailing that doing all that over the six months period left her with "permanent stretch marks". "Gaining 20 kgs in 6 months and loosing it all within 6 months that too in my thirties messed up many things in my bodya I also have permanent stretch marks as well but art comes to life with a price and more often than not price is the artist him/herself," she wrote.
"Thalaivii" showcases the varied aspects of Jayalalithaa's life, tracing her journey as an actress at a young age to becoming the face of Tamil cinema, as well as the rise of the revolutionary leader who changed the course of the state's politics. Talking about her upcoming works, Kangana currently has 'Dhaakad'.
She is also shooting for her next 'Tejas', where she plays a fighter pilot. The Indian Air Force was the first of the country's defence forces to induct women into combat roles in 2016. The film takes inspiration from the landmark event. 'Tejas' is directed by debutant Sarvesh Mewara. The film will be RSVP's second film which pays a tribute to the Indian military after the immensely successful film "Uri: The Surgical Strike" which was released in January 2019. (IANS/ MBI)
Keywords: Kangana Ranaut, Thalaivii, bollywood, stretc marks, actress, tamil cinema