Tuesday January 21, 2020

Study Claims, There Should Be Treatment Options Given for Miscarriage

Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies. 

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Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies. Pixabay

Though miscarriage is a traumatic experience for both parents, resulting in feelings of loss and grief that in some cases can lead to anxiety and depression, women experiencing miscarriage should be offered a choice in the treatment they receive, suggests a study.

Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies.

Although guidelines recommend trying to resolve an unsuccessful pregnancy naturally, the new analysis shows that this is only successful in 70 per cent of cases, and potentially comes with complications that are rarely communicated to patients.

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Some women are more keen on having a quick surgical intervention so that they can resume their lifestyle immediately, some are very keen to avoid surgery and prefer to go with a tablet, and others want to take a more natural approach,” Wattar added. Pixabay

The study from the University of Warwick and Queen Mary University of London, demonstrates little to no difference in medical effectiveness in resolving an unsuccessful pregnancy between medical and surgical options.

Thus, the team recommend the doctors to offer women a choice of treatment options for miscarriage to enable them to make an informed decision that takes account of potential uncomfortable side effects, long waiting times and extended periods of recovery.

“What we have to do is provide women with evidence about the benefits and effectiveness of each treatment option and potential side effects so that they can choose what they feel most comfortable with,” said lead author Bassel Wattar from Warwick Medical School.

“Some women are more keen on having a quick surgical intervention so that they can resume their lifestyle immediately, some are very keen to avoid surgery and prefer to go with a tablet, and others want to take a more natural approach,” Wattar added.

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Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies. Pixabay

For the results, published in the journal Human Reproduction Update, the team reviewed 46 trials involving over 9,000 women who experienced spontaneous loss of pregnancy (miscarriage) before 14 weeks gestation.
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During a miscarriage, the body will aim to resolve the unsuccessful pregnancy naturally but conservative treatment can be painful with increased bleeding, increased likelihood of hospital admission, reduced quality of treatment and reduced satisfaction.

However, surgery which include electric vacuum aspiration, and medical treatment with a tablet were found to have similar effectiveness in treating miscarriage as conservative treatment. (IANS)

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Over 95% Women Feel That Abortion Was The Right Decision: Study

Over 95% women do not regret having an abortion says a new study

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According to a new study, over 95% women do not regret the decision of having an abortion. Pixabay

Researchers have found that even five years down the line after having an abortion, over 95 per cent of the women said it was the right decision for them.

Published in the journal Social Science & Medicine, the study found no evidence that women began to regret their decisions as years passed.

On the contrary, the women reported that both their positive and negative feelings about the abortion diminished over time. At five years, the overwhelming majority (84 per cent) had either positive feelings, or none at all.

“Even if they had difficulty making the decision initially, or if they felt their community would not approve, our research shows that the overwhelming majority of women who obtain abortions continue to believe it was the right decision,” said study researcher Corinne Rocca, Associate Professor at University of California in the US.

“This debunks the idea that most women suffer emotionally from having an abortion,” Rocca added.

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Most women suffer emotionally from having an abortion. Pixabay

For the findings, the researchers analysed data from the Turnaway Study, a five-year effort to understand the health and socioeconomic consequences for nearly 1,000 women who sought abortions in 21 states around the country.

The analysis included 667 participants who had abortions at the start of the study. The women were surveyed a week after they sought care and every six months thereafter, for a total of 11 times.

While women did not report regretting their decision, many did struggle initially to make it. Just over half said the decision to terminate their pregnancy was very difficult (27 per cent) or somewhat difficult (27 pe rcent), while the rest (46 percent) said it was not difficult.

About 70 per cent also reported feeling they would be stigmatised by their communities if people knew they had sought an abortion, with 29 per cent reporting low levels and 31 percent reporting high levels of community stigma. Those who struggled with their decisions or felt stigmatized were more likely to experience sadness, guilt and anger shortly after obtaining the abortion.

Over time, however, the number of women reporting these negative emotions declined dramatically, particularly in the first year after their abortion. This was also true for those who initially struggled with their decision.

And relief was the most prominent emotion reported by all groups at the end of the study — just as it was at every time point in the study.

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“This research goes further than previous studies, in that it follows women for longer, and was conducted on a larger sample from many different clinics throughout the US,” said Julia Steinberg from University of Maryland.

“It shows that women remain certain in their decision to get an abortion over time. These results clearly disprove claims that regret is likely after abortion,” Steinberg said. (IANS)