Sexual and Reproductive Health

Chapter

Abstract

As a GP you are presented with an individual who admits to having an unsafe abortion and is suffering from its consequences. Important issues about recognizing and treating unsafe abortions and miscarriages, especially in relation to the developing world, are discussed. Common problems in sexual and reproductive health that are incorporated into MDG 5 are explored. The problem of early teenage pregnancies is a significant feature in this hypothetical case. One public health measure that can effectively ameliorate this matter is family planning. The benefits and challenges of family planning are raised, including social and cultural barriers. Various contraceptive practices are mentioned. The reader is provided with key components that are necessary to create a successful family planning scheme.

References

  1. 1.
    Grimes D, Benson J, Singh S, et al. Unsafe: abortion: the preventable pandemic. Lancet. 2006;368:1908–19.PubMedCrossRefGoogle Scholar
  2. 2.
    Guttmacher Institute. Facts on induced abortion worldwide [homepage on the internet]. c2007. [updated 2012 January: cited 2012 March 9]. Available from: www.guttmacher.org/pubs/fb_IAW.html.
  3. 3.
    World Health Organization (WHO). Unsafe abortion: Global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. 6th ed. Geneva: WHO; 2011.Google Scholar
  4. 4.
    Glasier A, Gulmezoglu A, Schmid G, Moreno C, Van Look P. Sexual and reproductive health: a matter of life and death. Lancet. 2006;368:1595–607.PubMedCrossRefGoogle Scholar
  5. 5.
    Hanretty K. Obstetrics illustrated. 7th ed. Edinburgh: Churchill Livingstone; 2010.Google Scholar
  6. 6.
    Gemzell-Danielsson K, Fiala C, Weeks A. Misoprostol: firstline therapy for incomplete miscarriage in the developing world. BJOG. 2007;114:1337–9.PubMedCrossRefGoogle Scholar
  7. 7.
    United Nations. The millennium development goals report 2011. New York; 2011.Google Scholar
  8. 8.
    Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. Family planning: the unfinished agenda. Lancet. 2006;368:1810–27.PubMedCrossRefGoogle Scholar
  9. 9.
    Singh S, et al. Adding it up: the costs and benefits of investing in family planning and maternal and newborn health. New York: Guttmacher Institute; 2009.Google Scholar
  10. 10.
    Casterline J, Sathar Z, Haque M. Obstacles to contraceptive use in Pakistan: a study in Punjab. Stud Fam Plann. 2001;32:95–110.PubMedCrossRefGoogle Scholar
  11. 11.
    Population Reference Bureau. Family planning worldwide: 2008 data sheet [homepage on the internet]. c2008 [cited 2012 March 9]. Available from: www.prb.org/pdf08/fpds08.pdf.
  12. 12.
    Douthwaite M, Ward P. Increasing contraceptive use in rural Pakistan: an evaluation of the Lady Health Worker Programme. Health Policy Plan. 2005;20(2):117–23.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of Emergency MedicineSt George’s HospitalTooting, LondonUK

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