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意外后果:罗诉韦德案之后的堕胎培训年

Unintended consequences: abortion training in the years after Roe v Wade.

机构信息

Medical Students for Choice, Philadelphia, PA, USA.

出版信息

Am J Public Health. 2013 Mar;103(3):404-7. doi: 10.2105/AJPH.2012.301152. Epub 2013 Jan 17.

DOI:10.2105/AJPH.2012.301152
PMID:23327239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3673517/
Abstract

The US Supreme Court's 1973 Roe v Wade decision had clear implications for American women's reproductive rights and physician ability to carry out patient choices. Its effect on physician abortion training was less apparent. In an effort to increase patient access to abortions after Roe, provision shifted from hospitals to nonhospital clinics. However, these procedures and patients were taken out of the medical education realm, and physicians became vulnerable to intimidation. The consequent provider shortage created an unexpected barrier to abortion access. Medical Students for Choice was founded in 1993 to increase abortion-training opportunities for medical students and residents. Its mission ensures that motivated medical students will learn and a growing number of physicians will commit to comprehensive abortion provision.

摘要

美国最高法院 1973 年的 Roe v. Wade 裁决对美国女性的生殖权利和医生执行患者选择的能力产生了明确的影响。但其对医生堕胎培训的影响并不明显。为了在 Roe 之后增加患者获得堕胎的机会,规定从医院转移到非医院诊所。然而,这些程序和患者被排除在医学教育领域之外,医生容易受到恐吓。由此产生的提供者短缺成为获得堕胎的意外障碍。医学生选择组织成立于 1993 年,目的是增加医学生和住院医师的堕胎培训机会。其使命是确保有积极性的医学生会学习,并且越来越多的医生会致力于全面提供堕胎服务。

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本文引用的文献

1
Abortion provision among practicing obstetrician-gynecologists.实施堕胎的妇产科医生。
Obstet Gynecol. 2011 Sep;118(3):609-614. doi: 10.1097/AOG.0b013e31822ad973.
2
Changes in abortion rates between 2000 and 2008 and lifetime incidence of abortion.2000 年至 2008 年堕胎率的变化与堕胎终身发生率。
Obstet Gynecol. 2011 Jun;117(6):1358-1366. doi: 10.1097/AOG.0b013e31821c405e.
3
Abortion incidence and access to services in the United States, 2008.2008 年美国的堕胎发生率和服务可及性。
Perspect Sex Reprod Health. 2011 Mar;43(1):41-50. doi: 10.1363/4304111. Epub 2011 Jan 10.
4
The back alley revisited: sepsis after attempted self-induced abortion.后巷再探:企图自行堕胎后的脓毒症
West J Emerg Med. 2009 Nov;10(4):278-80.
5
First impressions: what are preclinical medical students in the US and Canada learning about sexual and reproductive health?第一印象:美国和加拿大的临床前医学生正在学习哪些关于性健康和生殖健康的知识?
Contraception. 2009 Jul;80(1):74-80. doi: 10.1016/j.contraception.2008.12.015. Epub 2009 Mar 31.
6
Conceptualising abortion stigma.概念化堕胎污名
Cult Health Sex. 2009 Aug;11(6):625-39. doi: 10.1080/13691050902842741.
7
ACOG Committee Opinion No. 424: abortion access and training.美国妇产科医师学会委员会意见第424号:堕胎服务可及性与培训
Obstet Gynecol. 2009 Jan;113(1):247-250. doi: 10.1097/AOG.0b013e318196426c.
8
Abortion in the United States: incidence and access to services, 2005.2005年美国的堕胎情况:发生率及服务可及性
Perspect Sex Reprod Health. 2008 Mar;40(1):6-16. doi: 10.1363/4000608.
9
Abortion education in the medical curriculum: a survey of student attitudes.医学课程中的堕胎教育:学生态度调查
Contraception. 2008 Mar;77(3):205-8. doi: 10.1016/j.contraception.2007.11.011. Epub 2008 Jan 18.
10
Predictors of abortion provision among practicing obstetrician-gynecologists: a national survey.执业妇产科医生提供堕胎服务的预测因素:一项全国性调查。
Am J Obstet Gynecol. 2008 Jan;198(1):39.e1-6. doi: 10.1016/j.ajog.2007.06.002. Epub 2007 Nov 5.