• Corpus ID: 6598993

Menstrual Regulation and Postabortion Care in Bangladesh: Factors Associated with Access to and Quality of Services

  title={Menstrual Regulation and Postabortion Care in Bangladesh: Factors Associated with Access to and Quality of Services},
  author={Michael Vlassoff and Altaf Hossain and Isaac Maddow-Zimet and Susheela Singh and Hadayeat Ullah Bhuiyan},
n In 20 10, an estimated 653,000 menstrual regulation (MR) procedures were performed in Bangladesh. In addition, there were 647,000 induced abortions, the large majority unsafe. n About 1 2% of MR clients—or 78,000 women—were treated for complications, a rate many times higher than expected if manual vacuum aspiration procedures are done under hygienic conditions by trained providers. Complications may arise, for example, from inadequate training and failure to properly sterilize equipment. n… 

The Incidence of Menstrual Regulation Procedures and Abortion in Bangladesh, 2014.

Given declines in MR provision, more attention needs to be paid to building capacity, including hiring and training more providers of MR, and Harm-reduction approaches should be pursued to increase the safety of clandestine use of misoprostol in Bangladesh.

Out-of-clinic and Self-managed Abortion in Bangladesh: A Qualitative Study of Menstrual Regulation Providers

Providers in urban tertiary care facilities in Bangladesh see primarily the complicated MR/PAC cases, and the safety of out-of-clinic/self-managed abortion is unknown, and lack of standardization among providers of MR definition/gestational age cutoffs may affect patient care and MR access.

Out-of-clinic and self-managed abortion in Bangladesh: menstrual regulation provider perspectives

Lack of standardization among providers of MR gestational age cutoffs may affect patient care and MR access and policy makers should consider increasing training of frontline health workers, such as Family Welfare Visitors to provide evidence-based information about Mifepristone/Misoprostol.

Menstrual regulation outside health facilities in Bangladesh: a qualitative study

For MR to be more accessible at the community level, the wider cultural context of women’s domestic and social lives needs to be taken into account.

Access to and Quality of Menstrual Regulation and Postabortion Care in Bangladesh : Evidence from a Survey Of Health Facilities , 2014

Policy and programmatic actions are needed to increase availability of and access to MR and treatment for post Abortion complications and provision of contraceptive counseling and methods for postabortion care and MR patients in Bangladesh.

Pregnancy termination in Matlab, Bangladesh: maternal mortality risks associated with menstrual regulation and abortion.

MR is no longer associated with higher mortality risk than live birth in Bangladesh, but abortion is.

Knowledge and Practice of Menstrual Regulation (MR) in Bangladesh: Patterns and Determinants

The findings show that both the knowledge and practice of MR is decreasing in Bangladesh, and the necessity to emphasize the delivery of family planning services in Bangladesh to ensure the utilization of alternative modes of contraception is highlighted.

Achievements of the FIGO Initiative for the Prevention of Unsafe Abortion and its Consequences in South‐Southeast Asia

Improving manual vacuum aspiration service delivery, introducing misoprostol for cases of incomplete abortion, and strengthening postabortion contraception in Bangladesh

Strengthening health systems capacity to monitor and evaluate programmes targeted at reducing abortion-related maternal mortality in Jessore district, Bangladesh

By systematic implementation of the SMRAC model, health systems can track and measure progress and gaps in their implementation and identify strategies for further reduction of abortion-related morbidity and mortality in Bangladesh.



Menstrual regulation, unsafe abortion, and maternal health in Bangladesh.

To assure that trends toward lower abortion-related morbidity and mortality continue, women need expanded access to the means of averting unsafe abortion, the government needs to address barriers to widespread, safe MR services.

Estimating the Level of Abortion In the Philippines and Bangladesh

Estimation techniques suggest that the abortion rate in the Philippines is within the range of 20-30 induced abortions per 1000 women 15-49 years old while the rate in Bangladesh is 26-30 per1000 women.

Risks and costs of illegally induced abortion in Bangladesh

On women admitted to Dhaka Medical College Hospital for incomplete, illegally induced abortion, women with low complication rates more often had abortions induced by medical practitioners than women having abortions initiated by other practitioners.

Unsafe abortion: Global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. Sixth edition.

This sixth edition of the WHO Global and regional estimates of unsafe abortion and associated mortality is intended for policy-makers and programme managers health workers and nongovernmental

Causes of maternal mortality in rural Bangladesh, 1976-85.

Findings support the need to develop a service strategy to address the risks of childbearing and childbirth in areas such as rural Bangladesh, where almost all deliveries take place at home, based not only on preventive and educational interventions, but also on systematic attendance at home deliveries by trained professional midwives.

Manual Versus Electric Vacuum Aspiration for Early First-Trimester Abortion: A Controlled Study of Complication Rates

Manual vacuum aspiration is as safe as electric suction curettage for abortions at up to 10 weeks’ gestation and expanded use in an office setting might increase abortion access.