• Corpus ID: 6598993

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

@inproceedings{Vlassoff2012MenstrualRA,
  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},
  year={2012}
}
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… 

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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.

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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.

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

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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.

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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.

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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.