Abortion: Quality Care and Public Health Implications

开始时间: 10/13/2014 持续时间: 6 weeks

所在平台: Coursera

课程类别: 医学

大学或机构: University of California, San Francisco(美国加州大学旧金山分校)

授课老师: Jody Steinauer

   

课程主页: https://www.coursera.org/course/abortion

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课程详情

Abortion is a common experience for reproductive-aged women around the world.  In the US, half of all pregnancies are unintended and half of these end in abortion. (Finer 2013) Around the world, 43.8 million abortions were done in 2008 representing one fifth of all pregnancies. (Sedgh 2012)  Abortion is safe and has lower morbidity and mortality than childbirth when carried out by trained practitioners in sanitary conditions (Raymond 2012), but nearly half of the abortions done in the world are unsafe, according to the WHO definition.

Despite its universality, abortion remains controversial and inaccessible for many women. Both the clinical and public health contexts of abortion are often excluded from curricula in medicine, nursing, and other health professions. Restrictions at the hospital or clinic level, and conscientious objection at the provider level compounded with legal restrictions further reduce women’s access to services. 

In this six-week course, over twenty faculty from various institutions and multiple disciplines will place abortion within the context of public health and fill in the gaps left by its exclusion from mainstream curricula in health professions. Each week’s lectures will incorporate the stories of women who seek abortion in order to better portray abortion significance and rationale.  Other topics will include a brief history of abortion, the clinical aspects of medication and procedural abortions in and after the first trimester, an overview of patient-centered abortion-care, the basics of abortion counseling, the professional obligations of health care practitioners to ensure that women have access to safe abortion care, and the maze of restrictions that make safe abortion care inaccessible to many women. 

In addition to video lectures, there will be weekly quizzes, peer assessments, and optional additional content and reading for learners who want to explore the topic further.  

课程大纲

WEEK 1: Introduction and Abortion around the World

  • Introduction to the public-health framework of this course
  • Who has abortions, why, and how do they access care
  • History of abortion and abortion stigma

WEEK 2: Patient-centered care for first-trimester abortion

  • Principles of pregnancy options counseling, abortion counseling, and informed consent
  • Clinical aspects of medication abortion, aspiration abortion, post-abortion contraception, and pain management for abortion
  • Guidelines for safe abortion care and the principles of high-quality abortion care across settings

WEEK 3: Patient-centered abortion care after the first trimester

  • Who has abortions after the first trimester and how do they access care
  • Clinical aspects of abortion after the first trimester
  • Role of patient preference in appropriate care
  • Complications and myths about abortion

WEEK 4: Obstacles to Accessing Safe Abortion in the US and Worldwide

  • Abortion in the US after liberalization
  • Legislative and policy obstacles to abortion access
  • Impact of obstacles on clinical care
  • Sociology of abortion especially related to health and health-care disparities

WEEK 5: Overcoming Obstacles to Abortion Access

  • Professional responsibilities around abortion care
  • Abortion training for health professionals
  • Values clarification about abortion care
  • Conscientious provision and refusal in abortion care

WEEK 6: Early Pregnancy Loss and Course Conclusions

  • Patient-centered care for early pregnancy loss
  • Counseling and decision making for early pregnancy loss
  • Relationship between early pregnancy loss care and abortion care
  • Course conclusions

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课程简介

Abortion is a common experience for women around the world; yet, abortion is often excluded from the curricula of health professionals. This course, geared toward clinicians, health care workers, and students, aims to address this gap and will contextualize abortion care within a public health framework from both clinical and social perspectives.

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