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The article discusses the Catholic and pro-life response to life-limiting anomalies, focusing on the debate surrounding abortion exceptions for infants with lethal anomalies. It highlights the shift towards perinatal hospice as an alternative to abortion for infants with lethal anomalies, emphasizing the need for informed consent and accurate medical information for parents facing challenging prenatal diagnoses. The text also addresses biases among medical providers, the importance of offering supportive medical care to infants with trisomy 13 and 18, and the ethical considerations surrounding perinatal hospice practices. [Extracted from the article]

An interview with pro-life political prisoner Will Goodman is presented. Topicd mentioned include the reason why he is in federal prison, the factors that got him involved in the pro-life movement, the influence of faith on activism and his strategy of dealing with pushback from the pro-life community.

The article comments on the need to amend the constitution allowing human life protection in the U.S. Topics mentioned include the Supreme Court's distinction of three stages of pregnancy, the court's definition of health, the Judeo-Christian medical and legal ethic of abortion and the application of the right to life to all human beings.

A personal narrative is presented which explores the author's reasons for choosing to become pro-life.

The article focuses on a debate over the constitutional right of abortion. Topics mentioned include the conflict of the human relation to God who is the creator of life, the law restricting the licensing requirements for abortion clinics and the challenge of adopting a teaching about the human role in life.

• This paper adds important new knowledge about the experience of telemonitoring. • Women found the benefits of telemonitoring to outweigh the challenges. • Telemonitoring was experienced as timesaving, stress-reducing, promoting normality. • The challenges are timing, lack of feedback, and issues with the equipment. • Adaption of the findings will rather easily improve women's experiences. The use of telemonitoring in healthcare is generally increasing. Women with complicated pregnancies are using telemonitoring as an alternative to conventional management, encompassing hospitalization or frequent outpatient clinic visits. However, there is sparse evidence on how pregnant women experience monitoring of their unborn babies at home. Women might feel uncomfortable with this responsibility, and moreover they might miss face-to-face contact with healthcare personnel. The study setting was a Danish hospital with a tertiary obstetric unit attending approximately 3400 births annually. A qualitative study design with interview as method included 11 pregnant women with type 1 diabetes or Gestational Diabetes Mellitus. This design was used to investigate how pregnant women with complicated pregnancies experienced telemonitoring of the fetus. Reflexive thematic analysis was used to analyze the pregnant women's experiences of telemonitoring. Women with type 1 diabetes or Gestational Diabetes Mellitus found the advantages of telemonitoring to outweigh the disadvantages. They experienced telemonitoring as time-saving and that telemonitoring decreased the level of stress. Moreover, telemonitoring supports positive collaboration with healthcare professionals. The women also experienced a lack of coordination of consultations between different departments at the hospital and challenges with timing, feedback, and technical issues. Moreover, the women requested an opportunity to discuss family formation and emotions. Pregnant women with type 1 diabetes or Gestational Diabetes Mellitus benefit from the use of telemonitoring. To further improve the implementation and use of telemonitoring clinical implications, consider how timing and coordination of care, technical equipment, and feedback mechanisms could be improved. [ABSTRACT FROM AUTHOR]

Background: Malaria remains a significant public health threat in Sierra Leone, particularly for pregnant women and their unborn children. Infection during pregnancy can lead to severe consequences, including maternal anaemia, low birth weight, premature birth, and even death. Therefore, preventing malaria during pregnancy is crucial for improving maternal and child health outcomes. This study investigated the predictors of insecticide-treated bed net (ITN) use among pregnant women in Sierra Leone. Methods: The study analysed the 2019 Sierra Leone Demographic and Health Survey data (SLDHS). The study comprised a total of 900 pregnant women aged 15–49 years, representing the nationally representative sample. A multivariable binary regression analysis was used to explore the predictors of ITN use. The regression results were presented using an adjusted odds ratio (AOR) with 95% confidence intervals (CI). Results: The study found that the prevalence of ITN use among pregnant women was 64.2 [60.4, 67.9] in Sierra Leone. Pregnant women who were married [aOR = 2.02, 95% CI 1.32, 3.07] had higher odds of bed net use than those who were unmarried. Pregnant women with five or more children [aOR = 1.69, 95% CI 1.01, 2.84] had higher odds of mosquito bed net use than those with four and below children. Pregnant women living in the Northern, Northwestern, Southern and Western regions all had lower odds of bed net use than those in the Eastern region, with the lowest odds among those living in the western region [aOR = 0.19, 95% CI 0.09, 0.40]. Pregnant women who were Muslims [aOR = 0.63, 95% CI 0.41, 0.95] had lower odds of mosquito bed net use than Christians. Pregnant women with female household heads [aOR = 0.65, 95% CI 0.44, 0.95] had lower odds of mosquito bed net use than those with male household heads. Conclusion: ITN use among pregnant women in Sierra Leone remains suboptimal. Marital status, parity, sex of household head, region and religion were associated with bed net use. The government and policymakers in Sierra Leone should integrate ITN education and distribution into prenatal care services, emphasizing the benefits for both mother and baby—partnering with healthcare providers to raise awareness and encourage consistent use. Involve local leaders, religious figures, and mothers' groups to promote the benefits of ITN during pregnancy. Educate husbands and partners on the importance of ITN use during pregnancy and encourage their support in its consistent use. [ABSTRACT FROM AUTHOR]

Generative artificial intelligence (AI) large language models (LLMs) are increasingly being used in the legal field to conduct research. These AI models are designed to use human language and engender trust. They offer the advantage of cognitive ease, making it easier for users to process information compared to the vast amount of legal data available. AI platforms in the legal domain use a process called retrieval-augmented generation (RAG) to ground their answers in legal texts. However, it is important to be cautious when using generative AI LLMs as they may have limitations and provide inaccurate or incomplete information. While these AI systems can abstract and synthesize information, they may miss important details or misunderstand the question. Users should carefully craft their prompts and engage in follow-up conversations to refine their search. Generative AI can be a helpful starting point for research, but it should not replace traditional methods and human verification of results. [Extracted from the article]

The article focuses on the aftermath of the Dobbs v. Jackson Women's Health Organization decision by the US Supreme Court on June 24, 2022, which overturned Roe v. Wade, leading to widespread celebration within the pro-life movement. Topics include the deliberate avoidance in Dobbs of addressing whether a fetus qualifies as a "person" under the Constitution, a pivotal issue that Roe had squarely addressed.

The article focuses on the historical under-representation of U.S. pro-life activism in scholarly works compared to pro-abortion perspectives, exacerbated by misrepresentations and archival challenges. Topics include the significance of self-published pro-life histories, particularly those featuring Americans United for Life (AUL), documenting its legal advocacy role in advancing the pro-life movement.

Copyright of Annuals of the Administration & Law / Roczniki Administracji i Prawa is the property of Oficyna Wydawnicza Humanitas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article provides an overview of the changes that have occurred in wrongful death statutes in the United States, with a specific focus on New York. It explains how these statutes have evolved over time to include a wider range of potential plaintiffs and expand the types of damages that can be recovered. The article also discusses the debates and concerns surrounding these changes, including the potential impact on the economy. Additionally, it explores the expansions and amendments made to wrongful death statutes in other states, highlighting changes in who can file a lawsuit and the types of damages that can be recovered. The overall impact of these changes on individuals, businesses, the court system, and the economy remains uncertain. [Extracted from the article]

The Court observes that the course of the proceedings has been influenced by the sustained efforts made by the applicant and her sons to prove their allegations that the applicant's husband's death was caused by medical malpractice by four doctors of the clinic. By refusing to establish the doctors' responsibility for the applicant's sterilisation without her express, free and informed consent, with reference to the medical necessity of that intervention, the national courts in essence endorsed an approach in conflict with the principle of the patient's autonomy. For these reasons, the Court holds, by five votes to two, that there has been a violation of Article 3, under its substantive limb, and, unanimously, that there has been a violation of Article 3, under its procedural limb. For these reasons, the court, unanimously, holds that there has been a violation of Article 3 of the Convention both in its procedural limb as regards the forced abortions and forced contraception in respect of all three applicants and in its substantive limb as regards the forced abortions in respect of all three applicants, and concerning the forced contraception in respect of the first (but not the second and third) applicant. [Extracted from the article]

In its judgment of 22.10.2020 (K 1/20), the Constitutional Court ruled out the possibility of aborting a pregnancy due to the occurrence of a so-called embryopathological premise. It deprived women of the possibility to make an autonomous decision in the case of severe and irreversible disability or incurable disease of the fetus. The paper analyses the Court's errors in, inter alia, establishing the constitutional status of the nasciturus, conducting the dignity argument or the proportionality test. The authoress shows that the judgment is political and ideological in nature and that the Court refers to the judgment in Case K 26/96 in a selective and manipulative manner. The text to some extent polemics with the theses of P. Łącki and B. Wróblewski presented in the paper on Niekonstytucyjność tzw. aborcji eugenicznej (embriopatologicznej). Schemat argumentacji Trybunału Konstytucyjnego w sprawie K 1/20 (Unconstitutionality of the so-called eugenic (embryopathological) abortion. The pattern of argumentation of the Constitutional Tribunal in Case K 1/20), which came out in the previous issue of the "Przegląd Konstytucyjny" quarterly. [ABSTRACT FROM AUTHOR]

Reducing variation in health outcomes, i.e. reducing health inequities, is therefore central to improving both the ability of populations to cope with disruption and the set point of health system performance. Without urgent and systemic intervention, existing health inequities will widen, with the potential to reverse the health and development gains of the last 50 years ("Human Development Report 2011- Sustainability and Equity: A Better Future for All | United Nations Development Programme" [13]). A comprehensive presentation of the economic case for preventative medicine is beyond the remit of this essay, but simple statistics illustrate the point: public health expenditure can be more than 3 times more productive than health treatment expenditure; £1 spent on preventative healthcare may generate a £14-15 return to the health and social care economy ("The Economics of Preventative Healthcare | Economics By Design" [10]). This essay will consider the meaning of resilience in healthcare and argue that health inequities are critical determinants of health system fragility. [Extracted from the article]

The text aims at reconstructing the structure of the arguments of the Polish Constitutional Tribunal in the judgment of 22 October 2020, in which the so-called eugenic grounds for termination of pregnancy were held unconstitutional. The assumption of the presented considerations is the recognition that this judgment amounts to be a possible and natural development of jurisprudence regarding the disputed constitutional issue. The authors argue that the essential structural elements of the Tribunal's reasoning (i.e. its two-stage nature consisting in examining the constitutional subjectivity of the nasciturus and carrying out the proportionality test) do not raise objections in the light of the method of resolving the constitutional problem adopted by the Constitutional Tribunal. In turn, the partial conclusions of these argumentation stages (i.e. recognition of the subjectivity of the nasciturus on the basis of Article 38 of the Constitution regulating the legal protection of life, as well as the recognition that the challenged regulation does not meet the proportionality test) are based on the existing doctrinal stipulations, and even more so on the existing jurisprudence of the Tribunal. The judgment is largely of an application nature in relation to the fundamental findings of the Constitutional Tribunal's ruling of 28 May 1997, but these findings are embedded in other constitutional categories: the life of a nasciturus is not only recognized as a "constitutional value" detached from the subject, but as a good an entity who entitled to the constitutional right to legal protection of life. In turn, the decisions of the ordinary legislator as to the intensity and type of this protection must meet the requirements of proportionality test, taking into account the constitutional importance of the right to legal protection of life and its close connection with the protection of human dignity. [ABSTRACT FROM AUTHOR]

Background: Influenza in pregnancy is associated with elevated morbidity and mortality. Influenza vaccines are safe and effective in pregnancy. There are no Mexican surveys of physicians on knowledge, beliefs, and practices towards influenza and influenza immunization during pregnancy. Methods: A 32-question descriptive survey was conducted, addressing the general knowledge of influenza as well as beliefs and practices regarding influenza vaccination during pregnancy among Mexican physicians responsible for prenatal care, traditionally Obstetricians (OBGYNs) and Family Physicians (FPs). Results: A total of 206 surveys were available, 98 (47.6%) from OBGYNs and 108 (52.4%) from FPs, representing an estimated 2472 daily pregnancy consultations. In total, 54 of the 206 respondents (26.2%) were not aware that influenza is more severe during pregnancy, 106 of the 206 respondents (51.5%) ignored the potential side effects of influenza infection on the fetus, and 56.8% did not know when to vaccinate pregnant women. Pregnancy as a risk factor for developing influenza complications was only known by 99 of the 206 respondents (48.1%), and 6.1% believed that vaccination does not confer protection to the fetus. Conclusions: The current beliefs of Mexican OBGYNs and FPs for both influenza morbidity and mortality, and the importance of influenza vaccination during pregnancy are suboptimal. The drivers of these beliefs should be assessed to improve influenza vaccination recommendations, as knowledge alone is not sufficient. [ABSTRACT FROM AUTHOR]

Background: Depression during pregnancy has a significant impact on public health as it can adversely affect both the mother's and the child's health. These can have devastating effects on the mother, the unborn child, and the entire family. Objective: This study aimed to determine the prevalence of depressive symptoms and associated factors among pregnant women in Ethiopia. Method: An institutional-based cross-sectional study was conducted among pregnant women attending antenatal care services at comprehensive specialized hospitals in Northwest Ethiopia from May to June 2022. Measurement: The desired data were collected through face-to-face interview techniques by using validated questionnaires such as the Edinburgh Postnatal Depression Scale, the Oslo-3 social support scale, and the Abuse Assessment Screen tools. The data were analyzed by using SPSS Version 25. Logistic regression analysis was used to identify factors associated with antenatal depressive symptoms. Variables having a p-value of<0.2 in the bivariate analysis were entered into the multivariable logistic regression. A p-value of <0.05 was considered statistically significant, at 95% CI. Results: This study revealed that 91 (19.2%) pregnant women screened positive for depressive symptoms. According to multivariable logistic regression, living in rural areas (adjusted odds ratio (AOR) = 2.58, 95% CI: 1.267, 5.256), being in the second or third trimesters of gestational phase (AOR = 4.40, 95% CI: 1.949, 9.966 and AOR = 5.42, 95% CI: 2.438, 12.028, respectively), having a history of alcohol use (AOR = 2.41, 95% CI: 1.099, 5.260), having moderate or poor social support (AOR = 2.55, 95% CI: 1.220, 5.338 and AOR = 2.41, 95% CI: 1.106, 5.268), and having a history of intimate partner violence (AOR = 2.67, 95% CI: 1.416, 5.016) were the factors significantly associated with depressive symptoms at a p-value of ≤ 0.05. Conclusion and recommendation: The prevalence of depressive symptoms among pregnant women was high. Living in rural areas, second and third trimesters, use of alcohol, having moderate to poor social support, and having a history of intimate partner violence were variables significantly associated with depressive symptoms during pregnancy. [ABSTRACT FROM AUTHOR]

Background Utilization of adequate and quality prenatal healthcare services confers critical benefits to women and their unborn children. However, utilization rates remain low in many countries in Africa. Several studies have attempted to understand the primary drivers behind these low statistics. This article contributes to this discourse by examining the associations between birth interval and timing and number/frequency of antenatal care visits in Africa. Methods We pooled data from the publicly available Demographic and Health Surveys conducted in the last decade (2010–2020) for 32 African countries. Data were analysed using descriptive proportions and mixed effect binary logistic regression. Results The results illustrate moderate significant associations between spacing on the most recent birth by ≥36 months and early (first trimester) first antenatal care contact in both our bivariate (odds ratio [OR] 1.18, p<0.001) and multivariate (OR 1.106, p<0.001) analyses. The benefits on optimal antenatal contacts predicted on spacing are also noticed with birth intervals of 24–35 months (OR 1.08, p<0.001) and ≥36 months (OR 1.48, p<0.001). Conclusions Optimal birth spacing is beneficial for ANC utilization in terms of timing and total number of contacts. Post-partum family planning/contraceptive use can be an effective pathway to prolonging birth intervals. We argue that maternal and child health programmes strengthen prioritizing contraceptive use between births. [ABSTRACT FROM AUTHOR]

Background: The medical practitioner looking after women with rheumatoid arthritis (RA) may find pregnancy challenging. The challenges that females with RA have when trying to get pregnant are less well understood, both in terms of fertility, pregnancy outcomes, and medication safety. Objectives: This study aimed to assess current evidence regarding pregnancy outcomes in pregnant women with rheumatoid arthritis. Methods: Information services from the PubMed database were used to choose the articles on rheumatoid arthritis, pregnancy, inflammatory disease. In our review, all pertinent articles related to both our topic and other articles were used. Other articles that have nothing to do with this subject were not included. The group members looked through a certain format in which the data had been extracted. Conclusion: According to the findings of the included studies, pregnancies in women with RA are linked to higher relative risks for a range of negative effects on both the mother and the unborn child. Remission of the disease is recommended prior to conception. RA patients who are expecting should receive the same information and encouragement to schedule pregnancies with their doctors as other individuals with morbid diseases. [ABSTRACT FROM AUTHOR]

Copyright of Prudentia Iuris is the property of Pontificia Universidad Catolica Argentina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

On June 24, 2022, the Supreme Court of the United States in the case of Dobbs v Jackson Women's Health Organization ended constitutional protection for abortion, thus severely restricting access to reproductive health care for millions of individuals. Concerns have arisen about the potential impact on medical students, residents, and fellows training in restricted areas and the effect on gynecologic training and the future provision of competent comprehensive women's health care in the United States. To qualitatively explore the anticipated impacts of the Dobbs ruling on training in obstetrics and gynecology (OB/GYN). A participatory action research approach employing methods of qualitative analysis was used. Trainees and leaders in national OB/GYN professional and academic organizations with missions related to clinical care and training of medical students, residents, and fellows in OB/GYN participated. Two focus groups were held via Zoom in July 2022. Using an iterative process, transcripts underwent coding by 2 independent researchers to identify categories and common themes. Themes were organized into categories and subcategories. An additional reviewer resolved discrepancies. Twenty-six OB/GYN leaders/stakeholders representing 14 OB/GYN societies along with 4 trainees participated. Eight thematic categories were identified: competency, provision of reproductive health care, residency selection, inequity in training, alternative training, law-based vs evidence-based medicine, morality and ethics, and uncertainty about next steps. This qualitative study of leaders and learners in OB/GYN identified 8 themes of potential impacts of the Dobbs ruling on current and future training in OB/GYN. [ABSTRACT FROM AUTHOR]

• Despite improvements made since 2018, many NHS trusts do not comply with national guidelines in protecting new and expectant mothers from risk. • 77% of NHS trusts said they have no relevant guidelines put in place to protect pregnant women from orthopaedic-related risks. • Female surgeons need to continue seeking occupational health advice from professional bodies where the NHS fails to inform them. • NHS trusts must be encouraged to accurately signpost new and expectant mothers to relevant guidance. Trauma & Orthopaedic (T&O) surgery presents several occupational hazards to pregnant women and the unborn child. National bodies have produced guidelines to mitigate these risks as far as possible but individual trusts must be aware of them and implement them in their local policies. Our study aims to re-assess whether national guidelines for the protection of pregnant women are better adhered to nationally by providing a comparison to a previous study in 2018. A national observational study of 146 NHS trusts in the UK was conducted. Each trust was asked to complete a freedom of information request regarding all orthopaedic guidelines relating to pregnant theatre staff, which specifically related to the protection of the mother and foetus from exposure to harmful activity in theatre. Compliance was ascertained by cross-checking local policies with national guidelines. 82/146 (52.0%) of NHS trusts responded to the Freedom of Information request. 31/75 (41.3%) respondents followed Health and Safety Executive (HSE) guidance for New and Expectant Mothers with 17/75 (22.7%) following multiple national guidelines. 16/75 (21.3%) NHS trusts do not follow any national guidelines in protecting new and expectant mothers from occupational hazards in the orthopaedic theatre setting. Although an improvement has been made since 2018 in complying with national guidelines protecting new and expectant mothers from orthopaedic-related hazards, a sizeable proportion of NHS trusts do not comply with any national guidelines, putting employees at undue risk. There is a continued need for pregnant surgeons to be aware of and seek occupational health advice from dedicated professional bodies if the NHS trust does not provide specific guidance. Simultaneously, a sustained effort must be present to continue to inform NHS employers of their duty to protect new and expectant mothers and signpost them to relevant guidance. [ABSTRACT FROM AUTHOR]

Background: During the summer of 2019/2020, Australia experienced a catastrophic wildfire season that affected nearly 80% of Australians either directly or indirectly. The impacts of climate crisis on perinatal health have only recently begun to receive attention. The objective of this study was to understand experiences of perinatal women during the bushfire and smoke events of 2019-2020 regarding health, health care, and public health messaging.Methods: Semistructured interviews were conducted by phone or web conferencing platforms with 43 participants living in the south-east of Australia who were either pregnant or who had recently had a baby during the 2019/2020 fires.Results: The health impacts on participants of the fires, associated smoke, and evacuations for some, were both physical and psychological. Many participants sought information regarding how to protect their own health and that of their unborn/recently born children, but reported this difficult to find.Conclusions: Pregnant women and new mothers exposed to bushfire events are a risk group for adverse physical and psychological outcomes. At the time of the 2019/2020 Australian bushfires, exposed women could not easily access evidence-based information to mitigate this risk. Family practitioners are well placed to provide pregnant women and new mothers with this sought-after information, but they need to be prepared well in advance of future similar events. [ABSTRACT FROM AUTHOR]

Soon after the Dobbs v. Jackson Women's Health Organization ruling, Mississippi Family Physician Dr. John Hey published an important and powerful book exploring the world of unborn children and his personal reflections on abortion, a perspective molded by the delivery of over 1500 babies in his on-going half-century practice of medicine in the rural Delta community of Greenwood. Dr. Hey's memoir is easy-to-read and hard-to-put-down, and arranged as "lessons" instead of chapters over 144 pages. Dr. Hey has throughout his career epitomized the true "womb to the tomb" practitioner of Family Medicine, and his narrative skills are exceptional as well. His remarkable book, God's Little People, is a small volume that makes a giant statement: that human life should be cherished and protected from the time of conception all the way to the grave. [ABSTRACT FROM AUTHOR]

Background: Between 2010 and 2014, approximately 25 million unsafe abortions were performed annually across the globe. Africa alone accounted for 29% of all unsafe abortions, and 62% of the related deaths. Women living in poverty, especially adolescents, lack information about where and how to access safe abortion services. They often lack adequate insight to make informed decisions. The purpose of this study was to explore the empowered perspectives of women leaders in Rwanda about the recent policy change for safe abortion. The study identifies women leaders' perceived barriers and their attitudes about resulting consequences toward safe abortion. Method: In this qualitative study, seven focus group discussions and eight key informant interviews were performed in October 2019. A total of 51 women leaders participated, their age ranging from 38 to 60 years. Participants were drawn from three districts, namely Gasabo, Kicukiro, and Nyarugenge. For variability of data, participants came from parliament, government ministries, government parastatals, and civil society organizations. All interviews were conducted in Kinyarwanda and later translated into English. Data were analyzed using qualitative content analysis. Results: The emerging theme Strong barriers and numerous consequences of safe abortion illustrates how women leaders perceive barriers to safe abortion and its related consequences in Rwanda. The theme is divided into two categories: (1) Perceived barriers of safe abortion and (2) Consequences of providing safe abortion. The sub-categories for the first category are Reluctance to fully support safe abortion due to perceived unjustified abortions", Abortion-related stigma, Abortion is against cultural and religious beliefs, Emotional attachment to the unborn and Lack of awareness of abortion. The sub-categories for the second category are Perceived physiological trauma, Cause for barrenness/infertility, Increase in services abuse by adolescents/women, Increase of workload for healthcare providers, "Increase in sexual activities and STIs, and Abortion-related physiological trauma. Conclusion: The subject of safe abortion evokes mixed reactions among participants, and is entangled with unsafe abortion in most cases. Participants stress that the word 'abortion' disturbs, regardless of whether it relates to being safe or unsafe. Participants believe the word 'abortion' outweighs the word 'safe'. Societal expectations play a major role in the decision-making process of any adolescent or a family member faced with a pregnant adolescent regardless of the existing safe abortion law. Community mobilization and sensitization are crucial if safe abortion in accordance with abortion law is to be embraced. Messages that reinforce safe abortion as acceptable and address stigma, fears of trauma, and barrenness should be developed to educate adolescents, parents, and women leaders about safe abortion, to mitigate unsafe abortion-related complications. [ABSTRACT FROM AUTHOR]

Purpose: Initiating antenatal care (ANC) visits by pregnant women during first trimester, known as timely initiation of ANC visits, is crucial for wellbeing of mothers and their unborn babies. We examined whether sociodemographic characteristics of pregnant women predict timely initiation of ANC visits. Patients and Methods: Data collected for the Afghanistan Health Survey 2018 (AHS 2018) were analyzed. A binary outcome variable was created as women with ANC visits in 0– 3 months (first trimester) vs women with ANC visits in ≥ 4 months of pregnancy. A multivariable generalized linear model was employed. Results: A total of 6862 ever-married women, aged 14– 49 years, with a history of pregnancy, including current pregnancy, were included. The prevalence of timely initiation of ANC visits was 55.8%. The likelihood (OR = odds ratio) of timely initiation of ANC visits was higher in women aged 30– 39 years [OR 1.12 (95% CI: 1.00– 1.25)], in women who could read and write [OR 1.12 (95% CI: 0.99– 1.21)], in women who used public primary care facilities [OR 1.14 (95% CI: 1.01– 1.28)], in women who received consultation on ANC from a doctor or midwife [OR 1.22 (95% CI: 0.72– 2.08), OR 1.13 (95% CI: 0.67– 1.92)] respectively, in women at fourth and highest quintiles of wealth status [OR 1.24 (95% CI: 1.04– 1.48), OR 1.14 (95% CI: 0.92– 1.40)] respectively, in women who intended to become pregnant [OR 1.56 (95% CI: 1.35– 1.81)], in women who used the internet [OR 1.53 (95% CI: 1.13– 2.06)], and in women who listened to radio [OR 1.16 (95% CI: 1.03– 1.30)]. However, the likelihood was lower in women who had given birth at least twice [OR 0.67 (95% CI: 0.50– 0.89)], and in women who lived in rural areas [OR 0.87 (95% CI: 0.75– 1.00)]. Conclusion: To promote timely initiation of ANC visits, healthcare interventions to increase availability of midwives and doctors, and improve accessibility to primary care clinics, especially in rural areas, need to be implemented. [ABSTRACT FROM AUTHOR]

A reprint of an article about pro-life movement by Leah Libresco Sargeant, which appeared in the October 14, 2023 issue of "National Review" is presented. Topics discussed include the pro-life activists' comments on the effect of abortion of children after the first trimester, the disagreement of pro-life activists on Democrat's emphasis on life-threatening pregnancies, and the policy of the American College of Obstetricians and Gynecologists (ACOG).

Background: Prenatal primary nursing care contributes to improving the health outcomes of mothers and unborn babies. Some pregnant women in contexts of vulnerability experience prenatal nursing care in a positive way, while some do not. A better understanding of factors influencing this experience could help improve prenatal nursing care. The aim of this study was to describe factors influencing the prenatal primary nursing care experience of pregnant women in contexts of vulnerability. Methods: Thorne's qualitative interpretative descriptive approach was used. Twenty-four pregnant women in contexts of vulnerability were recruited in local community service centers in Quebec, Canada, using purposive and snowball samplings, to carry out a semi-structured interview. Participants were 16 years old and over, in their second or third trimester, or had given birth in the previous year, and received prenatal nursing care through community health services. Data collection methods included a logbook, sociodemographic questionnaire and semi-structured interview on vulnerable pregnant women's experience with prenatal primary nursing care. The Qualitative Analysis Guide of Leuven guided the inductive thematic analysis, following a constant comparative iterative process. Results: The women's experience was initially influenced by the fulfillment of their needs and expectations. These stem from their previous or current pregnancy experiences, their motivation to receive prenatal care, their family concerns as well as their contexts of vulnerability. From the pregnant women's perspective, the main factors that influenced their experience were the nurse's approach, characteristics and interventions that all impact on their relationship with nurses, as well as the prenatal primary care organization, including the modalities of prenatal care (i.e. schedule, setting, duration, number and frequency of meetings), the continuity and the program's prenatal care services, such as referral to a nutritionist, social worker or other services. Conclusions: A conceptual framework is proposed to describe relationships among the factors distributed in three dimensions that influence the experience of pregnant women in contexts of vulnerability and to guide nurses in the improvement of prenatal primary care. Considering the complexity of this experience, a person-centered approach is mandatory to promote a positive experience, equity and a better use of services. [ABSTRACT FROM AUTHOR]

Background. Timely detection and treatment of pregnancy-related or preexisting diseases, health education, and the promotion of adequate care provision improve the health of mothers and unborn children. As such, these factors are crucial within the first pregnancy trimester. However, very few women in low and middle-income countries initiate their first ANC in the recommended trimester of pregnancy. This study is aimed at assessing the prevalence of timely initiation of ANC and its associated factors among pregnant women attending antenatal clinics in Wachemo University Nigist Eleni Mohammed Memorial comprehensive specialized hospital, Hossana, Ethiopia. Methods. A hospital-based cross-sectional study was conducted from April 4, 2022 to May 19, 2022. A systematic sampling technique was used to select study participants. Data were collected from pregnant women using a pretested structured interview questionnaire. EpiData version 3.1 was used to enter the data, and SPSS version 24 was used to analyze it. Bivariate and multivariable logistic regression were used to identify the associated factors at a 95% confidence interval with a p value < 0.05. Results. This study indicated that 118 (34.3%) of the women initiated ANC timely. The factors associated with timely initiation of ANC included women aged 25–34 years (AOR = 0.3 ; 95% CI: (0.1, 0.7)), tertiary maternal education (AOR = 3.2 , 95% CI: (1.0, 9.9)), zero parity (AOR = 7.7 ; 95% CI: (3.6, 15.3)), planned pregnancy (AOR = 13.7 ; 95% CI: (5.5, 34.3)), good knowledge about ANC services (AOR = 3.1 ; 95% (CI: (2.3, 11.3)), and good knowledge about danger signs in pregnancy (AOR = 4.8 ; 95% CI: (2.2, 8.1)). Conclusion. This study demonstrates the importance of making a significant effort to increase the coverage of timely ANC initiation in the study area. Therefore, increasing the awareness level of mothers regarding ANC services given during pregnancy and danger signs in pregnancy and advancing the academic level of mothers are essential to increase the coverage of timely initiation of ANC. [ABSTRACT FROM AUTHOR]

In the article, the author discusses the texts in the Bible about abortion and some facts about abortion. Also cited are a study in abortion-friendly Norway showing that 25% of women who underwent abortion were forced by their male partners, and the reasons why Holocaust survivor Magda Denes supported abortion as cited in her 1976 book "In Necessity and Sorrow."

SARS-CoV2 is the latest pandemic that have plagued the socio-health system as an epiphenomenon resulting from planetary resources abuse, crucial for biodiversity. The Anthropocene best defines the present epoch in which human activity irreversibly manipulates intricate and delicate geological and biological balances established over eons. The devastating ecological and socio-economic implications of COVID-19, underline the importance of updating the present pandemic framework to a syndemic. This paper stems from the need to suggest to scientists, doctors, and patients a mission that integrates responsibility from individual to collective health, from present to trans-generational, from human to the entire biotic network. Today's choices are crucial for the perspective on all levels: political, economic, and health as well as cultural. Research on PubMed and other specific web-sites journal was performed on the topic "Microbiota", "Covid-19", "Pandemic", "Zoonosis", "SARS-CoV-2", "Environmental Pollutants", "Epigenetics", "Fetal Programming", "Human Extinction". Data collected were analysed for an integrative model of interconnection between environment, pregnancy, SARS-CoV-2 infection, and microbiota. Moreover, systematic literature review allowed to summarise in a table information about the worst pandemics that afflicted the human species recently. This paper offers a broad view of the current pandemic starting with pregnancy, the moment when a new life begins and the health trajectories of the unborn child are defined, which will inevitably have repercussions on his well-being. The fundamental role of the biodiversity-rich microbiota in avoiding the development of severe infectious diseases, is therefore highlighted. It is imperative to adjust the current reductionist paradigm based on mostly immediate symptom management towards a broader understanding of the spatial interconnection of ecological niches with human health and the impacts of today's choices on the future. Health and healthcare are elitist rather than egalitarian, therefore focusing on environmental health forces us to make a concerted and systemic effort that challenges political and economic barriers, which are biologically senseless. A healthy microbiota is essential to well-being, both by preventing chronic degenerative conditions, the infectiousness and pathogenicity of bacterial and viral diseases. SARS-CoV-2 should not be an exception. The human microbiota, forged by the first 1,000 days of life, is fundamental in shaping the health-disease trajectories, and by the everlasting exposome that is dramatically affected by the ecological disaster. Individual health is one world health whereas single and global well-being are interdependent in a space-time perspective. Is it not a convenient reductionism not to consider the COVID-19 emergency as a bio-social epiphenomenon of a far more devastating and multi-faceted crisis whose common denominator is the global biotic network loss of which humans are still part? [ABSTRACT FROM AUTHOR]

The article argues that protections under the Indian Child Welfare Act (ICWA) must apply to human embryos in all U.S. states that reject pure property regimes for embryo disposition. It explores the status of embryo disposition laws including the Arizona personhood disposition regime and parental rights at the dissolution stage and at embryonic stage. It analyzes the interaction of the ICWA with personhood regime states and examines risks posed by personhood states to Indian tribal families.

Background and Objective: Pregnant women are the most susceptible group for Iodine deficiency disorder (IDD) whose neonate are at the risk of brain impairment, if they are iodine deficient in utero. The study was carried out to analyze the concerns and effects regarding iodized salt and IDD in women seeking antenatal care in Pakistan Methods: A descriptive cross-sectional study was conducted in Obstetrics OPD at Civil Hospital Karachi from April 2017 to January 2018. In this study, antenatal care seeking women (n=360) visiting obstetric outpatient department (OPD) at public sector tertiary care hospital of Karachi were interviewed face to face using a structured questionnaire. Systematic random sampling method was employed. Kruskal Wallis test was applied to assess the significance among study variables. Results: Sixty-three (63.6%) of pregnant women heard about iodized salt. Approximately 40.6% of them received iodized salt related information through mass media. Ninety (90.6%) were ignorant that their unborn child needs iodine for brain development. A statistically significant association was found between the educational status (p<0.001), household income (p<0.001), age (p=0.016), ethnicity (p=0.018), trimester (p=0.005) with the knowledge of study participants regarding iodized salt and IDD. Conclusion: There is an immense need to address the present concerns of women seeking antenatal care by advocacy and health education on individual and at mass level regarding the use of iodized salt among women seeking antenatal care. Advocacy can be done by governmental initiatives, medical personnel and through mass media in all tertiary care hospitals of Pakistan. [ABSTRACT FROM AUTHOR]

Few obstetrician-gynecologists (ob-gyns) provide abortion care, resulting in abortion being separated from other reproductive health care. This segregation of services disrupts the ob-gyn patient-clinician relationship, generates needless costs, delays access to abortion care, and contributes to stigma. General ob-gyns have both the skills and the knowledge to incorporate abortion into their clinical practices. In this way, they can actively contribute to the protection of abortion access now with the loss of federal protection for abortion under Roe v Wade . For those who live where abortion remains legal, now is the time to start providing abortions and enhancing your abortion-referral process. For all, regardless of state legislation, ob-gyns must be leaders in advocacy by facilitating abortion care-across state lines, using telehealth, or with self-managed abortion-and avoiding any contribution to the criminalization of those who seek or obtain essential abortion care. Our patients deserve a specialty-wide concerted effort to deliver comprehensive reproductive health care to the fullest extent. [ABSTRACT FROM AUTHOR]

The article focuses on the U.S. Supreme Court who stretches out its arm to undo a predecessor Court imposition, half a century ago of a national policy of official indifference to unborn life. Topics include examines the gratification of unborn life unrelenting friends and advocates, and it follows to the benefit of countless unborn lives exposed to that same indifference.

This essay explores how bioethics as a field, rather than as a collection of individual efforts by bioethicists working within it, can inform deliberation on matters of bioethical import that, for better or worse, are in the hands of civic processes. It is motivated by the repeal of a constitutional protection of abortion access in the Supreme Court Dobbs v. Jackson Women's Health Organization decision, which effectively returned abortion regulations to states rather than setting a baseline federal protection of abortion access up to fetal viability. Given the outsized role of local legislators in shaping health-care policy through legislation, about abortion as well as other health topics, the author proposes foundational bioethical education for legislators and considers two potential models for such education: one that operates on a clinical ethics consultation model, and one that mirrors bioethical coursework taught in traditional academic settings but modified for a legislator audience. Although both models present notable challenges requiring further conceptualization and problem-solving, overcoming these hurdles would enable bioethics to provide a service to civic learning and placemaking that would complement advocacy or lobbying efforts by individual bioethicists. [ABSTRACT FROM AUTHOR]

Context: The potential benefits of exercise to pregnant women and their unborn children are immense, yet regular exercise prescription may not be the norm. Aims: Our study aimed to investigate the perceptions and practices of obstetric care providers regarding exercise in pregnancy. Materials and Methods: The study was a cross-sectional survey done in Kaduna state between July and December 2020. A pretested questionnaire was given to obstetric care providers and information was obtained about demographics, professional and facility characteristics of respondents, their perceptions, and practices related to exercise in pregnancy, and information they routinely give pregnant women regarding exercise. Descriptive analysis was done using frequencies, percentages, mean, and standard deviation. Results: There were 265 respondents with a mean age of 34.23 ± 9.29 years. They were mostly females (215, 82.1%), married (171, 65.3%), Muslim (137, 52.3%), and Hausa (107, 40.8%). There were more nurses (153, 58.4%) from the public (212, 80.9%) and tertiary (133, 50.8%) health facilities. Almost all respondents agreed that exercise during pregnancy was beneficial (258, 98.5%). The commonest indication for exercise was cited as obesity and diabetes, whereas it was mostly contraindicated with bleeding while pregnant. The commonest barriers to exercise in pregnancy were the fear of pregnancy complications, inadequate knowledge, and high workload. Conclusion: Healthcare workers in this study generally had positive perceptions and practices toward exercise during pregnancy, except for the fact that they feel pregnant women should avoid strength-building exercises, and do not usually recommend individualized programs. Local guidelines need to be developed for EIP and providers better trained. [ABSTRACT FROM AUTHOR]

The article reports that Mississippi had several laws that will provide extensive protection for unborn children and restrict abortion with an exception for medical emergencies. Topics include laws that protected unborn children subject to a few narrow exceptions with permitted abortion as a right under the U.S. Constitution; and laws protecting unborn children have any rational relationship to a legitimate government interest and preservation of prenatal life at all stages of development.

The article reports that the U.S. Supreme Court declaring abortion a constitutional right with the moral authority. Topics include apprehends and teaches about obligations to unborn human life from the abortion landscape; and rights important enough to offset the claims of mothers and self-ordained apostles of women's demands for equality and politicians with an interest in placating both aforesaid categories.