Filling the gap: introducing innovative second-trimester abortion services in Vietnam. (Other Material: Healthlink Worldwide).The latest issue of Ipas's Dialogue series reports on the Vietnamese Ministry of Health's strategic response to a critical gap in women's health Women's Health Definition Women's health is the effect of gender on disease and health that encompasses a broad range of biological and psychosocial issues. care. After a national assessment conducted with the World Health Organization revealed that Vietnamese women face significant obstacles obtaining abortions after the 12th week of pregnancy, the Ministry of Health collaborated with Ipas to design, test and introduce a resource-appropriate technique for second-trimester abortion. The systems approach used to introduce the new procedure -- which combines dilatation dilatation /dil·a·ta·tion/ (dil?ah-ta´shun) 1. the condition, as of an orifice or tubular structure, of being dilated or stretched beyond normal dimensions. 2. the act of dilating or stretching. and evacuation (D&E) with manual vacuum aspiration vacuum aspiration n. A method of abortion performed during the first trimester, in which the contents of the uterus are withdrawn through a narrow tube. Also called suction curettage, vacuum curettage. (MVA MVA abbr. motor vehicle accident MVA Motor vehicular/vehicle accident, see there ) and oral administration of misoprostol for cervical preparation -- offers important lessons for other settings where safe, effective services for second-trimester abortion are lacking. * Hard copies available free of charge, also in Spanish |
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