2 Unwanted pregnancyPreferred Customer:NAFIS PICTUREAn unwanted pregnancy is a pregnancy that a woman or girl decides, of her own free will, is undesired.Nearly 40% of the nearly 182 million pregnancies each year in the developing world are unwanted or ill-timed. 46 million unwanted pregnancies end in abortion each year, 20 million of which are unsafe.
3 Causes of unwanted pregnancy Preferred Customer:NAFIS PICTURENon-use of available contraceptives, due toLack of information, limited access to services, financial constraints, personal beliefs, family objections, and/or health concernsMisinformation about reproductionAdolescents are susceptible to unwanted pregnancy and the risks of early and unprotected sexual activity because they lack information and servicesSexual coercion, abuse, or rape20% to 50% of all women report having experienced sexual violenceContraceptive failureLeads to an estimated 8-30 million pregnancies each year
4 Emergency contraception (EC) Contraceptive methods women can use to prevent unwanted pregnancy in the first few days following unprotected sex.The most common method of EC is to take a specific increased dose of oral contraceptive pills within 72 hours of intercourse. EC does not cause abortion.EC is especially appropriate for women who have experienced condom failure or sexual coercion.
5 Family planning decreases unwanted pregnancy and the need for abortion Unmet need for contraceptionWorldwide between 120 and 150 million married women — and up to 15 million unmarried women — who want to limitor space future pregnancies are not using a contraceptive method.Family planning services must:Be available to married and unmarried peopleOffer a range of methods appropriate to clients’ needsBe provided in a confidential and non-judgmental mannerAccess to and correct use of family planning methods can prevent many unwanted pregnancies and reduce the need for abortion.
6 Consequences of unwanted pregnancy Unwanted pregnancy has significant consequences for women and their families, including:Unwanted and early marriageConstrained opportunities for education or employmentSocial stigma for unmarried women/girlsAdditional strain on family resources for food, education, and health careUnsafe abortion, which may result in long-term illness, emotional distress, and death
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9 Unsafe abortionUnsafe abortion is the termination of a pregnancy carried out by someone without the skills or training to perform the procedure safely, or in a place that does not meet minimal medical standards, or both.Approximately 20 million unsafe abortions take place each year. More than 200 women die every day from complications of unsafe abortion % of abortion-related deaths and complications occur in the developing world.unwanted pregnancy and unsafe abortion( 9 )
10 World’s abortion lawsPercentage of world’s women living in countries where abortion is permitted, various conditions.4%25%Prohibited entirelyTo save a woman's lifePhysical healthMental healthSocioeconomic groundsWithout restrictions42%10%3%20%Even where abortion is permitted by law, women often encounter obstacles when seeking to end a pregnancy, including: high cost, difficult access, inadequate facilities, social stigma, and poorly trained and unsympathetic medical personnel.unwanted pregnancy and unsafe abortion( 10 )
11 Deaths from unsafe abortion (per year) 5,00010,00015,00020,00025,00030,00035,00040,000AfricaAsiaLatin America & CaribbeanEurope34,00038,500500Unsafe abortion: Global and Regional Estimates of incidence of and Mortality – World Health Organizationunwanted pregnancy and unsafe abortion( 11 )
12 Social and economic costs of unsafe abortion Some hospitals in developing countries spend as much as 50% of their obstetric and gynecological budgets treating complications of unsafe abortion.Disabilities resulting from complications of unsafe abortion may also:limit women’s productivity inside and outside of the homeconstrain their ability to care for their childrenadversely affect sexual relationsWhen mothers die from abortion-related complications, their families lose a primary care giver and in many cases, a primary wage earner as well.unwanted pregnancy and unsafe abortion( 12 )
13 Addressing unsafe abortion Unsafe abortion is a public health concern that affects the lives of tens of thousands of women, children, and families each year.Public policy and laws must respect and promote women’s health and rights, by:Ensuring that changes in abortion laws are accompanied by supportive policies and service delivery guidelines that promote safe, high quality servicesEnsuring greater access to comprehensive sexual and reproductive health services, including high quality care for abortion complications and safe services for legal termination of pregnancyRefraining from prosecuting women who have had abortionsunwanted pregnancy and unsafe abortion( 13 )
14 Safe and legal abortion services Women must know of and have access to safe, high quality abortion services to the extent permitted by national laws.Providers must:Be well-informed about the status of the lawOffer women high quality services and a choice of appropriate technologiesProvide confidential, compassionate counselingunwanted pregnancy and unsafe abortion( 14 )
15 Postabortion care saves lives Postabortion care must be available to women suffering from complications of spontaneous and induced abortions.Postabortion care includes:Emergency treatment of abortion complicationsFamily planning counseling and servicesLinkages to a full range of reproductive health servicesCommunity participation to help prevent unwanted pregnancies and ensure that women suffering from postabortion complications receive the care they need in a timely manner.Postabortion care services should be offered in a compassionate,non-judgmental manner.unwanted pregnancy and unsafe abortion( 15 )
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