Comprehensive Abortion Care

Subject: Midwifery I (Theory)

Overview

Comprehensive abortion care is a method of providing abortion care services that consider a woman's physical, emotional, and psychological needs, as well as her ability to obtain the treatments. It covers inexpensive and accessible abortion care, as well as other reproductive health services such as post-abortion family planning counseling, and the detection and management of sexually transmitted illnesses. Client choice, access, and service quality are CAC elements. Comprehensive abortion care necessitates rapid and thorough examination, stabilization, treatment, and counseling. Elements of care include trained personnel providing emergency services, all women receiving post-procedure counseling, including care instruction, warning signs, referral information, family planning counseling, the availability of condoms, Depo-Provera, pills, and family planning devices, and information about and referral protocols for methods and services not currently available.

Comprehensive abortion care is a method of providing abortion care services that take into account a woman's physical, emotional, and psychological needs, as well as her ability to obtain the treatments. It covers inexpensive and accessible abortion care as well as other reproductive health services such as post-abortion family planning counseling and the identification and control of sexually transmitted illnesses.

Elements of the CAC

Client's choice
It entails the client's right to deal with an undesired pregnancy, counseling on post-abortion family planning options, and complete and accurate information regarding the process, services, and facilities, as well as personal pain management.
Access
Clients must have access to cheap, sustainable service sites that are free of administrative barriers, as well as abortion care services in a variety of settings such as central and district public hospitals, government and non-government teaching hospitals, nursing homes, and NGOs INGOs.
Quality of services
It entails mutual understanding, trust, cooperation, privacy, and respect between clients and health institute staff. Providing proper information and counseling to customers concerning the procedures performed, etc.

Elements of the Care

Comprehensive abortion care necessitates timely and thorough evaluation, stabilization, treatment, and counseling. At all levels of healthcare delivery:

Trained staff should be available 24 hours a day to provide emergency services such as patient care and monitoring.
All women should receive post-operative counseling, which should include care instructions, warning indications, and referral information.
Before release, all clients should get family planning counseling and a variety of procedures, with the following alternatives available:
Condoms, Depo-Provera, tablets, and family planning devices are available.
Referral facilities should offer IUCD, Norplant, and sterilization.
Referral guidelines and information regarding methods and services are not available at the facility.
Counseling and procedural areas should be confidential and appropriately equipped.

References

Dawn, C.S., 1991, Textbook of Gynecology and contraception (Described for students, teachers, and practitioners) 10th edition (revised), Dawn books, 25-13, CII Road, Calcutta.
Baley, R.E. 1998, Maye’s midwifery, A textbook for midvies, 8th edition
Bennett, V.R.et al (ed), 1999, Myles textbook for midvies, 13th edition, Chrchill Livingstone. Harcourt Brace and a company limited.
Tuitui R. 2002, A textbook of Midwifery A (Antenatal), 3rd edition, Vidyarthi Pustak Bhnadar (Publisher and Distributor), Bhotahity, Kathmandu
HMG. MOHP, DOHS National Policy for Safe abortion, 2060
Postabortion care, a reference manual for improving quality of care, USAID/Nepal, FHD, HMG

Things to remember

Comprehensive abortion care is a method of providing abortion care services that take into account a woman's physical, emotional, and psychological needs, as well as her ability to obtain the treatments.
It covers inexpensive and accessible abortion care as well as other reproductive health services such as post-abortion family planning counseling and the identification and control of sexually transmitted illnesses.
Client choice, access, and service quality are CAC components.
Comprehensive abortion care necessitates timely and thorough evaluation, stabilization, treatment, and counseling.
Emergency services should be provided by trained personnel, and all women should receive post-procedure counseling, including care instruction, warning signs, referral information, family planning counseling, the availability of condoms, Depo-Provera, pills, and family planning devices, as well as information about and referral protocols for methods and services.

Questions and Answers

Define Comprehensive abortion care.

A comprehensive approach to abortion treatment addresses the woman's diverse physical, emotional, and psychological needs as well as her ability to obtain the services. It also covers other reproductive health services such as counseling regarding post-abortion family planning, identification, and management of sexually transmitted illnesses, as well as affordable and easily accessible abortion care.

What are the elements of CAC and elements of care? Explain.

Elements of the CAC

Client's choice:
- It involves the client's right to handle an unwelcome pregnancy, counseling about post-abortion family planning options, accurate and thorough information about the process, services, and facilities, as well as individual pain treatment.
Access:
- Clients must have access to abortion care services in a variety of settings, including central and district public hospitals, government and non-government teaching hospitals, nursing homes, NGOs, and INGOs. Clients must also have access to affordable, sustainable service sites free from administrative barriers.
The standard of services:
- It comprises respect for the privacy of both patients and workers at the health facility as well as mutual understanding, trust, and cooperation. giving clients the appropriate information and counseling about all procedures that are performed, etc.

Elements of the care:

A timely and thorough assessment, stabilization, treatment, and counseling are essential components of comprehensive abortion care. Wherever health care is offered, at all levels:

Emergency services, such as patient care and monitoring, should be given by trained employees every day throughout the duration of the day.
The post-procedure counseling for all the ladies should include care instructions, warning indications, and referral information.
Before release, all clients should get family planning counseling and a variety of procedures, making the following choices possible:
Condoms, Depo-Provera, and tablets are readily available family planning methods.
In referral facilities, IUCD, Norplant, and sterilization should be accessible.
Information and processes for referral for techniques and services not offered at the facility.
Private, well-equipped areas should be provided for counseling and procedure execution.