Vacuum aspiration for induced abortion could be safely and legally performed by nurses and midwives

BACKGROUND: Some 40% of abortions carried out in England and Wales are done by vacuum aspiration. It is widely assumed that, in order to be lawful, these procedures must be performed by doctors. AIM AND DESIGN: This study aimed to provide a detailed reassessment of the relevant law and the clinical...

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Autores principales: Sheldon, Sally, Fletcher, Joanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749305/
https://www.ncbi.nlm.nih.gov/pubmed/28100470
http://dx.doi.org/10.1136/jfprhc-2016-101542
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author Sheldon, Sally
Fletcher, Joanne
author_facet Sheldon, Sally
Fletcher, Joanne
author_sort Sheldon, Sally
collection PubMed
description BACKGROUND: Some 40% of abortions carried out in England and Wales are done by vacuum aspiration. It is widely assumed that, in order to be lawful, these procedures must be performed by doctors. AIM AND DESIGN: This study aimed to provide a detailed reassessment of the relevant law and the clinical evidence that supports this assumption. CONCLUSIONS: A close reading of relevant law reveals that this assumption is unfounded. On the contrary, it would be lawful for appropriately trained nurses or midwives, acting as part of a multidisciplinary team, to carry out vacuum aspiration procedures. This interpretation of the law offers the potential for developing more streamlined, cost-effective abortion services, which would be both safe and highly acceptable to patients.
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spelling pubmed-57493052018-02-12 Vacuum aspiration for induced abortion could be safely and legally performed by nurses and midwives Sheldon, Sally Fletcher, Joanne J Fam Plann Reprod Health Care Research BACKGROUND: Some 40% of abortions carried out in England and Wales are done by vacuum aspiration. It is widely assumed that, in order to be lawful, these procedures must be performed by doctors. AIM AND DESIGN: This study aimed to provide a detailed reassessment of the relevant law and the clinical evidence that supports this assumption. CONCLUSIONS: A close reading of relevant law reveals that this assumption is unfounded. On the contrary, it would be lawful for appropriately trained nurses or midwives, acting as part of a multidisciplinary team, to carry out vacuum aspiration procedures. This interpretation of the law offers the potential for developing more streamlined, cost-effective abortion services, which would be both safe and highly acceptable to patients. BMJ Publishing Group 2017-10 2017-01-18 /pmc/articles/PMC5749305/ /pubmed/28100470 http://dx.doi.org/10.1136/jfprhc-2016-101542 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Research
Sheldon, Sally
Fletcher, Joanne
Vacuum aspiration for induced abortion could be safely and legally performed by nurses and midwives
title Vacuum aspiration for induced abortion could be safely and legally performed by nurses and midwives
title_full Vacuum aspiration for induced abortion could be safely and legally performed by nurses and midwives
title_fullStr Vacuum aspiration for induced abortion could be safely and legally performed by nurses and midwives
title_full_unstemmed Vacuum aspiration for induced abortion could be safely and legally performed by nurses and midwives
title_short Vacuum aspiration for induced abortion could be safely and legally performed by nurses and midwives
title_sort vacuum aspiration for induced abortion could be safely and legally performed by nurses and midwives
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749305/
https://www.ncbi.nlm.nih.gov/pubmed/28100470
http://dx.doi.org/10.1136/jfprhc-2016-101542
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