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Large-scale catastrophic events, either natural or human-influenced, highlight the requisite for emergency plans that specifically address the needs of obstetric and gynecologic patients. Pregnant, postpartum, and lactating individuals and their newborns and infants can be adversely affected by disasters and disaster-related environmental conditions. Obstetrician-gynecologists and other health care professionals have a unique role in developing and carrying out an emergency preparedness plan that addresses safety and medical needs in the event of a disaster.

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Diagnostic testing and treatment for infertility should be available to everyone in need of these services. The disparities in rates of infertility and the barriers to accessing assisted reproductive technology services should be understood through and addressed within a reproductive justice framework. Obstetrician-gynecologists and other health care professionals should identify specific populations at risk and their accompanying barriers to access to help improve infertility care across populations.

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A global scoping review of the circumstances of care seeking for abortion later in pregnancy.

PLOS Glob Public Health

December 2024

UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.

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  • * A scoping review of peer-reviewed literature was conducted, screening nearly 2,600 records to identify 78 relevant studies that shed light on barriers to timely abortion care post-12 weeks of gestation.
  • * Key findings indicate common challenges such as health system issues, late recognition of pregnancy, financial barriers, and delayed decision-making, with low economic status and youth often linked to these circumstances.
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Self-managed abortion (SMA) refers to actions people take to end a pregnancy outside the formal health care system. There are a variety of reasons people choose to self-manage their abortions, and these reasons may vary based on regional contexts. For some people, medically delivered abortion care is no longer, or has never been, available in their community.

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