Among the challenges women seeking abortion face include inequitable access, a lack of trained staff, stigmatisation, and a culture of exceptionalism, explains Dr Sandy Goldbeck-Wood, editor in chief of the journal, and clinical lead for abortion services at Cambridge University Hospitals. She argues that “problems of access and stigma, familiar worldwide, are compounded in the UK by an abortion law that is now widely seen as not fit for purpose” which is considered to be “out of step with technical advances in safe medical abortion and current UK social values.” http://youtube.com/watch?feature=youtube_gdata&v=Pf7JuJcVzQUMost women believe they have a right to make their own decision about abortion, but British law still requires the identification of serious physical or mental health risk by two doctors not necessarily qualified, and who may not know the woman personally. The law is, therefore, widely seen by clinicians as “hypocritical andanachronistic,” explains Dr Goldbeck-Wood. Another problem is that abortion care has become artificially separated from the rest of reproductive health care, she adds. In the UK, a high proportion of abortion care is provided in specialist organisations outside the NHS. Trainees in obstetrics and gynaecology – among them the potential service providers of the future – have too little opportunity to benefit from the learning environment that abortion care offers. “As well as reinforcing stigma, this deprives trainees of valuable learning opportunities,” she says Organisations calling for the law to be reformed include the British Pregnancy Advisory Service, the Royal College of Nursing, the Royal College of Midwives and other women’s health organisations. And if the law is to be reformed, says Dr Goldbeck-Wood, there will be a strong need for debate which is respectful and acknowledges the ethical complexity in this sensitive area of health care. “Abortion care remains a high-volume, under-researched and under-integrated area of women’s healthcare,” she writes. “2017 is an excellent time for practitioners to be challenging hypocrisy and exceptionalism in UK abortion care, and leading respectful debate centred on women’s needs, with complexity acknowledged.” A study led by Dr Louise Keogh, from the University of Melbourne, assessed the decriminalisation of abortion in the Victoria state of Australia in 2008. http://www.buffalos-rufc.com/lukewoodnews/2016/10/10/thoughts-on-rational-interview-methodsIt found that a change in the law has empowered women, and increased clarity and safety for clinicians, but has failed to address stigma, access to services and workforce sustainability.
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Goalunderstands the Ligue 1 champions will pay35 million up front for the former Schalke man with the possibility of an extra10m to be paid in bonuses. “Julian Draxler is to leave VfL Wolfsburg and sign for French club Paris Saint-Germain, pending a medical examination,” a Wolfsburg statement confirmed. “The 23-year-old attacker has agreed to a four-year deal with the Ligue 1 titleholders and Champions League participants. Both clubs have agreed to keep the financial details of the deal confidential.” Sporting director Olaf Rebbe said: “We’ve had some very intense but constructive discussions with Paris Saint-Germain, Julian Draxler and his management over the past few days and we’re confident to have reached a satisfactory conclusion for all parties.” View photos Head coach Valerien Ismael added: “Of course I’m sad to see Julian go, because he’s an outstanding footballer. He gave everything in the recent matches against Frankfurt and Borussia Monchengladbach and once again showed how much this club meant to him. “I hope his move to France provides him with a fresh challenge.” Draxler joined Wolfsburg from Schalke in August 2015 but has endured a difficult time at the Volkswagen Arena. He has made 14 appearances this season without scoring a goal and was omitted from the squad to face Bayern Munich following concerns over his behaviour, although he did register an assist in each of his last two games against Eintracht Frankfurt and Borussia Monchengladbach. The arrival of Draxler, who had been linked with a move to Arsenal, is expected to hasten the departure of Jese Rodriguez, who has been linked with a return to La Liga with Las Palmas. Goal understandsPSG are also keen on Wolfsburg defender Ricardo Rodriguez, who they seeas a long-term replacement for Maxwell and competition for Layvin Kurzawa.
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