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Handbook on the Reporting of Induced Termination Of Pregnancy Reprinted and Reporting Form, 1997 from 1988, Includes Revised Instructions U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES for Disease Control and Prevention Centers for Health Statistics National Center Hyattsville, Maryland April 1998 DHHS Publication No. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 92 |
(PHS) 98-l 117 National Center for Health Statistics Edward J. Sondik, Ph.D., Director Jack R. Anderson, Deputy Director Jack R. Anderson, Acting Associate Director for International Statistics Lester R. Curtin, Ph.D., Acting Associate Director for Research and Methodology Jennifer H. Madans, Ph.D., Acting Associate Director for Analysis, Epidemiology, and Health Promotion P. Douglas Williams, Acting Associate Director for Data Standards, Program Development, and Extramural Programs Edward L. Hunter, Associate Director for Planning, Budget, and Legislation Jennifer H. Madans, Ph.D., Acting Associate Director for Vital and Health Statistics Systems Stephen E. Nieberding, Associate Director for Management Charles J. Rothwell, Associate Director for Data Processing and Services Division of vital Statistics Mary Anne Freedman, Director James A. Weed, Ph.D., Deputy Director George A. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 216 |
Gay, Special Assistant for Registration Methods Kenneth G. Keppel, Ph.D., Acting ChieJ Reproductive Statistics Branch instructions This handbook for completing and filing reports of induced is prepared by the National Center for Health Statis- tics, Centers for Disease Control and Prevention, U.S. Department of Health for persons with respon- and Human Services, and contains sibilities of preg- to the 1989 revision of the U.S. nancy It pertains in 1996 of Pregnancy as modified Standard Report of Induced Termination by the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion and the 1992 revision of the Model State Vital Statistics Act and Regulations. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 172 |
This handbook to serve as a model for adaptation by any vital statistics is intended registration area.
(induced abortions). | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 27 |
terminations Other handbooks available as references on preparing and registering vital records are: w Hospitals’ and Physicians’ Handbook on Birth Registration and Fetal Death Reporting I Medical Examiners’ and Coroners’ Handbook on Death Registration and Fetal Death Reporting n Physicians’ Handbook on Medical Certijication of Death n Funeral Directors’ Handbook on Death Registration and Fetal Death Reporting H Guidelines for Reporting Occupation and Industry on Death Certificates n Handbook on Marriage Registration n Handbook on Divorce Registration Contents Preface ............................................................ Introduction ....................................................... Purpose .......................................................... | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 153 |
Importance of induced State reporting Live birth U.S. Standard Report of Induced Termination ........................................................ requirements termination of pregnancy reporting ......... ..................................... of Pregnancy.
....... Statehealthdepartment Local registrar .................................................. ................................................... ........................................
Confidentiality Specifx responsibihties. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 83 |
Confidentiality Specifx responsibihties.
.......................................... Hospital or clinic Physician ............................................... ...................................................... Part I.
General instructions for completing reports.
.................. Part II.
Completing the report of induced termination of .................................. ................................. ....................................................... (Items l-3).
(Items 4-11). | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 96 |
(Items 4-11).
pregnancy Place of termination Patient information Date last normal menses began (Item 12) ......................... (Item 13).
........................... CIinicaI estimate of gestation Previous pregnancies “Qpe of termination Name of attending physician Name of person completing ............................... (Item 15) .......................... (Item 16) ............................ report (Item 17).
...................... (Item 14a-d).
procedure Appendixes A . | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 129 |
procedure Appendixes A .
U.S. Standard Report of Induced Termination B .
Definitions of live birth, fetal death, and induced of Pregnancy.
termination of pregnancy C .
Definitions of induced abortion procedures.. .
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. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 274 |
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15 iii 1 1 1 2 2 2 3 3 3 4 4 4 5 6 6 6 10 11 11 12 13 13 16 17 V Introduction Purpose This handbook personnel, physicians, and others with responsibilities ing and filing reports of induced tion).
Background documents entries. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 143 |
Background documents entries.
is designed as an aid to acquaint hospital and clinic related to complet- (induced abor- of these for recording termination is included on the importance for statistical purposes and specific instructions of pregnancy information The purpose is to achieve improved of the forms and of the uses of information reporting by promoting better entered on understanding them. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 71 |
Although State laws vary in specific requirements, son in charge of the institution performed has the overall responsibility preparing abortions performed outside a hospital, physician performing the report.
the report, and filing the abortion or facility where for obtaining the report with clinic, or other is responsible generally the induced abortion the per- is the required data, the State registrar. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 72 |
For the institution, for preparing and sling Importance of induced termination of pregnancy reporting Reports of induced termination are not maintained statistics.
However, the data they provide are very important demographic and a public health viewpoint. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 49 |
permanently of pregnancy are not legal records and in the files of the State office of vital from both a ruled that and that, within laws in two States were unconstitutional In January 1973, the U.S. Supreme Court the restrictive abortion the first two trimesters after conception, whether an abortion was to be performed or not was a matter between the woman and her doctor (Roe v. Wade, 410 U.S. 113 (1973); and Doe v. Bolton, 410 U.S. 179 (1973)). | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 133 |
The net result of this ruling is 1egaI in all that it is legal for States to States.
In July 1976, the Supreme Court ruled require about induced abortions per- information formed in that State (Planned Parenthood of Central Missouri v. Danforth, 96 Supreme Court 283 1 (1976)).
As a result of these two rulings, many States have established mandatory induced abortion under the reporting of certain reporting systems. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 107 |
induced abortion these criteria is that 1 termination information is provided to evaluate of women having on the characteristics Data from reports of induced of pregnancy provide unique information induced abortions.
Uniform annual data of such quality are nowhere else available.
MedicaI and health in- lengths of gestation and by the type of abortion duced abortion at various procedure used. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 75 |
Information of the women is used that induced abortion has on the birth rate, teenage to evaluate the impact pregnancy, and out-of-wedlock births.
The data also help measure the role that induced abortion plays in birth prevention as compared with contra- ception.
Because to the forms be completed promote and monitor health, carefully. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 72 |
these abortion data provide risks associated with on the characteristics it is important information necessary that State reporting requirements to collect information on induced fetal death the reporting of information those States requiring reporting as a part of their various methods are used report.
A majority of the States use a separate on induced the data. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 61 |
Some States fetdl death reporting terminations In abortions, include induced abortion on system by collecting additional form, their for the report- usually called Report of Induced Termination system is used In a few States, a combination ing of induced abortions.
whereby induced abortions above a certain gestational age are reported on the fetal death report and those below that gestational age are reported on report. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 84 |
However, regardless of the the induced of pregnancy reporting system used, ail States with the re- reporting porting of ail induced abortions Because of the variations those persons having that exist from State to State, it is imperative of induced responsibilities the procedures and forms used in regardless of length of gestation.
themselves with systems require of Pregnancy, the reporting termination familiarize in that abortions their State. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 92 |
Live birth Although unlikely, the induced abortion procedure may result this occur, the report of induced birth.
Should not to be completed and filed.
Rather, a certificate of live birth prepared certificate would also have to be prepared and flied.
In the event the infant should for the infant. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 64 |
In the event the infant should for the infant.
termination of pregnancy in a live is is to be later die, a death U.S. Standard Report of Induced Termination of Pregnancy The National Center for Health Statistics, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services has his- in the development of the torically provided leadership and coordination 2 Standard Report of Induced Termination for use by States. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 100 |
This report has been revised periodically with State health ofEciaIs, registrars, and statisticians; local registrars, and medical item thoroughly research value.
record personnel. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 39 |
record personnel.
for its registration, to serve as a model in collaboration Federal agencies; In these revisions, each health, and of Pregnancy is evaluated statistical, In recent years, responsibility for the collection of abortion data from the ofElcial files of the States has rested with the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promo- tion, Centers for Disease Control and Prevention. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 97 |
to the Division of the emerging use of medical procedures in consultation with a working group of experts, Reproductive Health, for com- revised Item 15: Type of Termination Procedure.
The instructions pleting several sections of the form were also revised at this time.
This Handbook reflects those revisions.
In 1996, in response to induce abortion, Each State is encouraged report as a means of developing a uniform national reporting and statistics system. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 107 |
Although many States use the recommended stan- dard report, some States modify it to comply with State laws and regula- tions or to meet their own particular needs for information.
to adopt the recommended standard induced abortion State health department The State health department administers reporting system under pregnancy The State health department cedures and for ensuring adherence regulations. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 74 |
induced It also publishes of pregnancy termination is responsible termination the induced of the laws and regulations of the State.
forms and pro- to the requirements of the laws and from the reports of for developing statistical data derived it receives.
Local registrar Generally, directly with the State registrar.
filed with the local registrar who then forwards is Bled In a few States, however, these reports are them to the State registrar. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 98 |
of Pregnancy the Report of Induced Termination Confidentiality The Report of Induced Termination is designed to collect for statistical and research purposes only.
These reports are in the official files of the State health depart- these reports are presented in so that specific individuals may not information not maintained permanently ment.
The data that are gathered aggregate statistics, not individually, be identified. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 81 |
of Pregnancy from 3 Hospitals, clinics, and physicians are assured that extensive legal and administrative measures are used to protect rized disclosure of personal information contained on the reporting from unautho- form.
individuals Specific responsibilities Hospital or clinic is performed is responsible the form, and fling The hospital, clinic, or other institution or facility where the induced the necessary data, abortion completing the time period specified by law. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 95 |
To ensure the proper performance of these respon- that one staff member be given the overall respon- sibilities, sibility and authority the reports are completed and filed on time.
Specifically, for obtaining the State registrar within the hospital, clinic, or other institution it is preferable to see that should: it with Develop efficient procedures reports.
for prompt preparation and filing of the Collect and record the information required by the report. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 91 |
Prepare a correct and legible report, making certain completed.
that every item is File the report with vital statistics laws of the State.
the proper ofIkial within the time specified in the Cooperate with State or local registrars concerning queries on report entries.
Call on the State or local ofke of vital statistics tance when necessary.
for advice and assis- Physician For induced abortions performed in a hospital, clinic, or other institu- required by the report. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 107 |
When an induced abortion is responsible for providing the is the abortion tion, the physician performing medical information performed outside a hospital, clinic, or other performing data, completing time period specified by law.
the form, and filing is responsible the abortion it with institution, the physician for obtaining all of the necessary the the State registrar within Part I. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 71 |
General instructions for completing reports The data necessary report are obtained for preparation from the: pregnancy l Patient of the induced termination of l Attending physician l Hospital or clinic records Reports of induced termination of pregnancy are not permanent purposes.
However, records the data obtained for statistical and are used only from these reports are very important public health viewpoint.
Therefore, prepared accurately. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 81 |
Therefore, prepared accurately.
These general rules should be followed: it is essential from both a demographic and a these reports be that File the original are not acceptable.
report with the registrar.
Reproductions or duplicates Avoid abbreviations instruction.
except those recommended in the specmc item Spell entries correctly.
Refer problems not covered in these instructions vital statistics.
to the State o&e of Use the current form designated by the State.
Type all entries whenever possible. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 113 |
Type all entries whenever possible.
Do not use worn typewriter ribbons.
If a typewriter cannot be used, print legibly in black ink.
Complete each item following the specific instructions for that item.
Do not make alterations or erasures.
Part Il.
Completing the report of induced termination of pregnancy These instructions pertain Report of Induced Termination to the 1989 revision of the U.S. Standard of Pregnancy.
I’) PLACE OF TERMINATION 1. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 123 |
I’) PLACE OF TERMINATION 1.
FACILITY NAME (If not clinic or hospital, give address) Enter the full name of the hospital or clinic where the induced termination of pregnancy occurred.
If the induced termination of pregnancy occurred in a hospital or a clinic that is physically situated within a hospital or is administratively a part of a hospital, enter the full name of the hospital. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 89 |
If the induced termination of pregnancy occurred in a freestanding clinic, a clinic that is physically and administratively separate from a hospital, enter the full name of the clinic.
If the induced termination of pregnancy occurred in a physician’s office or some other place, enter the number and street name or name of the place.
2.
CITY, TOWN, OR LOCATION OF PREGNANCY TERMINATION Enter the name of the city, town, or location where the pregnancy termination occurred.
3. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 118 |
3.
COUNTY OR PREGNANCY TERMINATION Enter the name of the county where the pregnancy termination occurred.
Item 1 provides information about the types of facilities where induced terminations are performed Items 2 and 3 provide information that is used in the planning of health facilities and health education programs.
4.
PATIENT’S IDENTIFICATION Enter the hospital, clinic, or other patient identification number. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 99 |
This number must be one that would enable the facility or physician to access the medical file of this patient.
This information is used with Items 1 and 2 for querying for missing information without identifying the patient.
6 5.
AGE LAST BIRTHDAY Enter the age of the patient in years at her last birthday.
This information permits analysis of health risks related to length of pregnancy and type of procedure among different age groups. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 98 |
It is also used to study the impact of induced terminations on the fertility rates of different age groups.
6.
MARRIED?
0 Yes 0 No Specify: Check “Yes” if the patient was legally married (including separated) at the time of conception, at the time of termination, or at any time between conception and the termination.
Otherwise, check “No.” This information is used to study the health risk of induced terminations by marital status. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 110 |
It also helps determine the impact of induced terminations on the fertility rates of married and unmarried women and aids in planning for and evaluating the effectiveness of family planning programs.
7.
DATE OF PREGNANCY TERMINATION (Month, Da, Year) Enter the exact month, day, and year of the pregnancy termination.
The date the pregnancy was actually terminated should be entered.
This may not necessarily be the date the procedure was begun. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 105 |
Exception: For termination procedures performed by medical (nonsurgical) methods, the date of the termination should be recorded as the actual date the initial dosage of the medication was given-not the actual date of termination of pregnancy.
Enter the full name of the month-January, February, March, etc.
Do not use a number or abbreviation to designate the month.
This information is used to determine when the pregnancy termination occurred and to determine the length of gestation. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 110 |
Length of gestation is an essential element in the study of risks associated with induced terminations.
8a-e RESIDENCE OF PATIENT The patient’s residence is the place where her household is located.
This is not necessar- ily the same as her “home State,” “voting residence,” “mailing address,” or “legal residence.” The State, county, and city should be that of the place where the patient actually lives.
Never enter a temporary residence such as one used during a visit, business trip, or a vacation. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 120 |
Residence for a short time at the home of a relative or friend is considered to be temporary and should not be -entered here.
Place of residence during a tour of military duty or during attendance at college is not considered temporary and should be entered as the place of residence of the patient on the report. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 64 |
7 If the patient has been living in a facility where an individual usually resides for a long period of time, such as a group home, mental institution, nursing home, penitentiary, or hospital for the chronically ill, this facility should be entered as the place of residence.
aa.
RESIDENCE-STATE Enter the name of the State where the patient lives.
This may differ from the State in her mailing address. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 96 |
If the patient is not a resident of the United States, enter the name of the country and the name of the unit of government that is the nearest equivalent of a State.
8b.
RESIDENCE-COUNTY Enter the name of the county where the patient lives.
8c.
RESIDENCE-CITY, TOWN, OR LOCATION Enter the name of the city, town, or location where the patient lives.
This may differ from the city, town, or location in her mailing address.
ad.
RESIDENCE-INSIDE CITY LIMITS? | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 133 |
ad.
RESIDENCE-INSIDE CITY LIMITS?
(Yes or no) Enter “Yes” if the location entered in item SC is incorporated and the patient’s residence is inside its boundaries.
Otherwise, enter “No.” ae.
RESIDENCE-ZIP CODE Enter the ZIP Code of the place where the patient lives.
These items provide data for the analysis of induced termination by residence of the patient. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 100 |
This information is used with the city and county of termination to provide information on the amount of movement occurring within a State or between States to obtain an induced termination of pregnancy.
This type of information is usefil in planning the location of health care facilities.
9.
OF HISPANIC ORIGIN?
(Speciw No or Yes-If yes, speciv Cuban, Mexican, Puerto Rican, etc.) | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 95 |
cl No 0 Yes Specify: Check “No” or “Yes.” If “Yes” is checked, enter the specific Hispanic group as obtained from the patient.
Do not leave this item blank.
The entry in this item should reflect the response of the patient.
For the purposes of this item, “Hispanic,” refers to people whose origins are from Spain, Mexico, Puerto Rico, Cuba, or the Spanish-speaking countries of Central or South America. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 101 |
Origin can be viewed as the ancestry, nationality, lineage, or country in which the patient or her ancestors were born before their arrival in the United States.
There is no set rule as to how many generations are to be taken into account in determining Hispanic origin.
A patient may report Hispanic origin based on the country 8 of origin of a parent, grandparent, or some far-removed ancestor. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 90 |
The response should reflect what the patient considers herself to be and is not based on percentages of ancestry.
Although the prompts include the major Hispanic groups of Cuban, Mexican,, and Puerto Rican, other Hispanic groups can also be identified in the space provided.
If a patient indicates that she is of multiple Hispanic origin, enter the origins as reported (for example, Mexican-Puerto Rican). | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 90 |
If a patient indicates that she is Mexican American or Cuban American, enter the Hispanic origin as stated.
This item is not a part of the Race item.
A person of Hispanic origin may be of any race.
Each question, Race and Hispanic origin, should be asked independently.
Hispanics comprise the second-largest minority in this country.
This item provides data to measure differences in pregnancy outcome and variations in health care for people of Hispanic and non-Hispanic origin. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 111 |
Without collection of data on persons of Hispanic origin, it is impossible to obtain valid demographic and health information on this important group of Americans.
Some States may wish to obtain data on other groups or may have a very small item on Hispanic population.
Therefore, their report for the general Ancestry they may opt to include a general Ancestry instead of a specific Hispanic origin item.
Instructions item follow: ANCESTRY-Mexican, Irish-German, Hmong, etc. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 111 |
(Speciv) Puerto Rican, Cuban, African, English, Enter the ancestry as obtained from the patient.
Do not leave this item blank.
The entry in this item should reflect the response of the patient.
For purposes of this item, ancestry refers to the nationality, lineage, or country in which the patient or her ancestors were born before their arrival in the United States.
American Indian or Alaskan Native ancestry should be entered as such. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 104 |
There is no set rule as to how many generations are to be taken into account in determining ancestry.
A person may report ancestry based on the country of origin of a parent, grandparent, or some far-removed ancestor.
The response should reflect what the patient considers herself to be and is not based on percentages of ancestry.
Some persons may not identify with the foreign birthplace of their ancestors or with a nationality and may report “American. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 100 |
” If, after clarification of the intent of this item, the patient still feels that she is an “American,” enter “American” on the record.
If a patient indicates that she is of multiple ancestry, enter the ancestry as reported (for example, English-Scottish-Irish, Mexican American).
If she gives a religious group-such as, Jewish, Moslem, or Protestant-ask for the country of origin or nationality.
9 This item is not a part of the Race item.
Both questions, Race and Ancestry, should be asked independently. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 130 |
This means that for certain groups-such as Japanese, Chinese, or Hawaiian-the entry will be the same in both items.
The entry should be made in both items even if it is the same.
However, an entry of “Black” or “White” should never be recorded in the ancestry item.
10.
RACE 0 American Indian q Black 0 White 0 Other (Speciv) Check the box that describes the race of the patient.
The entry in this item should reflect the response of the patient. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 119 |
If the patient is not American Indian, Black, or White, check “Other” and specify the race on the line provided.
For Asian or Pacific Islanders, enter the national origin of the patient, such as Chinese, Japanese, Korean, Filipino, or Hawaiian.
If the patient is of mixed race, check “Other” and enter both races or origins.
Information on race is needed to study the impact of induced terminations on the birth, fertility, and out-of-wedlock rates of different racial groups. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 114 |
11 l EDUCATION (Specij/ only highest grade completed) Elementary/Secondary (O-72) .- College (l-4 or 5+) - Enter the highest number of years of regular schooling completed by the patient in either the space for elementary/secondary school or the space for college.
An entry should be made in only one of the spaces.
The other space should be left blank.
Report only those years of school that were completed. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 106 |
A person who enrolls in college but does not complete one full year should not be identified with any college education in this item.
Count formal schooling.
Do not include beauty, barber, trade, business, technical, or other special schools when determining the highest grade completed.
This item is an important indicator of socioeconomic status of the patient. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 79 |
This informa- tion is used for studying the effect of induced terminations on the health and fertility of various educational and socioeconomic groups.
This information is also usefur in plan- ning educational programs that address family planning.
12.
DATE LAST NORMAL MENSES SEGAN (Month, Day, Year) Enter the exact date (month, day, and year) of the first day of the patient’s last normal menstrual period, as obtained from the hospital or clinic record or the patient herself. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 118 |
10 Enter the full name of the month-January, February, March, etc.
Do not use a number or abbreviation to designate the month.
If the exact day is unknown but the month and year are known, obtain an estimate of the day from the patient, her physician, or the medical record.
If an estimate of the date cannot be obtained, enter the month and year only.
Enter “Unknown” if the date cannot be determined.
Do not leave this item blank. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 113 |
Do not leave this item blank.
This item is used in conjunction with the date of termination to determine the length of gestation.
Gestational age is important in evaluating the effectiveness and safety of the various termination procedures.
13.
CLINICAL ESTIMATE OF GESTATION (weeks) Enter the length of gestation as estimated by the attending physician in completed menstrual weeks.
Do not compute this information from the date last normal menses began and date of termination. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 114 |
If the attendant has not done a clinical estimate of gestation, enter “None.” Do not leave this item blank.
Exception: For termination procedures performed by medical (nonsurgical) methods, gestational age should be recorded as the gestational age of the pregnancy on the actual date the initial dosage of medication was given.
This item provides a check on the length of gestation as calculated from date of last normal menses. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 94 |
It permits the physician to report an estimate when there is doubt as to the accuracy of the length of gestation or when date of last normal menses is unavailable or misleading.
14a-d PREVIOUS PREGNANCIES (Complete each section) 14wb LIVE BIRTHS 14a.
Now living Number 0 None Enter the number of children born alive to this patient who are still living at the time of this termination.
Do not include children by adoption.
Check “None” if all previous children are dead.
14b. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 134 |
14b.
Now dead Number 0 None Enter the number of children born alive to this patient who are no longer living at the time of this termination.
Do not include children by adoption.
Check “None” if all previous children are still living.
14ed OTHER TERMINATIONS 14~.
Spontaneous Number q None Enter the number of previous pregnancies that ended spontaneously and did not result in a live born infant.
This should not include induced terminations. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 115 |
This should not include induced terminations.
Check “None” if the patient has had no previous pregnancies or if all previous pregnancies ended in live born infants.
14d.
Induced (Do not include current termination) q None Number Enter the number of previous induced terminations (induced abortions) that this patient if the patient has had no has had.
Do not include this termination.
Check “None” previous induced terminations. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 103 |
Check “None” previous induced terminations.
This information provides a pregnancy history and allows for insight into the use of induced terminations to limit family size.
Because this item also collects information on the number of previous induced terminations, it provides some data on characteristics of women who may need alternative method& of family planning.
15. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 74 |
15.
TYPE OF TERMINATION PROCEDURE (Definitions of certain abortion procedures can be found in Appendix C.) 0 Suction Curettage 0 Medical (Nonsurgical), Specify Medication(s) 0 Dilation and Evacuation (D&E) q Intrauterine Instillation (Saline or Prostaglandin) 0 Sharp Curettage (D&C) 0 Hysterotomy/Hysterectomy 0 Other (Specify) Check the box that describes the procedure that actually terminated this pregnancy.
Check only one box. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 139 |
Check only one box.
If a procedure not listed was used, check “Other” and specify, on the line provided.
, This item provides information on the frequency of specific procedures and the incidence of terminations involving multiple procedures.
When used in conjunction with length of gestation it provides an indication of the safety, appropriateness, and health risks of the various termination procedures at different gestational ages.
12 16. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 98 |
12 16.
NAME OF ATTENDING PHYSICIAN (Type/Print) Enter the Ml name of the attending physician.
Be sure to spell it correctly and verify correct spelling.
This item is used to query for missing or additional information.
17.
NAME OF PERSON COMPLETING REPORT (Type/Print,) Enter the full name of the person completing this report.
This is the primary person who is queried for missing information on the report, although the physician is contacted in some instances.
13 Appendixes A . | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 132 |
13 Appendixes A .
U.S. Standard Report of Induced Termination of Pregnancy .
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15 B .
Definitions of live birth, fetal death, and induced termination of pregnancy .
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16 C .
Definitions of induced abortion procedures.
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17 14 Appendix A U.S. Standard Report of Induced Termination of Pregnancy .
. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 308 |
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PERMANENT 8l.AcK INIC R)R IHglRucrloN8 SEE HAI(o8acU U.S. STANDARD REPORT OF INDUCED TERMINATION OF PREGNANCY FACIW NAME (if not cf& or ht@taI, Nerrywood Clinic 2. an, TOWN, OR PREGNANCY ~RMfNATlON Louisville Jefferson PATIENT’S IDENTlFlCAllON 6, AQE UST BIRTHDAY 25466 L RESIDENCE-STAE lhio 23 I 6b.
couNrY Hamilton rem - OF HISPANIC ORlGlN?
*m---u.
* .a- --v-- Y--- ~apwlly RO w II yw, rpmlfy Cuhn, Mexican, RiCM, etc.)
Puerto a- I3 r LJNO mlV8 miw,:Puerto Rican **- SF+ !.
DAl MEh3c3 ucumn fMonfh. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 267 |
DAl MEh3c3 ucumn fMonfh.
Dax bb8rJ - - _- I “I- MgskSJ IVI.
September 5, 1997 10 weeks I 8c.
Cd-W, TOWN, OR LOCATION q YES wo November XL1997 Cincinnati 10.
RACE q Allulcall Indlul f-J Bkll lQw?llta I LwWl I I LIVE BIRTHS 14a.
NowLiving Number------- i?!
!l None ‘14b.
NowDead I I l r Number q Mone 16.
TYPE OF TERMlNAilON PROCXDURE (check 0nQ one) ad.
INSIDE CITY LIMI-I’S?
60.
2lPCGDE mww pJYES IllNO 45202 I ElanontaryjSecondaty ATION gfad" 11.
EDUC HP---IL. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 262 |
EDUC HP---IL.
-ml* LLa.^~ llycd wuy (CipGlly I , I .
(0-W 12 ; I ~eRchaoctbul) completed) Calleg (14 MS+) I WI.
Spontaneous OTHER TEMINATIONS - ‘146.
; lnducd f-nor- thii telmirrdion) I Numbw I : aNone Nu-- m None 14.
PRMWS PREGNANCIES (Coqkfa IXlSuctionCumttage 0 Medical (Nonsurgical), Specify Medication(s) Cl Dilation and Evacuation (D&E) Cl lntre-Uterine Instillation (Saline or Prostaglandin) 0 Sharp Curettage (D&C) 0 Hysterotomy/Hysterectomy Cl Other (Specify} 16. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 223 |
NAME OF ATTENDING PHYGIUAN Edmund Matthew (7@e#‘rhZ) Stone, M.D.
17.
NAME OF PERSON COMPLETING RE?OFtT JQ’jWm Lynn Koval Julia 15 E 5 i 8 !i k F 8 ii 1 d f & c P i 1 !I h 2 !i 0 A P z f P 9 $ f ii 4 Ii .
s PHS-ID08 REV.
12197 Appendix B Definitions of live birth, fetal death, and induced termination of pregnancy The following definitions in the 1992 revision of the Model State Vital Stalistics Act and Regulations. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 172 |
The definitions of live birth and fetal death conform adopted by the Assembly of the World Health Organization. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 20 |
to the definitions are included Z&e birth---means the complete expulsion or extraction from its mother irrespective of the duration of preg- of a product of human conception, nancy, which, after such expulsion or extraction, breathes, or shows any other evidence of life, such as beating of the heart, pulsation of the umbili- cal cord, or definite movement of voluntary muscles, whether or not the is attached. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 97 |
Heartbeats are to umbilical cord has been cut or the placenta be distinguished are to be distinguished from transient from fleeting respiratory efforts or gasps.
cardiac contractions; respirations Important-If an infant breathes or shows any other evidence of life after complete delivery, even though the birth must be registered as a live birth and a death certifkate must also be fled. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 89 |
it may be only momentary, death prior Fetal death-means to the complete expulsion or extrac- irrespective of the of preg- is indicated by the fact that after such expulsion or the fetus does not breathe or show any other evidence of life, cord, or definite from from tion from its mother of a product of human conception, duration of pregnancy and which nancy.
The death extraction, such as beating of the heart, pulsation of the umbilical movement of voluntary muscles. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 114 |
Heartbeats are to be distinguished transient are to be distinguished fleeting respiratory efforts or gasps.
cardiac contractions; is not an induced respirations termination termtnatlon ofpregnancy-means pregnancy with infant, and which does not result Induced of an intrauterine live-born excludes management of prolonged following fetal death.
retention the intention other the purposeful than in a live birth. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 98 |
This definition of products of conception interruption to produce a 16 Appendix C Definitions of induced abortion procedures Suction curettage (Also known as vacuum aspiration.In this procedure of the cervical canal is dilated by the successive increasing diameter (dilators).
When the cervix is suf3ciently dilated, a flexible tube (cannula) is inserted into the uterine cavity, and the fetal and placental tissues are then removed using an electric vacuum pump. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 113 |
insertion of instruments nonsurgical procedure Medical (NonsurgicaZ&This istration of a medication or medications tions (e.g., methotrexate, mifepristone, misoprostol, frequently early in the first cations may be administered abortion.
Medications may be administered vaginally.
involves the admin- to induce an abortion.
Medica- etc.)
are used most trimester of pregnancy.
However, some medi- etc.) | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 115 |
However, some medi- etc.)
suppositories, to induce orally, by injection, or intra- the second trimester of pregnancy injectable prostaglandins, (e.g., prostaglandin during Dilation and evacuation (D&E&This procedure, used most frequently in the second trimester of pregnancy gestation) involves opening instrument as forceps for evacuation. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 87 |
techniques, but also suction and other instrumentation (greater than or equal to 13 weeks the cervix (dilation) and primarily using sharp such Intrauterine Instillation volves either withdrawing cavity by a needle inserted fluid with a concentrated salt solution abortion, or saline amniotic substance with hormone-like needle inserted taglandin results The interval between prostaglandin, shorter in a saline abortion.
instillation). | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 100 |
instillation).
through than (saline or prostagZandln)--This fluid a portion of the amniotic through the abdominal wall and replacing (known as saline instillation, procedure in- from the uterine this saline fluid exchange) or injecting a prostaglandin-a activity-into the uterine cavity the abdominal wall (known as intrauterine The saline instillation process induces in the expulsion of the fetus approximately injection and expulsion 24 to 48 hours tends through a pros- labor, which later. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 129 |
to be Sharp curettage (D&C) (Also known as dilatation and curettage, D&C, the dilation of the cervix as to a larger diameter.
or surgical curettage)-This in the suction curettage procedure, although usually The fetal and placental tissues are then removed with a sharp curette.
procedure involves 17 Hysterotomy/Hysterectomy-Hysterotomy to remove a fetus.
Hysterotomy the uterus other abortion procedures appropriate. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 126 |
Hysterectomy (with condition of the uterus, such as fibroid when a woman desires sterilization.
the fetus inside).
involves surgical entry into if fail or if other abortion procedures are not is removed is a procedure It is usually performed only when a pathological is usually performed only the uterus in which tumors, warrants its removal .or except AlI definitions, for D&E, are from Legalized Abortion and the PubZlc Health (Institute of Medicine, 1975). | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 119 |
The definition of D&E is based the Center for Health Promotion and Educa- on NCHS consultation with tion, Centers for Disease Control and Prevention.
All other procedures should be shown as “Other” and the specific procedure listed.
This category of agents, such as urea and prostaglandin, and saline. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 76 |
prostaglandin includes procedures using a combination prostaglandin and oxytocin, or 18 For a list of reports published by the National Center for Health Statistics contact: Data Dissemination Branch National Center for Health Statistics Centers for Disease Control and Prevention 6525 Belcrest Road, Room 1064 Hyattsville, MD 20782-2003 (301) 436-8500 Internet: www.cdc.gov/nchswww/ | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769501048.pdf | https://unstats.un.org/wiki/download/attachments/106499115/hb_itop.pdf?api=v2 | 118 |
FACT SHEET Indigenous Women’s Maternal Health and Maternal Mortality KEY POINTS Indigenous women die in pregnancy and childbirth more often than other women.
Failure to act will render the Sustainable Development Goals (SDGs) unattainable.
It is time to make the marginalised visible.
The lack of data on the health of indigenous women and adolescent girls is masking huge disparities between populations, preventing effective action to address it. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 109 |
Improving the health of indigenous women and adolescent girls is achievable.
It requires States to implement commitments to disaggregate data by ethnicity and age, tackle discrimination, and make health centres physically, financially, and culturally accessible.
Access to health care, including sexual and reproductive health is a basic right. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 76 |
States have an obligation to ensure that indigenous women and adolescent girls enjoy equal access to health services.i “Indigenous women’s fundamental right to health must be guaranteed so that they can realise their full potential. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 44 |
The 2030 Agenda for Sustainable Development presents a unique opportunity to reduce health inequalities for indigenous women and mothers.” DOCTOR MARIAM WALLET, CHAIRPERSON OF THE UNITED NATIONS, PERMANENT FORUM ON INDIGENOUS ISSUES INDIGENOUS WOMEN’S MATERNAL HEALTH – THE FACTS The evidence from the available data is clear—and alarming. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 102 |
Across the globe, indigenous women and adolescent girls likely to benefit from services and have worse maternal health outcomes.ii For example, the birth rate for Amerindian experience significantly worse maternal health outcomes adolescent girls is twice that of the general Guyanese popu- than majority populations. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 62 |
While data is limited, analysis of lation, Maasai women in Kenya are twice as likely to have had the available survey data from 16 low and middle-income countries across three key indicators demonstrates that in- no antenatal care, and San women in Namibia are ten times more likely to give birth without skilled attendance.iii digenous women and adolescent girls are significantly less Figure 1 shows the disparities in antenatal care visits across antenatal care and, in most cases, the differences are very a representative sample of these surveys. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 116 |
Indigenous women are overwhelmingly less likely to have received significant.
Figure 2 and 3 show similar disparities in skilled birth attendance and adolescent birth rates.iv FIGURE 1. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 42 |
AVERAGE* PERCENTAGE OF WOMEN WHO DID NOT RECEIVE ANTENATAL CARE 33 N A S 9 I A A S A M 3 L A N O T A N I 3 L A N O T A N I 7 R A L U O P 4 L A N O T A N I 3 A B M L I 2 L A N O T A N I 3 L A N O T A N I 10 S U O N E G D N I I 4 A Y A M 2 L A N O T A N I 1 L A N O T A N I 11 S U O N E G D N I I 2 L A N O T A N I 6 I N A D N R E M A I BELIZE COSTA RICA GUYANA KENYA NAMIBIA SENEGAL SIERRA LEONE AVERAGE* *Average across all 16 countries with data combined.
FIGURE 2. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 237 |
FIGURE 2.
AVERAGE* PERCENTAGE OF WOMEN WHO DID NOT RECEIVE SKILLED ATTENDANCE AT BIRTH 62 N A S 55 50 43 37 L A N O T A N I R A L U O P A B M L I L A N O T A N I 27 I A A S A M 21 L A N O T A N I 11 L A N O T A N I 35 S U O N E G D N I I 19 L A N O T A N I 38 I N A D N R E M A I 8 A Y A M 4 L A N O T A N I 2 L A N O T A N I 11 S U O N E G D N I I 8 L A N O T A N I BELIZE COSTA RICA GUYANA KENYA NAMIBIA SENEGAL SIERRA LEONE AVERAGE* *Average across all 16 countries with data combined. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 251 |
T N E C R E P 35 30 25 20 15 10 5 T N E C R E P 70 60 50 40 30 20 10 2 FACT SHEET · INDIGENOUS WOMEN’S MATERNAL HEALTH AND MATERNAL MORTALITY FIGURE 3. | https://docs-lawep.s3.us-east-2.amazonaws.com/1696769515656.pdf | https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/04/factsheet_print_Mar27.pdf | 93 |
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