Gillian Flett and Allan Templeton

Termination of pregnancy is one of the most commonly practised gynaecological procedures in Great Britain. Surgical abortion by vacuum aspiration or dilatation and curettage was the method of choice from the 1960s. However, the late 1980s and 1990s saw exciting new developments in medical methods for early abortion and an improvement of medical methods for midtrimester termination with the introduction of mifepristone, which has been one of the most significant developments in fertility control in recent years. The result has been an extension of patient choice and a diversification in the provision of abortion services. 186,000 terminations are performed annually in England and Wales [1] and around 11,500 in Scotland [2]. Around 1 in 3 British women will have had an abortion by the age of 45 [3]. In Britain, over 98% of abortions are undertaken on the grounds that the pregnancy threatens the mental or physical health of the woman or her children [1,2]. It is these abortions which form the focus for this chapter. A minority of abortions are undertaken because of fetal abnormality and the special legal, ethical and service issues relating to these merit separate consideration.

The availability of NHS abortion provision varies considerably and improving timely access to abortion services is a major sexual health priority.

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Getting Back Into Shape After The Pregnancy

Getting Back Into Shape After The Pregnancy

Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.

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