Education in abortion care in Ireland: Medical Students For Choice (MSFC) taking a lead
Keywords:
MedicineAbstract
Abortion is a common topic of discussion in Ireland. Provision of abortion care by healthcare workers is restricted in a number of ways by legislation. Among Medical Students and Non-Consultant Hospital Doctors, there is consensus that abortion care should be covered in core curricula. However, current evidence indicates these groups lack knowledge surrounding issues such as legislation and abortion care in an Irish context.
Guidelines dealing with termination of pregnancy provide information on how best to support women considering abortion, however information provided by Government Organisations contains inaccuracies. Both fail to deal with issues surrounding abortion through online Telemedicine services, and legislative ambiguity may prevent healthcare workers from providing information which could make at-home abortions safer.
This paper advises medical students and trainee doctors how best to deal with practical situations, such as women seeking advice on abortions overseas or through online providers. It provides a toolkit for clinicians to draw upon, which is in line with current legislation, guidelines and best practice. Further educational opportunities are available to students through Medical Students For Choice, through clinical attachments and student-led events. The educational benefits of such activities are discussed.
References
Ailís ni Riain, M. D., Sonya Ryan, Mark Murphy. (2013). Crisis Pregnancy: A Management Guide for General Practice. Quality in Practice Committee.
Aitken, K., Patek, P., & Murphy, M. E. (2017). The opinions and experiences of Irish obstetric and gynaecology trainee doctors in relation to abortion services in Ireland. J Med Ethics. doi:10.1136/ medethics-2015-102866
Biggs, M. A., Upadhyay, U. D., McCulloch, C. E., & Foster, D. G. (2017). Women’s Mental Health and Well-being 5 Years After Receiving or Being Denied an Abortion: A Prospective, Longitudinal Cohort Study. JAMA Psychiatry, 74(2), 169-178. doi:10.1001/ jamapsychiatry.2016.3478
Boyle, E., Healy, D., Hill, A. D., O’Connell, P. R., Kerin, M., McHugh, S., Coyle, P., Kelly, J., Walsh, S. R., & Coffey, J. C. (2013). Career choices of today’s medical students: where does surgery rank? Ir J Med Sci, 182(3), 337-343. doi:10.1007/s11845-012-0882-x
Bracken, H., Dabash, R., Tsertsvadze, G., Posohova, S., Shah, M., Hajri, S., Mundle, S., Chelli, H., Zeramdini, D., Tsereteli, T., Platais, I., & Winikoff, B. (2014). A two-pill sublingual misoprostol outpatient regimen following mifepristone for medical abortion through 70 days’ LMP: a prospective comparative open-label trial. Contraception, 89(3), 181-186. doi:10.1016/j. contraception.2013.10.018
The Care of Women Requesting Induced Abortion (Evidence-based Clinical Guideline No.7), § 7.2 (2011). Constitution of Ireland: Article 40, 3 C.F.R. § 3.
Guide to Professional Conduct and Ethics for Registered Medical Practitioners, (2007). Fitzgerald, J. M., Krause, K. E., Yermak, D., Dunne, S., Hannigan, A., Cullen, W., Meagher, D., McGrath, D., Finucane, P., Coffey, C., & Dunne, C. (2014). The first survey of attitudes of medical students in Ireland towards termination of pregnancy. J Med Ethics, 40(10), 710-713. doi:10.1136/medethics-2013-101608
Gomperts, R. J., Jelinska, K., Davies, S., Gemzell- Danielsson, K., & Kleiverda, G. (2008). Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services. Bjog, 115(9), 1171- 1175; discussion 1175-1178. doi:10.1111/j.1471- 0528.2008.01787.x
Hayes, J. L., Achilles, S. L., Creinin, M. D., & Reeves, M. F. (2011). Outcomes of medical abortion through 63 days in women with twin gestations. Contraception, 84(5), 505-507. doi:10.1016/j.contraception.2011.02.015
Headquarter, M. S. F. C. (2017, 20 January 2017). [Personal Communication]. Regulation of Information (Services Outside the State for Termination of Pregnancies) Act, (1995).
Murphy, M., Vellinga, A., Walkin, S., & MacDermott, M. (2012). Termination of pregnancy: attitudes and clinical experiences of Irish GPs and GPs-in-training. Eur J Gen Pract, 18(3), 136-142. doi:10.3109/13814788.2012.704 360
O’Doherty, G. (2012, October 27). Revealed: the abortion advice that could put lives at risk, News. Irish Independent. Retrieved from http://www.independent. ie/irish-news/revealed-the-abortion-advice-that-could- put-lives-at-risk-28824188.html
O’Grady, K., Doran, K., & O’Tuathaigh, C. M. (2016). Attitudes towards abortion in graduate and non- graduate entrants to medical school in Ireland. J Fam Plann Reprod Health Care, 42(3), 201-207. doi:10.1136/ jfprhc-2015-101244
Obara, R. (2012). Abortion Education Now Accessible to Medical Students. Trinity Student Medical Journal, 13(1).
Offences Against the Person Act, § 58-59 (1861).
Sheldon, S. (2016). How can a state control swallowing? The home use of abortion pills in Ireland. Reprod Health Matters, 24(48), 90-101. doi:10.1016/j. rhm.2016.10.002
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