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  1. 1

    [Sociocultural management of obstetrical complications in the regions of Fes, Boulemane and Taza, Al Heceima and Taounate (Morocco). Qualitative study by focus group. Synthesis report] La gestion socioculturelle de la complication obstetricale dans les regions Fes - Boulemane et Taza - Al Hoceima - Taounate (Maroc). Etude qualitative par focus group. Rapport de synthese.

    Dialmy A

    [Rabat], Morocco, Ministere de la Sante, Direction de la Population, 1999. 106 p. (SMI/175/4705)

    This report describes and presents the results of a qualitative study conducted in Morocco exploring how the Moroccan population manages obstetrical complications. In 1992, the National Study of Population and Health (ENPS) estimated the national mean maternal mortality rate to be 332 deaths per 100,000 live births during 1985-91. According to the Papchild study conducted in 1997, the rate was 228/100,000, but 307/100,000 in rural areas. Dystocia and uterine rupture, hemorrhage, infection, and toxemia and hypertension are the main causes of maternal mortality in Morocco. The aim of this study was to evaluate the extent to which the population was aware of potentially deadly, delivery-related complications, their faith in the ability of medical care to resolve such problems, and their understanding of the need to promptly seek appropriate medical care in such cases. Study hypotheses are presented, followed by a discussion on planning focus groups, the training of trainers, data preparation, analysis, and limits of the study. An analysis of study findings is presented in the following chapters: inadequate medical care during pregnancy, safe delivery, obstetrical complications, the inaccessibility of public health facilities, unacceptable healthcare, and unclear information, education, and communication. Final sections of the report include the conclusion, recommendations, annexes, and a bibliography.
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  2. 2

    Abortion: the search for a consensus.

    Diamond EF; Diamond EC

    International Review of Natural Family Planning. 1984 Summer; 8(2):95-101.

    Abortion should not be looked at as a purely medical procedure but should be regulated by legal restrictions. There are many reasons for this. The 1st is that abortion is not a typical medical procedure. 2nd, there is an anti-abortion tradition in American medicine. Last, scientific progress has led to improved management of medical and psychiatric complications of pregnancy. There are conflicting viewpoints on abortion in the US today. The majority of Americans would accept abortion under certain circumstances. Making abortion a matter of a right to privacy under all circumstances and subject only to medical control has never been accepted by a majority of Americans. Gallup Poll results are given. A legal case is made for the unborn child. The Hatch-Eagleton Amendment to the US constitution is discussed. It states that a right of abortion is not secured by this constitution. The amendment, requiring a 2/3 majority, was defeated 50-49 with Senator Helms abstaining. The amendment's purpose would be to give national and local legislative bodies the provilege of legislating to limit access to abortion. The Hatch-Eagleton Amendment does not stipulate that there will be no exceptions to abortion nor does it stipulate those circumstances under which abortion would be prohibited. If the Amendment were passed, it would still be possible to pass federal and/or state laws allowing for abortion to save the life of the mother. A decade of "agonizing conflict" has followed "Roe v. Wade" and "Doe v. Bolton." The medical profession is deeply involved in the abortion decision, but it is unrealistic to expect that its restricted professional view mall prevail in a democratic and pluralistic society. It is obvious that a consensus must be reached that reflects the divergent viewpoints of 200 million American citizens rather than the mere consensus of the 7 Supreme Court justices.
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