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Chapter 33 - Abortion Training Models in Sweden

from Section IV - Reproductive Health Services & Abortion Training: Global Examples

Published online by Cambridge University Press:  30 July 2021

By
Kristina Gemzell-Danielsson  and
Amanda Cleeve
Edited by
Uta Landy ,
Philip D Darney  and
Jody Steinauer
Uta Landy
Affiliation:
University of California, San Francisco
Philip D Darney
Affiliation:
University of California, San Francisco
Jody Steinauer
Affiliation:
University of California, San Francisco
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Summary

Abortion has been available in Sweden, since 1975, on request and without regards to reason, for up to 18 weeks’ gestation and in specific circumstances through 21 +6 weeks’ gestation. Abortion care is viewed as core component of obstetric and gynecological and midwifery care. Medical students in Sweden all receive theoretical training and are offered clinical rotation to abortion care. Similarly, all students in midwifery receive theoretical training in abortion and some clinical training. Core competencies for the registered nurse-midwives include the ability to care for women in abortion care including post abortion contraceptive counselling and provision. For residents in obstetrics and gynecology, training in abortion care is mandatory. Not permitting conscientious objection for any professional cadre guarantees prompt access to services for women seeking abortion care in Sweden, consistent with the principle that abortion is a right and a core service to which access should not be delayed.

Keywords

abortionSwedenobstetrics and gynecologymidwiferymedical educationconscientious refusalnursing education
Type
Chapter
Information
Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
 , pp. 331 - 335
Publisher: Cambridge University Press
Print publication year: 2021

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References

The Swedish Abortion Act (1974:595) www.riksdagen.se/sv/Dokument-Lagar/Lagar/Svenskforfattningssamling/Abortlag-1974595_sfs-1974-595/Google Scholar
SOU SOU. Abort i Sverige-Betänkande av Utredningen om utländska aborter. https://www.regeringen.se/49b6ab/contentassets/22f47f54bdc1451d8ad4d7c08e501de7/abort-i-sverige-del-1-missiv-kap.-6. 2005.Google Scholar
The Swedish official abortion statistics. www.socialstyrelsen.se/statistik/statistikefteramne/aborterGoogle Scholar
Kopp Kallner, H, Gomperts, R, Salomonsson, E, Johansson, M, Marions, L, Gemzell-Danielsson, K. The efficacy, safety and acceptability of medical termination of pregnancy provided by standard care by doctors or by nurse-midwives: a randomised controlled equivalence trial. BJOG. 2015 Mar;122(4):510–517.Google Scholar
Fiala, C, Gemzell Danielsson, K, Heikinheimo, O, Guethmundsson, JA, Arthur, J. Yes we can! Successful examples of disallowing ‘conscientious objection’ in reproductive health care. European J Contracept Reprod Health. 2016 Jun;21(3):201–206.CrossRefGoogle ScholarPubMed
The Swedish Association of Midwives. Description of core competencies for registered midwives; 2018. https://storage.googleapis.com/barnmorskeforbundet-se/uploads/2018/05/Kompetensbeskrivning-for-legitimerad-barnmorska-Svenska-Barnmorskeforbundet-2018.pdfGoogle Scholar
Andersson, IM, Gemzell-Danielsson, K, Christensson, K. Caring for women undergoing second-trimester medical termination of pregnancy. Contraception. 2014 May;89(5):460–465. doi:10.1016/j.contraception.2014.01.012Google Scholar

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