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aborto y salud de la mujer

aborto y salud de la mujer. !. Debe escucharse en 1er lugar la exposición de estas diapositivas Click Aqui. miguel ángel martínez-gonzález @MAM_UNAV. aborto y salud de la mujer. 1. ponderación 2. medicina basada en evidencia riesgos beneficios 3. conflicto de interés religioso

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aborto y salud de la mujer

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  1. aborto y salud de la mujer ! Debe escucharse en 1er lugar la exposición de estas diapositivasClickAqui miguel ángel martínez-gonzález @MAM_UNAV

  2. aborto y salud de la mujer 1. ponderación 2. medicinabasada en evidencia • riesgos • beneficios • 3. conflicto de interés • religioso • económico • 4. efectosperversos • 5. alternativas sociedad española de epidemiología alicante, 4-9-14

  3. aborto y salud de la mujer 1. ponderación 2. medicina basada en evidencia • riesgos • beneficios • 3. conflicto de interés • religioso • económico • 4. efectos perversos • 5. alternativas sociedad española de epidemiología alicante, 4-9-14

  4. diálogo> dialéctica • pluralismo> monolitismo • razonabilidad> apasionamiento • estudio> discusión • maticesdel gris> todo blanco o negro

  5. Abortion: A Failure to Communicate by Paul Swope, First Things 1998 unplanned motherhood (...) represents a threat so great to modern women that it is perceived as equivalent to a "death of self."

  6. unplanned motherhood (...) represents a threat so great to modern women that it is perceived as equivalent to a "death of self." while the woman may rationally understand this is not her own literal death, her emotional, subconscious reaction to carrying the child to term is that her life will be "over."

  7. unplanned motherhood (...) represents a threat so great to modern women that it is perceived as equivalent to a "death of self." while the woman may rationally understand this is not her own literal death, her emotional, subconscious reaction to carrying the child to term is that her life will be "over." the sudden intrusion of motherhood is perceived as a complete loss of control over their present and future selves. it shatters their sense of who they are and will become, and thereby paralyzestheir ability to think more rationally or realistically

  8. Abortos: 42 M

  9. ratio nacimientos : abortos 18,4% 18,6% 19,6% 19,9%

  10. "mi cuerpo es mío nosotras parimos, nosotras decidimos"

  11. Genética • XY • 23 + 23 • alelos del padre • Inmunología • Proteínas ajenas • Fenómeno Rh y otros • Expectativa de vida • 2 células moribundas décadas • Identidad distinta

  12. Abortion: A Failure to Communicate by Paul Swope, First Things 1998 • the attitude of these women toward abortion is quite surprising. • first, all of the scores of women involved in the study (none of whom were pro-life activists and all of whom called themselves "pro-choice") agreed that abortion is killing. • second, the women believe that abortion is wrong, an evil, • third (...) basically, abortion is considered the least of three evils because it is perceived as offering the greatest hope for a woman to preserve her own sense of self, her own life.

  13. aborto y salud de la mujer 1. ponderación 2. medicina basada en evidencia • riesgos • beneficios • 3. conflicto de interés • religioso • económico • 4. efectos perversos • 5. alternativas sociedad española de epidemiología alicante, 4-9-14

  14. cáncer de mama

  15. Lancet Oncol 2001

  16. J American Phys Surg 2007;12:72

  17. J American Phys Surg 2007;12:72

  18. Cancer Causes Control 2014 1.49 (1.23, 1.74)

  19. Lancet 2004; 363: 1007–16

  20. Lancet 2004; 363: 1007–16

  21. Cancer Causes Control 2014 1.49 (1.23, 1.74)

  22. aborto y salud de la mujer 1. ponderación 2. medicina basada en evidencia • riesgos • beneficios • 3. conflicto de interés • religioso • económico • 4. efectos perversos • 5. alternativas sociedad española de epidemiología alicante, 4-9-14

  23. prevención:salud mental materna

  24. (violación 0.02%)

  25. en España> 95% es crucial buscar la mejor evidencia sobre si el aborto mejora la salud mental de la mujer

  26. Arch Gen Psychiatry 2000;57:777-784

  27. Arch Gen Psychiatry 2000;57:777-784 • ¿dónde estás odds ratio que no te veo? • ¿donde estás cohorte no expuesta que no te veo? • ¿donde estás medida de efecto (con IC 95%)? • ¿donde estás cálculo de potencia? • ¿donde estás análisis de sensibilidad? • ¿donde estás tratamiento de sesgo selección? • ¿quien publica una cohorte con 100% expuestos y 50% de pérdidas?

  28. JAMC 13 may 2003;168:1257-8

  29. 2008;193:444

  30. aust n z j psychiatry 2013;47:819 • metanálisis • coleman, 2011. br j psychiatr  • amrc (pdf on line), 2011 = • there have been extensive criticisms of both Coleman’s study • Abel et al., 2011 • Coyne, 2011 • Howard et al., 2011 • Kinney, 2011 • Lagro-Janssen et al., 2011 • Littell and Coyne, 2011 • Polis et al., 2011 • Robinson et al., 2011 • Thygesen, 2011 • and the AMRC report • Andrusko, 2011 • Christian Medical Fellowship, 2011 • Ertelt, 2011

  31. aust n z j psychiatry 2013 sep;47:819-27

  32. aust n z j psychiatry 2013 sep;47:819-27

  33. aust n z j psychiatry 2013 sep;47:819-27

  34. aust n z j psychiatry 2013 sep;47:819-27

  35. aust n z j psychiatry 2013 sep;47:819-27

  36. aust n z j psychiatry 2013 sep;47:819-27

  37. no review has concluded that abortion has beneficial consequences by mitigating the mental health risks of unwanted pregnancy aust n z j psychiatry 2013 sep;47:819-27

  38. aborto y salud de la mujer 1. ponderación 2. medicina basada en evidencia • riesgos • beneficios • 3. conflicto de interés • religioso • económico • 4. efectos perversos • 5. alternativas sociedad española de epidemiología alicante, 4-9-14

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