women's health Archives - Off the Charts

Access to Abortion Medications: Why Should Nurses Care?

She sat in my office, tissue in hand, tears rolling down her cheeks as she tried to process the news I’d just confirmed: she was pregnant, and really, really needed to not be. She was living in her brother’s small house, her seven-year-old son with her, sleeping on a sofa while trying to put her life back together after a divorce. She had chronic kidney disease, and had been told that another pregnancy could cause kidney failure.

She didn’t really believe abortion was a good thing to do, but also couldn’t imagine that God would want her to go on dialysis. For the most part I listened, asking a question here and there to help her clarify her own thoughts. Ultimately, she decided on an abortion, so I referred her to the closest clinic, several hours away from the rural town we met in.

Medication Abortion in the United States

By Robin Marty/Flickr Creative Commons

Even before the Dobbs decision overturning Roe v. Wade, abortion was difficult to access for people living in many regions of the country. TRAP (targeted regulation of abortion providers) laws forced many clinics to close, making abortion access challenging if not impossible even though every American was legally, constitutionally permitted to make her own decision.

Last […]

Guest Author2023-03-16T09:55:52-04:00March 16th, 2023|Ethics, Nursing, Patients, Public health, women's health|0 Comments

A Long History of Abortion

Looking to the past for context and perspective as the U.S. abortion care landscape changes dramatically.

The Supreme Court decision overturning Roe v. Wade ended women’s nationwide legal right to abortion after nearly 50 years.

Photo by Ian Hutchinson on Unsplash

Several states with so-called trigger laws banning abortion moved to implement these immediately. Although some of these laws have since been challenged in court, within a few months it’s expected that women living in about half the states will have very limited or no access to abortion care. Most of these laws—predominantly in the Midwest, South, and Plains states—make no exception for rape or to safeguard a woman’s health, until she is at risk of death.

Limiting health care access amid rising maternal mortality rates.

These restrictions on women’s health care occur while the U.S. continues to have a maternal mortality rate much higher than in other developed nations. According to the latest statistics from the CDC, this rate is rising, and health disparities persist: Black women are three times more likely to die from pregnancy-related causes compared with White women.

Women who have historically been most marginalized will be disproportionately affected by the Supreme Court’s decision, which is expected to […]

Corinne McSpedon, senior editor2022-07-11T06:31:54-04:00July 11th, 2022|Public health, women's health|0 Comments

Who Cares for the Nurses Who Care for You?

‘An epidemic of nonstop.’

According to Provision 5 of the American Nurses Association (ANA) Code of Ethics, “the nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.” Yet all too often, nurses are viewed as heroes, and this heroization, while perhaps well-intentioned, may exacerbate a reality in which nurses put caring for others ahead of caring for themselves.

Amid the COVID-19 pandemic, we saw a worsening of an issue that has long plagued the nursing profession: “an epidemic of nonstop” in which the lack of basic self-care such as bathroom and meal breaks has become the norm and nurses literally “work until they drop.” The many stressors associated with the COVID-19 pandemic further heightened the need for nurses to care for themselves.

Workplace benefits and financial protections vary widely for nurses.

Approximately three-quarters of all health care workers, including nearly 90% of nurses, are women. COVID-19 brought to light the gaps in benefits among these workers.

In order to support nurses whose ability to work had been affected by the pandemic by providing them with direct financial assistance through emergency grants, the American Nurses Foundation partnered with

Guest Author2021-11-10T10:41:13-05:00November 10th, 2021|COVID-19, Nursing, nursing career, women's health|0 Comments

A Safety Paradox: Stay-at-Home Policies and Domestic Violence Risks

What happens when the very measures put in place to keep us safe and healthy instead place us at risk for harm? For women in abusive relationships, the stay-at-home strategy for controlling the spread of COVID-19 can do just that.

A perfect storm of risk factors for escalating violence.

High stress levels, loss of a sense of control, unemployment, increased time together—all are known to increase the frequency and intensity of intimate partner violence (IPV). A study of IPV rates before and after Hurricane Katrina found a 98% increase in physical IPV and a 35% increase in psychological IPV against women after the hurricane, with stressors as one of the strongest predictors for increased violence. IPV rates are known to rise with unemployment rates; a study of IPV during the economic recession of 2007-2008 found that a rapid rise in unemployment led to increased violence and controlling behaviors. And multiple studies have found that IPV incidents occur at much higher rates on weekends and during the summer—times when couples spend more time together. With Covid-19, people are suddenly unemployed and experiencing stress due to economic hardship, fear of illness, and uncertainty about the future. And couples are now spending all their time […]

Guest Author2020-05-04T12:27:03-04:00May 4th, 2020|Nursing, Public health, women's health|0 Comments

Permission to Grieve: A Poet Addresses the Unmapped Territory of Pregnancy Loss

You were so new, still more dream than person.

A poetry submission hits a personal chord.

photo by Susanne Nilsson/flickr

As the column coordinator for AJN’s Art of Nursing, which publishes poetry, flash fiction, and visual art related to health and health care, many poems cross my desk. I always appreciate the creativity and emotion in these poems, even when they aren’t quite a fit for our journal. And then there are the ones that not only fit, but that strike a personal chord and stay with me.

“Carrying,” by Katie Manning, PhD, MA, is one such poem. (Click on the PDF for the best version.) It immediately touched me because of the powerful way it described a sensitive topic: pregnancy loss. As a mother who lost a pregnancy in my second trimester, I found myself nodding with tears in my eyes at her elegant descriptions of grief and loss.

The poem received universal praise from our peer reviewers, and when I wrote to Manning to tell her we’d accepted it, I added a personal note about my own experience (something I had never done as an editor). We exchanged words of comfort and spoke about how the topic is not nearly discussed enough.