A systematic review of the research evidence on cross-country features of illegal abortions

Aghaei, Farideh; Shaghaghi, Abdolreza; Sarbakhsh, Parvin

doi:10.15171/hpp.2017.22

Cited by 14 publications

(19 citation statements)

References 37 publications

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“…Additionally, the use of selected populations and small samples reduces the potential for generalization of results. Taking these caveats into account, unsafe abortions was nonetheless associated with low income 24,42 , non-white race/color 10,17,23,30,42 and being single 21,22,31,35,36,37,38 , corroborating the vulnerability of segments of women who have unsafe abortions in Brazil, just as in other low-and middle-income countries 63,64 . Although the peak of having an abortion is situated between 20 and 29 years, in most studies, unsafe abortions occurrence increased with age 10,17,22,24,30,31 , which can be explained by the longer time of exposure to unplanned pregnancies.…”

Section: Cad Saúde Pública 2020; 36 Sup 1:e00190418mentioning

confidence: 73%

“…Likewise, there was a positive association with a larger number of pregnancies and/or living children 10,22,24,27,31,34,38 , suggesting the use of abortion as a way of regulating procreation, in the absence or failure of contraception 65,66 . Having a sufficient number of children was the main reason for having an unsafe abortions in a systematic review of the subject 64 .…”

Section: Cad Saúde Pública 2020; 36 Sup 1:e00190418mentioning

confidence: 99%

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Aborto inseguro no Brasil: revisão sistemática da produção científica, 2008-2018

et al. 2020

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O objetivo deste estudo é atualizar o conhecimento sobre o aborto inseguro no país. Foi realizada uma revisão sistemática com busca e seleção de estudos via MEDLINE e LILACS, sem restrição de idiomas, no período 2008 a 2018, com avaliação da qualidade dos artigos por meio dos instrumentos elaborados pelo Instituto Joanna Briggs. Foram avaliados 50 artigos. A prevalência de aborto induzido no Brasil foi estimada por método direto em 15% no ano de 2010 e 13% no ano de 2016. Prevalências mais elevadas foram observadas em populações socialmente mais vulneráveis. A razão de aborto induzido por 1.000 mulheres em idade fértil reduziu no período 1995-2013, sendo de 16 por 1.000 em 2013. Metade das mulheres referiu a utilização de medicamentos para a interrupção da gestação e o número de internações por complicações do aborto, principalmente complicações graves, reduziu no período 1992-2009. A morbimortalidade materna por aborto apresentou frequência reduzida, mas alcançou valores elevados em contextos específicos. Há um provável sub-registro de óbitos maternos por aborto. Transtornos mentais comuns na gestação e depressão pós-parto foram mais frequentes em mulheres que tentaram induzir um aborto sem sucesso. Os resultados encontrados indicam que o aborto é usado com frequência no Brasil, principalmente nas regiões menos desenvolvidas e por mulheres socialmente mais vulneráveis. O acesso a métodos mais seguros provavelmente contribuiu para a redução de internações por complicações e para a redução da morbimortalidade por aborto. Entretanto, metade das mulheres ainda recorre a outros métodos e o número de internações por complicações do aborto é ainda elevado.

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Section: Cad Saúde Pública 2020; 36 Sup 1:e00190418mentioning

confidence: 73%

Section: Cad Saúde Pública 2020; 36 Sup 1:e00190418mentioning

confidence: 99%

Aborto inseguro no Brasil: revisão sistemática da produção científica, 2008-2018

et al. 2020

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“…Although the epidemiology of the phenomenon has attracted the interest of academic scholars [15, 16] in the past, little is known about the reasons behind women’s decisions to seek informal abortion services in circumstances where such services are legally available through the formal healthcare sector. This paper sets out to systematically review the qualitative evidence on the use of informal services in countries where abortion is legal, with the aim of understanding women’s motivations behind such choice, and provide an evidence base for policies to regulate this potentially unsafe practice.…”

Section: Introductionmentioning

confidence: 99%

Why do they take the risk? A systematic review of the qualitative literature on informal sector abortions in settings where abortion is legal

Chemlal

Russo

2019

BMC Women's Health

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Background Restrictive abortion laws are the single most important determinant of unsafe abortion, a major, yet preventable, global health issue. While reviews have been conducted on the extent of the phenomenon, no study has so far analysed the evidence of why women turn to informal sector providers when legal alternatives are available. This work provides a systematic review of the qualitative literature on informal sector abortion in setting where abortion is legal. Methods We used the PRISMA guidelines to search Pubmed, Web of Science, Sciencedirect and Google Scholar databases between January and February 2018. 2794 documents in English and French were screened for eligibility against pre-determined inclusion and exclusion criteria. Articles investigating women’s reasons for aborting in the informal sector in settings where abortion is legal were included. In total, sixteen articles were identified as eligible for this review. Findings were reported following the PRISMA guidelines. Results The review highlights the diverse reasons women turn to the informal sector, as abortions outside of legal health facilities were reported to be a widespread and normalised practice in countries where legal abortion is provided. Women cited a range of reasons for aborting in the informal sector; these included fear of mistreatment by staff, long waiting lists, high costs, inability to fulfil regulations, privacy concerns and lack of awareness about the legality of abortion or where to procure a safe and legal abortion. Not only was unsafe abortion spoken of in terms of medical and physical safety, but also in terms of social and economic security. Conclusion The use of informal sector abortions (ISAs) is a widespread and normalised practice in many countries despite the liberalisation of abortion laws. Although ISAs are not inherently unsafe, the practice in a setting where it is illegal will increase the likelihood that women will not be given the necessary information, or that they will be punished. This study brings to the fore the diverse reasons why women opt to abort outside formal healthcare settings and their issues with provision of abortion services in legal contexts, providing an evidence base for future research and policies. Electronic supplementary material The online version of this article (10.1186/s12905-019-0751-0) contains supplementary material, which is available to authorized users.

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“…The study concludes that it is documented by earlier studies that illegal abortions are performed by unskilled person and harmful conditions. The main cause for illegal abortion was desired family size especially in those countries where it is banned (Aghaei et al, 2017).…”

Section: Review Of Literaturementioning

confidence: 99%

Women's Experiences And Perspectives Of Induced Abortions In Urban Slum Areas Of Karachi, Pakistan

Iftikhar

Nasreen

2020

PJGS

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Unsafe abortion is one of the leading causes in developing countries where the rate of obtaining an abortion is high due to financial issues and the desire of a male child. This paper is extracted from a study about roles of midwives in unsafe and induced abortions in the urban slums of Karachi city. The objective of this paper is to discuss the causes of induced abortions and to explore the experiences of women having induced abortions. The study was conducted through interviewing schedule based upon open and close ended questions. The interview guide included questions about the causes of abortions, problems faced by women during the process, and effects on their social and economic aspects of their lives. Results show that the major reason of induced abortion is poverty, including others like large family size and family pressure due to economic burden, male child preference, social stigmas and sometimes due to partner choice. Findings of the study suggest that abortion is a traumatic experience which involved intentional death of an unborn child. It has also been discovered that women experience abortion, felt grief, shame, sorrow, and depression. The study concludes that induced abortion is used as a contraceptive method by poor women. As they are performed in unhygienic and illegal methods, they become a health risk which affects women lives socially, economically, physically and psychologically. The findings of the study will help in understanding the problems faced by women having induced abortions. Additionally, it would also assist in developing gender based reproductive health programs in developing countries.

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A systematic review of the research evidence on cross-country features of illegal abortions

Cited by 14 publications

References 37 publications

Aborto inseguro no Brasil: revisão sistemática da produção científica, 2008-2018

Aborto inseguro no Brasil: revisão sistemática da produção científica, 2008-2018

Why do they take the risk? A systematic review of the qualitative literature on informal sector abortions in settings where abortion is legal

Women's Experiences And Perspectives Of Induced Abortions In Urban Slum Areas Of Karachi, Pakistan

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