Abortion, an increasing public health concern in Ecuador, a 10-year population-based analysis

Ortíz-Prado, Esteban; Simbaña, Katherine; Gómez, Lenin; Stewart-Ibarra, Anna M.; Scott, Lisa Allen; Cevallos-Sierra, Gabriel

doi:10.2147/por.s129464

Cited by 8 publications

(5 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Abortion is a public health concern worldwide because of its mental and physical side effects, which are occasionally irreparable (14). In Iran, abortions occur annually (15,16).…”

Section: Discussionmentioning

confidence: 99%

Post-mortem Bacteriological Examination on the Heart Blood of Aborted Fetuses in a Major Teaching Hospital, Shiraz, Iran, 2016 - 2017

et al. 2022

View full text Add to dashboard Cite

Background: Fetal abortion is one of the critical and controversial issues in most societies’ scientific, social, and academic ceremonies due to known and unknown reasons. Furthermore, updating our knowledge about isolated bacteria, their antibiotic resistance pattern, and related factors is essential for designing and implementing appropriate interventions. Objectives: The current study was conducted to determine the prevalence of bacteria among fetal abortion cases and demonstrate the antimicrobial susceptibility among isolated bacteria. Methods: For this, 153 blood samples were collected percutaneously from the heart blood of aborted fetuses 1 - 15 hours after birth; subsequently, the identification of bacteria and evaluation of antimicrobial susceptibility testing were performed. Results: Generally, 82 out of 153 test cultures were positive, comprising 66 and 26 Gram-negative and Gram-positive bacteria, respectively. The most isolated bacteria among Gram-negative isolates were Acinetobacter spp. (34/82) and Escherichia coli (17/82). Likewise, the highest antibiotic resistance was detected for Acinetobacter spp. against cefixime, amikacin, gentamycin, and ciprofloxacin (24/34). On the other hand, Staphylococcus spp. was the predominant Gram-positive cocci (10/82). Also, the highest resistance for Staphylococcus spp. was against cefoxitin and ciprofloxacin (100%). Conclusions: It seems more focus on following the general hygiene of pregnant mothers is essential. However, further evidence of a clinical correlation between aborted fetuses and their mothers is required.

show abstract

“…Abortion is a public health concern worldwide because of its mental and physical side effects, which are occasionally irreparable (14). In Iran, abortions occur annually (15,16).…”

Section: Discussionmentioning

confidence: 99%

Post-mortem Bacteriological Examination on the Heart Blood of Aborted Fetuses in a Major Teaching Hospital, Shiraz, Iran, 2016 - 2017

et al. 2022

View full text Add to dashboard Cite

show abstract

“…In Ecuador, the average annual rate of abortion between 2004 and 2014 was 115 per 1,000 live births. 189 abortion-related deaths were reported in the same period ( Ortiz-Prado et al, 2017 ). According to Ortiz-Prado et al (2017) , women may still be intentionally terminating their pregnancies despite the ban on abortion by medicating themselves with uncontrolled substances and without proper medical assistance and counseling.…”

Section: Discussionmentioning

confidence: 99%

“…189 abortion-related deaths were reported in the same period ( Ortiz-Prado et al, 2017 ). According to Ortiz-Prado et al (2017) , women may still be intentionally terminating their pregnancies despite the ban on abortion by medicating themselves with uncontrolled substances and without proper medical assistance and counseling. This situation is most likely exacerbated by the several unsuccessful programs implemented since 2007 in Ecuador that aimed to reduce teenage pregnancy and improve the quality of sex education rather than implementing policies expanding opportunities for women and girls to safely receive abortions ( Herrán & Palacios, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Maternal sexual empowerment and sexual and reproductive outcomes among female adolescents: Evidence from a cross-sectional study in Ecuador

Quijano-Ruiz¹,

Faytong-Haro

2021

SSM - Population Health

View full text Add to dashboard Cite

Background A vast literature has demonstrated that several mother-related variables are positively associated with their daughters’ sexual and reproductive outcomes. One underexplored variable is sexual empowerment––a subdimension of empowerment. In this study, we explore if maternal sexual empowerment is predictive of adolescent daughters’ outcomes like early sexual initiation, teenage pregnancy, and contraception use. Methods This study uses data from the 2018 National Health and Nutrition Survey of Ecuador (Ensanut), a cross-sectional survey in Ecuador that measures health and nutrition. We examine whether mothers’ sexual empowerment––measured as a woman’s autonomy in sexual relationships and her ability to turn down sex and demand contraception use from her partner––is predictive of sexual and reproductive outcomes among female adolescent children. Logistic regression was performed to test this association. Results Results showed that having a mother who lacked sexual empowerment increased the odds of early sexual initiation. Girls who had a mother who had a teenage birth were more likely to experience teenage pregnancy themselves. Conclusions Mothers may influence daughters’ attitudes towards sex through their own demonstration of sexual empowerment. This research demonstrates that a lack of maternal sexual empowerment can be a risk factor of early sexual initiation, teenage pregnancy, and lack of contraception use among female adolescents. More research is needed to confirm the robustness of these results and analyze other forms of sexual empowerment. Limitations Other variables not present in the data, like domestic violence, can be used to understand the sexual activity of young females and maternal sexual empowerment. Social desirability and recall bias are also common forms of bias in surveys regarding sexual activity among adolescents.

show abstract

“…Women may have also had additional fear and/or anxiety around pregnancy and congenital malformations associated with the emerging epidemic of ZIKV. In Ecuador, family planning measures can be difficult to access [ 64 ] and elective abortions are criminalized [ 65 ]. The burden placed on women who lack adequate access to family planning in ZIKV endemic areas as been documented in similar Latin American countries [ 66 , 67 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological Distress and Zika, Dengue and Chikungunya Symptoms Following the 2016 Earthquake in Bahía de Caráquez, Ecuador

Stewart-Ibarra

Hargrave

Diaz

et al. 2017

IJERPH

Self Cite

View full text Add to dashboard Cite

On 16 April 2016, a 7.8 magnitude earthquake struck coastal Ecuador, resulting in significant mortality and morbidity, damages to infrastructure, and psychological trauma. This event coincided with the first outbreak of Zika virus (ZIKV) and co-circulation with dengue virus (DENV) and chikungunya virus (CHIKV). We tested whether the degree of psychological distress was associated with the presence of suspected DENV, CHIKV, ZIKV (DCZ) infections three months after the earthquake. In July 2016, 601 household members from four communities in Bahía de Caráquez, Manabí Province, Ecuador, were surveyed in a post-disaster health evaluation. Information was collected on demographics, physical damages and injuries, chronic diseases, self-reported psychological distress, and DCZ symptoms. We calculated the prevalence of arbovirus and distress symptoms by community. ANOVA was used to compare the mean number of psychological distress symptoms between people with versus without suspected DCZ infections by age, gender, community and the need to sleep outside of the home due to damages. The prevalence of suspected DCZ infections was 9.7% and the prevalence of psychological distress was 58.1%. The average number of psychological distress symptoms was significantly higher among people with suspected DCZ infections in the periurban community of Bella Vista, in women, in adults 40–64 years of age and in individuals not sleeping at home (p < 0.05). The results of this study highlight the need to investigate the interactions between psychological distress and arboviral infections following natural disasters.

show abstract

Abortion, an increasing public health concern in Ecuador, a 10-year population-based analysis

Cited by 8 publications

References 31 publications

Post-mortem Bacteriological Examination on the Heart Blood of Aborted Fetuses in a Major Teaching Hospital, Shiraz, Iran, 2016 - 2017

Post-mortem Bacteriological Examination on the Heart Blood of Aborted Fetuses in a Major Teaching Hospital, Shiraz, Iran, 2016 - 2017

Maternal sexual empowerment and sexual and reproductive outcomes among female adolescents: Evidence from a cross-sectional study in Ecuador

Psychological Distress and Zika, Dengue and Chikungunya Symptoms Following the 2016 Earthquake in Bahía de Caráquez, Ecuador

Contact Info

Product

Resources

About