Characteristics of women applying for a legal abortion in the Islamic Republic of Iran

Rahimparvar, Seyedeh Fatemeh Vasegh; Jafari, Asieh; Hoseinzadeh, Fatemeh; Daemi, Faezeh; Samadi, Fatemeh

doi:10.26719/emhj.18.001

Cited by 9 publications

(14 citation statements)

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“…Also about half of the clients with maternal and four-fifths of the clients with fetal causes received permission for abortion. In some studies that have been done before the last revision of abortion law in Iran, the rate of proportion of permission were lower (24,34,35), but the results of subsequent studies were concordant with our findings (22,(27)(28)(29)36). In addition, a study that was conducted in a hospital in Turkey demonstrated that permission for abortion was issued for 63% of cases with fetal causes (37).…”

Section: Discussionsupporting

confidence: 91%

Therapeutic abortion in Iran: an epidemiologic study of legal abortion in 2 years

Mahdavi

Jafari

Azimi

et al. 2020

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Objectives Unsafe abortion is one of the most important causes of death and disability among mothers in countries where abortion is illegal. These conditions have changed since then. The present study has investigated the cases who were referred to the legal medicine organization to receive abortion permission. This country level cross sectional retrospective study, investigated all the cases who were referred to the legal medicine centers of Iran for abortion permission during 2015 to 2017. The results were analyzed using SPSS software version 21. Results From 21477 applicants, 15617 (72.71%) received permission including 14367 (91.99%) for fetal abnormalities and 1250 (8.01%) for maternal diseases. The most common fetal abnormalities/disorders were nervous system malformations (26.4%), chromosomal abnormalities (18.4%) and of maternal diseases were circulatory system diseases (43.9%), neoplasms (13.4%) and genitourinary system diseases (9.9%). The most common reasons for not permission were lack of supplementary documents to prove (38.8%), not competency with the criteria (33.9%), and gestational age of more than 19 weeks (25.8%).

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Section: Discussionsupporting

confidence: 91%

Therapeutic abortion in Iran: an epidemiologic study of legal abortion in 2 years

Mahdavi

Jafari

Azimi

et al. 2020

Preprint

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“…Two-thirds of fetal causes that led to issuing the permission were structural anomalies and one-third of them were genetic disorders. The prevalence of the anomalies in the studies that have been conducted in different provinces of Iran was also similar to the results of the present study (22,28,29,(38)(39)(40). Also, in the study of Jose et al (2015), the most common anomalies were nervous system anomalies, chromosomal disorders, cardiovascular and skeletal disorders and hydrops (37).…”

Section: Discussionsupporting

confidence: 90%

“…Also about half of the clients with maternal and four-fths of the clients with fetal causes received permission for abortion. In some studies that have been done before the last revision of abortion law in Iran, the rate of proportion of permission were lower (24,34,35), but the results of subsequent studies were concordant with our ndings (22,(27)(28)(29)36). In addition, a study that was conducted in a hospital in Turkey demonstrated that permission for abortion was issued for 63% of cases with fetal causes (37).…”

Section: Discussionsupporting

confidence: 84%

“…According to a 6 years study of 1664 cases of abortion applicants in Fars Province, 79.6% were fetal and 20.4% maternal (26,27). According to the study by Vasegh et al (2018), for 48% of the 1378 female applicants for abortion referred to the legal medicine department of Tehran province, permissions were issued during a one year period 2011-12, of which 90.2% were fetal and the rest were maternal (28). In the Isfahan province study, over a 4 year period from 2011 to 2014, 629 of 830 (75.8%) referred women for fetal causes has been received the abortion permission (29).…”

Section: Ghofrani Et Al (2018) Estimated the Prevalence Of Induced Mmentioning

confidence: 99%

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Therapeutic abortion in Iran: an epidemiologic study of legal abortion in 2 years

Mahdavi

Jafari

Azimi³

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Objectives: Unsafe abortion is one of the most important causes of death and disability among mothers in countries where abortion is illegal. These conditions have changed since then. The present study has investigated the cases who were referred to the legal medicine organization to receive abortion permission. This country level secondary patient data analysis, investigated all the cases who were referred to the legal medicine centers of Iran for abortion permission during 2015 to 2017.Results: From 21477 applicants, 15617 (72.71%) received permission including 14367 (91.99%) for fetal abnormalities and 1250 (8.01%) for maternal diseases. The most common fetal abnormalities/disorders were nervous system malformations (26.4%), chromosomal abnormalities (18.4%) and of maternal diseases were circulatory system diseases (43.9%), neoplasms (13.4%) and genitourinary system diseases (9.9%). The most common reasons for not permission were lack of supplementary documents to prove (38.8%), not competency with the criteria (33.9%), and gestational age of more than 19 weeks (25.8%).

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“…Abortion may be permitted based on fetal conditions leading to afflictions for the mother due to fetal abnormalities, or based upon life-threatening maternal conditions, before ensoulment (19 weeks + 2 days) with the mother's consent. Legal abortion is allowed in 51 conditions, of which 22 are related to mother's health and 29 are related to the health of the fetus (15).…”

Section: Introductionmentioning

confidence: 99%

Experiences of Iranian women with prenatal diagnosis of fetal abnormalities: A qualitative study

Ranjbar

Oskouie

Dizaji

et al. 2020

Preprint

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Background: Women are more likely to be diagnosed with congenital anomalies. Following prenatal diagnosis of fetal abnormalities, women may be forced to make decisions about whether to continue a pregnancy with fetal abnormalities. This can be a dilemma for the women. The aim of the study was to explore women’s experiences of prenatal diagnosis of fetal abnormalities. Methods: A qualitative study was conducted in a referral women’s hospital in Tehran, Iran in 2018. Participants were a purposeful sample of 15 women with prenatal diagnosis of fetal abnormalities. Data were collected by individual, in-depth interviews. The conventional content analysis approach was used to analyze the data. Results: Two main themes “emotional suffering” and “decision-making challenge” were extracted from the participants’ experiences. Emotional suffering consisted of subthemes “sense of guilt”, “self-blame”, “questioning of God”, “commiseration” and “projection”. Decision making challenge included subthemes “distrust”, “possible cure”, “dark future”, “economic problems”, “stereotypical beliefs”, “coercion” and “lack of support”. Conclusions: The experience of prenatal diagnosis of fetal abnormalities was associated with emotional suffering and challenges in decision-making to continue or terminate the pregnancy. Strategies need to be employed to improve women’s autonomy in decision-making. Healthcare professionals should be trained in communication skills to provide appropriate counseling to support women with diagnosis of fetal anomalies.

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Characteristics of women applying for a legal abortion in the Islamic Republic of Iran

Cited by 9 publications

References 1 publication

Therapeutic abortion in Iran: an epidemiologic study of legal abortion in 2 years

Therapeutic abortion in Iran: an epidemiologic study of legal abortion in 2 years

Therapeutic abortion in Iran: an epidemiologic study of legal abortion in 2 years

Experiences of Iranian women with prenatal diagnosis of fetal abnormalities: A qualitative study

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