The impact of the legalisation of abortion on birth outcomes in Uruguay

Antón, José María Monsalvo; Ferre, Zuleika; Triunfo, Patricia

doi:10.1002/hec.3659

Cited by 16 publications

(33 citation statements)

References 53 publications

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“…Three studies explored the effect of abortion legalization on adolescent pregnancy. They found legalization did not reduce childbearing among adolescents in the three years after its adoption in Mexico City ( 42 ), although the findings are mixed in Uruguay ( 43 , 44 ). Comparing 2010 with 2014 adolescent fertility data from health centers in Montevideo one study found no effect of abortion legalization upon adolescent pregnancy nor fertility rates ( 43 ).…”

Section: Resultsmentioning

confidence: 99%

“…They found legalization did not reduce childbearing among adolescents in the three years after its adoption in Mexico City ( 42 ), although the findings are mixed in Uruguay ( 43 , 44 ). Comparing 2010 with 2014 adolescent fertility data from health centers in Montevideo one study found no effect of abortion legalization upon adolescent pregnancy nor fertility rates ( 43 ). However, a later study comparing national data from 2006 and 2012, found access to legal abortion correlated with reduced adolescent fertility ( 44 ).…”

Section: Resultsmentioning

confidence: 99%

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Adolescent pregnancy, public policies, and targeted programs in Latin America and the Caribbean: a systematic review

Ribas

2021

Revista Panamericana De Salud Pública

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Objective. To present and assess evidence from Latin America and the Caribbean (LAC) on public policies and targeted programs which may have influenced variations in adolescent pregnancy or its proximate determinants, and to identify knowledge gaps that require further research. Methods. A systematic review was performed based on the 2015 PRISMA protocol. Five databases were searched for articles published between 2000 and 2019 that refer to at least one country in LAC. The outcomes of interest were adolescent pregnancy or its proximate determinants (sexual behavior, contraceptive use, and/ or abortion). Only studies exploring correlations between the outcomes of interest and public policies or targeted programs were included in the analysis. Results. Thirty studies spanning 14 countries were selected for analysis. Twenty-three of these (77%) were not included in prior systematic reviews on adolescent pregnancy. Public policies related to conditional cash transfers and compulsory education have the strongest evidence of correlation with adolescent pregnancy prevention. Emerging research points to the potential positive impact of life-skills programs for adolescents. Evidence from public health policies and programs was limited. Conclusions. Further research which incorporates an intersectional analysis is needed to better understand which policies and programs could lead to steeper declines in adolescent pregnancy in the region. Evidence on effects of expanded family planning services and secondary school attainment upon adolescent pregnancy are particularly absent.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Adolescent pregnancy, public policies, and targeted programs in Latin America and the Caribbean: a systematic review

Ribas

2021

Revista Panamericana De Salud Pública

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“…The VTP law has produced neither significant changes in total births, nor significant changes  in the number of abortions among teenagers. 4 This legislation did produce a reduction in the number of unplanned pregnancies of about 8 percent, but did not produce any effect on adolescent fertility (López Gómez, Brunet, and Couto 2019;Antón, Ferre, andTriunfo 2018, 2016).…”

Section: Program Features and Contraceptive Methods In Uruguaymentioning

confidence: 99%

“…The quarterly effects have similar figures and trends (see Online FigureA4). 15Antón, Ferre, and Triunfo (2018) found that the Voluntary Termination Law reduced by 8 percent unplanned pregnancy among more educated mothers between 20 and 34 years old and improved pregnancy quality.…”

mentioning

confidence: 99%

Birth Collapse and a Large‐Scale Access Intervention with Subdermal Contraceptive Implants

Ceni

Parada

Perazzo

et al. 2021

Studies in Family Planning

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Between  and , we observe in Uruguay a steep decline of almost  percent in the number of total births, leading to the collapse of the adolescent fertility rate after decades of relative stagnation. We estimate the quantitative contribution on birth rates, especially teen births, of a policy of expanded availability of subdermal contraceptive implants. We exploit the expansion schedule of a large-scale policy of free-of-charge access to subdermal implants in the country's public health system through an event study to capture causal effects. We use detailed birth administrative records for the past  years. We document an average reduction of  percent in the birth rate in public health facilities across the two years after the policy was implemented in each department. These reductions were notably higher among teens and first births. Although changes in women's fertility decisions are a multicausal phenomenon, we claim that the expanded availability of subdermal contraceptive implants accounted for one-third of the teen and young women's birth collapse.

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“…Manuscripts described data from the following settings: Argentina [ 13 ], Australia [ 14 – 18 ], Chile [ 19 , 20 ], Colombia [ 21 – 23 ], Ethiopia [ 24 ], Ghana [ 25 ], Ireland [ 26 , 27 ], Mexico [ 23 , 28 ], Rwanda [ 29 , 30 ], Thailand [ 31 ], United Kingdom/Great Britain [ 23 , 32 ], and Uruguay [ 33 ]. The characteristics of included manuscripts are presented in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

The impact of ‘grounds’ on abortion-related outcomes: a synthesis of legal and health evidence

et al. 2022

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Where abortion is legal, it is often regulated through a grounds-based approach. A grounds-based approach to abortion provision occurs when law and policy provide that lawful abortion may be provided only where a person who wishes to have an abortion satisfies stipulated ‘grounds’, sometimes described as ‘exceptions’ or ‘exceptional grounds’. Grounds-based approaches to abortion are, prima facie, restrictive as they limit access to abortion based on factors extraneous to the preferences of the pregnant person. International human rights law specifies that abortion must be available (and not ‘merely’ lawful) where the life or health of the pregnant woman or girl is at risk, or where carrying a pregnancy to term would cause her substantial pain or suffering, including but not limited to situations where the pregnancy is the result of rape or incest or the pregnancy is not viable. However, international human rights law does not specify a grounds-based approach as the way to give effect to this requirement. The aim of this review is to address knowledge gaps related to the health and non-health outcomes plausibly related to the effects of a grounds-based approach to abortion regulation. The evidence from this review shows that grounds have negative implications for access to quality abortion and for the human rights of pregnant people. Further, it shows that grounds-based approaches are insufficient to meet states’ human rights obligations. The evidence presented in this review thus suggests that enabling access to abortion on request would be more rights-enhancing than grounds-based approaches to abortion regulation.

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The impact of the legalisation of abortion on birth outcomes in Uruguay

Cited by 16 publications

References 53 publications

Adolescent pregnancy, public policies, and targeted programs in Latin America and the Caribbean: a systematic review

Adolescent pregnancy, public policies, and targeted programs in Latin America and the Caribbean: a systematic review

Birth Collapse and a Large‐Scale Access Intervention with Subdermal Contraceptive Implants

The impact of ‘grounds’ on abortion-related outcomes: a synthesis of legal and health evidence

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