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Reproductive characteristics and post-abortion health consequences in women undergoing illegal and legal abortion in Maputo.

In the Maputo Central Hospital 103 women undergoing induced legal abortion (LA), 103 women with confirmed, recent illegal abortion (IA), and 100 randomly recruited antenatal clinic (AC) attenders were compared in order to find characteristic features regarding obstetric history, reproductive performance and contraceptive knowledge, attitude and practice. Women with IA were younger, had almost never undergone LA, had more often their first sexual intercourse and their first pregnancy below 20 years of age, had less knowledge of contraceptives and more often had never used contraceptives, had fewer previous spontaneous abortions and fewer previous stillbirths than LA women. There were three maternal deaths, all in the IA group. The most frequent illegal abortionist was a health worker (38%). It is concluded that, in this first comparative African study on IA and LA regarding reproductive profile and post-abortion health consequences, the former are at a disadvantage regarding early unprotected sexual intercourse with first pregnancy at a young age and with almost no experience of safe, legal abortion.

Abortion, Illegal↗

The effect of legalized abortion on morbidity resulting from criminal abortion.

In order to examine the effect of legalized abortion on the complications of criminal abortion, a surveillance system was established at a large urban hospital in Atlanta, Georgia. Between 1969 and 1973, legally induced abortions at this hospital increased logarithmically from 8 to 498 per quarter year. The number of women admitting to attempts at illegal abortion decreased significantly, but the decline began only after three years of increasing numbers of legal abortions. A slight decrease in the number of septic "spontaneous" abortions also occurred. Making legal abortion services available can result in a decrease in morbidity associated with illegal abortions, but the availability of legal abortion must be sufficiently broad to obviate having to resort to criminal means.

Abortion, Illegal↗

Management of uterine perforations in connection with legal abortions.

The incidence of uterine perforation while performing legal abortions was evaluated in the Stockholm area. Among 84,850 legal abortions performed during 1982-1992 there were 145 cases of uterine perforation, 0.17%. In about half of these cases an immediate exploration of the abdomen was decided upon and in 18 patients there were significant bleeding and/or lacerations to organs situated in the pelvis. No case of intestinal perforation was encountered. It is likely that many of these injuries would have healed just as well unattended. Based on this study, the authors advocate a conservative approach in dealing with uterine perforation in connection with vacuum aspiration for legal abortion.

Abortion, Legal↗

Observations on patients two years after legal abortion,.

The patients who underwent legal abortions in 1971 were invited to a follow-up examination 2 years later. 25% of the 562 patients invited came to be examined. Anamnestic data were obtained on 60%. Early complications had occurred in 10% of the cases. During the 2-year period which had elapsed, the 338 patients had had 73 new pregnancies (22%), of which 60% had terminated in delivery. No spontaneous abortions in the second trimester had occurred in the new pregnancies. 15% of the patients had resorted to repeated legal abortion. 44% of the patients were using oral contraceptives or IUCD 2 years after the abortion. A gynecological examination gave rise to a suspicion of cervical insufficiency in 10% of the cases examined. Hysterosalpingography suggested tubal pathology in 18%. In laparoscopy no occurrences of bilateral tubal occlusion were found. The need of new follow-up examination later is obvious.

Abortion, Induced↗

Public opinion and legal abortion in New Zealand.

In 1972 and 1974 opinions on legal abortion were surveyed over national random probability samples each of 2400 respondents aged 15 years and above. Both surveys found majorities favouring certain specific grounds for legal abortion. Some of these reasons approved by the majority are not legal under present law. There is a general consensus in the rank ordering of acceptability of grounds for legal abortion. Polarised minorities of respondents favour absolute legality or illegality of abortion. There has been a swing away from extreme pro- or anti-abortion sentiment to selective support for legal abortion on specific grounds.

Abortion, Legal↗

[Considerations concerning a mathematical model for the analysis of repeated legal abortion].

The phenomenon of an increase in repeat abortion following the legalization of abortion is examined. In particular, the author describes the mathematical model developed by Tietze to analyze repeat abortions following liberalization of abortion law. An attempt is then made to expand the Tietze model. "Repeat abortions are disaggregated by order terminations, the number of prior legal abortions. The purpose is also to show that the effects of heterogeneity might not be valid. Furthermore it must be noticed that, for some order terminations, abortion rates are not always increasing until a steady state is reached." (summary in ENG, FRE)

Abortion Applicants↗

Views of midwives and gynecologists on legal abortion--a population-based study.

BACKGROUND: Little is known about staffs' attitudes and experiences of legal abortion. The aim of this study was to gain knowledge about the views of Swedish midwives and gynecologists on legal abortion. Another aim was to investigate differences between professions and possible impacting factors on these views. METHODS: A questionnaire was sent to a random sample of 258 midwives and 269 gynecologists. The response rate was 84%. RESULTS: The vast majority of all respondents supported the legislation on induced abortion. A great majority also believed that the woman alone should make the decision, and that abortion was not used as a form of contraception. Generally, there were smaller differences among views of female and male gynecologists than among views of female gynecologists and female midwives. For example, female midwives disagreed more than female gynecologists with the statement: 'Legal abortion should be permitted even if the woman has felt fetal movements'. The most impacting factors on views were the extent to which the staffs had been working with legal abortion, especially during the last year, and type of profession. Views were, however, not influenced by private experiences of legal abortion. CONCLUSIONS: The present study highlights that midwives and gynecologists overwhelmingly agree that legal abortion should be allowed. The more experience of working with legal abortion, especially current experience, the less restrictive gynecologists and midwives are in their views. Compared with previous studies, staffs have become more liberal in their attitudes toward abortion and the relevant legislation.

Abortion, Legal↗

The socio-economic determinants of recourse to legal abortion.

"This study of the determinants of legal abortion examines the interconnections between human reproduction and social organization. The hypothesis is that in the context of liberalized abortion laws, the incidence of abortion is determined by the socio-economic circumstances of women. A simple model of this relationship is tested using international data drawn from a sample of countries." The policy implications for welfare and birth control planning are considered, as well as the implications for feminist action.

Abortion, Induced↗

Incidence of legal abortion in Sweden after the Chernobyl accident.

The number of legal abortions in Sweden increased around the time of the Chernobyl accident, particularly in the summer and autumn of 1986. Although there was no recording of reasons for legal abortions, one might have suspected this increase to be a result of fear and anxiety after the accident. However, seen over a longer time perspective, the increase in the number of abortions started before and continued far beyond the time of the accident. There was also a simultaneous and pronounced increase in the number of births during the years subsequent to the accident. Therefore, it seems unlikely that fear of the consequences of radioactive fall-out after the Chernobyl accident resulted in any substantial increase of the number of legal abortions in Sweden.

Abortion, Legal↗