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Abortion USA.

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Abortion, Legal↗

Public policy and female sterilization in Costa Rica.

For 20 years, female sterilization has been increasing in popularity as a contraceptive method in Costa Rica. However, contraceptive sterilization has never been allowed explicitly under Costa Rican law. In 1976 the Costa Rican National Assembly instituted more stringent guidelines regarding medical sterilizations in order to eliminate contraceptive sterilizations, which had been occurring under relatively loose interpretations of national policy. Data from the 1976 National Fertility Survey and the 1981 Contraceptive Prevalence Survey indicate that the change in policy had only a short-term effect. Period sterilization rates fell substantially after 1976 but rebounded considerably by 1980, and the estimate of the proportion of married women who will ultimately be sterilized was approximately .5 for the periods both before and after 1976.

Adolescent↗

Recent trends in the legal status of induced abortion.

During the middle and later years of the twentieth century, a movement to liberalize laws governing induced abortion swept the industrialized world and some of the major developing countries. The changes have generated an increasingly visible reaction among groups that seek to block further liberalization and re-institute restrictions on abortion. An examination of all changes in laws and regulations governing induced abortion that took effect between January, 1988 and February, 1993 found that the overall movement is still in the direction of liberalization of abortion laws, although restrictions have been increased in a few countries. During the time period studied, five countries made major liberalizing changes in their laws, while only one imposed major restrictions.

Abortion, Legal↗

Trends in postabortal mortality and morbidity in Ibadan, Nigeria.

Illegally induced abortion at the University College Hospital, Ibadan increased steadily over a 10-year period (1980-1989) despite increasing availability of family planning services. Abortion was the commonest cause of death in the gynecology service during the period of the study and constituted 36.6% of fatalities. The majority of patients (76.2%) did not accept contraceptives. Almost one-third of the illegal terminations were performed by physicians. Although the percentage of deaths decreased, the contribution of physicians to these fatalities increased, and accounted for 6/9 (66.7%) of fatalities in 1989. This circumstance probably signifies a defect in physician training and ability to perform abortion aftercare. Physicians should be trained in abortion care and laws changed in conjunction with greater drive to improve contraceptive utilization and reduce the incidence of unsafely induced abortion.

Abortion, Illegal↗