On the futility of legalizing abortion.
Explore the source record for details and available documents.
SEARCH · PubMed Health
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
INTRODUCTION: Due to a rather high complication rate, we decided to analyze data from women, who were readmitted to hospital with complications to legal abortion. MATERIAL: 760 legal abortions performed in 1993-1994 were retrospectively reviewed for complications. RESULTS: We found 66 complications (8.7% (95% confidence limits (6.7-10.7)), that resulted in readmission to hospital. The distribution of complications was as follows: retention 41 (62% (50-74)), infection 12 (18% (9-27)), bleeding and pain 11 (17% (8-26)) and perforation two (3% (0-7)). There was a slight correlation between a stronger midline echo on ultrasound measurement of the uterine cavity and finding placental tissue on histological examination of the material obtained from reevacuation. The time interval between legal abortion and reevacuation was nine days. Retroflexio uteri was not correlated with reevacuation. CONCLUSIONS: We found a statistically increased risk of complications following legal abortion relative to the figures reported by the national health authority, but not significantly higher than that found in other reports. Moreover, a conservative attitude to retention can reduce the number of reevacuatio uteri after legal abortion.
Explore the source record for details and available documents.
Legal abortion-related mortality as reported to the Centers for Disease Control declined eightfold between 1972 and 1981. However, the causes of legal abortion mortality have changed over time. We reviewed all legal abortion-related deaths that occurred between 1972 and 1985 in the United States. We found that, although the absolute number of legal abortion-related deaths caused by general anesthesia complications did not increase, the proportion of such deaths increased significantly, from 7.7% between 1972 and 1975 to 29.4% between 1980 and 1985. Women who died of general anesthesia complications did not differ by age, presence of preexisting medical conditions, or type of facility from women who died of other causes. However, the proportion of deaths from general anesthesia complications was significantly higher among women of black and other races, women obtaining abortions during the first trimester, and women obtaining abortions in the Northeast. Our results indicate that at least 23 of the 27 deaths were due to hypoventilation and/or loss of airway resulting in hypoxia. Persons administering general anesthesia for abortion must be skilled in airway management as well as the provision of general anesthesia.
At hospitals in three cities where public funding for legal abortions had been restricted, we reviewed the records of women with complications of all types of abortions. We compared the number of complications in the year before funding restriction with the number in the following year, during restriction. For complications of illegal and spontaneous abortions, we found no significant change in either the number or proportion of publicly funded hospitalizations. For complications of legal abortions, we found a decrease in both the number and proportion of publicly funded hospitalizations. For poor women, it appears that restriction of public funding for legal abortions has not markedly increased the number of illegal abortions, but has reduced the number of legal abortions, especially those at later gestational ages, which would have cost more and been at greater risk of complications.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Trends in public attitudes toward legal abortion were analyzed for 1972 and 1978. Data were drawn from seven independent probability samples (N = 10,652) of English-speaking persons 18 years of age or older living in noninstitutional arrangements within the continental United States. Attitudes were derived from responses to six items asking whether it should be possible for a pregnant woman to obtain a legal abortion under six different conditions. Guttman Scalogram Analysis revealed two predominant patterns; approval for all six reasons and approval only for the hard reasons (safeguarding the woman's health, preventing birth of a deformed child, or treating rape). Two major shifts were noted in the level of approval; a considerable increase in 1973 for each reason and a sharp decline in 1978 for all but woman's health and rape. These shifts paralleled the introduction of laws pertaining to abortion.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
In order to facilitate the referral procedure for legal abortion, 26 GPs (34% of all GPs in the region) were given the opportunity to book patients directly to the operating unit, without an outpatient' visit to the gynaecology clinic. Thirty-eight patients booked directly to the operating unit by their GP for a legal abortion were compared to 144 patients referred in the same period of time, in the usual procedure to the outpatients' clinic. The number of legal abortions carried out, reasons for abortions cancelled, problems with the referral procedure and complications were registered. There were no differences between the two groups regarding the percentage of legal abortions carried out, the reasons for cancelled operations, problems with the referral procedure or operative complications. Direct-booking of legal abortion by the GP to the operating unit seems to be a safe and convenient alternative to the referral through a gynaecological outpatients' clinic. Further large scale studies are needed in this new field of communication.
Explore the source record for details and available documents.
Explore the source record for details and available documents.