Document Detail


Maternal mortality and unsafe abortion.
MedLine Citation:
PMID:  18249585     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Unsafe abortions refer to terminations of unintended pregnancies by persons lacking the necessary skills, or in an environment lacking the minimum medical standards, or both. Globally, unsafe abortions account for 67,900 maternal deaths annually (13% of total maternal mortality) and contribute to significant morbidity among women, especially in under-resourced settings. The determinants of unsafe abortion include restrictive abortion legislation, lack of female empowerment, poor social support, inadequate contraceptive services and poor health-service infrastructure. Deaths from unsafe abortion are preventable by addressing the above determinants and by the provision of safe, accessible abortion care. This includes safe medical or surgical methods for termination of pregnancy and management of incomplete abortion by skilled personnel. The service must also include provision of emergency medical or surgical care in women with severe abortion complications. Developing appropriate services at the primary level of care with a functioning referral system and the inclusion of post abortion contraceptive care with counseling are essential facets of abortion care.
Authors:
Susan R Fawcus
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Publication Detail:
Type:  Journal Article     Date:  2008-02-04
Journal Detail:
Title:  Best practice & research. Clinical obstetrics & gynaecology     Volume:  22     ISSN:  1521-6934     ISO Abbreviation:  Best Pract Res Clin Obstet Gynaecol     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-05     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121582     Medline TA:  Best Pract Res Clin Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  533-48     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, University of Cape Town, South Africa. sfawcus@pqwc.gov.za
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / adverse effects,  mortality*
Abortion, Legal / legislation & jurisprudence,  mortality
Adolescent
Adult
Contraception
Female
Humans
Maternal Health Services / standards,  supply & distribution
Maternal Mortality
Middle Aged
Obstetric Labor Complications / mortality,  prevention & control
Pregnancy
Pregnancy Trimester, First
Pregnancy Trimester, Second
Pregnancy, Unplanned
Pregnancy, Unwanted
Sepsis / mortality,  prevention & control
Sex Education

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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