Document Detail


Prevention of unsafe abortion in countries of Central Eastern Europe and Central Asia.
MedLine Citation:
PMID:  20471645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite permissive laws and a well-developed network of facilities, the incidence of unsafe abortion and the resulting maternal mortality is unacceptably high in Central and Eastern Europe and Central Asia, with one-quarter of all maternal deaths reported to occur as a consequence of abortion. Among the reasons that oblige women to submit themselves to risky procedures are new legislative barriers to accessing pregnancy termination, the unequal distribution of abortion services and healthcare providers, the increased costs of abortion services or unofficial payments, coupled with an increase in the number of impoverished and disadvantaged individuals. The quality of abortion services remains very poor. Safe abortion techniques, including manual vacuum aspiration under local anesthesia and medical abortion, are slowly being implemented. Less safe methods such as dilatation and curettage and general anesthesia are widely used. Unsafe techniques are also practiced extensively in the case of second trimester abortions. Many women from these regions of the world still rely on and accept abortion as a means of fertility control. Although abortions have fallen significantly in Eastern Europe over the last decade, both in absolute numbers and as rates, this region continues to have the highest abortion rates in the world. Concerted efforts by governments, professional associations, and international donors are needed to reduce the consequences of unsafe abortion.
Authors:
Stelian Hodorogea; Rodica Comendant
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Publication Detail:
Type:  Journal Article     Date:  2010-05-14
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  110 Suppl     ISSN:  1879-3479     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-04     Completed Date:  2010-09-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  S34-7     Citation Subset:  IM    
Copyright Information:
(c) 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, State Medical University, and Reproductive Health Training Centre, Chisinau, Republic of Moldova. stelianhod@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / legislation & jurisprudence,  mortality*,  statistics & numerical data
Adolescent
Adult
Asia, Central
Contraceptive Agents
Dilatation and Curettage
Europe, Eastern
Family Planning Services
Female
Health Services Accessibility
Humans
Incidence
Maternal Mortality*
Middle Aged
Pregnancy
Pregnancy Trimester, Second
Reproductive Health Services / economics,  supply & distribution
Young Adult
Chemical
Reg. No./Substance:
0/Contraceptive Agents

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