Please use this identifier to cite or link to this item:
Título : Abortion-related morbidity in six Latin American and Caribbean countries: findings of the WHO/HRP multi-country survey on abortion (MCS-A)
Autor : Romero, Mariana 
Ponce de León, Rodolfo 
Baccaro, Luiz Francisco 
Carroli, Berenise 
Mehrtash, Hedieh 
Randolino, Jimena 
Menjivar, Elisa 
Estevez Saint-Hilaire, Erika 
Huatuco, Maria del Pilar 
Hernandez Muñoz, Rosalinda 
Garcia Camacho, Gabriela 
Thwin, Soe Soe 
Campodonico, Liana 
Abalos, Edgardo 
Giordano, Daniel 
Gamerro, Hugo 
Rahn Kim, Caron 
Ganatra, Bela 
Gülmezoglu, Metin 
Tuncalp, Özge 
Carroli, Guillermo 
Fecha de publicación : Aug-2021
Citación : BMJ Global Health;Vol. 6 Núm. 8 Agosto (2021)
Resumen : -Introduction: Abortion-related complications are a significant cause of morbidity and mortality among women in many Latin American and Caribbean (LAC) countries. The objective of this study was to characterise abortion-related complication severity, describe the management of these complications and report women’s experiences with abortion care in selected countries of the Americas region.
-Methods: This is a cross-sectional study of 70 health facilities across six countries in the region. We collected data on women’s characteristics including socio-demographics, obstetric history, clinical information, management procedures and using Audio Computer-Assisted Self-Interviewing (ACASI) survey the experience of abortion care. Descriptive bivariate analysis was performed for women’s characteristics, management of complications and reported experiences of abortion care by severity of complications, organised in five hierarchical mutually exclusive categories based on indicators present at assessment. Generalised linear estimation models were used to assess the association between women’s characteristics and severity of complications.
-Results: We collected data on 7983 women with abortion-related complications. Complications were classified as mild (46.3%), moderate (49.5%), potentially life-threatening (3.1%), near-miss cases (1.1%) and deaths (0.2%). Being single, having a gestational age of ≥13 weeks and having expelled products of conception before arrival at the facility were significantly associated with experiencing severe maternal outcomes compared with mild complications. Management of abortion-related complications included both uterotonics and uterine evacuation for two-thirds of the women while one-third received uterine evacuation only. Surgical uterine evacuation was performed in 93.2% (7437/7983) of women, being vacuum aspiration the most common one (5007/7437, 67.4%). Of the 327 women who completed the ACASI survey, 16.5% reported having an induced abortion, 12.5% of the women stated that they were not given explanations regarding their care nor were able to ask questions during their examination and treatment with percentages increasing with the severity of morbidity.
-Conclusions: This is one of the first studies using a standardised methodology to measure severity of abortion-related complications and women’s experiences with abortion care in LAC. Results aim to inform policies and programmes addressing sexual and reproductive rights and health in the region.
Descripción : Fil: Ramos, Silvina. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Appears in Collections:Artículos en publicaciones periódicas

Files in This Item:
File Description SizeFormat 
e005618.full.pdfArtículo en inglés542,88 kBAdobe PDFThumbnail
Show full item record

Page view(s)

checked on Oct 24, 2021


checked on Oct 24, 2021

Google ScholarTM


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.