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2017 ; 29
(1
): 58-67
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Induced Abortion: a Systematic Review and Meta-analysis
#MMPMID28484357
Dastgiri S
; Yoosefian M
; Garjani M
; Kalankesh LR
Mater Sociomed
2017[Mar]; 29
(1
): 58-67
PMID28484357
show ga
BACKGROUND: Induced abortion accounts for 1 in 8 of approximately 600000 maternal
deaths that occur annually worldwide. Induced abortion rate can be considered as
one of the indicators for assessing availability of the appropriate reproductive
health plans for women and identifying needs for appropriate related health
policies and programs. MATERIAL AND METHODS: Researchers searched Pubmed, Google
Scholar, CINAHL, Embase, PsycINFO, Cochrane, Iranian Scientific Information
Database (SID), Iranian biomedical journals (Iranmedex), and Iranian Research
Institute of Information and Documentation (Irandoc) between January 2000 and
June 2013, which reported induced abortion. Search terms from two categories
including abortion and termination of pregnancy were compiled. The search terms
were "induced abortion", "illegal abortion", "illegal abortion", "unsafe
abortion", and "criminal abortion". The search was also conducted with "induced
termination of pregnancy", "illegal termination of pregnancy", "illegal
termination of pregnancy", "unsafe termination of pregnancy" and "criminal
termination of pregnancy". Meta-analysis was carried out by using OpenMeta
software. Induced abortion rates were calculated based on the random effect
model. RESULTS: Overall induced abortion rate was obtained 58.1 per 1000 women
(95%CI: 55.16-61.04). In continental level, rate of induced abortion was 14 per
1000 women (95%CI: 11-16). Nation-wide and local rates were obtained 67.27 per
1000 women (95% CI: 60.02-74.23) and 148.92 (95% CI: 140.06-157.79) respectively.
DISCUSSION AND CONCLUSION: Induced abortion is a major public health problem that
occurs worldwide whether under the legal restriction or freedom, and it remains
as reproductive health concern globally. To eliminate the need for induced
abortion is at the core of any effort for preventing this issue. Option with the
highest priority is to prevent unwanted pregnancies through promoting
reproductive health plans for women of reproductive age. In case the prevention
strategies fail, universal provision of safe abortion services should be put in
place.