Abortion in the context of COVID-19: a human rights imperative.
Abortion in the context of COVID-19: a human rights imperative.
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DOI：
10.1080/26410397.2020.1758394
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发表时间：
2020-12
影响因子：
6
通讯作者：
Shah PK
中科院分区：
文献类型：
--
作者：
Todd-Gher J;Shah PK
过去的全球卫生紧急情况表明，在危机期间，获得安全堕胎的机会可能受到负面影响。[1]虽然各州的COVID-19应对措施仍在不断发展，但卫生系统负担的增加可能会大幅减少堕胎的机会。2随着提供者受到感染，一些国家提供堕胎服务的诊所已经关闭。限制行动的封锁和隔离令也可能加剧现有堕胎限制的危害，这些限制要求多次就诊，例如强制等待期，并增加妇女感染COVID-19的风险，以及妨碍保密和破坏堕胎药物的供应链。初步报告显示，由于避孕用品迅速减少、家庭暴力发生率增加以及收入不安全感加剧，各州的COVID-19应对措施可能会导致意外怀孕和意外怀孕增加。强迫继续意外怀孕在几种情况下被认为是侵犯人权的行为，包括对孕妇的身体或精神健康有可预见的影响。此外，怀孕在危机期间带来更高的风险，而COVID-19可能会对怀孕相关护理造成新的障碍。3
Past global health emergencies show that access to safe abortion can be negatively impacted during crises. 1 While states’ COVID-19 responses are still evolving, increasing burdens on health systems are likely to substantially reduce abortion access. 2 As providers become infected, clinics providing abortion in some countries have already closed down. Lockdown and quarantine orders restricting movement may also exacerbate the harm of existing abortion restrictions that require multiple clinic visits, such as mandatory waiting periods, and increase women’s† risk of COVID-19 infection, as well as impede confidentiality and disrupt supply-chains for abortion medication.Yet abortion services are more essential now than ever. Preliminary reports indicate that states’ COVID-19 responses may lead to increased unintended and unwanted pregnancies due to quickly diminishing contraceptive supplies, increased incidence of domestic violence, and rising income insecurity. Compelling continuation of unwanted pregnancies is recognised as a human rights violation in several circumstances, including where there are foreseeable physical or mental health impacts for pregnant persons. Further, pregnancy carries heightened risks during crises and COVID-19 may create new barriers to pregnancy-related care. 3