The incidence of induced abortion in Kinshasa, Democratic Republic of Congo, 2016.
The incidence of induced abortion in Kinshasa, Democratic Republic of Congo, 2016.
复制标题
DOI：
10.1371/journal.pone.0184389
复制
发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Bankole A
中科院分区：
文献类型：
--
作者：
Chae S;Kayembe PK;Philbin J;Mabika C;Bankole A
在刚果民主共和国，刑法禁止堕胎。然而，在实践中，人们普遍接受这种手术可以挽救孕妇的生命。尽管堕胎受到严格限制，但坊间证据表明，妇女经常采取秘密堕胎的方式，其中许多是不安全的。然而，到目前为止，还没有官方统计数据或可靠的数据来支持这一说法。我们的研究首次估计了金沙萨堕胎和意外怀孕的发生率。我们应用流产发生率并发症法(AICM)来估计流产和意外妊娠的发生率。我们使用卫生设施调查和预期发病率调查的数据来确定每年在卫生设施接受流产并发症治疗的妇女人数。我们还使用了卫生专业人员调查的数据来计算乘数，该乘数代表在卫生机构接受治疗的每个人工流产并发症的堕胎次数。2016年，估计有37865名妇女在金沙萨的医疗机构接受人工流产并发症治疗。在设施中接受治疗的每一名妇女发生的堕胎次数几乎是这一数字的四倍。总体而言，估计进行了146,713次堕胎，导致每1000名15-49岁妇女中有56人堕胎率。此外，发生了343,000多起意外怀孕，导致意外怀孕率为每1,000名15-49岁妇女中有147人。增加避孕药具的使用可以减少意外怀孕的妇女人数，从而导致更少的妇女进行不安全堕胎，遭受堕胎并发症，以及不必要地死于不安全堕胎。增加安全堕胎的机会和改善堕胎后护理是可以采取的其他措施，以减少不安全堕胎和/或其负面后果，包括产妇死亡率。
In the Democratic Republic of Congo, the penal code prohibits the provision of abortion. In practice, however, it is widely accepted that the procedure can be performed to save the life of a pregnant woman. Although abortion is highly restricted, anecdotal evidence indicates that women often resort to clandestine abortions, many of which are unsafe. However, to date, there are no official statistics or reliable data to support this assertion. Our study provides the first estimates of the incidence of abortion and unintended pregnancy in Kinshasa. We applied the Abortion Incidence Complications Method (AICM) to estimate the incidence of abortion and unintended pregnancy. We used data from a Health Facilities Survey and a Prospective Morbidity Survey to determine the annual number of women treated for abortion complications at health facilities. We also employed data from a Health Professionals Survey to calculate a multiplier representing the number of abortions for every induced abortion complication treated in a health facility. In 2016, an estimated 37,865 women obtained treatment for induced abortion complications in health facilities in Kinshasa. For every woman treated in a facility, almost four times as many abortions occurred. In total, an estimated 146,713 abortions were performed, yielding an abortion rate of 56 per 1,000 women aged 15–49. Furthermore, more than 343,000 unintended pregnancies occurred, resulting in an unintended pregnancy rate of 147 per 1,000 women aged 15–49. Increasing contraceptive uptake can reduce the number of women who experience unintended pregnancies, and as a consequence, result in fewer women obtaining unsafe abortions, suffering abortion complications, and dying needlessly from unsafe abortion. Increasing access to safe abortion and improving post-abortion care are other measures that can be implemented to reduce unsafe abortion and/or its negative consequences, including maternal mortality.
登录
查看更多内容
影响因子：
2.9
作者：
Borgatta, L;Mullally, B;Chen, A
通讯作者：
Chen, A
DOI：
10.1363/3415808
发表时间：
2008-12-01
期刊：
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Juarez, Fatima;Singh, Susheela;Diaz Olavarrieta, Claudia
通讯作者：
Diaz Olavarrieta, Claudia
影响因子：
1.5
作者：
Parnell, AM;Rodgers, JL
通讯作者：
Rodgers, JL
影响因子：
2.9
作者：
Kayembe, Patrick Kalambayi;Fatuma, Alphonsine Busangu;Mambu, Therese
通讯作者：
Mambu, Therese
DOI：
10.4102/phcfm.v2i1.78
发表时间：
2010-01-01
影响因子：
2
作者：
Paluku, Lussy J.;Mabuza, Langalibalele H.;Ndimande, John V.
通讯作者：
Ndimande, John V.