Medical abortion: A path to safe, high-quality abortion care in Latin America and the Caribbean
Medical abortion: A path to safe, high-quality abortion care in Latin America and the Caribbean
复制标题
DOI：
10.3109/13625187.2013.824564
复制
发表时间：
2013-12-01
影响因子：
1.7
通讯作者：
Pena, Melanie
中科院分区：
文献类型：
--
作者：
Dzuba, Ilana G.;Winikoff, Beverly;Pena, Melanie
背景拉丁美洲和加勒比地区的堕胎率几乎是西欧的三倍，这是由于避孕措施使用较少和堕胎法限制性很强。妇女诉诸秘密的、往往不安全的方法来终止意外怀孕，使自己面临并发症和死亡的风险。药物流产（MA）提供了一个更安全的替代方案。Objectives为了提供MA对减少并发症的贡献的证据，描述提高安全MA的策略，并强调在LAC中获得的现有障碍，结果与其他自我治疗方法相比，使用MA的LAC患者与人工流产相关的发病率和死亡率显著下降，治疗并发症的费用也较低。归纳法电话热线、远程医疗和减少伤害模式促进了获得更安全堕胎的机会，并通过促进关于MA正确使用的信息，帮助降低并发症发生率。米索前列醇在大多数拉丁美洲和加勒比国家注册，但获取越来越受到法规和cost.Conclusion的限制，尽管在拉丁美洲和加勒比高度限制性的堕胎法，MA增加获得更安全的堕胎。然而，仍然存在重大障碍，必须做更多的工作，以促进该区域妇女使用现代避孕药具和更安全的堕胎方法。
Background Abortion rates in Latin America and the Caribbean (LAC) are nearly triple those in Western Europe, due to less use of contraception and highly restrictive abortion laws. Women resort to clandestine and often unsafe methods to end unwanted pregnancies, exposing themselves to the risk of complications and mortality. Medical abortion (MA) presents a safer alternative.Objectives To present evidence of MA's contributions to reduced complications, describe strategies to enhance safe MA, and highlight existing barriers to access in LAC, while examining MA's role in newly legal abortion services.Results Substantial declines in abortion-related morbidity and mortality and lower costs of treating complications are observed in LAC with MA than with other self-induction methods. Telephone hotlines, telemedicine and harm reduction models enhance access to safer abortion and help reduce complication rates by facilitating information on MA's proper use. Misoprostol is registered in most LAC countries, but access is increasingly limited by regulations and cost.Conclusion Despite highly restrictive abortion laws in LAC, MA increases access to safer abortion. Yet, significant barriers remain and much more must be done to enhance use of modern contraceptive and safer abortion methods among women in the region.