Legal abortion services in Brazil – a national study
Legal abortion services in Brazil – a national study
复制标题
DOI：
10.1590/1413-81232015212.10352015
复制
发表时间：
2016-02-01
期刊：
影响因子：
--
通讯作者：
Diniz, Debora
中科院分区：
文献类型：
--
作者：
Madeiro, Alberto Pereira;Diniz, Debora
本文介绍了对巴西 68 家合法堕胎服务进行混合方法研究的结果。服务分两个阶段进行分析。第一阶段是人口普查，向所有机构发送一份有关合法堕胎服务组织情况的电子调查问卷。第二阶段以 5 个参考服务机构为样本进行，每个参考服务机构对应一个国家的每个地区。在此阶段，我们使用表格收集病历中有关妇女和堕胎的数据，并对卫生专业人员进行了 82 次访谈。其中 37 个服务机构告知他们进行合法堕胎，并且这些服务在 7 个州处于非活动状态。 14%、8% 和 8% 的服务分别需要警方报告、法医报告和法院命令。接受堕胎的女性主要是 15 至 29 岁的单身女性和天主教徒。对于因强奸而怀孕的情况，大多数流产都是通过手动真空吸引术进行到 14 周。卫生专业人员表示，服务中面临的主要困难是进行堕胎的医生数量较少以及工作人员培训不足。数据揭示了法律规定与服务实际情况之间的差异。有必要实施更多的服务并加强现有的服务。
This article presents the results of a mixed methods study of 68 legal abortion services in Brazil. The services were analyzed in two stages. The first stage was a census, in which all the institutions were sent an electronic questionnaire about the organization of the legal abortion services. The second stage was conducted in a sample of 5 reference services, one for each region of the country. In this stage, a form was used to collect data about the women and the abortions in the medical records, and 82 interviews with health professionals were conducted. Thirty-seven of the services informed they performed legal abortions, and the services were inactive in 7 states. Police reports, forensic reports, and court orders were required by 14%, 8% and 8% of the services, respectively. Women who underwent abortions were predominantly aged 15-29, single and Catholic. Most abortions were performed until 14 weeks in the case of rape-related pregnancy, by means of manual vacuum aspiration. According to the health professionals, the main difficulties faced in the services are the low availability of physicians to perform abortions and the insufficient training of the staff. The data reveal a discrepancy between the legal provision and the reality of the services. The implementation of more services and the strengthening of the existing services available are necessary.