Legal abortion requests and outcomes for women when the law is restrictive - experience from a referral centre in south-eastern Brazil.

Autor:	Yánez-Sánchez P; Gynecological Division, Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil., de Lima SO; Gynecological Division, Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil., Alabarse OP; Gynecological Division, Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil., Guida JPS; Gynecological Division, Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil., Makuch MY; Campinas Reproductive Health Research Center (CEMICAMP), São Paulo, Brazil.; Rua Vital Brasil 200, Cidade Universitária, Campinas, Brazil., de Azevedo RCS; Department of Medical Psychology and Psychiatry, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil., Fernandes A; Gynecological Division, Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil.
Jazyk:	angličtina
Zdroj:	The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception [Eur J Contracept Reprod Health Care] 2024 Jun; Vol. 29 (3), pp. 131-137. Date of Electronic Publication: 2024 Apr 29.
DOI:	10.1080/13625187.2024.2333423
Abstrakt:	Methods: Retrospective cohort study with review of medical records of women assisted between 2015 and 2020. The variables were socio-demographic and SV characteristics, gestational age, reactions towards pregnancy and outcome. We compared outcome groups using the chi-square test, Fisher's exact test and the Kruskal-Wallis test. The significance level was 5%. Results: We evaluated the medical records of 235 women, of which 153(65%) had undergone to abortion; 17(7.2%) had a spontaneous abortion; 19(8%) remained pregnant; 25(10.6%) had an abortion denied; and 21(8.9%) had been lost to follow-up. Out of the total number of women, 44(18.7%) were adolescents, 152(65.2%) were white and 201(88.5%) had an education ≥9 years. Women who remained pregnant had a known aggressor, disclosed the pregnancy ( p  < 0.001) and were more ambivalent ( p  < 0.001) than the other groups. Gestational age was higher in the denied abortion group than in the performed abortion group ( p  < 0.001). Conclusion: Feelings related to decision-making about abortion affected all groups, with differences. It is important to give women space to be heard, so they can make their own decisions.
Databáze:	MEDLINE
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