viernes, 26 de abril de 2019

Why do women still resort to informal sector abortions in countries where abortion is legal? - BMC Series blog

Why do women still resort to informal sector abortions in countries where abortion is legal? - BMC Series blog

Giuliano Russo & Sonia Chemlal

Giuliano Russo & Sonia Chemlal

Giuliano Russo (pictured) is an academic from Queen Mary University of London, where he teaches medicines and human resources for health. Having lived and worked in Africa and South America, Giuliano’s research has focused on the economics of human resources for health and pharmaceutical markets in low-income settings. He is currently the principal investigator for an MRC grant to study the impact of the economic crisis on the health system and its workforce in Brazil.

Sonia Chemlal is a Masters student in Epidemiology at the London School of Hygiene and Tropical Medicine, and hold a BSc in Global Health from Queen Mary University of London. Her research interests include both communicable and non-communicable diseases in high- and low-income settings. She is particularly passionate about women’s health and mental health; currently, she is undertaking a research project to explore the association of maternal and baby characteristics with delivery practices and quality of ante and post-natal care.


Why do women still resort to informal sector abortions in countries where abortion is legal?

Abortion is generally a safe procedure when carried out in the formal healthcare setting in countries where it is legal. However, many women choose to seek abortions outside of the formal healthcare setting, despite the inherent risk. In this blog post, the authors of a recent systematic review of qualitative studies about why women make this choice, published in BMC Women’s Health, discuss their findings.

What is the problem with informal sector abortions?

Despite abortion being legal in many countries, women in both high- and low-income countries commonly seek to terminate unwanted pregnancies outside of the formal healthcare system. Informal sector abortions (ISAs) are not inherently unsafe, particularly when performed by a skilled healthcare provider using safe drugs. However, when clinical guidelines are not followed, the procedure carries a high risk of complications such as hemorrhage, renal failure, infertility, trauma to internal organs, and, in some cases, death. As a result, ISAs are an important contributor to the global burden of maternal mortality and morbidity.

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