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Romero, Mariana
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Gomez Ponce De Leon, Rodolfo
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Baccaro, Luiz Francisco
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Carroli, Berenise
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Mehrtash, Hedieh
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Randolino, Jimena
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Menjivar, Elisa
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Estevez Saint Hilaire, Erika
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Huatuco, Maria del Pilar
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Hernandez Muñoz, Rosalinda
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Garcia Camacho, Gabriela
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Thwin, Soe Soe
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Campodonico, Liana
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Abalos, Edgardo Javier
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Giordano, Daniel
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Gamerro, Hugo
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Kim, Caron Rahn
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Ganatra, Bela
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Gülmezoglu, Metin
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Tuncalp, Özge
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Carroli, Guillermo
dc.date.available
2023-08-09T13:22:51Z
dc.date.issued
2021-08
dc.identifier.citation
Romero, Mariana; Gomez Ponce De Leon, Rodolfo; Baccaro, Luiz Francisco; Carroli, Berenise; Mehrtash, Hedieh; et al.; Abortion-related morbidity in six Latin American and Caribbean countries: Findings of the WHO/HRP multi-country survey on abortion (MCS-A); BMJ Publishing Group; BMJ Global Health; 6; 8; 8-2021; 1-21
dc.identifier.uri
http://hdl.handle.net/11336/207568
dc.description.abstract
Introduction Abortion-related complications are a significant cause of morbidity and mortality among women in many Latin American and Caribbean (LAC) countries. The objective of this study was to characterise abortion-related complication severity, describe the management of these complications and report women's experiences with abortion care in selected countries of the Americas region. Methods This is a cross-sectional study of 70 health facilities across six countries in the region. We collected data on women's characteristics including socio-demographics, obstetric history, clinical information, management procedures and using Audio Computer-Assisted Self-Interviewing (ACASI) survey the experience of abortion care. Descriptive bivariate analysis was performed for women's characteristics, management of complications and reported experiences of abortion care by severity of complications, organised in five hierarchical mutually exclusive categories based on indicators present at assessment. Generalised linear estimation models were used to assess the association between women's characteristics and severity of complications. Results We collected data on 7983 women with abortion-related complications. Complications were classified as mild (46.3%), moderate (49.5%), potentially life-threatening (3.1%), near-miss cases (1.1%) and deaths (0.2%). Being single, having a gestational age of ≥13 weeks and having expelled products of conception before arrival at the facility were significantly associated with experiencing severe maternal outcomes compared with mild complications. Management of abortion-related complications included both uterotonics and uterine evacuation for two-thirds of the women while one-third received uterine evacuation only. Surgical uterine evacuation was performed in 93.2% (7437/7983) of women, being vacuum aspiration the most common one (5007/7437, 67.4%). Of the 327 women who completed the ACASI survey, 16.5% reported having an induced abortion, 12.5% of the women stated that they were not given explanations regarding their care nor were able to ask questions during their examination and treatment with percentages increasing with the severity of morbidity. Conclusions This is one of the first studies using a standardised methodology to measure severity of abortion-related complications and women's experiences with abortion care in LAC. Results aim to inform policies and programmes addressing sexual and reproductive rights and health in the region.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
BMJ Publishing Group
dc.rights
info:eu-repo/semantics/restrictedAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
MATERNAL HEALTH
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PUBLIC HEALTH
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Ciencias Biomédicas Sociales
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Abortion-related morbidity in six Latin American and Caribbean countries: Findings of the WHO/HRP multi-country survey on abortion (MCS-A)
dc.type
info:eu-repo/semantics/article
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info:ar-repo/semantics/artículo
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info:eu-repo/semantics/publishedVersion
dc.date.updated
2023-08-08T13:06:09Z
dc.identifier.eissn
2059-7908
dc.journal.volume
6
dc.journal.number
8
dc.journal.pagination
1-21
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Londres
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Fil: Romero, Mariana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudios de Estado y Sociedad; Argentina
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Fil: Gomez Ponce De Leon, Rodolfo. Pan American Health Organization; Uruguay
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Fil: Baccaro, Luiz Francisco. Universidade Estadual de Campinas; Brasil
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Fil: Carroli, Berenise. Crep; Argentina
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Fil: Mehrtash, Hedieh. Organización de las Naciones Unidas. Unicef. Fondo de las Naciones Unidas para la Infancia; Argentina
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Fil: Randolino, Jimena. Crep; Argentina
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Fil: Menjivar, Elisa. Pan American Health Organization; El Salvador
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Fil: Estevez Saint Hilaire, Erika. Hospital Materno-infantil San Lorenzo de Los Minas; República Dominicana
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Fil: Huatuco, Maria del Pilar. Seguro Social de Salud del Perú; Perú
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Fil: Hernandez Muñoz, Rosalinda. Pan American Health Organization; Bolivia
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Fil: Garcia Camacho, Gabriela. Crep; Argentina
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Fil: Thwin, Soe Soe. Organización de las Naciones Unidas. Unicef. Fondo de las Naciones Unidas para la Infancia; Argentina
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Fil: Campodonico, Liana. Crep; Argentina
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Fil: Abalos, Edgardo Javier. Crep; Argentina
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Fil: Giordano, Daniel. Crep; Argentina
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Fil: Gamerro, Hugo. Crep; Argentina
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Fil: Kim, Caron Rahn. Organización de las Naciones Unidas. Unicef. Fondo de las Naciones Unidas para la Infancia; Argentina
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Fil: Ganatra, Bela. Organización de las Naciones Unidas. Unicef. Fondo de las Naciones Unidas para la Infancia; Argentina
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Fil: Gülmezoglu, Metin. Organización de las Naciones Unidas. Unicef. Fondo de las Naciones Unidas para la Infancia; Argentina
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Fil: Tuncalp, Özge. Organización de las Naciones Unidas. Unicef. Fondo de las Naciones Unidas para la Infancia; Argentina
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Fil: Carroli, Guillermo. Crep; Argentina
dc.journal.title
BMJ Global Health
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1136/bmjgh-2021-005618
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://gh.bmj.com/content/6/8/e005618
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