Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357 |
Resumo: | This study sought to update knowledge on unsafe abortion in Brazil. We carried out a systematic review with study search and selection on MEDLINE and LILACS, with no language restriction, from 2008 to 2018. We evaluated article quality using the Joanna Briggs Institute instruments. We evaluated 50 articles. The prevalence of induced abortion in Brazil was estimated by a direct method to be 15% in 2010 and 13% in 2016. Higher prevalences were observed in more socially vulnerable populations. There was a decrease in the ratio of induced abortions by 1,000 women of reproductive age in the period 1995-2013, reaching 16 per 1,000 in 2013. Half of all women reported using medications for terminating pregnancies and the number of hospital admissions due to complications from abortion, especially severe complications, decreased from 1992 to 2009. Maternal morbimortality from abortion had a reduced frequency but reached high values in specific contexts. It is likely that maternal deaths from abortion are under-reported. Common mental disorders during pregnancy and postpartum depression were more frequent among women who unsuccessfully attempted to induce an abortion. Findings indicate that abortion is frequently used in Brazil, especially in less-developed regions and by more socially-vulnerable women. Access to safer methods probably contributed to the reduction in hospitalizations due to complications and to the reduction in morbimortality from abortion. However, half of all women still resort to other methods and the number of admissions due to complications from abortion is still high. |
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Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018Aborto inseguro no Brasil: revisão sistemática da produção científica, 2008-2018Induced AbortionSystematic ReviewHealth SurveysAborto InduzidoRevisão SistemáticaInquéritos EpidemiológicosThis study sought to update knowledge on unsafe abortion in Brazil. We carried out a systematic review with study search and selection on MEDLINE and LILACS, with no language restriction, from 2008 to 2018. We evaluated article quality using the Joanna Briggs Institute instruments. We evaluated 50 articles. The prevalence of induced abortion in Brazil was estimated by a direct method to be 15% in 2010 and 13% in 2016. Higher prevalences were observed in more socially vulnerable populations. There was a decrease in the ratio of induced abortions by 1,000 women of reproductive age in the period 1995-2013, reaching 16 per 1,000 in 2013. Half of all women reported using medications for terminating pregnancies and the number of hospital admissions due to complications from abortion, especially severe complications, decreased from 1992 to 2009. Maternal morbimortality from abortion had a reduced frequency but reached high values in specific contexts. It is likely that maternal deaths from abortion are under-reported. Common mental disorders during pregnancy and postpartum depression were more frequent among women who unsuccessfully attempted to induce an abortion. Findings indicate that abortion is frequently used in Brazil, especially in less-developed regions and by more socially-vulnerable women. Access to safer methods probably contributed to the reduction in hospitalizations due to complications and to the reduction in morbimortality from abortion. However, half of all women still resort to other methods and the number of admissions due to complications from abortion is still high.El objetivo de este estudio es actualizar el conocimiento sobre el aborto inseguro en el país. Se realizó una revisión sistemática con búsqueda y selección de estudios vía MEDLINE y LILACS, sin restricción de idiomas, durante el período de 2008 a 2018, con una evaluación de la calidad de los artículos mediante instrumentos elaborados por el Instituto Joanna Briggs. Se evaluaron 50 artículos. La prevalencia de aborto inducido en Brasil se estimó por el método directo en un 15% durante el año 2010 y en un 13% durante el año 2016. Se observaron prevalencias más elevadas en poblaciones socialmente más vulnerables. La razón de aborto inducido por 1.000 mujeres en edad fértil se redujo durante el período de 1995-2013, siendo de 16 por 1.000 en 2013. La mitad de las mujeres informó sobre la utilización de medicamentos para la interrupción de la gestación y el número de internamientos por complicaciones del aborto, principalmente complicaciones graves, se redujo durante el período 1992-2009. La morbimortalidad materna por aborto presentó una frecuencia reducida, pero alcanzó valores elevados en contextos específicos. Existe un probable subregistro de óbitos maternos por aborto. Trastornos mentales comunes en la gestación y depresión posparto fueron más frecuentes en mujeres que intentaron inducir un aborto sin éxito. Los resultados encontrados indican que el aborto es usado con frecuencia en Brasil, principalmente en las regiones menos desarrolladas y por mujeres socialmente más vulnerables. El acceso a métodos más seguros probablemente contribuyó a la reducción de internamientos por complicaciones y a la reducción de la morbimortalidad por aborto. Sin embargo, la mitad de las mujeres todavía recurre a otros métodos y el número de internamientos por complicaciones del aborto es todavía elevado.O objetivo deste estudo é atualizar o conhecimento sobre o aborto inseguro no país. Foi realizada uma revisão sistemática com busca e seleção de estudos via MEDLINE e LILACS, sem restrição de idiomas, no período 2008 a 2018, com avaliação da qualidade dos artigos por meio dos instrumentos elaborados pelo Instituto Joanna Briggs. Foram avaliados 50 artigos. A prevalência de aborto induzido no Brasil foi estimada por método direto em 15% no ano de 2010 e 13% no ano de 2016. Prevalências mais elevadas foram observadas em populações socialmente mais vulneráveis. A razão de aborto induzido por 1.000 mulheres em idade fértil reduziu no período 1995-2013, sendo de 16 por 1.000 em 2013. Metade das mulheres referiu a utilização de medicamentos para a interrupção da gestação e o número de internações por complicações do aborto, principalmente complicações graves, reduziu no período 1992-2009. A morbimortalidade materna por aborto apresentou frequência reduzida, mas alcançou valores elevados em contextos específicos. Há um provável sub-registro de óbitos maternos por aborto. Transtornos mentais comuns na gestação e depressão pós-parto foram mais frequentes em mulheres que tentaram induzir um aborto sem sucesso. Os resultados encontrados indicam que o aborto é usado com frequência no Brasil, principalmente nas regiões menos desenvolvidas e por mulheres socialmente mais vulneráveis. O acesso a métodos mais seguros provavelmente contribuiu para a redução de internações por complicações e para a redução da morbimortalidade por aborto. Entretanto, metade das mulheres ainda recorre a outros métodos e o número de internações por complicações do aborto é ainda elevado.Reports in Public HealthCadernos de Saúde Pública2020-02-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357Reports in Public Health; Vol. 36 No. 13 (2020): Supplement 1Cadernos de Saúde Pública; v. 36 n. 13 (2020): Suplemento 11678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357/16198https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357/16199https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357/16200https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357/16201Rosa Maria Soares Madeira DominguesSandra Costa FonsecaMaria do Carmo LealEstela M. L. AquinoGreice M. S. Menezesinfo:eu-repo/semantics/openAccess2024-03-06T15:29:53Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7357Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:27.302729Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018 Aborto inseguro no Brasil: revisão sistemática da produção científica, 2008-2018 |
title |
Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018 |
spellingShingle |
Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018 Rosa Maria Soares Madeira Domingues Induced Abortion Systematic Review Health Surveys Aborto Induzido Revisão Sistemática Inquéritos Epidemiológicos |
title_short |
Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018 |
title_full |
Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018 |
title_fullStr |
Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018 |
title_full_unstemmed |
Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018 |
title_sort |
Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018 |
author |
Rosa Maria Soares Madeira Domingues |
author_facet |
Rosa Maria Soares Madeira Domingues Sandra Costa Fonseca Maria do Carmo Leal Estela M. L. Aquino Greice M. S. Menezes |
author_role |
author |
author2 |
Sandra Costa Fonseca Maria do Carmo Leal Estela M. L. Aquino Greice M. S. Menezes |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rosa Maria Soares Madeira Domingues Sandra Costa Fonseca Maria do Carmo Leal Estela M. L. Aquino Greice M. S. Menezes |
dc.subject.por.fl_str_mv |
Induced Abortion Systematic Review Health Surveys Aborto Induzido Revisão Sistemática Inquéritos Epidemiológicos |
topic |
Induced Abortion Systematic Review Health Surveys Aborto Induzido Revisão Sistemática Inquéritos Epidemiológicos |
description |
This study sought to update knowledge on unsafe abortion in Brazil. We carried out a systematic review with study search and selection on MEDLINE and LILACS, with no language restriction, from 2008 to 2018. We evaluated article quality using the Joanna Briggs Institute instruments. We evaluated 50 articles. The prevalence of induced abortion in Brazil was estimated by a direct method to be 15% in 2010 and 13% in 2016. Higher prevalences were observed in more socially vulnerable populations. There was a decrease in the ratio of induced abortions by 1,000 women of reproductive age in the period 1995-2013, reaching 16 per 1,000 in 2013. Half of all women reported using medications for terminating pregnancies and the number of hospital admissions due to complications from abortion, especially severe complications, decreased from 1992 to 2009. Maternal morbimortality from abortion had a reduced frequency but reached high values in specific contexts. It is likely that maternal deaths from abortion are under-reported. Common mental disorders during pregnancy and postpartum depression were more frequent among women who unsuccessfully attempted to induce an abortion. Findings indicate that abortion is frequently used in Brazil, especially in less-developed regions and by more socially-vulnerable women. Access to safer methods probably contributed to the reduction in hospitalizations due to complications and to the reduction in morbimortality from abortion. However, half of all women still resort to other methods and the number of admissions due to complications from abortion is still high. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-02-10 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357/16198 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357/16199 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357/16200 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7357/16201 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html text/html application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 36 No. 13 (2020): Supplement 1 Cadernos de Saúde Pública; v. 36 n. 13 (2020): Suplemento 1 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
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FIOCRUZ |
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Cadernos de Saúde Pública |
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Cadernos de Saúde Pública |
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Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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