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Related Experiment Videos

Unsafe abortion: an avoidable tragedy.

Paul F A Van Look1, Jane C Cottingham

  • 1Department of Reproductive Health and Research, World Health Organization, 1211 Geneva 27, Switzerland.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|June 4, 2002
PubMed
Summary
This summary is machine-generated.

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Unsafe abortion causes tens of thousands of deaths and widespread infertility annually. Improving access to contraception and safe abortion services, alongside better provider training, is crucial for prevention.

Area of Science:

  • Public Health
  • Women's Health
  • Reproductive Health

Background:

  • Unsafe abortion results in 60,000-70,000 annual deaths and numerous long-term health issues like infertility.
  • High rates of unwanted pregnancy stem from contraceptive access issues, misinformation, coercion, and method failure.
  • Restrictive legal and policy environments significantly impede access to safe abortion services.

Purpose of the Study:

  • To outline the scope of the unsafe abortion problem and its contributing factors.
  • To review current safe methods for early and second-trimester abortion.
  • To propose strategies for the prevention of unsafe abortion.

Main Methods:

  • Literature review of causes, consequences, and management of unsafe abortion.
  • Identification of safe and effective abortion procedures (vacuum aspiration, medical abortion, dilatation and evacuation).

Related Experiment Videos

  • Analysis of contributing factors including access to contraception and legal/policy barriers.
  • Main Results:

    • Vacuum aspiration and medical abortion (mifepristone/prostaglandin) are safe for early pregnancy termination.
    • Second-trimester abortion options include prostaglandin and dilatation and evacuation.
    • Preventive strategies require enhanced provider skills, improved contraceptive and abortion services, and better partner communication.

    Conclusions:

    • Addressing unsafe abortion necessitates a multi-faceted approach focusing on reproductive health services.
    • Improving access to and information about contraception is vital.
    • Policy changes and provider training are essential to reduce mortality and morbidity from unsafe abortions.