[Abortion as a cause of maternal mortality]

Area of Science:

• Obstetrics and Gynecology
• Public Health
• Medical Ethics

Context:

• Maternal mortality rates remain a significant global health concern.
• Illegal abortions contribute substantially to preventable deaths, particularly in the second trimester.
• Sepsis and peritonitis are identified as leading causes of death in this demographic.

Purpose:

• To analyze the causes of death among women in the second trimester of pregnancy.
• To investigate the specific mortality factors associated with illegal abortions.
• To identify deficiencies in medical care contributing to maternal deaths.

Summary:

• A study of 343 women revealed that 65.8% died during the second trimester, and 69.6% of these deaths followed illegal abortions.
• Sepsis and peritonitis were the predominant causes of death, accounting for 73.9% in the general population and 88.6% among those who underwent illegal abortions.
• The findings indicate significant defects in the provision of medical care.

Impact:

• Highlights the critical need for improved access to safe abortion services and comprehensive maternal healthcare.
• Underscores the importance of addressing medical care deficiencies to reduce preventable maternal mortality.
• Provides data to inform public health policies aimed at protecting women's reproductive health and safety.