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Induced Abortion: a Systematic Review and Meta-analysis.

Saeed Dastgiri¹, Maryam Yoosefian², Mehraveh Garjani²

¹School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Materia Socio-Medica

|May 10, 2017

Summary

Induced abortion is a significant global public health issue, with an overall rate of 58.1 per 1000 women. Preventing unwanted pregnancies through reproductive health plans is crucial, alongside ensuring safe abortion services.

Keywords:

Induced Abortion meta-analysis systematic review

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Area of Science:

Public Health
Reproductive Health
Global Health

Background:

Induced abortion contributes to maternal mortality worldwide.
Abortion rates serve as indicators for reproductive health planning and policy needs.

Purpose of the Study:

To determine the global, continental, national, and local rates of induced abortion.
To highlight induced abortion as a public health concern requiring intervention.

Main Methods:

A systematic literature search was conducted across multiple databases (PubMed, Google Scholar, Embase, etc.) from January 2000 to June 2013.
Keywords included various terms for induced and unsafe abortion and termination of pregnancy.
Meta-analysis was performed using OpenMeta software to calculate induced abortion rates based on a random-effects model.

Main Results:

The overall induced abortion rate was found to be 58.1 per 1000 women.
Continental, nation-wide, and local rates were 14, 67.27, and 148.92 per 1000 women, respectively.
Significant variations in rates were observed across different geographical levels.

Conclusions:

Induced abortion is a major global public health problem, irrespective of legal status.
Preventing unwanted pregnancies via reproductive health initiatives is the primary strategy.
Ensuring universal access to safe abortion services is essential if prevention fails.