不安全的堕胎:可以预防的流行病
David A Grimes1, Janie Benson, Susheela Singh
1Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7570, USA. dagrimes@mindspring.com
Lancet (London, England)
|November 28, 2006
概括
不安全的堕胎每年造成68000人死亡,主要是在发展中国家. 改善获得安全,合法堕胎和综合生殖保健的机会对妇女至关重要.
科学领域:
- 公共卫生 公共卫生
- 人权 人权 人权 人权 人权.
- 生殖健康 生殖健康
背景情况:
- 不安全的堕胎是一个主要的全球卫生问题,不成比例地影响发展中国家的妇女.
- 据估计,每年有19-2000万次不安全的堕胎,导致68000人死亡,数百万人出现并发症.
- 死亡原因包括出血,感染和中毒,对医疗保健系统造成重大经济负担.
研究的目的:
- 强调迫切需要解决不安全堕胎的沉默大流行.
- 强调堕胎合法化是必要的,但在没有获得合格护理的情况下是不够的.
- 强调获得安全,合法堕胎作为全球妇女的基本人权.
主要方法:
- 全球堕胎统计和死亡率的分析.
- 审查各种国家的堕胎法律和获得护理的影响 (例如,印度,罗马尼亚).
- 检查堕胎护理技术的进步,如手动真空吸收和米索普罗斯托尔.
主要成果:
- 仅仅是合法化并不能保证安全堕胎的机会;对合格护理的障碍仍然存在.
- 改善安全堕胎的机会与更好的妇女健康结果相关.
- 现代避孕方法可以减少但不能消除堕胎的需要.
结论:
- 解决不安全堕胎问题需要的不仅仅是法律改革;它要求改善获得熟练提供者和安全环境的机会.
- 不安全堕胎导致的死亡率和发病率的主要驱动因素是社会冷漠和对妇女权利的漠视.
- 确保获得安全,合法堕胎对公共卫生和维护妇女人权至关重要.
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