Unsafe abortion

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Unsafe abortion is a significant cause of maternal mortality and morbidity in the world, especially in developing countries (95% of unsafe abortions take place in developing countries).

Overview

Every year, 40 million induced abortions occur globally (IPAS); and according to the 2000 estimates (WHO), 19 million unsafe abortions take place each year. According to WHO, approximately 68,000 women die annually as a result of complications of unsafe abortion; and between two million and seven million women each year survive unsafe abortion but sustain long-term damage or disease (incomplete abortion, infection (sepsis), haemorrhage, and injury to the internal organs, such as puncturing or tearing of the uterus).(IPAS) According to WHO statistics, one in ten pregnancies ends in an unsafe abortion. The risk rate for unsafe abortion is 1/270; according to other sources, unsafe abortion is responsible for one in eight maternal deaths.

In order to limit the number of deaths caused by unsafe abortion, WHO recommendations are priority for prevention of unplanned pregnancies, followed by improving the quality of abortion services and post-abortion care (when safe abortion services are not available, services to treat the complications of unsafe abortion can consume up to 50% of hospital resources).

  • Unsafe abortion in the world
    • where abortion is illegal: Abortion law
    • where abortion is legal, but there is lack of provision of medical services
Unsafe Abortion: Mortality and Risk Estimates of Death data from WHO press, Geneva, 1997
Region Unsafe Abortion Risk of Dying (UnsafeAbortion) / (MaternalDeaths) * 100
Africa 1 in 150 13%
Asia[1] 1 in 250 12%
Latin America 1 in 900 21%
Europe[2] 1 in 1900 17%

Back-alley abortion

Image:RussianAbortionPoster.jpg
Soviet poster circa 1925. Title translation: "Abortions performed by either trained or self-taught midwives not only maim the woman, they also often lead to death."

A back-alley abortion (back street abortion in the United Kingdom) is the common slang term for an illegal abortion in the United States.

The wire coat hanger method was a popularly known back alley abortion procedure, although they were not the norm. In fact, Mary Calderone, former medical director of Planned Parenthood, said, in a 1960 printing of the American Journal of Public Health:

"Abortion is no longer a dangerous procedure. This applies not just to therapeutic abortions as performed in hospitals but also to so-called illegal abortions as done by physician. In 1957 there were only 260 deaths in the whole country attributed to abortions of any kind…Second, and even more important, the conference [on abortion sponsored by Planned Parenthood] estimated that 90 percent of all illegal abortions are presently being done by physicians…Whatever trouble arises usually arises from self-induced abortions, which comprise approximately 8 percent, or with the very small percentage that go to some kind of non-medical abortionist…So remember…abortion, whether therapeutic or illegal, is in the main no longer dangerous, because it is being done well by physicians."

Herbal abortions (when done illegally) can also be described as back-alley abortions because they are not induced in a medical facility.[citation needed]

Controversy

The back-alley abortion phenomenon received public attention leading up to the legal proceedings of Roe v. Wade, the 1973 United States Supreme Court decision which legalized abortion in America. Since then, it has become a central argument on the part of some prominent legal abortion advocates. The publication in Ms. magazine of a photo of Gerri Santoro, who died of blood loss following a back-alley abortion, was used extensively to illustrate the dangers of illegal abortions.

Bernard Nathanson, a pro-life doctor who, by his account, formerly performed thousands of abortions, has renounced statistics of women who allegedly died from back-alley abortions in the United States. He has asserted on numerous occasions that he and several other colleagues, who later became instrumental in abortion's legalization, had fabricated and disseminated many statistics about back-alley abortions for the purpose of leading the public to adhere to their justification for abortion.[3]

Notes

  1. Excludes Japan, Australia and New Zealand
  2. Primarily Eastern Europe
  3. Confession of an Ex-Abortionist by Dr. Bernard Nathanson

See also

External links


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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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