the effect of psychological and social factors in sexual relation

Topics: Abortion, Pregnancy, Unsafe abortion Pages: 5 (2781 words) Published: May 31, 2014
Systematic Review

Zahra Motaghi MSc1
Seyyedeh Zahra Masoumi MSc6

2

, Afsaneh Keramat PhD3, Mohammad Shariati MD4, Masud Yunesian MD PhD5,

Abstract
Introduction: About 44 million induced abortions take place worldwide annually, of which 50% are unsafe. The results of studies investi in Iran.
Methods: National and international electronic databases, as well as conference databases until July 2012 were searched. Reference

of abortions per 1000 women aged 15–44 years in a year) or the ratio (the number of abortions per 100 live births in a year). The secondary outcome of interest was the prevalence of unintended pregnancies (the number of mistimed, unplanned, or unwanted pregnancies per total pregnancies). Data were analyzed using random effect models. Results:

analysis. The induced abortion rate and ratio were estimated as 8.9 per 1000 women aged 15–44 years (95% CI: 5.46, 12.33) and 5.34 per 100 live births (95% CI: 3.61, 7.07), respectively. The prevalence of unintended pregnancy was estimated as 27.94 per 100 pregnant women (95% CI: 23.46, 32.42).

Conclusion:
the other developing countries in Asia. However, additional sources of data on abortion other than medical records and survey studies are needed to estimate the true rate of unsafe abortion in Iran. Keywords:

Cite the article as: Motaghi Z, Poorolajal J, Keramat A, Shariati M, Yunesian M, Masoumi SZ. Induced Abortion Rate in Iran: A Meta-analysis. Arch Iran Med. 2013; 16(10): 594 – 598.

safe abortion is associated with a number of serious morbidities including uterine perforation, genital tract injuries, vesicovaginal

Introduction

I

nduced abortion is the intentional termination of a pregnancy by medical or surgical means before the fetus can be viable.1

provider lacking adequate skill, or through hazardous techniques, or outside the health facilities or legally recognized places.2 World Health Organization (WHO) has estimated that about 44 million induced abortions take place annually worldwide, about 50% of which are unsafe.3,4

Globally, 358,000 maternal deaths occur each year,5 47,000 of which are due to complications of induced abortion mostly in the developing countries.3 In Asia, the estimated number of induced abortions was 25.9 million in 2003 and 27.3 million in 2008.4 Un-

and infertility6 so that a considerable amount of health budget is allocated annually to treatment of abortion-related complications.7 Several studies have been conducted in Iran, which is an Asian country, in order to estimate the incidence rate of induced abortion; however, the results are inconsistent. The incidence rate of induced abortion has been estimated as 1% to 20%.8–13 Despite the efforts made, the actual induced abortion rate is unclear in Iran. Thus, the aim of this meta-analysis was to estimate the incidence rate of induced abortion among general population of Iran.

Materials and Methods

1

Department of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran. 2
Research Center for Modeling of Noncommunicable Diseases, Department of Epidemiology and Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. 3Department of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran. 4Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 5Center for Air Pollution Research, Institute for Environmental Research, Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. 6Mother and Child Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

Jalal Poorolajal MD PhD, Research Center for Modeling Noncommunicable Diseases, Department of Epidemiology and Biostatistics, School of Public Health, Hamadan...

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Erfani A. Induced abortion in Tehran, Iran: estimated rates and correlates. Int Perspect Sex Reprod Health. 2011; 37: 134 – 142.
Kasmaei P, Atrkar Roshan Z. Prevalence and correlated factors with unintended pregnancies [in Persian]. J Med Sci Gilan. 2004; 12: 61 – 66.
Rakhshani F, Ansari Moghaddam AR, Tehrani H. Prevalence of unwanted pregnancy and associated factors in Zahedan, 1999 [in Persian]. Res Med Sci. 2004; 8: 40 – 43.
PLoS Med. 2007; 4: e297.
women referring to healthcare centers of Ardabil, 2002 [in Persian]. J
Ardabil Univ Med Sci
city - 2008 [in Persian]. J Univ Med Sci Yazd. 2009; 9: 23 – 36.
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