Verónica Fiol1, Leticia Rieppi2, Rafael Aguirre3, María Nozar2, Mónica Gorgoroso4, Francisco Coppola2, Leonel Briozzo2. 1. Pereira Rossell Hospital Center, School of Medicine, University of the Republic, Montevideo, Uruguay. Electronic address: veronicafiol@gmail.com. 2. Pereira Rossell Hospital Center, School of Medicine, University of the Republic, Montevideo, Uruguay. 3. Pereira Rossell Hospital Center, School of Medicine, University of the Republic, Montevideo, Uruguay; Ministry of Public Health, Montevideo, Uruguay. 4. State Health Services Administration, Montevideo, Uruguay.
Abstract
OBJECTIVE: To evaluate the implementation of the law that liberalizes voluntary abortion in Uruguay and enables health services to offer these services to the population. METHODS: The legal and regulatory provisions are described and the national data-provided by the Ministry of Public Health's National Information System (SINADI)-on the number of voluntary terminations of pregnancy, the abortion method (medical or surgical), and whether it was performed as an outpatient or inpatient are analyzed. To determine complications, the number of maternal deaths and admissions to intensive care units for pregnant women was used. The study period ran from December 1, 2012, to December 31, 2014. RESULTS: A total of 15 996 abortions were performed during the study period; only 1.2% were surgical and 98.8% were medical. Of the latter, only 3.4% required hospitalization. Less than half of the pregnancies were terminated up to 9weeks of gestation and 54% were at 10 to 12weeks in a sample from the Pereira Rossell Hospital. CONCLUSION: The rapid nationwide rollout of voluntary termination of pregnancy services to all women was possible to a large degree thanks to the availability and broad acceptance of medical abortion, facilitated by the prior experience in applying the risk and harm reduction strategy.
OBJECTIVE: To evaluate the implementation of the law that liberalizes voluntary abortion in Uruguay and enables health services to offer these services to the population. METHODS: The legal and regulatory provisions are described and the national data-provided by the Ministry of Public Health's National Information System (SINADI)-on the number of voluntary terminations of pregnancy, the abortion method (medical or surgical), and whether it was performed as an outpatient or inpatient are analyzed. To determine complications, the number of maternal deaths and admissions to intensive care units for pregnant women was used. The study period ran from December 1, 2012, to December 31, 2014. RESULTS: A total of 15 996 abortions were performed during the study period; only 1.2% were surgical and 98.8% were medical. Of the latter, only 3.4% required hospitalization. Less than half of the pregnancies were terminated up to 9weeks of gestation and 54% were at 10 to 12weeks in a sample from the Pereira Rossell Hospital. CONCLUSION: The rapid nationwide rollout of voluntary termination of pregnancy services to all women was possible to a large degree thanks to the availability and broad acceptance of medical abortion, facilitated by the prior experience in applying the risk and harm reduction strategy.
Authors: Shelly Makleff; Ana Labandera; Fernanda Chiribao; Jennifer Friedman; Roosbelinda Cardenas; Eleuthera Sa; Sarah E Baum Journal: BMC Womens Health Date: 2019-12-09 Impact factor: 2.809
Authors: Roosbelinda Cárdenas; Ana Labandera; Sarah E Baum; Fernanda Chiribao; Ivana Leus; Silvia Avondet; Jennifer Friedman Journal: Reprod Health Date: 2018-09-10 Impact factor: 3.223