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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2015, Number 01

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Ginecol Obstet Mex 2015; 83 (01)

Induced abortion in Mexico: what do Mexican Ob/Gyn know, think and do

Montoya-Romero JJ, Schiavon R, Troncoso E, Díaz-Olavarrieta C, Karver T
Full text How to cite this article

Language: Spanish
References: 21
Page: 23-31
PDF size: 434.86 Kb.


Key words:

Health service delivery, medical abortion, surgical abortion, legal indications for abortion.

ABSTRACT

Background: The causals for legal abortion in Mexico vary as established by the Constitution of each State; from 2007 it is legal in Mexico City.
Objective: To identify knowledge, attitudes and practice of abortion between gynecologists and obstetricians.
Material and methods: Survey study conducted between some of the gynaeco-obstetricians attended the 64th Mexican Congress of Gynecology and Obstetrics held in Mexico City, October 2013.
Results: From the 1,085 respondents, 77% correctly identified that abortion is legal accord to Constitutional Signs of each State; 17.5% said it is never legal and 5.7% thought that is always legal. The 67% comment that public institutions should have infrastructure and trained medical personnal to legal abortion practice. The 72% response they would attend or denounce the woman who underwent an abortion outlawed. The remaining 28% showed negative attitudes, from informing the couple or parents (18%), scold women (2%) or reporting it to the authorities (8%). In 39%, they felt that the medical profession who practice discriminates abortions; 28% admit stigmatize partener and 27% feel stigmatized if performing abortions. Percentage high hospitalized patients in case of early abortions, for surgical or medical treatment.
Conclusions: It is necessary to increase and improve knowledge technical and legal about abortion, especially among gynaeco-obstetricians, they are who responsibility to comply about prescribed by law, in accordance with international recommendations and the exercise of reproductive rights of women.


REFERENCES

  1. Sedgh G, Singh S, Shah I, Ahman E, Henshaw S, Bankole A. Induced abortion: incidence and trends worldwide from 1995 to 2008. Lancet 2012;379:325-32.

  2. Juarez F, Singh S, García SG, Díaz-Olavarrieta C. Estimates of Induced Abortion in Mexico: what´s changed between 1990 and 2006? Int. Family Planning Perspectives 2008; 34, n°4. Disponible en: http://www.guttmacher.org/pubs/ journals/3415808.html

  3. Schiavon R, Troncoso E, Polo G. Analysis of maternal and abortion-related mortality in Mexico over the last two decades, 1990-2008. International Journal of Gynecology and Obstetrics 2012;118S S14–S22.

  4. Salud Reproductiva Información Básica de México. Ipas México AC. 2014.

  5. Dayananda I, Walker D, Atienzo EE, Haider S. Abortion practice in Mexico: a survey of health care providers. Contraception 2012;85:304-10

  6. World Health Organization, Department of Reproductive Health and Research. Safe abortion: technical and policy guidance for health systems, Second edition, Geneva, 2012.

  7. Centro Nacional de Equidad de Género y Salud Reproductiva. Prevención, diagnóstico y manejo de la hemorragia obstétrica. Lineamiento Técnico, Secretaría de Salud, México 2009.

  8. Hoja Informativa: Leyes del Aborto en México, GIRE 2008. Disponible en: http://www.gire.org.mx/publicaciones/ hojas-informativas/leyesabortomexiconov08.pdf

  9. Schiavon R. Collado ME, Troncoso E. et al. Characteristics of private abortion services in Mexico City after legalization. Reproductive Health Matters 2010;18:127-135.

  10. Leke RJ, de Gil MP, Távara L, Faúndes A. The FIGO working group on the prevention of unsafe abortion: mandate and process for achievement. Int J Gynaecol Obstet 2010;110 Suppl:S20-4.

  11. Faúndes A. Strategies for the prevention of unsafe abortion. Int J Gynaecol Obstet 2012;119 Suppl 1:S68-71. Epub 2012 Aug 9.

  12. Fernandes KG, Camargo RP, Duarte GA, Faúndes A, Sousa MH, Maia Filho NL, Pacagnella RC. Knowledge of medical abortion among Brazilian medical students. Int J Gynaecol Obstet 2012;118 Suppl.

  13. Kestler E. Obstetrician-gynecologists’ knowledge of and attitudes toward medical abortion in Guatemala. Int J Gynaecol Obstet 2012;116:120-3.

  14. Garcia S, Lara D, Goldman L. Conocimientos, actitudes y prácticas de los médicos mexicanos sobre el aborto: Resultados de una encuesta nacional. Gac Med Mex 2003;139:S91-102.

  15. García-Nuñez N, Atienzo E, Deyananda I, Walker D. Legislación, conocimientos y actitudes de profesionales médicos en relación al aborto en México. Salud Colectiva 2013;9:235-246.

  16. Sorhaindo A, Karver T, Karver J, Garcia S. Constructing a validated scale to measure community-level abortion stigma in Mexico 2014. En revisión.

  17. NOM-046-SSA2-2005, Violencia familiar, sexual y contra las mujeres. Criterios para la Prevención y Atención.

  18. USAID and ACCESS-FP, Postabortion Care Curriculum: Reference Manual, 2010. Disponible en http://www.postabortioncare. org/training/PAC_Manual.pdf

  19. WHO, Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors, 2003, WHO: Geneva.

  20. Winikoff B, Dzuba I, Chong E, Goldberg A, Lichtenberg ES, Ball C, et al. Extending Outpatient Medical Abortion Services Through 70 Days of Gestational Age. Obstetrics and Gynecology 2012;120:1070-76.

  21. Schiavon R, Troncoso E, Polo G. Use of Health System Data to Study Morbidity Related to Pregnancy Loss. In: Singh S, Remez L and Tartaglione A. Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity and Mortality: A Review, New York: Guttmacher Institute; Paris: IUSSP, Dec 2010. Disponible en: http:// www.guttmacher.org/pubs/compilations/IUSSP/IUSSPChapter11. pdf




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Ginecol Obstet Mex. 2015;83