Activity and access of surgical abortion in metropolitan France

IF 1.6 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of gynecology obstetrics and human reproduction Pub Date : 2025-09-04 DOI:10.1016/j.jogoh.2025.103023

Aubert Agostini , Vanessa Pauly , Veronica Orléans , Fanny Romain , Bach Tran , Dong Keon Yon , Masoud Rahmati , Julie Berbis , Pascal Auquier , Laurent Boyer

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引用次数: 0

Abstract

Objective

To report the territorial distribution and characteristics of healthcare centres performing surgical abortion in France, along with the accessibility of these centres.

Material and Methods

A nationwide population-based cohort study of all women hospitalized for surgical abortion was conducted from January 1 to December 31, 2022 in metropolitan France. Number, location, activity volume and use of local anaesthesia rate of surgical abortion centres were reported as distribution activity across metropolitan France. Correlation between socioeconomic status neighbourhood and surgical abortion centre was evaluated.

Results

There were 52,292 surgical abortion hospital stays among 51,507 women in 497 centres in 2022. Majority of them were performed in public sector (46,979/52,292 (89.8 %)). More than half of surgical abortion centres perform a maximum of 50 IVTP/year (277/497 (55.7 %)). There was an Inequality in the distribution of surgical abortion across centres with 49 (10 %) centres performing 50 % of surgical abortion. Only 10,141(19.4 %) surgical abortion were performed under local anaesthesia and more frequently in centres with high activity.

Women residing in the most deprived areas had longer average travel distances (mean: 21.82 ± 25.98 Km) and times (mean:19,87±19,2 min) to reach surgical abortion centre.

Conclusion

activity of surgical abortion is unequally distributer in metropolitan France. There are significant regional variations and unequal access depending on place of residence. Access to surgical abortion centre is more difficult for populations with low socioeconomic status. It is important that health system managers take into account this inequality, which concerns populations where abortion is more frequent.

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法国大城市手术流产的活动和途径。

目的：报告法国实施手术流产的保健中心的地域分布和特点，以及这些中心的可及性。材料和方法：2022年1月1日至12月31日，在法国大城市对所有因手术流产住院的妇女进行了一项基于全国人群的队列研究。手术流产中心的数目、地点、活动量和局部麻醉使用率被报告为法国各大城市的分布活动。评估社会经济地位与社区与手术流产中心的相关性。结果：2022年497个中心51507名妇女手术流产住院52292人次。其中大多数是在公共部门进行的（46,979/52,292(89.8%)）。一半以上的手术流产中心每年最多进行50次IVTP（277/497(55.7%)）。手术流产在各个中心的分布不平等，49个（10%）中心进行了50%的手术流产。只有10141例（19.4%）手术流产是在局部麻醉下进行的，在活动频繁的中心更常见。生活在最贫困地区的妇女到达手术流产中心的平均路程（平均21.82±25.98 Km）和时间（平均19.87±19.2 min）更长。结论：手术流产活动在法国大城市分布不均。根据居住地的不同，存在着显著的区域差异和不平等的机会。对于社会经济地位较低的人群来说，进入手术流产中心更为困难。重要的是，卫生系统管理人员应考虑到这种不平等，这涉及堕胎更频繁的人口。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gynecology obstetrics and human reproduction Medicine-Obstetrics and Gynecology

CiteScore

3.70

自引率

5.30%

发文量

210

审稿时长

31 days

期刊介绍： Formerly known as Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Journal of Gynecology Obstetrics and Human Reproduction is the official Academic publication of the French College of Obstetricians and Gynecologists (Collège National des Gynécologues et Obstétriciens Français / CNGOF). J Gynecol Obstet Hum Reprod publishes monthly, in English, research papers and techniques in the fields of Gynecology, Obstetrics, Neonatology and Human Reproduction: (guest) editorials, original articles, reviews, updates, technical notes, case reports, letters to the editor and guidelines. Original works include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses.