Abortion, an increasing public health concern in Ecuador, a 10-year population-based analysis.

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL

Pragmatic and Observational Research Pub Date : 2017-07-13 eCollection Date: 2017-01-01 DOI:10.2147/POR.S129464

Esteban Ortiz-Prado, Katherine Simbaña, Lenin Gómez, Anna M Stewart-Ibarra, Lisa Scott, Gabriel Cevallos-Sierra

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引用次数: 9

Abstract

Objectives: To describe the epidemiology of abortion in Ecuador from 2004 to 2014 and compare the prevalence between the public and the private health care systems.

Methods: This is a cross-sectional analysis of the overall mortality and morbidity rate due to abortion in Ecuador, based on public health records and other government databases.

Results: From 2004 to 2014, a total of 431,614 spontaneous abortions, miscarriage and other types of abortions were registered in Ecuador. The average annual rate of abortion was 115 per 1,000 live births. The maternal mortality rate was found to be 43 per 100,000 live births.

Conclusions: Abortion is a significant and wide-ranging problem in Ecuador. The study supports the perception that in spite of legal restrictions to abortion in Ecuador, women are still terminating pregnancies when they feel they need to do so. The public health system reported >84% of the national overall prevalence.

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堕胎是厄瓜多尔日益严重的公共卫生问题，一项基于人口的10年分析。

目的:描述2004 - 2014年厄瓜多尔堕胎的流行病学，并比较公立和私立医疗保健系统的流行率。方法:基于公共卫生记录和其他政府数据库，对厄瓜多尔堕胎导致的总死亡率和发病率进行横断面分析。结果:2004 - 2014年，厄瓜多尔共登记自然流产、小产及其他类型流产431614例。年平均堕胎率为每1 000例活产115例。产妇死亡率为每10万活产43人。结论:堕胎在厄瓜多尔是一个重要而广泛的问题。这项研究支持了这样一种看法，即尽管厄瓜多尔对堕胎有法律限制，但妇女在觉得有必要的时候仍然会终止妊娠。公共卫生系统报告的全国总患病率>84%。

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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Pragmatic and Observational Research MEDICINE, GENERAL & INTERNAL-

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期刊介绍： Pragmatic and Observational Research is an international, peer-reviewed, open-access journal that publishes data from studies designed to closely reflect medical interventions in real-world clinical practice, providing insights beyond classical randomized controlled trials (RCTs). While RCTs maximize internal validity for cause-and-effect relationships, they often represent only specific patient groups. This journal aims to complement such studies by providing data that better mirrors real-world patients and the usage of medicines, thus informing guidelines and enhancing the applicability of research findings across diverse patient populations encountered in everyday clinical practice.

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