妊娠 14 周后要求流产的患者特征：布鲁塞尔的回顾性研究。

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-11-17 DOI:10.1016/j.contraception.2024.110751

Virginia Morolli , Nassiba Menghoum , Yannick Manigart , Serge Rozenberg

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引用次数: 0

摘要

目的：近年来，关于延长比利时堕胎法定期限的争论愈演愈烈。医疗服务提供者必须将超过法定期限要求堕胎的患者转诊到其他国家，如荷兰，因为那里的时间限制更为宽松。鉴于这种情况，我们分析了要求在妊娠 14 周后堕胎的患者的人口和社会特征，并将他们与在法定期限内寻求堕胎手术的患者进行了比较：这项回顾性研究调查了 2022 年 1 月 1 日至 2023 年 3 月 30 日期间在布鲁塞尔市规划局申请堕胎的个人的社会人口学特征。我们采用逻辑回归法来确定晚期人工流产的预测因素：我们分析了 627 例人工流产申请，其中 593 例发生在 14 周之前，34 例发生在 14 周之后。因妊娠不稳定或强奸而寻求人工流产的患者超过法定期限的风险较高（OR 3.64，p = 0.001；OR 3.96，p = 0.009）。降低这一风险的因素包括基于个人原因（不想要孩子）的人工流产请求以及被互助医疗保险覆盖（OR 0.22，p < 0.001；OR 0.25，p 0.001）：结论：在比利时，由于法律的限制，晚期人工流产的处理非常困难。我们的数据表明，导致逾期堕胎的情况往往很复杂，经常涉及经济困难和不稳定等因素。有必要修改法律，以便为这些患者提供统一有效的治疗。

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Characteristics of patients requesting an abortion beyond 14 weeks of gestation: Retrospective study in Brussels

Objectives

The debate over extending the legal time limit for abortion in Belgium has intensified in recent years. Health care providers must refer patients seeking abortion beyond the legal deadline to other countries, such as the Netherlands, where the time limits are more permissive. In light of this situation, we analyzed the demographic and social characteristics of patients requesting abortion after 14 weeks of gestation and compared them with those seeking the procedure within the legal limits.

Study design

This retrospective study examines the sociodemographic characteristics of individuals requesting abortion at City Planning Brussels between January 1, 2022, and March 30, 2023. We employed logistic regression to identify predictive factors for late abortion.

Results

We analyzed 627 abortion requests, with 593 occurring before 14 weeks and 34 after 14 weeks. Patients seeking abortion due to precarity or rape had a higher risk of presenting beyond the legal time limit (odds ratio [OR] 3.64, p = 0.001, and OR 3.96, p = 0.009, respectively). Factors that appeared to reduce this risk included requests for abortion based on personal reasons (lack of desire for a child) and being covered by mutual health insurance (OR 0.22, p < 0.001, and OR 0.25, p = 0.001).

Conclusions

Management of late abortion in Belgium is difficult due to law’s restriction. Our data indicate that the circumstances resulting in late abortion requests are often complex, frequently involving factors such as financial difficulties and precarity. A law modification is necessary to provide uniform and effective care for these patients.

Implications

Since late abortion requests predominantly come from vulnerable patients, revising the law is essential to ensure consistent and equitable care for these individuals. These patients often encounter penalties due to their personal and financial challenges, highlighting the need for a legal framework that better addresses their specific circumstances.

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.