探讨伊朗北部综合医院治疗性流产的原因和结果：法律和医学上的一个老挑战

IF 1.2 4区医学 Q3 MEDICINE, LEGAL

Journal of forensic and legal medicine Pub Date : 2025-05-30 DOI:10.1016/j.jflm.2025.102897

Kimia Rasouli , Marzieh Zamaniyan , Mohammad Khademloo , Ali Abbasi , Zakaria Zakariaei , Aref Hoseini

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引用次数: 0

摘要

堕胎是医学和伦理交叉领域的一个至关重要的问题，因为母亲和胎儿的原因可以激发这种做法。正确认识这些潜在因素有助于通过及时诊断和治疗来预防该病。本研究旨在探讨合法堕胎和治疗性堕胎的病因和结局。方法回顾性分析2018 - 2022年伊朗北部某医院131例经法医学组织许可堕胎的孕妇。收集相关患者信息并记录在检查表中进行分析。结果患者平均年龄30±7岁，平均BMI 27±6 kg/m2，平均胎龄14±3周。43例治疗性流产涉及产妇因素，其中心血管并发症是最普遍的原因。97例与胎儿因素有关，其中染色体异常、神经系统疾病、重度地中海贫血最为常见；分别占24例（18%）、23例（17%）、13例（9%）。在70%的病例中，治疗是同时给予米索前列醇和刮宫。结论研究结果强调了教育和提高公众对终止妊娠的法律、伦理和医学后果的认识的重要性，特别是在经法医组织许可进行治疗性流产的孕妇中。这可能是减少流产率及其相关并发症的有效方法。

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Exploring of the causes and outcomes of therapeutic abortions in the general hospital northern Iran: An old challenge in law and medicine

Background

Abortion is an issue of critical importance at the intersection of medical science and ethics, as maternal and fetal causes can motivate this practice. A correct understanding of these underlying factors can assist in its prevention through timely diagnosis and treatment. This study aims to investigate the etiological factors and outcomes of legal, therapeutic abortions.

Methods

A retrospective descriptive study was conducted, in which 131 pregnant patients who underwent abortion after obtaining permission from the Forensic Medicine Organization, were referred to a hospital in northern Iran from 2018 to 2022. The relevant patient information was collected and recorded in checklists for analysis.

Results

The average age of the referred patients was 30 ± 7 years, with a mean BMI of 27 ± 6 kg/m², and an average gestational age of 14 ± 3 weeks. Therapeutic abortion was attributed to 43 cases involving maternal factors, with cardiovascular complications being the most prevalent cause. Furthermore, 97 cases were associated with fetal factors, among which the most common causes were chromosomal abnormalities, nervous system disorders, and thalassemia major; accounting for 24 cases (18 %), 23 cases (17 %), and 13 cases (9 %), respectively. In 70 % of cases, the treatment was simultaneous administration of misoprostol and curettage.

Conclusion

The findings of the study highlight the importance of education and public awareness about the legal, ethical, and medical consequences of terminating a pregnancy, particularly among pregnant mothers who undergo therapeutic abortion with permission from the Forensic Medicine Organization. This may be an effective way to reduce the rate of abortion and its associated complications.

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来源期刊

Journal of forensic and legal medicine MEDICINE, LEGAL-

CiteScore

2.70

自引率

6.70%

发文量

106

审稿时长

57 days

期刊介绍： The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective. The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training. The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.