medigraphic.com
ISSN 1561-3062 (Electronic)

2021, Number 2

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2021; 47 (2)

Voluntary Interruption of Pregnancy at América Arias Hospital

Salas CL, Alonso AI, Sánchez REM, Bangdiwala SI

Language: Spanish
References: 28
Page: 1-21
PDF size: 566.99 Kb.


ABSTRACT

Introduction: Voluntary termination of pregnancy, also called induced abortion, is the voluntary termination of a pregnancy by medical or surgical methods before the fetus can be viable. Objectives: To identify and describe the problem of voluntary interruption of pregnancy at América Arias Hospital from January 1 to July 31, 2019. Methods: A descriptive and cross-sectional investigation of a prospective hospital registry was carried out including 3980 women between 14 - 47 years of age who attended the pregnancy termination consultation at América Arias Hospital from January 1 to July 31, 2019, to request the voluntary interruption of their pregnancy, after signing the informed consent. Results: Out of the total number of applicants, 52.4% were between 20 and 29 years old. The secondary school level predominated (84.1%); 58.3% referred stable partner; 65.9% attended the interruption consultation without a partner. 99.8% denied having prior contraception. Complications occurred only in 0.12% of the applicants; no woman died. 64.6% of the patients discharged with a contraceptive method. The medium-acting, injectable contraceptive was the most used (27.7% of the patients), followed by the short-acting ones such as the pill (19.1%), and thirdly the long-acting ones, such as the IUD and the implant (17.6%). Conclusions: The characterization of our patients was similar to that of other studies, and most of them arrived at the interruption consultation without prior contraception. The most used route of pregnancy termination was the drug and the most used contraceptives were those of medium action.


REFERENCES

  1. Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Williams Obstetrics. Capítulo 18. 25th ed. México: McGraw-Hill Interamericana S.A. de C.V.; 2018. p. 978.

  2. Singh S, Remez L, Sedgh G, Kwok L, Onda T. Abortion worldwide 2017: Uneven Progress and unequal. New York: The Alan Guttmacher Institute; 2018. [acceso 27/06/2018]. Disponible en: https://www.guttmacher.org/report/abortion-worldwide-2017

  3. Dastgiri S, Yoosefian M, Garjani M, Kalankesh L. Induced Abortion: A Systematic Review and Meta-analysis. Mater Sociomed. 2017;29(1):58-67.

  4. Organización Mundial de la Salud. Estrategia Mundial para la Salud de la Mujer, el Niño y el Adolescente (2016-2030). Sobrevivir, prosperar, transformar. OMS; 2015. p. 108.

  5. OMS. Aborto sin riesgos: guía técnica y de políticas para sistemas de salud. 2 ed. Ginebra, Suiza; 2012. 123 p. ISBN: 978 92 4 354843 2.

  6. Benítez Pérez ME. La trayectoria del aborto seguro en Cuba: evitar mejor que abortar. Revista Novedades en Población. 2014;10:87-104.

  7. Gran Álvarez MA. Interrupción voluntaria de embarazo y anticoncepción. Dos métodos de regulación de la fecundidad. Cuba. 1995-2000. La Habana, Cuba: UNFPA/MINSAP. Dirección Nacional de Estadística; 2005. 122 p. ISBN: 1727-7884.

  8. Ganatra B, Tunçalp Ö, Bart Johnston H, Johnson Jr B, Gülmezoglu A, Temmerman M. Del concepto a la medición: la aplicación práctica de la definición de aborto peligroso utilizada en la OMS. Boletín de la Organización Mundial de la Salud. 2014;92(3):153-228.

  9. Ministerio de Salud Pública, Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2018. La Habana, Cuba; 2019. ISBN: 1561-4425.

  10. Organización Mundial de la Salud (OMS). Planificación familiar. Ginebra, Suiza: WHO; 2018. [acceso 27/06/2018]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/family-planning-co

  11. Organización Mundial de la Salud (OMS). Safe abortion: technical and policy guidance for health systems. Second Ed. Ginebra, Suiza: WHO; 2012. p. 134. ISBN: 978 92 4 154843 4.

  12. Representación OPS/OMS-Cuba. Red CLAP imparte Curso-Taller de Asistencia a mujeres en situación de aborto en Cuba. La Habana: OPS-Cuba; 2016. [acceso 27/06/2018]. Disponible en: https://www.paho.org/cub/index.php?option=com_content&view=article&id=604:red-clap-sobre-asistencia-a-mujeres-en-situacion-de-aborto-en-cuba&Itemid=528

  13. Ahman E, Shah I. Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. 6th Ed. Geneva Switzerland: WHO; 2011. ISBN: 978 92 4 150111 8. [acceso 27/06/2018]. Disponible en: http://apps.who.int/iris/bitstream/handle/10665/44529/9789241501118_eng.pdf;jsessionid=664DCB312C0574A78B4EFA80097A28C1?sequence=1

  14. Organización Panamericana de la Salud (OPS). Consejo de Organizaciones Internacionales de las Ciencias Médicas (CIOMS). Pautas éticas internacionales para la investigación relacionada con la salud con seres humanos. Ginebra, Suiza: OMS; 2016. p. 152. ISBN: 978-929036090-2. [acceso 27/06/2018]. Disponible en: https://cioms.ch/wp-content/uploads/2016/08/PAUTAS_ETICAS_INTERNACIONALES.pdf

  15. Festin MPR, Kiarie J, Solo J, Spieler J, Malarcher S, Van Look PFA, et al. Moving towards the goals of FP2020 — classifying contraceptives. 2016;94(4):289-94. DOI: https://doi.org/10.1016/j.contraception.2016.05.015

  16. De Almeida N, Teixeira A, Capoco Sachiteque A, Molina J, Dos Prazeres Tavares H, Ramalho C. Characterisation of induced abortion and consequences to women's health at Hospital Central do Huambo - Angola. J Obstet Gynaecol. 2019;1:1-6. DOI: https://doi.org/10.1080/01443615.2019.1635096

  17. Chae S, Desai S, Crowell M, Sedgh G, Singh S. Characteristics of women obtaining induced abortions in selected low-and middle-income countries. PloS one. 2017;12(5): e0172976. [acceso 27/06/2018]. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172976

  18. Ribeiro V, Soares S, Pacheco A, Viseu O. Characterization of women who requested a voluntary interruption of pregnancy at Hospital of Faro, Portugal. Acta Obstétrica y Ginecológica Portuguesa. 2015 [acceso 27/06/2018];9(2):138-43. Disponible en: http://www.fspog.com/fotos/editor2/06_2015_2-ao_14-00081.pdf

  19. Rivet DL, Ross S, Robinson HE. Contraception Use and Attitudes Among Women Seeking Pregnancy Termination [9G]. Obstetrics & Gynecology. 2019;133:76S. DOI: https://doi.org/10.1097/01.Aog.0000558709.98908.10

  20. Gomez Ponce de Leon R, Ewerling F, Serruya S, Silveira M, Sanhueza A, Moazzam A, et al. Contraceptive use in Latin America and the Caribbean with a focus on long-acting reversible contraceptives: prevalence and inequalities in 23 countries. Lancet Glob Health. 2019 [acceso 27/06/2018];7(2):e227–e235. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30683240/

  21. Rodríguez Gómez G. La anticoncepción en Cuba, historia y perspectiva de los individuos. Algunos apuntes. Novedades en Población. 2017;26(0):213-8.

  22. García Mazorra M, Cruz Quiróz VY. Prevalencia de los factores de riesgo del aborto reiterado en la adolescencia. Revista Cubana de Obstetricia y Ginecología. 2015 [acceso 27/06/2018];41(1):23-38. Disponible en: http://scielo.sld.cu/pdf/gin/v41n1/gin04115.pdf

  23. Escuelas en Cuba: a la vanguardia de una educación sexual integral. CubaSi. Jun 2018 [acceso 27/06/2018]: p. 1. Disponible en: http://cubasi.cu/cubasi-noticias-cuba-mundo-ultima-hora/item/79190-escuelas-en-cuba-a-la-vanguardia-de-una-educacion-sexual-integral

  24. Kangatharan C, Labram S, Bhattacharya S. Interpregnancy interval following miscarriage and adverse pregnancy outcomes: systematic review and meta-analysis. Human reproduction update. 2016;23(2):221-31. DOI: https://doi.org/10.1093/humupd/dmw043

  25. Zavala Garcia A, Ortiz Reyes H, Salomon Kuri J, Padilla Amigo C. Periodo intergenésico: Revisión de la literature. Revista Chilena de Obstetricia y Ginecologia. 2018;83(1):52-61. DOI: https://doi.org/10.4067/s0717-75262018000100052

  26. Domínguez L, Vigil De Gracia P. El intervalo intergenésico: un factor de riesgo para complicaciones obstétricas y neonatales Clínica e Investigación en Ginecología y Obstetricia. 2005;32(3):122-6. DOI: https://doi.org/10.1016/S0210-573X(05)73487-0

  27. Llorente-Marrón M, Díaz-Fernández M, Méndez-Rodríguez P. Determinantes contextuales del aborto inducido: un análisis panel. Rev Saúde Pública. 2016;50. DOI: https://doi.org/10.1590/S1518-8787.2016050005917

  28. Vigoureux S. Epidemiology of induced abortion in France. J Gynecol Obstet Biol Reprod (Paris. 2016 [acceso 22/09/2019];45(10):1462-76. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27793490




2020     |     www.medigraphic.com