2015, Number 01
<< Back Next >>
Ginecol Obstet Mex 2015; 83 (01)
Induced abortion in Mexico: what do Mexican Ob/Gyn know, think and do
Montoya-Romero JJ, Schiavon R, Troncoso E, Díaz-Olavarrieta C, Karver T
Language: Spanish
References: 21
Page: 23-31
PDF size: 434.86 Kb.
ABSTRACT
Background: The causals for legal abortion in Mexico vary as established
by the Constitution of each State; from 2007 it is legal in Mexico City.
Objective: To identify knowledge, attitudes and practice of abortion
between gynecologists and obstetricians.
Material and methods: Survey study conducted between some of the
gynaeco-obstetricians attended the 64th Mexican Congress of Gynecology
and Obstetrics held in Mexico City, October 2013.
Results: From the 1,085 respondents, 77% correctly identified that abortion
is legal accord to Constitutional Signs of each State; 17.5% said it
is never legal and 5.7% thought that is always legal. The 67% comment
that public institutions should have infrastructure and trained medical
personnal to legal abortion practice. The 72% response they would attend
or denounce the woman who underwent an abortion outlawed. The
remaining 28% showed negative attitudes, from informing the couple or
parents (18%), scold women (2%) or reporting it to the authorities (8%).
In 39%, they felt that the medical profession who practice discriminates
abortions; 28% admit stigmatize partener and 27% feel stigmatized if
performing abortions. Percentage high hospitalized patients in case of
early abortions, for surgical or medical treatment.
Conclusions: It is necessary to increase and improve knowledge technical
and legal about abortion, especially among gynaeco-obstetricians,
they are who responsibility to comply about prescribed by law, in
accordance with international recommendations and the exercise of
reproductive rights of women.
REFERENCES
Sedgh G, Singh S, Shah I, Ahman E, Henshaw S, Bankole A. Induced abortion: incidence and trends worldwide from 1995 to 2008. Lancet 2012;379:325-32.
Juarez F, Singh S, García SG, Díaz-Olavarrieta C. Estimates of Induced Abortion in Mexico: what´s changed between 1990 and 2006? Int. Family Planning Perspectives 2008; 34, n°4. Disponible en: http://www.guttmacher.org/pubs/ journals/3415808.html
Schiavon R, Troncoso E, Polo G. Analysis of maternal and abortion-related mortality in Mexico over the last two decades, 1990-2008. International Journal of Gynecology and Obstetrics 2012;118S S14–S22.
Salud Reproductiva Información Básica de México. Ipas México AC. 2014.
Dayananda I, Walker D, Atienzo EE, Haider S. Abortion practice in Mexico: a survey of health care providers. Contraception 2012;85:304-10
World Health Organization, Department of Reproductive Health and Research. Safe abortion: technical and policy guidance for health systems, Second edition, Geneva, 2012.
Centro Nacional de Equidad de Género y Salud Reproductiva. Prevención, diagnóstico y manejo de la hemorragia obstétrica. Lineamiento Técnico, Secretaría de Salud, México 2009.
Hoja Informativa: Leyes del Aborto en México, GIRE 2008. Disponible en: http://www.gire.org.mx/publicaciones/ hojas-informativas/leyesabortomexiconov08.pdf
Schiavon R. Collado ME, Troncoso E. et al. Characteristics of private abortion services in Mexico City after legalization. Reproductive Health Matters 2010;18:127-135.
Leke RJ, de Gil MP, Távara L, Faúndes A. The FIGO working group on the prevention of unsafe abortion: mandate and process for achievement. Int J Gynaecol Obstet 2010;110 Suppl:S20-4.
Faúndes A. Strategies for the prevention of unsafe abortion. Int J Gynaecol Obstet 2012;119 Suppl 1:S68-71. Epub 2012 Aug 9.
Fernandes KG, Camargo RP, Duarte GA, Faúndes A, Sousa MH, Maia Filho NL, Pacagnella RC. Knowledge of medical abortion among Brazilian medical students. Int J Gynaecol Obstet 2012;118 Suppl.
Kestler E. Obstetrician-gynecologists’ knowledge of and attitudes toward medical abortion in Guatemala. Int J Gynaecol Obstet 2012;116:120-3.
Garcia S, Lara D, Goldman L. Conocimientos, actitudes y prácticas de los médicos mexicanos sobre el aborto: Resultados de una encuesta nacional. Gac Med Mex 2003;139:S91-102.
García-Nuñez N, Atienzo E, Deyananda I, Walker D. Legislación, conocimientos y actitudes de profesionales médicos en relación al aborto en México. Salud Colectiva 2013;9:235-246.
Sorhaindo A, Karver T, Karver J, Garcia S. Constructing a validated scale to measure community-level abortion stigma in Mexico 2014. En revisión.
NOM-046-SSA2-2005, Violencia familiar, sexual y contra las mujeres. Criterios para la Prevención y Atención.
USAID and ACCESS-FP, Postabortion Care Curriculum: Reference Manual, 2010. Disponible en http://www.postabortioncare. org/training/PAC_Manual.pdf
WHO, Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors, 2003, WHO: Geneva.
Winikoff B, Dzuba I, Chong E, Goldberg A, Lichtenberg ES, Ball C, et al. Extending Outpatient Medical Abortion Services Through 70 Days of Gestational Age. Obstetrics and Gynecology 2012;120:1070-76.
Schiavon R, Troncoso E, Polo G. Use of Health System Data to Study Morbidity Related to Pregnancy Loss. In: Singh S, Remez L and Tartaglione A. Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity and Mortality: A Review, New York: Guttmacher Institute; Paris: IUSSP, Dec 2010. Disponible en: http:// www.guttmacher.org/pubs/compilations/IUSSP/IUSSPChapter11. pdf