TAILIEUCHUNG - Abortion

Several definitions of abortion are found in the literature but it is widely accepted that abortion is the loss of a pregnancy before the period of via-bility1,2. This period of viability will depend on the resources available; in many resource-poor settings most of the babies delivered at gestational age of 28 weeks or more may survive. | 13 Abortion Charles A. Ameh INTRODUCTION Several definitions of abortion are found in the literature but it is widely accepted that abortion is the loss of a pregnancy before the period of via-bility1 2. This period of viability will depend on the resources available in many resource-poor settings most of the babies delivered at gestational age of 28 weeks or more may survive. In the better resourced parts of the world fetuses weighing 500 g or more or a gestational age above 24 weeks can survive although they may be handicapped3. The term abortion often has emotional connotations for women and their families dealing with loss of a pregnancy. Using the term abortion is even more challenging in countries where termination of pregnancy is illegal. Although the 10th version of the International Statistical Classification of Diseases ICD and related health problems still uses the term abortion it has been replaced over the last few years by miscarriage to describe pregnancy loss before 20 or 24 weeks of gestation1-4. A pregnancy can be spontaneously lost spontaneous miscarriage or deliberately terminated induced miscarriage . The most common complications of abortions miscarriages that may put the life of the woman at risk are bleeding and sepsis infection . Trained healthcare workers who perform induced abortions where the law permits in safe premises using the correct equipment method have fewer complications than untrained persons who induce abortions unsafely. Unsafe abortions increase the risk of morbidity and death. The World Health Organization WHO estimated that million unsafe abortions occurred worldwide in 2008 and complications from these accounted for about 13 of maternal deaths MD 47 000 MD per year . There is also a huge disparity in the ratio of maternal deaths attributable to unsafe abortion per 100 000 live births in developed countries compared to developing countries 1 vs 40 100 0005. Less developed regions of the world have the greatest risk of

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