Chambers, Virginia M.

Abordando la calidad de atención del aborto y la planificación familiar post-aborto nbsp;- nbsp;[Tackling quality of abortion care and postabortion family planning]
Chambers, Virginia M. - 1994 - Maternidad sin riesgos en México, México, Comité Promotor de la Iniciativa por una Maternidad sin riesgo en México (IMES), 167-76

Mots clés : avortement provoqué; contraception; contraception d'urgence; éducation au planning familial; facteurs démographiques; mortalité; mortalité maternelle; planification familiale; planning familial; population; programme; programme planification familiale; programme post-abortum; qualité des soins; recommandations; utilisation de la contraception
Pays / Régions : Amérique du Nord; Amérique latine; Mexique; Pays en développement

Résumé : It has been suggested that abortion is the largest single cause of maternal death in Latin America, responsible for one-third of maternal deaths in the region. Abortion is recognized as the third or fourth cause of maternal mortality in Mexico, but significant underregistration of maternal deaths in general and abortion deaths in particular make exact conclusions difficult. The cost of treating abortion complications absorbs up to 60% of the obstetric and gynecologic budgets in some Latin American hospital systems. Mexican health institutions attended over 111,000 abortions in 1991. Population growth, limited access to effective family planning services, and legal restrictions on abortion will probably ensure that abortion complications will remain a serious public health problem in Mexico. A 1990 study found that the three most important interventions for preventing maternal deaths were providing family planning, improving treatment for obstetrical complications, and providing safe and legal abortion. Basic interventions to improve the quality of care for abortion at the level of the hospital or health facility include using more appropriate technology (especially that of endouterine aspiration rather than instrumental curettage), training of medical personnel, reorganization of systems in accordance with the needs of women, development and implementation of treatment protocols, and improved access to services. Family planning services should be linked to treatment of abortion complications as a means of breaking the cycle of repeat abortions. Postabortion patients are highly motivated to accept a contraceptive method, but very frequently they are discharged from the hospital without even a referral to a family planning service. Factors preventing the joining of abortion treatment with family planning include the physical separation of services, abortion complications being treated in secondary or tertiary level hospitals while family planning services are offered in primary care centers. The emergency nature of treatment of abortion complications is another obstacle.

Notes : Español/espagnol/Spanish, nbsp;Abstract : Popline (http://db.jhuccp.org/popinform/basic.html) - PIP 103326