Measuring Unsafe Abortion-Related Mortality: A Systematic Review of the Existing Methods |
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Authors: | Caitlin Gerdts Divya Vohra Jennifer Ahern |
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Affiliation: | 1. Advancing New Standards in Reproductive Health, University of California San Francisco, San Francisco, California, United States of America.; 2. Division of Epidemiology, Berkeley School of Public Health, University of California, Berkeley, Berkeley, California, United States of America.; Tehran University of Medical Sciences, (Islamic Republic of Iran), |
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Abstract: | BackgroundThe WHO estimates that 13% of maternal mortality is due to unsafe abortion, but challenges with measurement and data quality persist. To our knowledge, no systematic assessment of the validity of studies reporting estimates of abortion-related mortality exists.Study DesignTo be included in this study, articles had to meet the following criteria: (1) published between September 1st, 2000-December 1st, 2011; (2) utilized data from a country where abortion is “considered unsafe”; (3) specified and enumerated causes of maternal death including “abortion”; (4) enumerated ≥100 maternal deaths; (5) a quantitative research study; (6) published in a peer-reviewed journal.Results7,438 articles were initially identified. Thirty-six studies were ultimately included. Overall, studies rated “Very Good” found the highest estimates of abortion related mortality (median 16%, range 1–27.4%). Studies rated “Very Poor” found the lowest overall proportion of abortion related deaths (median: 2%, range 1.3–9.4%).ConclusionsImprovements in the quality of data collection would facilitate better understanding global abortion-related mortality. Until improved data exist, better reporting of study procedures and standardization of the definition of abortion and abortion-related mortality should be encouraged. |
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