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Epidemiology and policy
P1-362 Characterisation of abortion cases at a public maternity in Natal, Brazil
  1. S A Uchoa1,
  2. C Nilma1,
  3. F M Celia1,
  4. S M Helena1,
  5. F Rudgy2
  1. 1Federal University of Rio grande do norte, Natal, Rio grande do norte, Brazil
  2. 2State University of São Paulo, Public health school, São paulo, Brazil

Abstract

Introduction Legal abortions in Brazil are restricted to risk of maternal death and rape. The aim of this study was to characterise abortion cases at a public maternity in Natal, Brazil. Method: This is a quantitative descriptive study. The population included all adolescents and young adults (1554) hospitalised as a result of illegal abortions in 2007 and 2008.

Results Abortion accounted for 98% of emergency cases; mean age was 20 years; mean gestational age was 11 weeks; 93% denied induced abortion. The most common cause of hospitalisation was abdominal pain accompanied by haemorrhage (60%); incomplete abortion (74.4%); 60% underwent curettage and 40% manual intrauterine aspiration. There was a positive association between aspiration, higher gestational age and maternal age; one-day hospitalisation without complications or counselling (93%).

Conclusion There is a serious public health problem with high occurrence of abortions in progress and only emergency care.

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