The impact of age on the epidemiology of incomplete abortions in South Africa after legislative change

  title={The impact of age on the epidemiology of incomplete abortions in South Africa after legislative change},
  author={Rachel Jewkes and Helen V Rees and Kim Eva Dickson and Heather C Brown and Jonathan Levin},
  journal={BJOG: An International Journal of Obstetrics \& Gynaecology},
  • R. Jewkes, H. Rees, J. Levin
  • Published 1 March 2005
  • Medicine, Political Science
  • BJOG: An International Journal of Obstetrics & Gynaecology
Objective  In 1996 termination of pregnancy was legalised in South Africa. This article examines the impact of age on the epidemiology of incomplete abortion after legislative change. It draws comparison with the findings of a similar study undertaken in 1994. 

Incidence of severe acute maternal morbidity associated with abortion: a systematic review

Objective  To systematically review articles describing complications of abortion in settings where abortions are thought to be unsafe and to determine the incidence of severe acute maternal

Abortion‐related complications in Cambodia

A large number of women continue to induce their own terminations or seek unsafe services that result in complications requiring ‘post‐abortion’ care in the Kingdom of Cambodia.

Reproductive health laws and fertility decline in Ghana

  • J. FinlayAshley M. Fox
  • Economics
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2013

Making abortion services accessible in the wake of legal reforms.

Evidence is beginning to demonstrate that liberalized laws are followed by improved health outcomes for women, where these efforts have been undertaken and information on trends in abortion-related illness and death is available.

Impact of the Choice on Termination of Pregnancy Act on maternal morbidity and mortality in the west of Pretoria.

The introduction of the Choice on Termination of Pregnancy Act has been associated with a massive reduction in women presenting with incomplete abortions and the prevalence of critically ill women due to complications of abortion has not changed, but the CFR, mortality index and MMR have declined significantly.

High Levels of Post-Abortion Complication in a Setting Where Abortion Service Is Not Legalized

Assessment of post-abortion complications in Botswana finds mechanisms need to be devised in the health facilities to evacuate the uterus in good time whenever it is indicated and to be equipped to handle the fatal complications.

Abortion Laws and Women's Health

Dramatic decline in abortion mortality due to the Choice on Termination of Pregnancy Act.

  • R. JewkesH. Rees
  • Medicine, Political Science
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
  • 2005
There has been a 91.1% reduction in deaths from unsafe abortion after abortion legalisation, which is even greater than that reported in other countries, such as Romania, and shows that this legislation has been extremely successful in advancing women's health and rights.

Management of abortion complications at a rural hospital in Uganda: a quality assessment by a partially completed criterion-based audit

Guidelines were not followed and suboptimal assessment or management was observed in all but one case, especially due to missing documentation of vital signs necessary to diagnose life-threatening complications, poor fluid resuscitation at signs of shock, and delayed evacuation of septic abortion.

Counting abortions so that abortion counts: Indicators for monitoring the availability and use of abortion care services

  • J. HealyK. OtseaJ. Benson
  • Medicine
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2006



Management of incomplete abortion in South African public hospitals

The current management of incomplete abortion in South African public hospitals and the extent to which management is clinically appropriate are described and discussed.

Prevalence of morbidity associated with abortion before and after legalisation in South Africa

The impact of legislative change on morbidity and medical management in South Africa by repeating the 1994 study of morbidity due to incomplete abortion among patients presenting to public hospitals in 2000 is studied.

The epidemiology of incomplete abortion in South Africa. National Incomplete Abortion Reference Group.

Incomplete abortions and, in particular, unsafe abortions are an important cause of mortality and morbidity in South Africa and a high priority should be given to the prevention of unsafe abortion.

Methodological issues in the South African incomplete abortion study.

The findings demonstrate that only a small proportion of the women acknowledged having had an induced abortion and thatonly a few of those who did showed evidence of interference with pregnancy, considerably reduce the usefulness of the WHO-protocol method of estimating the likely origin of incomplete abortions.

Efforts to reduce abortion-related mortality in South Africa.

Describing of the requirements of the Act, its implementation through a National Abortion Care Programme and the details of a national curriculum and training program for physicians and midwives who are gradually setting up services are presented in this article.

Making abortion law reform work: Steps and slips in Guyana

Women's perspectives on abortion in Romania.

Saving Mothers: Report on the Confidential Enquiries into Maternal Deaths in South Africa

Saving mothers : report on the confidential enquiries into maternal deaths in South Africa, 22(7):5-7.

Abortion service provision in South Africa three years after liberalization of the law.

Although in the first years following the new legislation efforts were made to establish abortion services, this study reveals gross inequality in service availability, with substantial parts of the country being entirely without such services.

Backstreet abortion: women's experiences.

The findings show that a host of factors were important in the circumstances leading to unwanted pregnancy and induced abortion: socio-economic, cultural, psychological and societal.