Evaluation of the Causes of Therapeutic Abortion Registered in the Khorasan Razavi Department of Forensic Medicine from 2012-2019

Document Type : Original Article

Authors

1 Forensic Medicine Specialist, legal medicine research center, legal medicine organization, Tehran, Iran

2 Forensic Medicine Specialist, legal medicine research center, legal medicine organization, Tehran,Iran

3 Student Research Committee, Department of Midwifery, School of Medicine, Gonabad University of Medical Sciences

4 Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad Medical sciences, Islamic Azad University, Mashhad, Iran

5 Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad Medical sciences, Islamic Azad University, Mashhad, Iran & Department of Public Health, Faculty of Paramedicine, Mashhad Medical sciences, Islamic Azad University, Mashhad, Iran 2:Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad Medical sciences, Islamic Azad University, Mashhad, Iran

6 Department of Public Health, Faculty of Paramedicine, Mashhad Medical sciences, Islamic Azad University, Mashhad, Iran

Abstract

Background: Therapeutic abortion is a complicated issue in Islamic Countries Therapeutic abortion is a complicated issue in Islamic countries. The new population growth policies in Iran introduced updated indications for therapeutic abortion in recent years.
 
Objectives: This study was performed to evaluate the causes of therapeutic abortion in the Khorasan Razavi Department of Forensic Medicine from 2012-2019.
 
Methods: This longitudinal study was performed on all recorded documents of permitted therapeutic abortions from 2012-2019 using a researcher-made checklist.
 
Results: A total of 2,729 therapeutic abortion permits were issued during the study period. The mean maternal and gestational age scores at the time of abortion were 30.30±6.78 years and 16 weeks, respectively. The main sources for referral were obstetrics and gynecologist (76.2%). Fetal causes were the most common causes of therapeutic abortion (96.4%). The most common fetal and maternal causes were trisomy 21 and cardiac disorders, respectively.
 
Conclusion: The most common cause of therapeutic abortion was fetal causes. Among the maternal causes, maternal cardiac disorders should be identified and prevented by better pregnancy care.
 

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Hedayat KM, Shooshtarizadeh P, Raza M. Therapeutic abortion in Islam: contemporary views of Muslim Shiite scholars and effect of recent Iranian legislation. J Med Ethics. 2006;32(11):652-7. doi: 10.1136/jme.2005.015289. [PubMed:17074823].
https://doi.org/10.1136/jme.2005.015289
PMid:17074823 PMCid:PMC2563289
 
2. Larijani B, Zahedi F, editors. Islamic perspective on human cloning and stem cell research. Transplant Proc. 2004;36(10):3188-9. doi: 10.1016/j.transproceed.2004.10.076. [PubMed:18686725].
https://doi.org/10.1016/j.transproceed.2004.10.076
PMid:15686725
 
3. Shapiro GK. Abortion law in Muslim-majority countries: an overview of the Islamic discourse with policy implications. Health Policy Plan. 2014;29(4):483-94. doi: 10.1093/heapol/czt040. [PubMed: 23749735].
https://doi.org/10.1093/heapol/czt040
PMid:23749735
 
4. Boland R, Katzive L. Developments in laws on induced abortion: 1998-2007. Int Fam Plan Perspect. 2008:110-20. doi: 10.1363/ifpp.34.110.08. [PubMed: 18957353].
https://doi.org/10.1363/ifpp.34.110.08
PMid:18957353
 
5. Bazmi S, Behnam B, Kiani M, Bazmi E. Comparative study of therapeutic abortion permissions in central clinical department of Tehran legal medicine organization before and after approval of law on abortion in Iran. Iran J Pediatrics. 2008;18(4).
 
6. Mahdavi SA, Jafari A, Azimi K, Dehghanizadeh N, Barzegar A. Therapeutic abortion in Iran: an epidemiologic study of legal abortion in 2 years. BMC Research Notes. 2020;13:1-6. doi: 10.1186/s13104-020-05098-y. [PubMed: 32460874].
https://doi.org/10.1186/s13104-020-05098-y
PMid:32460874 PMCid:PMC7254741
 
7. Al-Matary A, Ali J. Controversies and considerations regarding the termination of pregnancy for foetal anomalies in Islam. BMC medical ethics. 2014;15(1):1-10. doi: 10.1186/1472-6939-15-10. [PubMed: 24499356].
https://doi.org/10.1186/1472-6939-15-10
PMid:24499356 PMCid:PMC3943453
 
8. Yari K, Kazemi E, Yarani R, Tajehmiri A. Islamic bioethics for fetus abortion in Iran. Am J Sci Res. 2011;18(2):118-21.
 
9. Mohamad Ismail MF, Abdullahi Hashi A, Bin Nurumal MS, Bin Md Isa ML. Islamic moral judgement on abortion and its nursing applications: expository analysis. Enferm clín. 2018:212-6.
https://doi.org/10.1016/S1130-8621(18)30070-6
 
10. Abbasi M, Gooshki ES, Allahbedashti N. Abortion in Iranian legal system. IJAAI. 2014:71-84.
 
11. Ekmekci PE. Abortion in Islamic Ethics, and How it is Perceived in Turkey: A Secular, Muslim Country. J Relig Health. 2017;56(3):884-95. doi: 10.1007/s10943-016-0277-9. [PubMed: 27364347].
https://doi.org/10.1007/s10943-016-0277-9
PMid:27364347 PMCid:PMC5215975
 
12. Saraç M, Koç İ. Increasing misreporting levels of induced abortion in Turkey: is this due to social desirability bias?. J Biosoc Sci. 2019;52(2):213-29. doi: 10.1017/S0021932019000397. [PubMed: 31203820].
https://doi.org/10.1017/S0021932019000397
PMid:31203820
 
13. Chae S, Desai S, Crowell M, Sedgh G, Singh S. Characteristics of women obtaining induced abortions in selected low-and middle-income countries. PloS one. 2017;12(3):e0172976. doi: 10.1371/journal.pone.0172976. [PubMed: 28355285].
https://doi.org/10.1371/journal.pone.0172976
PMid:28355285 PMCid:PMC5371299
 
14. Rahimparvar SFV, Jafari A, Hoseinzadeh F, Daemi F, Samadi F. Characteristics of women applying for a legal abortion in the Islamic Republic of Iran. East Mediterr Health J. 2018;24(11):1040-8. doi: 10.26719/emhj.18.001. [PubMed: 30701518].
https://doi.org/10.26719/emhj.18.001
PMid:30701518
 
15. Soleymanpour A, Mogharehzadeh M, Pourbakhtiyar M, Mehmandoost N, Karimi J. Evaluation of fetal congenital abnormalities leading to the licensing of therapeutic abortion in Legal Medicine of Isfahan from 2012 to 2014. Iranian Journal of Obstetrics, Gynecology and Infertility. 2017;20(4). doi: 10.22038/IJOGI.2017.8978.
 
16. Mohajer MA, Veisani Y, Bakhtiyari A. Maternal And Fetal Risk Factors Of Licensing Therapeutic Abortion By Ilam Legal Medicine Organization: A Cross-Sectional Study. J Med Sci Stud. 2021;31(10):717-24.
 
17. Godrati F, Saadatmand N, Dinpazhoh M, Akbarzadeh M. Epidemiological Study of Legal Abortion due to Fetal Defects in the Files Referred to Fars Province Forensic Medicine Centers from 2007 to 2013. Shiraz E-Med J. 2016;17(11):e40023. doi: 10.17795/semj40023.
https://doi.org/10.17795/semj40023
 
18. Ghodrati F, Saadatmand N, Gholamzadeh S, Akbarzadeh M. Investigation of the prevalence and causes and of legal abortion of teenage married mothers in Iran. Int J Adolesc Med Health. 2020;32(1). doi: 10.1515/ijamh-2017-0091. [PubMed: 29397381].
https://doi.org/10.1515/ijamh-2017-0091
PMid:29397381
 
19. van Nisselrooij AE, Lugthart MA, Clur S-A, Linskens IH, Pajkrt E, Rammeloo LA, et al. The prevalence of genetic diagnoses in fetuses with severe congenital heart defects. Geneti Med. 2020;22(7):1206-14. doi: 10.1038/s41436-020-0791-8. [PubMed: 32341573].
https://doi.org/10.1038/s41436-020-0791-8
PMid:32341573 PMCid:PMC7332415
 
20. Ardakani ZB, Navabakhsh M, Ranjbar F, Tremayne S, Akhondi MM, Tabrizi AM. Dramatic rise in cesarean birth in Iran: A coalition of private medical practices and womenâ s choices. Int J Women's Health Reprod Sci. 2020:8(3):245-58. doi: 10.15296/ijwhr.2020.41.
https://doi.org/10.15296/ijwhr.2020.41
Razavi International Journal of Medicine
Volume 11, Issue 3
August 2023
Pages 17-22

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