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
1: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 Midwifery, Faculty of Nursing and Midwifery, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran
Abstract
Background: 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 Khorasan Razavi Department of Forensic Medicine from 2012 to 2019.
Methods: This longitudinal study was performed on all recorded documents of permitted therapeutic abortions from 2012 to 2019 using a researcher made checklist.
Results: A total of 2729 therapeutic abortion permits. The mean maternal and gestational age at the time of abortion were 30.30 ± 6.78 years and 16 weeks, respectively. The main source for referral was 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.
Conclusions: 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.
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