Measuring unsafe abortion-related mortality: a systematic review of the existing methods.
<h4>Background</h4>The 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.<h4&g...
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oai:doaj.org-article:f8d151dd67784cda9ce94846c330088a2021-11-18T08:01:40ZMeasuring unsafe abortion-related mortality: a systematic review of the existing methods.1932-620310.1371/journal.pone.0053346https://doaj.org/article/f8d151dd67784cda9ce94846c330088a2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23341939/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The 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.<h4>Study design</h4>To be included in this study, articles had to meet the following criteria: (1) published between September 1(st), 2000-December 1(st), 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.<h4>Results</h4>7,438 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%).<h4>Conclusions</h4>Improvements 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.Caitlin GerdtsDivya VohraJennifer AhernPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 1, p e53346 (2013) |
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Medicine R Science Q Caitlin Gerdts Divya Vohra Jennifer Ahern Measuring unsafe abortion-related mortality: a systematic review of the existing methods. |
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<h4>Background</h4>The 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.<h4>Study design</h4>To be included in this study, articles had to meet the following criteria: (1) published between September 1(st), 2000-December 1(st), 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.<h4>Results</h4>7,438 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%).<h4>Conclusions</h4>Improvements 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. |
format |
article |
author |
Caitlin Gerdts Divya Vohra Jennifer Ahern |
author_facet |
Caitlin Gerdts Divya Vohra Jennifer Ahern |
author_sort |
Caitlin Gerdts |
title |
Measuring unsafe abortion-related mortality: a systematic review of the existing methods. |
title_short |
Measuring unsafe abortion-related mortality: a systematic review of the existing methods. |
title_full |
Measuring unsafe abortion-related mortality: a systematic review of the existing methods. |
title_fullStr |
Measuring unsafe abortion-related mortality: a systematic review of the existing methods. |
title_full_unstemmed |
Measuring unsafe abortion-related mortality: a systematic review of the existing methods. |
title_sort |
measuring unsafe abortion-related mortality: a systematic review of the existing methods. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2013 |
url |
https://doaj.org/article/f8d151dd67784cda9ce94846c330088a |
work_keys_str_mv |
AT caitlingerdts measuringunsafeabortionrelatedmortalityasystematicreviewoftheexistingmethods AT divyavohra measuringunsafeabortionrelatedmortalityasystematicreviewoftheexistingmethods AT jenniferahern measuringunsafeabortionrelatedmortalityasystematicreviewoftheexistingmethods |
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