Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada.
Int J Gynaecol Obstet. 2010 Jul;110 Suppl:S17-9. doi: 10.1016/j.ijgo.2010.04.004. Epub 2010 May 7.
Unsafe abortion is a recognized public health problem that contributes significantly to maternal mortality. At least 13% of maternal mortality is caused by unsafe abortion, mostly in poor and marginalized women. The International Federation of Gynecology and Obstetrics (FIGO) launched an initiative in 2007 to prevent unsafe abortion and its consequences, building on its work on other major causes of maternal mortality. A Working Group was identified with collaborators from many international organizations and terms of reference provided direction from the FIGO Executive Board as to possible evidence-based interventions. A total of 54 member associations of FIGO, representing almost half its member societies, requested participation in the initiative, with 43 subsequently producing action plans that are country specific and involve the national government and multiple collaborators. Obstetrician/gynecologists have demonstrated the importance of the initiative by an unprecedented level of engagement in efforts to reduce maternal mortality and morbidity in country and by sharing experiences regionally.
不安全堕胎是一个公认的公共卫生问题，对产妇死亡率有重大影响。至少有 13%的产妇死亡是由不安全堕胎造成的，而这些产妇大多来自贫困和边缘群体。国际妇产科联合会（FIGO）于 2007 年发起了一项倡议，以预防不安全堕胎及其后果，该倡议是在其针对其他导致产妇死亡的主要原因的工作基础上展开的。FIGO 执行委员会确定了一个工作组，与许多国际组织的合作者一起，提供了关于可能的循证干预措施的指导方针。FIGO 的 54 个成员协会，代表了其成员协会的近一半，要求参与该倡议，其中 43 个协会随后制定了具体针对国家的行动计划，涉及国家政府和多个合作者。妇产科医生通过在国家一级为降低产妇死亡率和发病率所做的努力以及通过区域分享经验，表现出了对该倡议的重要性，这种参与程度是前所未有的。
