de Mello Fernanda Maria Bezerra, de Sousa Jailson Lopes, Figueroa José Natal
Faculdade de Ciências Médicas, Universidade de Pernambuco, Recife, Brasil.
Cad Saude Publica. 2011 Jan;27(1):87-93. doi: 10.1590/s0102-311x2011000100009.
This study estimates the total number of unsafe abortions and the ratio of unsafe abortions to live births in the State of Pernambuco, Brazil, and in the State's micro-regions (GERES) from 1996 to 2006. A descriptive, ecological, time trend study was performed on the ratio of unsafe abortions to live births. The number of hospital admissions from complications of abortions was obtained from the Hospital Information System (SIH/SUS). The Alan Guttmacher Institute methodology was used to estimate the number of unsafe abortions. The majority of admissions and estimated unsafe abortions occurred in the 1st and 4th GERES. As for the ratio of unsafe abortions to live births, there was an upward trend in the 2nd, 4th, 7th, 9th, 10th, and 11th GERES and a decrease in the 1st, 3rd, 5th, 6th, and 8th GERES, but the trends were only statistically significant in the 1st,5th, 10th, and 11th GERES. In conclusion, Pernambuco showed a high abortion-related hospitalization rate from 1996 to 2007. The estimated number of unsafe abortions was high, with an average of 56,457 per year, 4,705 per month, or 157 per day.
本研究估算了1996年至2006年巴西伯南布哥州及其微区域（GERES）不安全堕胎的总数以及不安全堕胎与活产数的比率。对不安全堕胎与活产数的比率进行了描述性、生态学、时间趋势研究。堕胎并发症导致的住院人数从医院信息系统（SIH/SUS）获取。采用艾伦·古特马赫研究所的方法估算不安全堕胎数。大多数住院病例和估算的不安全堕胎发生在第1和第4个GERES。至于不安全堕胎与活产数的比率，第2、4、7、9、10和11个GERES呈上升趋势，第1、3、5、6和8个GERES呈下降趋势，但仅在第1、5、10和11个GERES中这些趋势具有统计学意义。总之，1996年至2007年伯南布哥州显示出与堕胎相关的高住院率。不安全堕胎的估算数很高，平均每年56,457例，每月4,705例，或每天157例。
