Information Systems, Mexico City Ministry of Health, Mexico City, Mexico.
Stud Fam Plann. 2011 Sep;42(3):159-66. doi: 10.1111/j.1728-4465.2011.00277.x.
Legal abortion services have been available in public and private health facilities in Mexico City since April 2007 for pregnancies of up to 12 weeks gestation. As of January 2011, more than 50,000 procedures have been performed by Ministry of Health hospitals and clinics. We researched trends in service users' characteristics, types of procedures performed, post-procedure complications, repeat abortions, and postabortion uptake of contraception in 15 designated hospitals from April 2007 to March 2010. The trend in procedures has been toward more medication and manual vacuum aspiration abortions and fewer done through dilation and curettage. Percentages of post-procedure complications and repeat abortions remain low (2.3 and 0.9 percent, respectively). Uptake of postabortion contraception has increased over time; 85 percent of women selected a method in 2009-10, compared with 73 percent in 2007-08. Our findings indicate that the Ministry of Health's program provides safe services that contribute to the prevention of repeat unintended pregnancies.
自 2007 年 4 月以来，墨西哥城的公共和私人医疗设施一直提供合法的堕胎服务，可用于妊娠 12 周以内的情况。截至 2011 年 1 月，已有 5 万多例手术是由卫生部医院和诊所完成的。我们研究了 2007 年 4 月至 2010 年 3 月间 15 家指定医院的服务使用者特征、手术类型、术后并发症、重复堕胎和堕胎后避孕的趋势。手术的趋势是更多地采用药物和手动真空抽吸堕胎，而较少采用扩张和刮宫。术后并发症和重复堕胎的比例仍然较低（分别为 2.3%和 0.9%）。堕胎后避孕的使用率随着时间的推移而增加；2009-10 年，85%的妇女选择了一种方法，而 2007-08 年则为 73%。我们的研究结果表明，卫生部的方案提供了安全的服务，有助于防止重复的意外怀孕。
