Diniz Debora, Madeiro Alberto
Programa de Pós-Graduação em Política Social, Universidade de Brasília, Brasília, DF.
Cien Saude Colet. 2012 Jul;17(7):1795-804. doi: 10.1590/s1413-81232012000700018.
This paper analyzes the illegal trade in misoprostol, the medication predominantly used for abortion in Brazil. The study analyzed ten cases that came to the attention of the Public Prosecution Service for the Federal District between 2004 and 2010. The cases were organized into three categories: 1. women's stories; 2. profile of the vendors; 3. maternal mortality cases. The research was reviewed by an ethics committee. The main outcomes were: 1. young women in steady relationships use misoprostol in the home or with the assistance of drug vendors. Of the seven women indicted, three were reported on arrival at the public hospital to finalize abortion; 2. the drug vendors work at the community drugstore and are local agents for the sale of misoprostol. They instruct women on how to use the drug and how to prevent infections, but refuse to provide them with care in case of emergency. Traffickers operate via the internet and have a larger inventory of drugs; 3. there were two cases of maternal mortality due to the combination of high risk methods, such as a vaginal probe and misoprostol. The main causes for maternal mortality are the delay in seeking medical care, as the women fear criminal prosecution, and the combined use of misoprostol with high risk methods.
本文分析了米索前列醇的非法交易情况，这种药物在巴西主要用于堕胎。该研究分析了2004年至2010年间引起联邦区公共检察署关注的10起案件。这些案件被分为三类：1. 女性的故事；2. 供应商概况；3. 孕产妇死亡案例。该研究经过了伦理委员会的审查。主要结果如下：1. 处于稳定恋爱关系的年轻女性在家中或在药品供应商的协助下使用米索前列醇。在被起诉的7名女性中，有3人在前往公立医院完成堕胎时被举报；2. 药品供应商在社区药店工作，是米索前列醇的本地销售代理商。他们指导女性如何使用该药物以及如何预防感染，但在紧急情况下拒绝为她们提供护理。贩运者通过互联网运作，拥有更多的药品库存；3. 有两起孕产妇死亡案例是由于高风险方法（如阴道探针和米索前列醇）的联合使用。孕产妇死亡的主要原因是寻求医疗护理的延迟，因为女性害怕受到刑事起诉，以及米索前列醇与高风险方法的联合使用。
