Manouana M, Kadhel P, Koffi A, Janky E
Service de gynécologie et obstétrique, pôle parent-enfant, CHU de Pointe-à-Pitre/Abymes, route de Chauvel, 97159 Pointe-à-Pitre cedex, Guadeloupe, France.
J Gynecol Obstet Biol Reprod (Paris). 2013 Apr;42(2):137-42. doi: 10.1016/j.jgyn.2012.10.006. Epub 2012 Nov 22.
The aim of this study was to describe the typical profile, and to assess the motivations of women who underwent illegal abortion with misoprostol in Guadeloupe (French West Indies).
We conducted a 1-year prospective study on women who consulted after failure or complication of an illegal abortion with misoprostol.
Fifty-two cases of illegal abortion with misoprostol were recorded. The most common profile was an unemployed woman, who was unmarried, foreign-born, had no medical insurance, and a low level of education; the median age was 28 (range 17 to 40). The justifications given were that the legal procedure was considered to be too slow, the young age of the woman, the ease of the self-medication procedure, a history of illegal abortion by misoprostol in the woman's country of origin, ignorance of the legal process, and financial and/or administrative problems.
The problem of illegal abortion is probably underestimated in Guadeloupe and possibly France. This description of the profile of the population concerned and the justifications for choosing illegal abortion by misoprostol provides elements allowing better focus of education concerning abortion, contraception and family planning. Access to legal abortion centers should also be improved.
本研究旨在描述瓜德罗普岛（法属西印度群岛）使用米索前列醇进行非法堕胎的女性的典型特征，并评估其动机。
我们对使用米索前列醇进行非法堕胎失败或出现并发症后前来咨询的女性进行了为期1年的前瞻性研究。
记录了52例使用米索前列醇进行非法堕胎的病例。最常见的特征是失业女性，未婚，出生在国外，没有医疗保险，教育程度低；中位年龄为28岁（范围17至40岁）。给出的理由包括认为法律程序过于缓慢、女性年龄小、自我用药程序简便、女性原籍国曾有使用米索前列醇进行非法堕胎的历史、对法律程序无知以及财务和/或行政问题。
瓜德罗普岛乃至法国可能低估了非法堕胎问题。对相关人群特征的描述以及选择使用米索前列醇进行非法堕胎的理由提供了一些要素，有助于更好地聚焦堕胎、避孕和计划生育方面的教育。合法堕胎中心的可及性也应得到改善。
