Ipas, Chapel Hill, NC, USA.
Int Perspect Sex Reprod Health. 2013 Jun;39(2):88-96. doi: 10.1363/3908813.
Abortion is legally restricted in Malawi, and no data are available on the incidence of the procedure.
The Abortion Incidence Complications Methodology was used to estimate levels of induced abortion in Malawi in 2009. Data on provision of postabortion care were collected from 166 public, nongovernmental and private health facilities, and estimates of the likelihood that women who have abortions experience complications and seek care were obtained from 56 key informants. Data from these surveys and from the 2010 Malawi Demographic and Health Survey were used to calculate abortion rates and ratios, and rates of pregnancy and unintended pregnancy.
Approximately 18,700 women in Malawi were treated in health facilities for complications of induced abortion in 2009. An estimated 67,300 induced abortions were performed, equivalent to a rate of 23 abortions per 1,000 women aged 15-44 and an abortion ratio of 12 per 100 live births. The abortion rate was higher in the North (35 per 1,000) than in the Central region or the South (20-23 per 1,000). The unintended pregnancy rate in 2010 was 139 per 1,000 women aged 15-44, and an estimated 52% of all pregnancies were unintended.
Unsafe abortion is common in Malawi. Interventions are needed to help women and couples avoid unwanted pregnancy, reduce the need for unsafe abortion and decrease maternal mortality.
马拉维的堕胎在法律上受到限制，目前尚无关于该程序发生率的数据。
采用堕胎发生率并发症方法学来估计 2009 年马拉维人工流产的发生率。从 166 家公立、非政府和私立卫生机构收集了关于堕胎后护理提供情况的数据，并从 56 名主要知情者获得了关于堕胎妇女发生并发症和寻求护理可能性的估计数。从这些调查以及 2010 年马拉维人口与健康调查中获得的数据，计算了堕胎率和比、妊娠率和非意愿妊娠率。
2009 年，马拉维约有 18700 名妇女因人工流产并发症在卫生机构接受治疗。估计有 67300 例人工流产，相当于每 1000 名 15-44 岁妇女中有 23 例堕胎，每 100 例活产中有 12 例堕胎。北部（每 1000 人中有 35 例）的堕胎率高于中部或南部（每 1000 人中有 20-23 例）。2010 年的非意愿妊娠率为每 1000 名 15-44 岁妇女中有 139 例，估计有 52%的妊娠是意外妊娠。
不安全堕胎在马拉维很常见。需要采取干预措施，帮助妇女和夫妇避免意外怀孕，减少对不安全堕胎的需求，并降低孕产妇死亡率。
