Sedgh Gilda, Sylla Amadou Hassane, Philbin Jesse, Keogh Sarah, Ndiaye Salif
Principal research scientist, Guttmacher Institute, New York,
Int Perspect Sex Reprod Health. 2015 Mar;41(1):11-9. doi: 10.1363/4101115.
Abortion is highly restricted by law in Senegal. Although women seek care for abortion complications, no national estimate of abortion incidence exists.
Data on postabortion care and abortion in Senegal were collected in 2013 using surveys of a nationally representative sample of 168 health facilities that provide postabortion care and of 110 professionals knowledgeable about abortion service provision. Indirect estimation techniques were applied to the data to estimate the incidence of induced abortion in the country. Abortion rates and ratios were calculated for the nation and separately for the Dakar region and the rest of the country. The distribution of pregnancies by planning status and by outcome was estimated.
In 2012, an estimated 51,500 induced abortions were performed in Senegal, and 16,700 (32%) resulted in complications that were treated at health facilities. The estimated abortion rate was 17 per 1,000 women aged 15-44 and the abortion ratio was 10 per 100 live births. The rate was higher in Dakar (21 per 1,000) than in the rest of the country (16 per 1,000). Poor women were far more likely to experience abortion complications, and less likely to receive treatment for complications, than nonpoor women. About 31% of pregnancies were unintended, and 24% of unintended pregnancies (8% of all pregnancies) ended in abortion.
Unsafe abortion exacts a heavy toll on women in Senegal. Reducing the barriers to effective contraceptive use and ensuring access to postabortion care without the risk of legal consequences may reduce the incidence of and complications from unsafe abortion.
在塞内加尔，堕胎受到法律的严格限制。尽管妇女会因堕胎并发症寻求治疗，但该国尚无关于堕胎发生率的全国性估计。
2013年，通过对提供堕胎后护理的168家具有全国代表性的医疗机构以及110名了解堕胎服务提供情况的专业人员进行调查，收集了塞内加尔堕胎后护理和堕胎的数据。对这些数据应用间接估计技术，以估算该国人工流产的发生率。计算了全国、达喀尔地区以及该国其他地区的堕胎率和比率。估算了按计划状态和结果划分的妊娠分布情况。
2012年，塞内加尔估计进行了51,500例人工流产，其中16,700例（32%）出现并发症并在医疗机构接受了治疗。估计堕胎率为每1000名15 - 44岁女性中有17例，堕胎比为每100例活产中有10例。达喀尔地区的堕胎率（每1000名中有21例）高于该国其他地区（每1000名中有16例）。贫困妇女比非贫困妇女更易出现堕胎并发症，且接受并发症治疗的可能性更小。约31%的妊娠为意外妊娠，其中24%的意外妊娠（占所有妊娠的8%）以堕胎告终。
不安全堕胎给塞内加尔妇女带来了沉重负担。减少有效避孕措施使用的障碍，并确保在无法律后果风险的情况下获得堕胎后护理，可能会降低不安全堕胎的发生率及其并发症。
