Ghodrati Fatemeh, Saadatmand Narges, Gholamzadeh Saeid, Akbarzadeh Marzieh
Department of Theology, Faculty of Humanities Science College, Yasouj University, Yasouj, Iran.
Department of Midwifery, School of Nursing and Midwifery, Student Research Committee of Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Adolesc Med Health. 2018 Feb 5;32(1):/j/ijamh.2020.32.issue-1/ijamh-2017-0091/ijamh-2017-0091.xml. doi: 10.1515/ijamh-2017-0091.
Background The therapeutic abortion law, in accordance with the fatwa issued by our Muslim jurisprudent approved by the parliament in 2005, has made major developments in dealing with cases of therapeutic abortions. Objective This study aimed at identifying the prevalence and causes of therapeutic abortion requests to the Legal Medicine Organization of Fars province, Shiraz, by pregnant teenager mothers. Methods This study was a retrospective, cross-sectional, descriptive survey. In this study, all documents related to therapeutic abortion requests from the Legal Medicine Organization of Fars province (southern Iran) from 2006 to 2013 were investigated. The total sample size included 1664, out of which 142 were teenagers. Sampling was carried out using Convenience method. Data were analyzed using SPSS statistical software, version 16, descriptive statistics and χ2. Results In this study, 142 mothers were under 20 years of age (8.5%). The prevalence of fetal abortion license requests was 110 (78.6%) and for maternal causes was 30 (21.4%). There was no significant statistical correlation between fetal causes in different years (p = 0.083). The most common causes of fetal abortion request were for thalassemia treatment in 78 cases (79.9%) followed by fetal malformations (20.9%); also, the most common maternal cause was thalassemia in 14 cases (51.9%) and depression in three cases (1.11%), respectively. Conclusion Our results showed that after approval of therapeutic abortion law, requests for therapeutic abortion due to fetal causes are extensively increasing. There is still a need for coordination of judicial, medical and legal authorities for prompt notification.
根据我国穆斯林法学家于2005年发布并经议会批准的治疗性流产法，在处理治疗性流产案件方面取得了重大进展。
本研究旨在确定设拉子市法尔斯省法定医学组织收到的青少年孕妇提出的治疗性流产申请的患病率及原因。
本研究为回顾性横断面描述性调查。对伊朗南部法尔斯省法定医学组织2006年至2013年期间所有与治疗性流产申请相关的文件进行了调查。总样本量为1664例，其中142例为青少年。采用便利抽样法。使用SPSS 16.0统计软件进行数据分析，采用描述性统计和χ²检验。
本研究中，142名母亲年龄在20岁以下（8.5%）。因胎儿原因申请流产许可的有110例（78.6%），因母亲原因的有30例（21.4%）。不同年份因胎儿原因导致的情况之间无显著统计学相关性（p = 0.083）。因胎儿原因申请流产最常见的原因是地中海贫血治疗，共78例（79.9%），其次是胎儿畸形（20.9%）；母亲方面最常见的原因分别是地中海贫血14例（51.9%）和抑郁症3例（1.11%）。
我们的结果表明，治疗性流产法批准后，因胎儿原因提出治疗性流产的申请大幅增加。司法、医疗和法律当局仍需协调以便及时通报。
