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Eur J Public Health. 2013 Aug;23(4):569-74. doi: 10.1093/eurpub/cks107. Epub 2012 Sep 5.
3
Women's education level, maternal health facilities, abortion legislation and maternal deaths: a natural experiment in Chile from 1957 to 2007.妇女受教育程度、孕产妇保健设施、堕胎立法和孕产妇死亡:1957 年至 2007 年智利的自然实验
PLoS One. 2012;7(5):e36613. doi: 10.1371/journal.pone.0036613. Epub 2012 May 4.
4
The comparative safety of legal induced abortion and childbirth in the United States.美国合法人工流产与分娩的安全性比较。
Obstet Gynecol. 2012 Feb;119(2 Pt 1):215-9. doi: 10.1097/AOG.0b013e31823fe923.
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Psychosocial risk factors as contributors to pregnancy-associated death in Virginia, 1999-2001.弗吉尼亚州 1999-2001 年与妊娠相关的死亡的社会心理风险因素。
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Perspect Sex Reprod Health. 2008 Mar;40(1):6-16. doi: 10.1363/4000608.
7
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MMWR Surveill Summ. 2007 Nov 23;56(9):1-33.
8
Underreporting of induced and spontaneous abortion in the United States: an analysis of the 2002 National Survey of Family Growth.美国人工流产和自然流产报告不足:2002年全国家庭成长调查分析
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9
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10
Pregnancy-associated deaths: a 15-year retrospective study and overall review of maternal pathophysiology.妊娠相关死亡:一项15年的回顾性研究及对孕产妇病理生理学的全面综述
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合法堕胎背景下的孕产妇死亡谬论

The Maternal Mortality Myth in the Context of Legalized Abortion.

作者信息

Calhoun Byron

机构信息

West Virginia University-Charleston, Charleston, WV, USA.

出版信息

Linacre Q. 2013 Aug;80(3):264-276. doi: 10.1179/2050854913Y.0000000004. Epub 2013 Aug 1.

DOI:10.1179/2050854913Y.0000000004
PMID:30083002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6027002/
Abstract

It was quoted recently in the literature that "The risk of death associated with childbirth is approximately 14 times higher than with abortion." This statement is unsupported by the literature and there is no credible scientific basis to support it. A reasonable woman would find any discussion about the risk of dying from a procedure as material, i.e., important and significant. In order for the physician-patient informed consent dialogue to address this critical issue, the physician must rely upon objective and accurate information concerning abortion. There are numerous and complicated methodological factors that make a valid scientific assessment of abortion mortality extremely difficult. Among the many factors responsible are incomplete reporting, definitional incompatibilities, voluntary data collection, research bias, reliance upon estimations, political correctness, inaccurate and/or incomplete death certificate completion, incomparability with maternal mortality statistics, and failing to include other causes of death such as suicides. Given the importance of this disclosure about abortion mortality, the lack of credible and reliable scientific evidence supporting this representation requires substantial discussion.

摘要

最近文献中引用了这样一句话

“与分娩相关的死亡风险比堕胎高约14倍。” 这一说法没有文献依据,也没有可靠的科学依据来支持。一个理性的女性会认为任何关于因某种手术而死亡风险的讨论都是重要的,即重要且意义重大的。为了使医患之间的知情同意对话能够解决这一关键问题,医生必须依赖有关堕胎的客观准确信息。有许多复杂的方法学因素使得对堕胎死亡率进行有效的科学评估极其困难。造成这种情况的众多因素包括报告不完整、定义不一致、自愿数据收集、研究偏差、依赖估计、政治正确性、死亡证明填写不准确和/或不完整、与孕产妇死亡率统计数据不可比,以及未包括自杀等其他死因。鉴于关于堕胎死亡率披露的重要性,缺乏支持这一表述的可信可靠科学证据需要进行大量讨论。