Nursing and Midwifery Care Research Centre, Midwifery Department, Nursing and Midwifery School, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Iran Legal Medicine Organization Research Centre, Tehran, Islamic Republic of Iran.
East Mediterr Health J. 2019 Jan 23;24(11):1040-1048. doi: 10.26719/emhj.18.001.
Legal abortion has been permitted in the Islamic Republic of Iran since 2003 if there is serious and incurable disease that would cause the mother or the fetus suffering.
This study evaluated the characteristics of women applying for a legal abortion licence to the Tehran Province General Office of Legal Medicine, and compared the findings with earlier studies to evaluate changes over time.
All women visiting the office between August 2011 and 2012 to apply for a legal abortion licence were interviewed and sociodemographic data, reason for the application and outcome of the application were recorded.
A total of 1378 women applied for a licence, and 48% were issued. Most applications (80.6%) were for fetal rather than maternal indications and 90.2% of the licences issued were for fetal indications. Most of the applications for fetal indications (53.7%) were granted a licence, while 75.7% for maternal indications were rejected. Neurological abnormalities in the fetus were the most common reason for the application (24.6%) and licences issued (30.7%). Neurological and psychological disorders were the most common maternal reason in all applications (25.7%) and in unsuccessful applications (28.6%). Cardiac disease (23.1%) was the most common maternal reason in successful applications.
Comparison of the results with those of earlier studies shows an increase in the number of women applying for a legal abortion licence and in the number of licences issued. Similar studies are recommended to provide information on the effect of national abortion laws and help improve the legal abortion process in the Islamic Republic of Iran.
自 2003 年以来，伊朗伊斯兰共和国允许在存在严重和无法治愈的疾病，会导致母亲或胎儿遭受痛苦的情况下进行合法堕胎。
本研究评估了向德黑兰省法医总局申请合法堕胎许可证的妇女的特征，并与早期研究进行比较，以评估随时间的变化。
所有于 2011 年 8 月至 2012 年期间访问该办公室申请合法堕胎许可证的妇女均接受了采访，并记录了社会人口统计学数据、申请原因和申请结果。
共有 1378 名妇女申请许可证，其中 48%获得批准。大多数申请（80.6%）是为胎儿而不是母亲的原因，90.2%的许可证是为胎儿原因发放的。大多数胎儿原因的申请（53.7%）获得了许可证，而母亲原因的申请中只有 75.7%被拒绝。胎儿的神经异常是申请（24.6%）和发放许可证（30.7%）最常见的原因。神经和心理障碍是所有申请（25.7%）和不成功申请（28.6%）中母亲最常见的原因。在成功的申请中，心脏病（23.1%）是母亲最常见的原因。
将结果与早期研究进行比较表明，申请合法堕胎许可证的妇女人数和发放的许可证数量有所增加。建议进行类似的研究，以提供关于国家堕胎法效果的信息，并帮助改善伊朗伊斯兰共和国的合法堕胎程序。
