Department of Obstetrics and Gynecology, Assiut University, P.O.Box.30, Assiut, Egypt.
Best Pract Res Clin Obstet Gynaecol. 2020 Feb;63:2-12. doi: 10.1016/j.bpobgyn.2019.03.010. Epub 2019 May 20.
It is now more than 50 years since the World Health Assembly recognized abortion as a serious public health problem. The challenge still stands. Addressing the problem of unsafe abortion is a national and global public health imperative, dictated by the magnitude of the problem and its impact on individuals and society, inequity of the burden of disease, and an international consensus of the global health community. Almost every abortion death and disability could be prevented through cost-effective public health interventions including sexuality education, use of effective contraception, provision of safe, legal induced abortion, and quality humane postabortion care. Safe abortion continues to be a challenge to public health because of diverse national restrictive legal regulations, prevailing stigma, and lack of political commitment. Health professionals have a social responsibility to educate policymakers, legislators, and the public at large about adverse impacts of restrictive abortion regulations, laws, and policies on women's health.
自世界卫生大会（World Health Assembly）将堕胎认定为严重的公共卫生问题以来，已经过去了 50 多年。但这一挑战仍然存在。解决不安全堕胎问题是一项国家和全球公共卫生要务，这是由问题的严重程度及其对个人和社会的影响、疾病负担的不平等以及全球卫生界的国际共识所决定的。通过具有成本效益的公共卫生干预措施，几乎可以预防每一起堕胎死亡和残疾事件，这些措施包括性教育、使用有效的避孕措施、提供安全合法的人工流产以及优质的人性化流产后护理。由于各国法律规定不同、普遍存在的耻辱感以及缺乏政治承诺，安全堕胎仍然是公共卫生面临的一个挑战。卫生专业人员有社会责任，教育政策制定者、立法者和广大公众了解限制性堕胎法规、法律和政策对妇女健康的不利影响。
