Legal Medicine Research Center, Iranian Legal Medicine Organization, Tehran, Iran.
Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran.
BMC Res Notes. 2020 May 27;13(1):261. doi: 10.1186/s13104-020-05098-y.
Unsafe abortion is one of the most important causes of death and disability among mothers in countries where abortion is illegal. These conditions have changed since then. The present study has investigated the cases who were referred to the legal medicine organization to receive abortion permission. This country level secondary patient data analysis, investigated all the cases who were referred to the legal medicine centers of Iran for abortion permission during 2015 to 2017.
From 21,477 applicants, 15,617 (72.71%) received permission including 14,367 (91.99%) for fetal abnormalities and 1250 (8.01%) for maternal diseases. The most common fetal abnormalities/disorders were nervous system malformations (26.4%), chromosomal abnormalities (18.4%) and of maternal diseases were circulatory system diseases (43.9%), neoplasms (13.4%) and genitourinary system diseases (9.9%). The most common reasons for not permission were lack of supplementary documents to prove (38.8%), not competency with the criteria (33.9%), and gestational age of more than 19 weeks (25.8%).
在堕胎非法的国家，不安全堕胎是导致母亲死亡和残疾的最重要原因之一。这些情况已经发生了变化。本研究调查了那些被转介到法医组织以获得堕胎许可的案例。本国家层面的二次患者数据分析，调查了 2015 年至 2017 年期间所有被转介到伊朗法医中心寻求堕胎许可的案例。
在 21477 名申请者中，有 15617 名（72.71%）获得了许可，其中包括 14367 名（91.99%）因胎儿异常和 1250 名（8.01%）因母亲疾病。最常见的胎儿异常/疾病是神经系统畸形（26.4%）、染色体异常（18.4%）和母亲疾病是循环系统疾病（43.9%）、肿瘤（13.4%）和泌尿生殖系统疾病（9.9%）。未获得许可的最常见原因是缺乏证明的补充文件（38.8%）、不符合标准（33.9%）和妊娠 19 周以上（25.8%）。
