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Abortion, an increasing public health concern in Ecuador, a 10-year population-based analysis

Authors Ortiz-Prado E, Simbaña K, Gómez L, Stewart-Ibarra AM, Scott L, Cevallos-Sierra G

Received 5 December 2016

Accepted for publication 8 March 2017

Published 13 July 2017 Volume 2017:8 Pages 129—135

DOI https://doi.org/10.2147/POR.S129464

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Akshita Wason

Peer reviewer comments 2

Editor who approved publication: Professor David B Price


Video abstract presented by Esteban Ortiz-Prado

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Esteban Ortiz-Prado,1–4 Katherine Simbaña,5,6 Lenin Gómez,5,6 Anna M Stewart-Ibarra,4,7 Lisa Scott,8 Gabriel Cevallos-Sierra9

1OneHealth Research Group, Faculty of Medicine, Universidad De Las Americas, Quito, Ecuador; 2Department of Cellular Biology, Physiology and Immunology, Institute of Biomedicine, Universitat de Barcelona, Spain; 3Department of Physiology, Faculty of Medicine “Eugenio Espejo”, Universidad Tecnologica Equinoccial, Quito, Ecuador; 4Department of Medicine, College of Medicine, 5Center for Global Health and Translational Science, Upstate Medical University, State University of New York, Syracuse, NY, USA; 6Faculty of Medical Science, School of Medicine, Universidad Central del Ecuador, 7Prometeo Program, SENESCYT, Quito, Ecuador; 8Graduate College of Biomedical Sciences, Western University of Health Sciences, Lebanon, OR, USA; 9School of Public Health, University of Heidelberg, Heidelberg, Germany

Objectives: To describe the epidemiology of abortion in Ecuador from 2004 to 2014 and compare the prevalence between the public and the private health care systems.
Methods: This is a cross-sectional analysis of the overall mortality and morbidity rate due to abortion in Ecuador, based on public health records and other government databases.
Results: From 2004 to 2014, a total of 431,614 spontaneous abortions, miscarriage and other types of abortions were registered in Ecuador. The average annual rate of abortion was 115 per 1,000 live births. The maternal mortality rate was found to be 43 per 100,000 live births.
Conclusions: Abortion is a significant and wide-ranging problem in Ecuador. The study supports the perception that in spite of legal restrictions to abortion in Ecuador, women are still terminating pregnancies when they feel they need to do so. The public health system reported >84% of the national overall prevalence.

Keywords: clandestine abortion, private vs public health system, misoprostol, therapeutic abortion, metrotexate, misoprostol

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