Causes of Different Types of Abortion in Women Referring To Educational and Medical Centers in Shiraz, Iran

Background & aim: Abortion in Iran, like some countries in the world, has long been a culturally, socially, politically and religiously sensitive issue. So the present study was conducted to investigate the causes of abortions in pregnant women referring to Shiraz educational and medical centers...

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Main Authors: Sedeghe Alipanahpour, Naemeh Tayebi, Mina Taheri, Marzieh Akbarzadeh
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2021-10-01
Series:Journal of Midwifery & Reproductive Health
Subjects:
Online Access:https://jmrh.mums.ac.ir/article_18888_84ec11a305f216de023241555dbd1331.pdf
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author Sedeghe Alipanahpour
Naemeh Tayebi
Mina Taheri
Marzieh Akbarzadeh
author_facet Sedeghe Alipanahpour
Naemeh Tayebi
Mina Taheri
Marzieh Akbarzadeh
author_sort Sedeghe Alipanahpour
collection DOAJ
description Background & aim: Abortion in Iran, like some countries in the world, has long been a culturally, socially, politically and religiously sensitive issue. So the present study was conducted to investigate the causes of abortions in pregnant women referring to Shiraz educational and medical centers.Methods: : In this cross-sectional study, 437 woman who had an abortion, were selected by examining 5176 pregnant women using sequential sampling method during 4 months from educational and forensic medicine centers in Shiraz, Iran, in 2017. A self-structured questionnaire including demographic characteristics and obstetric data was completed for each mother. Data analysis was carried out using descriptive statistics.Results: Out of 88 abortions with a legal permission from the forensic medicine, 9.1% were due to maternal illness and 90.9% were due to fetal disease, the most common cause of which was fetal cranial and cerebral disorders (17.1%). Out of 105 cases of spontaneous abortion, 8 cases were due to maternal cause (the most common cause of uterine defects (4.8%) and 97 cases were due to fetal cause. Out of 244 induced abortions with obstetric indication, the most common cause was missed abortion (32%).Conclusion: In all three types of abortion, fetal causes were the most common cause of abortion.  It seems that education, access to information and awareness raising activities involving the whole community will have a significant effect on preventing the occurrence of abnormalities. Emphasis is placed on the importance of conducting prenatal screening before 20 weeks of gestation.
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spelling doaj.art-eacaa90a5ac047b0bd4a16730040c4e42022-12-22T02:49:51ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922021-10-01943034304210.22038/jmrh.2021.59249.171618888Causes of Different Types of Abortion in Women Referring To Educational and Medical Centers in Shiraz, IranSedeghe Alipanahpour0Naemeh Tayebi1Mina Taheri2Marzieh Akbarzadeh3Lecturer, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IranLecturer, Department of Midwifery, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Irana) Lecturer, Maternal–fetal Medicine Research Center, Shiraz University of Medical Sciences. Shiraz, Iran b) Department of Midwifery, School Of Nursing and Midwifery, Shiraz University of Medical Sciences. Shiraz, Irana) Lecturer, Maternal–fetal Medicine Research Center, Shiraz University of Medical Sciences. Shiraz, Iran b) Department of Midwifery, School Of Nursing and Midwifery, Shiraz University of Medical Sciences. Shiraz, IranBackground & aim: Abortion in Iran, like some countries in the world, has long been a culturally, socially, politically and religiously sensitive issue. So the present study was conducted to investigate the causes of abortions in pregnant women referring to Shiraz educational and medical centers.Methods: : In this cross-sectional study, 437 woman who had an abortion, were selected by examining 5176 pregnant women using sequential sampling method during 4 months from educational and forensic medicine centers in Shiraz, Iran, in 2017. A self-structured questionnaire including demographic characteristics and obstetric data was completed for each mother. Data analysis was carried out using descriptive statistics.Results: Out of 88 abortions with a legal permission from the forensic medicine, 9.1% were due to maternal illness and 90.9% were due to fetal disease, the most common cause of which was fetal cranial and cerebral disorders (17.1%). Out of 105 cases of spontaneous abortion, 8 cases were due to maternal cause (the most common cause of uterine defects (4.8%) and 97 cases were due to fetal cause. Out of 244 induced abortions with obstetric indication, the most common cause was missed abortion (32%).Conclusion: In all three types of abortion, fetal causes were the most common cause of abortion.  It seems that education, access to information and awareness raising activities involving the whole community will have a significant effect on preventing the occurrence of abnormalities. Emphasis is placed on the importance of conducting prenatal screening before 20 weeks of gestation.https://jmrh.mums.ac.ir/article_18888_84ec11a305f216de023241555dbd1331.pdfforensic medicineabortionfetal complicationsmaternal complications
spellingShingle Sedeghe Alipanahpour
Naemeh Tayebi
Mina Taheri
Marzieh Akbarzadeh
Causes of Different Types of Abortion in Women Referring To Educational and Medical Centers in Shiraz, Iran
Journal of Midwifery & Reproductive Health
forensic medicine
abortion
fetal complications
maternal complications
title Causes of Different Types of Abortion in Women Referring To Educational and Medical Centers in Shiraz, Iran
title_full Causes of Different Types of Abortion in Women Referring To Educational and Medical Centers in Shiraz, Iran
title_fullStr Causes of Different Types of Abortion in Women Referring To Educational and Medical Centers in Shiraz, Iran
title_full_unstemmed Causes of Different Types of Abortion in Women Referring To Educational and Medical Centers in Shiraz, Iran
title_short Causes of Different Types of Abortion in Women Referring To Educational and Medical Centers in Shiraz, Iran
title_sort causes of different types of abortion in women referring to educational and medical centers in shiraz iran
topic forensic medicine
abortion
fetal complications
maternal complications
url https://jmrh.mums.ac.ir/article_18888_84ec11a305f216de023241555dbd1331.pdf
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AT minataheri causesofdifferenttypesofabortioninwomenreferringtoeducationalandmedicalcentersinshiraziran
AT marziehakbarzadeh causesofdifferenttypesofabortioninwomenreferringtoeducationalandmedicalcentersinshiraziran