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An observational study of abortion in Romania after contraceptive introduction

Simionescu Anca Angela, Horobet Alexandra
Abstract: Objective: To analyze whether the introduction of contraceptive services and the legalisation of abortion contributed to the decrease of the number of on request abortions in Romania between 1989 and 2009. Methods: An observational study of abortions in Romania was performed using data from the National Centre for the Organization and Management of the Health Information System. We included abortion on request, incomplete abortions and septic abortions for all patients that required hospitalisation and suction curettage. We analysed the use of contraception in Romania despite not wishing to get pregnant. The data has been processed using Microsoft Excel. Results: We analysed 3,838,210 patients that underwent suction curettage and we found a significant decrease in the total number of abortions on request, by an average of 25,831 per year. In relative terms abortions decreased, on average, by 49 % per year between 1999 and 2009 and by 93 % overall, if we compare the value from 2009 to that of 1990. We analysed the use of contraceptive services in our country and how they might have influenced abortions. Conclusion: The possibility of using contraception and the related information made available after 1990 has reduced the number of abortions on request. Still, new policies are needed to improve the use of contraception and universal access to family planning centres.

Keywords: Romania, contraception, contraceptive services, abortion on request


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