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Abstract

Legal Abortion with Maternal Causes Referred to Medico-Legal Centers in Fars: A Seven Years Review of Epidemiological Evidence in 2007-2013

Narjes Saadatmand, Fatemeh Ghodrati, Mohammad Zarenezhad and Marzieh Akbarzadeh

Introduction and aim: Maternal mortality is one of the most significant global health indicators, and abortion is one of its leading causes. Abortions are principally prohibited except in cases where the mother’s life is in danger. This study has been done based on the maternal causes of abortion.

Method: In this study, medical records of the cases referred to Shiraz legal medicine centers including 1664 files from 2007 to 2013 were investigated. Our data collection form consisted of two sections aiming to gather their biographic characteristics and the maternal causes of the abortion through a checklist.

Results: The highest frequency of the mothers' age was 25 to 30 years old (31.5%), and that of their spouse was the age 30 to 35 years (28.6%). Family marriage ratio and rate gravidity were 60.8% and 40.4% (673 cases), respectively. 59.45% had no history of abortion. Furthermore, fetal and maternal causes were 79.6% and 20.4%, respectively. Blood disorders and thalassemia were the most common factors following heart disorders (19.46%). The majority of the fetuses were between 17-20 weeks (29.4%).

Conclusion: Maternal cardiac disease was the most common reason of therapeutic abortion both in this study and other countries' studies. Therefore, health educational programs on definitive contraception's should be held for them.