Implementation of the risk and harm reduction strategy against unsafe abortion in Uruguay: From a university hospital to the entire country

The history of the creation of the risk and harm reduction model applied to unsafe abortion is reviewed, from its initial implementation by a small group of gynecologists at the Pereira Rossell Hospital Center in Uruguay to its spread to the rest of the country. Its ethical rationale, its successful...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2016-08, Vol.134 (S1), p.S7-S11
Main Authors: Labandera, Ana, Gorgoroso, Monica, Briozzo, Leonel
Format: Article
Language:English
Subjects:
Abortion, Induced - psychology
Abortion, Legal - ethics
Abortion, Legal - history
Abortion, Legal - legislation & jurisprudence
Attitude of Health Personnel
Female
Harm Reduction - ethics
Health Knowledge, Attitudes, Practice
Health Plan Implementation - history
Health Policy - history
Health Policy - legislation & jurisprudence
History, 20th Century
History, 21st Century
Hospitals, University
Humans
International Agencies
International Cooperation
Maternal morbidity
Maternal mortality
Maternal Mortality - trends
Obstetrics and Gynecology
Pregnancy
Pregnancy, Unplanned - psychology
Pregnancy, Unwanted - psychology
Professional ethics
Risk reduction
Risk Reduction Behavior
Unsafe abortion
Uruguay
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Summary:The history of the creation of the risk and harm reduction model applied to unsafe abortion is reviewed, from its initial implementation by a small group of gynecologists at the Pereira Rossell Hospital Center in Uruguay to its spread to the rest of the country. Its ethical rationale, its successful application in the hospital, the decision to disseminate it with the cooperation of the International Federation of Gynecology and Obstetrics (FIGO), and the intervention procedures are explained. It was evaluated from the epidemiological and anthropological viewpoints, from the changes in professionals’ and users’ perception of the care offered and its impact on complications and maternal deaths. A very favorable change was seen in the number and quality of the services, the providers’ attitude, and maternal morbidity and mortality were reduced. It also brought visibility to women with unplanned and unwanted pregnancies and an improved understanding of their problems, which contributed to the legislative changes that were made subsequently.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2016.06.007