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Prior to legalization, a group of influential physicians had established a \u201charm reduction\u201d approach consisting of pre\u2010 and postabortion counseling with a focus on safer abortion methods. The existence of a network of providers from this initiative facilitated the implementation of abortion services after legalization. Particularities of the Uruguayan model include a strong focus on medical abortion, and a multidisciplinary approach to patient counseling. The implementation of services was largely successful, and rates of abortion\u2010related morbidity and mortality have decreased. Remaining concerns include high rates of conscientious objection and insufficient human resources to staff interdisciplinary counseling teams. The focus on medical abortion has led to a lack of method choice. Finally, data collection gaps complicate monitoring and identification of barriers to access.<\/jats:p>","DOI":"10.1002\/ijgo.12677","type":"journal-article","created":{"date-parts":[[2018,10,30]],"date-time":"2018-10-30T11:40:27Z","timestamp":1540899627000},"page":"45-51","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["From harm reduction to legalization: The Uruguayan model for safe abortion"],"prefix":"10.1002","volume":"143","author":[{"given":"Bianca M.","family":"Stifani","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health Albert Einstein College of Medicine\/Montefiore Medical Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Couto","sequence":"additional","affiliation":[{"name":"Instituto Psicolog\u00eda de la Salud Universidad de la Rep\u00fablica de Uruguay  Montevideo Uruguay"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra","family":"Lopez Gomez","sequence":"additional","affiliation":[{"name":"Salud Reproductiva y Sexualidades en el Instituto de Psicolog\u00eda de la Salud Universidad de la Rep\u00fablica de Uruguay  Montevideo Uruguay"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0398-2"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12671"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rhm.2016.11.006"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2003.09.014"},{"key":"e_1_2_11_6_1","first-page":"s265","article-title":"Sistema de salud de Uruguay","volume":"53","author":"Aran D","year":"2011","journal-title":"Salud Publica Mex"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2016.06.007"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.18294\/sc.2016.857"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2016.06.004"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1759-5436.2008.tb00464.x"},{"key":"e_1_2_11_11_1","unstructured":"JohnsonN RochaC SchenckM.La insercion del abortio en la agenda politico\u2010publica uruguaya 1985\u20132013: un analisis desde el movimiento feminista. 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