{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T06:50:28Z","timestamp":1793170228900,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,4,14]],"date-time":"2010-04-14T00:00:00Z","timestamp":1271203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the frequency of women who had undergone an unsafe abortion and attended a tertiary care hospital in Pakistan with complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with a history of termination at a gestational age of less than or equal to 22 weeks were included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 230 women who met the inclusion criteria, 50 (21.7%) patients had undergone an unsafe abortion and attended the hospital with associated complications. Unintended pregnancy was the reason for the abortion in 82% of women (n = 41). Eighteen (36%) underwent terminations performed by doctors, 18 (36%) by Lady Health Visitors (n = 18), 10 (20%) by an untrained birth attendant (Dai), and 4 (8.0%) by nurses. Dilatation and evacuation procedures were performed in 28 (56.0%) women, while a Laminaria tent prior to evacuation was used in 18 (36.0%). Major complications included uterine perforation and gastrointestinal injury, observed in 27 (54.0%) women. Hemorrhage was observed in 13 (26.0%) women with retained products of conception after incomplete abortion. Six (12.0%) women died.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Healthcare providers performed the majority of terminations. To prevent maternal mortality, improved skills through refresher courses and workshops on safer methods are needed.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2010.01.028","type":"journal-article","created":{"date-parts":[[2010,4,15]],"date-time":"2010-04-15T09:02:09Z","timestamp":1271322129000},"page":"47-49","source":"Crossref","is-referenced-by-count":24,"title":["Morbidity and mortality due to unsafe abortion in Pakistan"],"prefix":"10.1002","volume":"110","author":[{"given":"Zunaira","family":"Shaikh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Razia Mustafa","family":"Abbassi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naushaba","family":"Rizwan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumera","family":"Abbasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,4,14]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"Report of a Technical Working Group","author":"World Health Organization","year":"1993"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2005.00405.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.2307\/2991869"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61575-X"},{"key":"e_1_2_6_6_2","volume-title":"Unsafe abortion: global and regional estimates of incidence of unsafe abortion and associated mortality in 2000","author":"World Health Organization","year":"2004"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(02)00012-5"},{"issue":"7","key":"e_1_2_6_8_2","first-page":"269","article-title":"Abortion: a major contributor to maternal ill health","volume":"55","author":"Khan S.","year":"2005","journal-title":"J Pak Med Assoc"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(02)00024-1"},{"issue":"2","key":"e_1_2_6_10_2","first-page":"122","article-title":"Bowel injuries secondary to induced abortion: a dilemma","volume":"23","author":"Rehman A.","year":"2007","journal-title":"Pak J Surg"},{"issue":"1","key":"e_1_2_6_11_2","article-title":"Legal advisor, Pfizer Pharmacuticals","volume":"2","author":"Khan Sharmeen Ali","year":"2006","journal-title":"SZABIST Law Review"},{"issue":"7","key":"e_1_2_6_12_2","first-page":"286","article-title":"Surgical complications following unsafe abortion","volume":"53","author":"Bhutta S.Z.","year":"2003","journal-title":"J Pak Med Assoc"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(04)24015-0"},{"issue":"4","key":"e_1_2_6_14_2","first-page":"286","article-title":"Maternal mortality at Lady Willingdon Hospital, Lahore","volume":"8","author":"Lodhi S.K.","year":"2002","journal-title":"Ann King Edward Med Coll"},{"issue":"1","key":"e_1_2_6_15_2","first-page":"86","article-title":"An analysis of direct causes of maternal mortality","volume":"20","author":"Rahim R.","year":"2006","journal-title":"J Postgrad Med Inst"},{"issue":"4","key":"e_1_2_6_16_2","first-page":"203","article-title":"Demographic and clinical profile of patients with complicated unsafe abortion","volume":"17","author":"Siddique S.","year":"2007","journal-title":"J Coll Physicians Surg Pak"},{"key":"e_1_2_6_17_2","first-page":"104","article-title":"Illegally induced abortion: a study of 37 cases","volume":"6","author":"Tayyab S.","year":"1996","journal-title":"J Coll Physicians Surg Pak"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1341-8076.2004.00146.x"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)32307-6"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/15246090152636569"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(96)80008-7"}],"container-title":["International Journal of Gynecology &amp; 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