{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:46:51Z","timestamp":1788850011249,"version":"build-2803163510"},"reference-count":25,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"07","license":[{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"vor","delay-in-days":60,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To evaluate the factors associated with abortion complications following the implementation of the good-practice surveillance network Mujeres en Situaci\u00f3n de Aborto (Women Undergoing Abortion, MUSA, in Spanish).<\/jats:p><jats:p>\n          Methods\u2003A cross-sectional study with women who underwent abortion due to any cause and in any age group at UNICAMP Women's Hospital (part of MUSA network), Campinas, Brazil, between July 2017 and Agust 2019. The dependent variable was the presence of any abortion-related complications during hospitalization. The independent variables were clinical and sociodemographic data. The Chi-square test, the Mann\u2013Whitney test, and multiple logistic regression were used for the statistical analysis.<\/jats:p><jats:p>\n          Results\u2003Overall, 305 women were enrolled (mean\u2009\u00b1\u2009standard deviation [SD] for age: 29.79\u2009\u00b1\u20097.54 years). The mean gestational age was 11.17 (\u00b13.63) weeks. Accidental pregnancy occurred in 196 (64.5%) cases, 91 (29.8%) due to contraception failure. At least 1 complication was observed in 23 (7.54%) women, and 8 (34.8%) of them had more than 1. The most frequent complications were excessive bleeding and infection. The factors independently associated with a higher prevalence of complications were higher gestational ages (odds ratio [OR]: 1.22; 95% confidence interval [95%CI]: 1.09 to 1.37) and contraceptive failure (OR: 3.4; 95%CI: 1.32 to 8.71).<\/jats:p><jats:p>\n          Conclusion\u2003Higher gestational age and contraceptive failure were associated with a higher prevalence of complications. This information obtained through the surveillance network can be used to improve care, particularly in women more susceptible to unfavorable outcomes.<\/jats:p>","DOI":"10.1055\/s-0041-1735129","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T22:33:03Z","timestamp":1630362783000},"page":"507-512","source":"Crossref","is-referenced-by-count":4,"title":["Factors Associated with Abortion Complications after the Implementation of a Surveillance Network (MUSA Network) in a University Hospital"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0355-9996","authenticated-orcid":false,"given":"Camila Ayume Amano","family":"Cavalari","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medical Sciences, State University of Campinas \u2013 UNICAMP \u2013 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3977-0817","authenticated-orcid":false,"given":"Nelio Neves","family":"Veiga-Junior","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medical Sciences, State University of Campinas \u2013 UNICAMP \u2013 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1607-718X","authenticated-orcid":false,"given":"Beatriz Deguti","family":"Kajiura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medical Sciences, State University of Campinas \u2013 UNICAMP \u2013 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3661-0965","authenticated-orcid":false,"given":"Caroline","family":"Eugeni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medical Sciences, State University of Campinas \u2013 UNICAMP \u2013 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4060-8515","authenticated-orcid":false,"given":"Barbara Virg\u00ednia Gon\u00e7alves","family":"Tavares","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medical Sciences, State University of Campinas \u2013 UNICAMP \u2013 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8837-8061","authenticated-orcid":false,"given":"Luiz Francisco","family":"Baccaro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medical Sciences, State University of Campinas \u2013 UNICAMP \u2013 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2021,8,30]]},"reference":[{"key":"ref1","first-page":"1","volume-title":"Epidemiology of miscarriage","author":"W Prendeville","year":"1997"},{"issue":"09","key":"ref2","doi-asserted-by":"publisher","first-page":"e1152","DOI":"10.1016\/S2214-109X(20)30315-6","article-title":"Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990-2019","volume":"8","author":"J Bearak","year":"2020","journal-title":"Lancet Glob Health"},{"issue":"09","key":"ref3","doi-asserted-by":"publisher","first-page":"1489","DOI":"10.1111\/1471-0528.13552","article-title":"Facility-based treatment for medical complications resulting from unsafe pregnancy termination in the developing world, 2012: a review of evidence from 26 countries","volume":"123","author":"S Singh","year":"2016","journal-title":"BJOG"},{"issue":"06","key":"ref4","doi-asserted-by":"publisher","first-page":"e323","DOI":"10.1016\/S2214-109X(14)70227-X","article-title":"Global causes of maternal death: a WHO systematic analysis","volume":"2","author":"L Say","year":"2014","journal-title":"Lancet Glob Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e00190418","DOI":"10.1590\/0102-311X00190418","article-title":"Unsafe abortion in Brazil: a systematic review of the scientific production, 2008-2018","volume":"36","author":"R MSM Domingues","year":"2020","journal-title":"Cad Saude Publica"},{"issue":"01","key":"ref6","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.ijgo.2012.05.025","article-title":"Severe maternal morbidity due to abortion prospectively identified in a surveillance network in Brazil","volume":"119","author":"D S Santana","year":"2012","journal-title":"Int J Gynaecol Obstet"},{"issue":"04","key":"ref7","first-page":"245","article-title":"Unsafe abortion and its ethical, sexual and reproductive rights implications","volume":"30","author":"E Adinma","year":"2011","journal-title":"West Afr J Med"},{"issue":"02","key":"ref8","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1002\/ijgo.13170","article-title":"Post-abortion contraception before hospital discharge after installation of a surveillance network in Brazil","volume":"150","author":"N N Veiga-Junior","year":"2020","journal-title":"Int J Gynaecol Obstet"},{"issue":"01","key":"ref9","doi-asserted-by":"publisher","first-page":"1811482","DOI":"10.1080\/16549716.2020.1811482","article-title":"EviSIP: using evidence to change practice through mentorship - an innovative experience for reproductive health in the Latin American and Caribbean regions","volume":"13","author":"S J Serruya","year":"2020","journal-title":"Glob Health Action"},{"key":"ref10","volume-title":"Using multivariate statistics","author":"B G Tabachnick","year":"2007","edition":"5th ed."},{"issue":"01","key":"ref11","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1097\/AOG.0000000000000603","article-title":"Incidence of emergency department visits and complications after abortion","volume":"125","author":"U D Upadhyay","year":"2015","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref12","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/j.contraception.2012.10.024","article-title":"Management of postabortion hemorrhage: release date November 2012 SFP Guideline #20131","volume":"87","author":"J Kerns","year":"2013","journal-title":"Contraception"},{"issue":"04","key":"ref13","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1016\/j.contraception.2008.01.004","article-title":"Clinical guidelines. Cervical preparation for surgical abortion from 20 to 24 weeks' gestation","volume":"77","author":"S Newmann","year":"2008","journal-title":"Contraception"},{"issue":"S 04","key":"ref14","first-page":"21S","article-title":"Complications of second-trimester dilation and evacuation","volume":"109","author":"G A De La Vega","year":"2007","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref15","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1111\/j.1479-828X.2010.01148.x","article-title":"Infection and fetal loss in the mid-second trimester of pregnancy","volume":"50","author":"B Allanson","year":"2010","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"ref16","volume-title":"Department of Economic and Social Affairs","author":"United Nations","year":"2019"},{"issue":"01","key":"ref17","doi-asserted-by":"publisher","first-page":"1707","DOI":"10.1186\/s12889-019-8080-7","article-title":"Expanding choice and access in contraception: an assessment of intrauterine contraception policies in low and middle-income countries","volume":"19","author":"M Ali","year":"2019","journal-title":"BMC Public Health"},{"key":"ref18","volume-title":"Department of Economic and Social Affairs","author":"United Nations","year":"2016"},{"issue":"03","key":"ref19","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1016\/j.contraception.2019.04.009","article-title":"An analysis of delays among women accessing second-trimester abortion in the public sector in South Africa","volume":"100","author":"D Constant","year":"2019","journal-title":"Contraception"},{"issue":"01","key":"ref20","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/s12939-020-1122-z","article-title":"Delay in decision and determinants for safe abortion among women at health facilities in south West Ethiopia: facility based cross sectional study","volume":"19","author":"B A Mizana","year":"2020","journal-title":"Int J Equity Health"},{"issue":"06","key":"ref21","doi-asserted-by":"publisher","first-page":"e00168116","DOI":"10.1590\/0102-311X00168116","article-title":"Delays in access to care for abortion-related complications: the experience of women in Northeast Brazil","volume":"34","author":"T VB Ara\u00fajo","year":"2018","journal-title":"Cad Saude Publica"},{"issue":"01","key":"ref22","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1097\/AOG.0000000000000910","article-title":"Medical compared with surgical abortion for effective pregnancy termination in the first trimester","volume":"126","author":"L D Ireland","year":"2015","journal-title":"Obstet Gynecol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"e00189718","DOI":"10.1590\/0102-311X00189718","article-title":"Legal abortion in Brazil: systematic review of the scientific production, 2008-2018","volume":"36","author":"S C Fonseca","year":"2020","journal-title":"Cad Saude Publica"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"S20","DOI":"10.1016\/j.ijgo.2016.06.004","article-title":"Overall and abortion-related maternal mortality rates in Uruguay over the past 25 years and their association with policies and actions aimed at protecting women's rights","volume":"134","author":"L Briozzo","year":"2016","journal-title":"Int J Gynaecol Obstet"},{"key":"ref25","volume-title":"United Nations Population Division","author":"Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group","year":"2019"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/factors-associated-with-abortion-complications-after-the-implementation-of-a-surveillance-network-musa-network-in-a-university-hospital\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1735129.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T20:56:37Z","timestamp":1721336197000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/factors-associated-with-abortion-complications-after-the-implementation-of-a-surveillance-network-musa-network-in-a-university-hospital\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":25,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2021,8,30]]},"published-print":{"date-parts":[[2021,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1735129","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}