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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: Revis\u00f5es anteriores sobre o aborto no Brasil estimaram um milh\u00e3o de procedimentos anuais, por\u00e9m, n\u00e3o abordaram o aborto legal. O objetivo desta revis\u00e3o sistem\u00e1tica foi atualizar o conhecimento sobre o aborto legal, quanto ao perfil dos servi\u00e7os, das mulheres atendidas, conhecimento de estudantes e m\u00e9dicos, situa\u00e7\u00e3o de anencefalia e malforma\u00e7\u00f5es graves. A busca de artigos foi via MEDLINE e LILACS, de 2008 a 2018, sem restri\u00e7\u00e3o de idiomas. A qualidade dos artigos foi avaliada com instrumentos do Joanna Briggs Institute. Busca, sele\u00e7\u00e3o, avalia\u00e7\u00e3o de qualidade e extra\u00e7\u00e3o de dados foram feitas independentemente por duas pesquisadoras. Selecionaram-se 20 artigos, 11 sobre conhecimento e opini\u00e3o de profissionais m\u00e9dicos (4 artigos) e estudantes de Medicina (7 artigos), revelando conhecimento aqu\u00e9m do ideal sobre o aborto legal e obje\u00e7\u00e3o de consci\u00eancia elevada. Seis estudos sobre as mulheres atendidas identificaram que elas s\u00e3o jovens, solteiras e a principal demanda foi a gravidez decorrente de estupro. A demora em procurar atendimento ocorreu dentre as mais jovens, solteiras e quando o agressor era algu\u00e9m pr\u00f3ximo. Tr\u00eas estudos sobre malforma\u00e7\u00f5es graves mostraram autoriza\u00e7\u00e3o judicial em torno de 40%. Nos casos sem autoriza\u00e7\u00e3o, a evolu\u00e7\u00e3o da gravidez foi complicada e o parto foi ces\u00e1reo. Apenas um artigo abordou os servi\u00e7os de aborto legal, apontando 37 dos 68 cadastrados em atividade, inexist\u00eancia em sete estados e concentra\u00e7\u00e3o nas capitais. O conhecimento sobre o aborto legal ainda \u00e9 escasso, a demanda do procedimento \u00e9 reprimida e a forma\u00e7\u00e3o m\u00e9dica \u00e9 deficiente no tema.<\/jats:p>","DOI":"10.1590\/0102-311x00189718","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:57:43Z","timestamp":1581469063000},"source":"Crossref","is-referenced-by-count":22,"title":["Aborto legal no Brasil: revis\u00e3o sistem\u00e1tica da produ\u00e7\u00e3o cient\u00edfica, 2008-2018"],"prefix":"10.1590","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5493-494X","authenticated-orcid":false,"given":"Sandra Costa","family":"Fonseca","sequence":"first","affiliation":[{"name":"Universidade Federal Fluminense,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5722-8127","authenticated-orcid":false,"given":"Rosa Maria Soares Madeira","family":"Domingues","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3047-515X","authenticated-orcid":false,"given":"Maria do Carmo","family":"Leal","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8204-1249","authenticated-orcid":false,"given":"Estela M. L.","family":"Aquino","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8393-2545","authenticated-orcid":false,"given":"Greice M. S.","family":"Menezes","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/S0140-6736(16)30380-4","article-title":"Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends","volume":"388","author":"Sedgh G","year":"2016","journal-title":"Lancet"},{"key":"ref2","series-title":"C\u00f3digo Penal Brasileiro"},{"key":"ref3","series-title":"Ac\u00f3rd\u00e3o sobre a Argui\u00e7\u00e3o de Descumprimento de Preceito Fundamental ADPF 54. Mostra-se inconstitucional a interpreta\u00e7\u00e3o de interrup\u00e7\u00e3o da gravidez de feto anenc\u00e9falo ser conduta tipificada nos artigos 124, 126 e 128, incisos I e II, do C\u00f3digo Penal"},{"key":"ref4","series-title":"Resolu\u00e7\u00e3o CFM n\u00ba 1.989\/2012. Disp\u00f5e sobre o diagn\u00f3stico de anencefalia para a antecipa\u00e7\u00e3o terap\u00eautica do parto e d\u00e1 outras provid\u00eancias"},{"key":"ref5","series-title":"Aborto legal: implica\u00e7\u00f5es \u00e9ticas e religiosas","first-page":"77","volume-title":"Aspectos bio\u00e9ticos e jur\u00eddicos do abortamento seletivo no Brasil","author":"Frig\u00e9rio V","year":"2002"},{"key":"ref6","first-page":"13","article-title":"Quem autoriza o aborto seletivo no Brasil M\u00e9dicos, promotores e ju\u00edzes em cena","volume":"13","author":"Diniz D","year":"2003","journal-title":"Physis (Rio J.)"},{"key":"ref7","series-title":"20 anos de pesquisas sobre aborto no Brasil","year":"2009"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"S193","DOI":"10.1590\/S0102-311X2009001400002","article-title":"Pesquisa sobre o aborto no Brasil avan\u00e7os e desafios para o campo da sa\u00fade coletiva","volume":"25","author":"Menezes M","year":"2009","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref9","series-title":"Aten\u00e7\u00e3o humanizada ao abortamento: norma t\u00e9cnica.","year":"2011","edition":"2\u00aa Ed"},{"key":"ref10","series-title":"Preven\u00e7\u00e3o e tratamento dos agravos resultantes da viol\u00eancia sexual contra mulheres e adolescentes: norma t\u00e9cnica","year":"2012"},{"key":"ref11","series-title":"Aten\u00e7\u00e3o \u00e0s mulheres com gesta\u00e7\u00e3o de anenc\u00e9falos: norma t\u00e9cnica","year":"2014"},{"key":"ref12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1000100","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions explanation and elaboration","volume":"6","author":"Liberati A","year":"2009","journal-title":"PLoS Med"},{"key":"ref13","series-title":"Clinical Appraisal Tools"},{"key":"ref14","first-page":"563","article-title":"Legal abortion services in Brazil-a national study","volume":"21","author":"Madeiro AP","year":"2016","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1619","DOI":"10.1590\/S1413-81232009000800035","article-title":"A magnitude do aborto por anencefalia um estudo com m\u00e9dicos","volume":"14","author":"Diniz D","year":"2009","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/S0968-8080(14)43754-6","article-title":"Conscientious objection, barriers, and abortion in the case of rape a study among physicians in Brazil","volume":"22","author":"Diniz D","year":"2014","journal-title":"Reprod Health Matters"},{"key":"ref17","first-page":"85","article-title":"Motivos para interromper legalmente a gravidez decorrente de estupro e efeitos do abortamento nos relacionamentos cotidianos das mulheres","volume":"26","author":"Drezett J","year":"2011","journal-title":"Reprod Clim"},{"key":"ref18","first-page":"819","article-title":"Pregnancy resulting from sexual abuse reasons alleged by Brazilian women for carrying out the abortion - pregnancy and violence","volume":"6","author":"Drezett J","year":"2012","journal-title":"Health Med"},{"key":"ref19","first-page":"1","article-title":"Factors associated with the delay in seeking legal abortion","volume":"8","author":"Blake MT","year":"2015","journal-title":"Int Arch Med"},{"key":"ref20","first-page":"25","article-title":"Caracter\u00edsticas sociodemogr\u00e1ficas de migrantes bolivianas com gesta\u00e7\u00e3o decorrente de viol\u00eancia sexual atendidas em servi\u00e7o p\u00fablico de refer\u00eancia para abortamento legal, S\u00e3o Paulo, Brasil, 2002 - 2014","volume":"17","author":"Santos J","year":"2015","journal-title":"Reprod Clim"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1590\/1516-3180.2017.0048150317","article-title":"Sociodemographic characteristics of women in a public hospital in Campinas who underwent legal abortion due to sexual violence cross-sectional study","volume":"135","author":"Mutta DS","year":"2017","journal-title":"S\u00e3o Paulo Med J"},{"key":"ref22","first-page":"69","article-title":"Influ\u00eancia da percep\u00e7\u00e3o dos profissionais quanto ao aborto provocado na aten\u00e7\u00e3o \u00e0 sa\u00fade da mulher","volume":"34","author":"Benute GR","year":"2012","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref23","first-page":"13","article-title":"Aten\u00e7\u00e3o humanizada ao aborto legal em um hospital p\u00fablico de Bel\u00e9m - 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Disp\u00f5e sobre o Procedimento de Justifica\u00e7\u00e3o e Autoriza\u00e7\u00e3o da Interrup\u00e7\u00e3o da Gravidez nos casos previstos em lei, no \u00e2mbito do Sistema \u00danico de Sa\u00fade","year":"2005","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1590\/0102-311X00051714","article-title":"Gravidez ap\u00f3s viol\u00eancia sexual viv\u00eancias de mulheres em busca da interrup\u00e7\u00e3o legal","volume":"31","author":"Machado CL","year":"2015","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref40","series-title":"Fatores associados \u00e0 mudan\u00e7a de decis\u00e3o em realizar o abortamento de gesta\u00e7\u00e3o decorrente de viol\u00eancia sexual: Hospital P\u00e9rola Byington - 1994 a 2012","author":"Pimentel RM","year":"2013"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.1016\/S0020-7292(13)60003-X","article-title":"Conscientious objection or fear of 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