{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:26:25Z","timestamp":1793039185966,"version":"4.5.0"},"reference-count":96,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>O objetivo deste estudo \u00e9 atualizar o conhecimento sobre o aborto inseguro no pa\u00eds. Foi realizada uma revis\u00e3o sistem\u00e1tica com busca e sele\u00e7\u00e3o de estudos via MEDLINE e LILACS, sem restri\u00e7\u00e3o de idiomas, no per\u00edodo 2008 a 2018, com avalia\u00e7\u00e3o da qualidade dos artigos por meio dos instrumentos elaborados pelo Instituto Joanna Briggs. Foram avaliados 50 artigos. A preval\u00eancia de aborto induzido no Brasil foi estimada por m\u00e9todo direto em 15% no ano de 2010 e 13% no ano de 2016. Preval\u00eancias mais elevadas foram observadas em popula\u00e7\u00f5es socialmente mais vulner\u00e1veis. A raz\u00e3o de aborto induzido por 1.000 mulheres em idade f\u00e9rtil reduziu no per\u00edodo 1995-2013, sendo de 16 por 1.000 em 2013. Metade das mulheres referiu a utiliza\u00e7\u00e3o de medicamentos para a interrup\u00e7\u00e3o da gesta\u00e7\u00e3o e o n\u00famero de interna\u00e7\u00f5es por complica\u00e7\u00f5es do aborto, principalmente complica\u00e7\u00f5es graves, reduziu no per\u00edodo 1992-2009. A morbimortalidade materna por aborto apresentou frequ\u00eancia reduzida, mas alcan\u00e7ou valores elevados em contextos espec\u00edficos. H\u00e1 um prov\u00e1vel sub-registro de \u00f3bitos maternos por aborto. Transtornos mentais comuns na gesta\u00e7\u00e3o e depress\u00e3o p\u00f3s-parto foram mais frequentes em mulheres que tentaram induzir um aborto sem sucesso. Os resultados encontrados indicam que o aborto \u00e9 usado com frequ\u00eancia no Brasil, principalmente nas regi\u00f5es menos desenvolvidas e por mulheres socialmente mais vulner\u00e1veis. O acesso a m\u00e9todos mais seguros provavelmente contribuiu para a redu\u00e7\u00e3o de interna\u00e7\u00f5es por complica\u00e7\u00f5es e para a redu\u00e7\u00e3o da morbimortalidade por aborto. Entretanto, metade das mulheres ainda recorre a outros m\u00e9todos e o n\u00famero de interna\u00e7\u00f5es por complica\u00e7\u00f5es do aborto \u00e9 ainda elevado.<\/jats:p>","DOI":"10.1590\/0102-311x00190418","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T01:07:29Z","timestamp":1581469649000},"source":"Crossref","is-referenced-by-count":24,"title":["Aborto inseguro no Brasil: revis\u00e3o sistem\u00e1tica da produ\u00e7\u00e3o cient\u00edfica, 2008-2018"],"prefix":"10.1590","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5722-8127","authenticated-orcid":false,"given":"Rosa Maria Soares Madeira","family":"Domingues","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5493-494X","authenticated-orcid":false,"given":"Sandra Costa","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense,  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":"2372","DOI":"10.1016\/S0140-6736(17)31794-4","article-title":"Global, regional, and subregional classification of abortions by safety, 2010-14: estimates from a Bayesian hierarchical model.","volume":"390","author":"Ganatra B","year":"2017","journal-title":"Lancet"},{"key":"ref2","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":"ref3","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1111\/1471-0528.13552","article-title":"Facility-based treatment for medical 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with HIV","volume":"9","author":"Pilecco FB","year":"2014","journal-title":"PLoS One"},{"key":"ref32","article-title":"Differences and similarities in women living and not living with HIV contributions by the GENIH study to sexual and reproductive healthcare","volume":"33","author":"Pinho AA","year":"2017","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1590\/S0034-89102011000200016","article-title":"Pregnancy rates and predictors in women with HIV\/AIDS in Rio de Janeiro, Southeastern Brazil","volume":"45","author":"Friedman RK","year":"2011","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1590\/S1413-81232012000700012","article-title":"Aborto induzido entre prostitutas um levantamento pela t\u00e9cnica de urna em Teresina - Piau\u00ed","volume":"17","author":"Madeiro AP","year":"2012","journal-title":"Ci\u00eanc Sa\u00fade 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