Misoprostol for induction of second trimester abortion in pregnancies resulting from sexual violence: effectiveness analysis of a protocol applied in the Brazilian public health service

Comparison between Nursing Performance and Standard of Care for Aborted Woman at Mansoura Hospitals

“…Women who had faced problems related to logistics, women from rural residence, women who are unable to recognize their pregnancy early, and irregular nature of their menses were found to have an abortion in the second trimester period. As regards to item eleven which related to "Analgesia and sedation" the current study results showed that more than half of standards were competent achieved by all studied hospitals and there was highly significance differences among all studied hospitals regarding to standards (1,5,11,13,14,17,18). This results may be due to lack of hospitals resources& facilities and lack of health care provider's knowledge and experiences.…”

“…Limited sonography in abortion care " and there were highly significance differences among all studied hospitals (P<0.001) about standard (1, 2) but no statistical differences regarding standard (7,8). Also it shows that all studied hospitals were competent achieved (100%) all criteria of standard (3,5,6) which related to and there were no significance differences among all studied hospitals.…”

“…Also, there was highly significance differences among all studied hospitals regarding to standard (5,7). These result is due to decrease the capacity of healthcare providers to deliver post abortion care and also due to decrease post abortion care health education programme.…”

“…Concerning item five which related to "Limited Sonography in Abortion care ", nurses at all studied hospitals were achieved standard (3,5,6) and there was no highly significance differences among all studied hospitals, these result are consistent with Pricilla et al, (2014) Who found that, it is useful to use obstetric ultrasound in the early detection of missed abortions and twin pregnancies, and enables appropriate treatment of post-term pregnancies in situations where women do not forget the last menstrual period. It is possible to get good results by adequate training of a generalist physician in obstetric ultrasound.…”

Aborto legal

“…As mulheres que procuram a nossa maternidade para aborto legal são predominantemente mulheres na faixa etária de 22-30 anos (48.3%), brancas (89.7%), solteiras (65.52%), com ensino médio completo (48.3%), o que é compatível com o perfil das mulheres que buscam interrupção legalizada em outros estudos (Da Silva, Zucco & Neto, 2019;Dos Santos & Angerame, 2017;Lima et al 2019;Drezett, Pedroso, Gebrim, Matias, Macedo & Abreu, 2011;Machado, Fernandes, Osis & Makuch, 2015;Madeiro & Diniz, 2016;Ministério da saúde, 2008) Destas mulheres, 89.7% referiram se identificar como da raça branca, o que chama a atenção se considerarmos que as mulheres negras geralmente são mais vulneráveis a violência sexual (Cerqueira e Coelho, 2014;Engel, 2015; Anuário Brasileiro de Segurança Pública, 2019)� Poderíamos justificar esse fato pela predominância da população branca no estado (89,3%) como nos aponta Delziovo et al (2017). No entanto, em outras pesquisas em diferentes Estados (Lima et al, 2019;Drezett et al, 2011;Dos Santos & Angerame, 2017, entre outros) a maioria das mulheres que buscam aborto legal, também são brancas, o que nos leva a questionar se o acesso aos serviços e à informação estariam menos disponíveis para as mulheres negras.…”