title: Who is excluded when abortion access is restricted to twelve weeks? Evidence from Maputo, Mozambique.
abstract: In Mozambique, since 1985, induced abortion services up to 12 weeks of pregnancy are performed in the interest of protecting women's health. We asked whether any women were being adversely affected by the 12-week limit. A retrospective record review of all 1,734 pregnant women requesting termination of pregnancy in five public hospitals in Maputo in 2005-2006 revealed that it tended to be those who were younger and poorer, with lower levels of education, literacy and formal employment who were coming for abortions after 12 weeks. Countries such as Mozambique that endeavor to enhance equality, equity and social justice must consider the detrimental effect of narrow gestational limits on its most vulnerable citizens and include second trimester abortions. We believe the 12-week restriction works against efforts to reduce maternal deaths due to unsafe abortion in the country.
authors.affiliation: Eduardo Modalane University School of Medicine, Maputo, Mozambique.
authors.forename: Momade Bay
authors.initials: MB
authors.lastname: Ustá
authors.forename: Ellen M H
authors.initials: EM
authors.lastname: Mitchell
authors.forename: Hailemichael
authors.initials: H
authors.lastname: Gebreselassie
authors.forename: Eunice
authors.initials: E
authors.lastname: Brookman-Amissah
authors.forename: Amata
authors.initials: A
authors.lastname: Kwizera
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000328:Adult; D016009:Chi-Square Distribution; D005260:Female; D006297:Health Services Accessibility; D006779:Hospitals, Public; D006801:Humans; D008428:Maternal Mortality; D009073:Mozambique; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D012189:Retrospective Studies; D012307:Risk Factors; D012935:Social Justice