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New estimates show a drop in unexpected pregnancies worldwide

Women in the poorest countries are inadvertently at greater risk of conception and lack access to safe and legal abortion care services

Published in new estimates Lancet Global Health, And written jointly by the Guttmacher Institute and HRP, show a worldwide decline in unintended pregnancies since 1990–1994. Over the same period, the ratio
Unintended pregnancies ending in miscarriage have increased.

These findings suggest that in the past 30 years, more women and individuals have been able to limit or place their pregnancies than before. This is probably thanks to improvements in the choice of contraception,
To and as part of comprehensive sexual and reproductive health services, including safe abortion care to the fullest extent of the law.

The new study looks at unwanted pregnancy and abortion income, area and legal status of abortion as of 1990, 2019.

Bela Ganatra, head of unsafe abortion prevention, says, "Non-conceived pregnancies and a substantial decline in abortion rates in some areas of the world are welcome. Units and Scientists at HRP.

Poor women at greatest risk

Despite the progress, about 214 million women of reproductive age who want to avoid pregnancy are not using the modern contraceptive method, so are not able to decide how many, when and how many children they have. New estimates
Let us tell you that between 2015 and 2019, almost all pregnancies were unexpected.

What's more, women living in the poorest areas were almost three times more likely to face unintended pregnancies than people in wealthier areas.

High rates of abortion in countries with more legal restrictions

The highest rates of abortion were found in countries with the most legal restrictions. In high-income countries where abortion is broadly legal (the term "broadly legal" means that abortion is available upon request
Or on a broad socioeconomic basis) there were 11 abortions per 1 000 women of reproductive age, compared to 32 abortions per 1 000 000 in higher-income countries.

Low-income countries with the most legal restrictions on abortion care had the highest abortion rates. There was also an increase – 12% – of abortions in countries with legal restrictions on the procedure,
Whereas it has decreased slightly in countries where abortion is largely legal.

Women living in countries with more legal restrictions to access abortion care also faced higher rates of unintended pregnancies. This suggests that they are less capable of widespread sexual as well as contraceptive use.
And reproductive health services to prevent unwanted pregnancies – these countries are likely to have higher numbers of abortions.

New method to improve understanding

The study uses an updated, more comprehensive methodology that first estimated the number of pregnancies worldwide, followed by an estimate of how many of those pregnancies were unintended and how many ended in abortions. In
The number was broken down by the country's income status, the Sustainable Development Target Area, and legal status.

If the process is completely prohibited, only when available to save a woman's life or to preserve her health, countries were considered to have restrictive abortion laws. The study found that abortion rates are similar
Of legal restriction.

High quality reproductive health care necessary for health, safety and well-being

Sexual and reproductive health care is an essential part of universal health coverage. This includes services to help prevent unintended pregnancy through the provision of comprehensive sexuality education and the option of an effective and affordable modern
Contraceptive methods, and access to safe abortion care and abortion care to the fullest extent of the law.

These services are necessary to meet global commitments to the Sustainable Development Goals to ensure universal access to sexual and reproductive health care, reduce maternal deaths and end discrimination against women
And girls.

Read the magazine article.

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