Original research article| Volume 85, ISSUE 3, P304-310, March 2012

Abortion practice in Mexico: a survey of health care providers



      Little is known about abortion practice in Mexico postlegalization of abortion in Mexico City in 2007.

      Study Design

      In 2009, we anonymously surveyed 418 Mexican health care providers at the Colegio Mexicano de Especialistas en Ginecologia y Obstetricia meeting using audio computer-assisted self-interview technology.


      The majority of respondents were obstetrician gynecologists (376, 90%), Catholic (341, 82%), 35���60 years old (332, 79%) and male (222, 53%) and worked with trainees (307, 74%). Prior to 2007, 11% (46) and 17% (71) provided medical and surgical abortions; now, 15% (62) and 21% (86) provide these services, respectively. Practitioners from Mexico City were more likely to provide services than those from other areas. Most medical abortion providers (50, 81%) used ineffective protocols. Surgical abortion providers mainly used either manual vacuum aspiration (39, 45%) or sharp curettage (27, 32%). Most abortion providers were trained in residency and wanted more training in medical (54, 87%) and surgical (59, 69%) abortion. Among nonproviders, 49% (175) and 27% (89) expressed interest in learning to perform medical and surgical abortion, respectively.


      Given the interest in learning to provide safe abortion services and the prevalent use of ineffective medical abortion regimens and sharp curettage, abortion training in Mexico should be strengthened.


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        • World Health Organization
        Department of Reproductive Health and Research. Unsafe abortion: global and regional estimates of incidence of unsafe abortion and associated mortality in 2003.
        5th ed. World Health Organization, Geneva2007
        • Sedgh G.
        • Henshaw S.
        • Singh S.
        • Ahman E.
        • Shah I.H.
        Induced abortion: estimated rates and trends worldwide.
        Lancet. 2007; 350: 1338-1345
        • Juarez F.
        • Singh S.
        • Garcia S.
        • Diaz C.
        Estimates of induced abortion in Mexico: what's changed between 1990 and 2006?.
        Internat Fam Plann Perspec. 2008; 34: 2-12
        • Henshaw S.K.
        • Singh S.
        • Haas T.
        The incidence of abortion worldwide.
        Internat Fam Plann Perspec. 1999; 25: S30-S38
        • Silva M.
        • Billings D.
        • Garcia S.
        • Lara D.
        Physicians' agreement and willingness to provide abortion services in the case of pregnancy from rape in Mexico.
        Contraception. 2009; 79: 56-64
        • Gonzalez de Leon-Aguire D.
        • Billings D.
        • Ramirez-Sanchez R.
        El aborto y la educacion medica en Mexico.
        Salud Publica de Mexico. 2008; 50: 258-267
        • Garcia S.
        • Lara D.
        • Goldman L.
        Conocimientos, actitudes y practices de los medicos mexicanos sobre el aborto: Resultados de una encuesta nacional.
        Gac Med Mex. 2003; 139: S91-S102
        • Lara D.
        • Goldman L.
        • Firestone M.
        Opiniones y Respuestas: Resultados de una encuesta de opinion a medicos mexicanos sobre el aborto.
        1st ed. Population Council, D.F., Mexico2004
        • Schiavon R.
        • Collado M.E.
        • Troncoso E.
        • Sanchez J.E.S.
        • Zorrilla G.O.
        • Palerma T.
        Characteristics of private abortion services in Mexico City after legalization.
        Reprod Health Matt. 2010; 18: 127-135
        • Cohen S.
        Facts and consequences: legality, incidence and safety of abortion worldwide.
        Guttmacher Policy Review. 2009; 12: 4