This study aims to describe the circumstances under which women obtained abortions in two sites, explore more nuanced approaches to classify abortion safety and examine the relationship between safety and self-reported health outcomes. We analyze data on the most recent abortion or only abortion reported by 551 women in Nairobi slums and 479 women in rural Kaya ages 15-49 years within the three years preceding the study, recruited via respondent-driven sampling. Using the most liberal safety classification, there were very few safe abortions (8 percent in Nairobi and 5 percent in Burkina Faso). A significant proportion of women reported using unidentified pills which we hypothesize may be medication abortion. Although a smaller proportion of women with safe abortions reported side effects, more of them reported side effects suggestive of infections and sought care for their symptoms. It is important that we explore and move towards more nuanced global safety classifications that more accurately reflect the risk associated with different methods and can capture women's access to comprehensive abortion care and its impact on their health.

中文翻译：

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大海捞针：探索替代操作方法，使用来自撒哈拉以南非洲两个地区的受访者驱动的抽样数据对人工流产的安全性进行分类。


本研究旨在描述妇女在两个地点进行堕胎的情况，探索对堕胎安全进行分类的更细致的方法，并检查安全性与自我报告的健康结果之间的关系。我们分析了研究前三年内内罗毕贫民窟 551 名妇女和卡亚农村 479 名 15-49 岁妇女报告的最近堕胎或仅堕胎的数据，这些数据是通过受访者驱动抽样招募的。使用最自由的安全分类，安全堕胎的情况很少（内罗毕为 8%，布基纳法索为 5%）。很大一部分女性报告使用不明药丸，我们假设这可能是药物流产。尽管安全堕胎的女性中报告有副作用的比例较小，但更多的女性报告了暗示感染的副作用，并寻求针对症状的治疗。重要的是，我们探索并走向更细致的全球安全分类，以更准确地反映与不同方法相关的风险，并能够了解妇女获得全面堕胎护理的情况及其对健康的影响。