Survey of abortion providers in Seoul, Korea.

Abstract:

:A survey of abortion providers in Seoul in late 1977 reveals a threefold increase in the rate of abortion and a greater than threefold rise in the ratio of abortions to live births since 1970. The survey findings also show that the overwhelming proportion of these abortions are performed in private clinics, by obstetrician-gynecologists, during the first trimester. The Seoul figures, which are similar to those of Romania and are higher than those of Japan in the early 1960s, indicate that abortion has contributed substantially to Korea's reduced fertility. :A survey of providers of abortion services in Seoul, Korea conducted from October 1977 to March 1978 allows a determination of the degree of completeness in the abortion reporting achieved by the early surveys of ever-married women. A total of 726 providers were identified, representing 1/3 of all providers of medical services in the city. 41 of these providers were classified as hospitals and the remainder as private clinics, that is, physicians' offices. All providers were interviewed by a registered nurse. All respondents reported performing abortions in the 1st trimester of pregnancy. 60% performed abortions in the 2nd trimester, and 16% reported occasional terminations in the 3rd trimester. During the 1st trimester, 30% used exlusively surgical curettage, 9% suction curretage, and 61% used both methods. 1 in 3 performed very early suction procedures, using a flexible cannula with a diameter of 4-6 mm, without anesthesia. All providers were asked to estimate the average number of abortions performed each month, and only 5 refused to reveal this information. The total number of induced abortions for the 1977/1978 year in Seoul was estimated to be 533,000. 14,000 of the abortions were performed in a public hospital, 13,000 in a private hospital, and 506,000 in a private clinic. About 10% of the abortions performed were obtained by non-residents, according to provider estimates. Most of the increase in abortion incidence is attributable to a much higher rate of abortion than previously. According to the survey, the abortion rate was 235/1000 women aged 15-44 in 1977-1978, compared with only 75 in 1970. The abortion ratio was about 2750/1000 live births, compared with 750 in 1970.

journal_name

Stud Fam Plann

authors

Hong SB,Tietze C

subject

Has Abstract

pub_date

1979-05-01 00:00:00

pages

161-3

issue

5

eissn

0039-3665

issn

1728-4465

journal_volume

10

pub_type

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