A Revista científica PLoS ONE publicou artigo que analisa a questão da mortalidade materna no Chile, demonstrando que a legalização permissiva do aborto não diminui esta ocorrência fatal, como é sempre invocado em favor da legalização do aborto. Apontou como causa desta mortalidade o nível educacional das mulheres e dificuldades de atendimento médico. Portanto, quando um Governo quer impor a legalização do aborto, ele está é querendo deixar de investir em saúde e educação em seu território. E no caso do Brasil, está liberando esse dinheiro público para corrupção crescente e investimentos em saúde, educação, infra-estruturas em países estrangeiros, como o foi feito nos últimos governos, por exemplo, em Cuba e na Palestina sem licença do Congresso Nacional.
“Finally, prohibition of abortion in Chile did not influence the downward trend in the maternal mortality ratio. Thus, the legal status of abortion does not appear to be related to overall rates of maternal mortality.“
Celso Galli Coimbra
OABRS 11352
cgcoimbra@gmail.com
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“Conclusions
Taken together, the Chilean natural experiment over the last fifty years suggests that the progress on maternal health in developing countries is a function of the following factors: an increase in the educational level of women, complementary nutrition for pregnant women and their children in the primary care network and schools, universal access to improved maternal health facilities (early prenatal care, delivery by skilled birth attendants, postnatal care, availability of emergency obstetric units and specialized obstetric care); changes in women’s reproductive behaviour enabling them to control their own fertility; and improvements in the sanitary system –i.e. clean water supply and sanitary sewer access. Furthermore, it is confirmed that women’s educational level appears to have an important modulating effect on other variables, especially promoting the utilization of maternal health facilities and modifying the reproductive behaviour. Consequently, we propose that these strategies outlined in different MDGs and implemented in different countries may act synergistically and rapidly to decrease maternal deaths in the developing world.
On the other hand, a change in the types of maternal deaths appeared progressively in Chile between 1985 and 2007 increasing the proportion of deaths due to hypertension, eclampsia, and toxaemias and especially related to pre-existing chronic conditions over the last decade –i.e. indirect causes of maternal death. The residual pattern of maternal mortality in Chile has been very difficult to address, requiring an important expansion of emergency units and specialized obstetric services. This phenomenon appears to be explained by an accelerated change in the reproductive pattern characterized by low fertility rate, delayed motherhood and an increased proportion of pregnancies occurring at an advanced reproductive age. Finally, prohibition of abortion in Chile did not influence the downward trend in the maternal mortality ratio. Thus, the legal status of abortion does not appear to be related to overall rates of maternal mortality.”
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