Evidence map›Paper›PMID 39010012›Full record

SynthesisBMC public health2024

The abortion trend after the pronatalist turn of population policies in Iran: a systematic review from 2005 to 2022.

Elham Shirdel, Khadijeh Asadisarvestani, Fatemeh Hami Kargar

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Parallel paths: abortion access restrictions in the USA and Iran.Contraception and reproductive medicine · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Elham ShirdelDepartment of Social Sciences Faculty of Literature and Humanities, University of Sistan and Baluchestan, Zahedan, Iran. eshirdel@lihu.usb.ac.ir.ORCID 0000-0002-3381-0937
Khadijeh AsadisarvestaniDepartment of Social Sciences Faculty of Literature and Humanities, University of Sistan and Baluchestan, Zahedan, Iran.ORCID 0000-0002-7106-8286
Fatemeh Hami KargarDepartment of Social Sciences. Faculty of Humanities, Kashan University, Kashan, Iran.ORCID 0000-0003-1953-9914

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGiven Iran's recent shift towards pronatalist population policies, concerns have arisen regarding the potential increase in abortion rates. This review study examines the trends of (medical), intentional (illegal), and spontaneous abortions in Iran over the past two decades, as well as the factors that have contributed to these trends.

methodsThis paper reviewed research articles published between 2005 and 2022 on abortion in Iran. The study employed the PRISMA checklist for systematic reviews. Articles were searched from international (Google Scholar, PubMed, Science Direct, and Web of Science) and national databases (Magiran, Medlib, SID). Once the eligibility criteria were applied, 42 records were included from the initial 349 records.

resultsAbortion is influenced by a variety of socioeconomic and cultural factors and the availability of family planning services. Factors that contribute to unintended pregnancy include attitudes toward abortion, knowledge about reproductive health, access to reproductive health services, and fertility desires, among others. In addition to health and medical factors, consanguineous marriage plays an important role in spontaneous and therapeutic abortion. A higher number of illegal abortions were reported by women from more privileged socioeconomic classes. In comparison, a higher number of medical and spontaneous abortions were reported by women from less privileged socioeconomic classes.

conclusionIranian policymakers are concerned about the declining fertility rate and have turned to pronatalist policies. From a demographic standpoint, this seems to be a reasonable approach. However, the new population policies, particularly, the Family Protection and Young Population Law, along with creating limitations in access to reproductive health services and prenatal screening tests as well as stricter abortion law could potentially lead to an increase in various types of abortions and their associated consequences.

Indexed as

Abortion, InducedAbortion, IllegalAbortion, SpontaneousFemaleHumansIranPregnancySocioeconomic FactorsAbortionIllegal abortionInduced abortionIranLegal abortionPopulation policiesSafe abortion

Identifiers

PMID39010012
PMCPMC11247811

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.