<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-5830</journal-id>
<journal-title><![CDATA[Acta Obstétrica e Ginecológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Obstet Ginecol Port]]></abbrev-journal-title>
<issn>1646-5830</issn>
<publisher>
<publisher-name><![CDATA[Euromédice, Edições Médicas Lda.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-58302025000100012</article-id>
<article-id pub-id-type="doi">10.69729/aogp.v19i1a02</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Induced abortion in adolescents in a Portuguese district hospital between 2010 and 2023, a retrospective study]]></article-title>
<article-title xml:lang="pt"><![CDATA[Interrupção voluntária da gravidez em adolescentes num hospital distrital português entre 2010 e 2023, um estudo retrospetivo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Inês Neto]]></surname>
<given-names><![CDATA[Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campante]]></surname>
<given-names><![CDATA[Maria João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Queirós]]></surname>
<given-names><![CDATA[Rita Vilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Diogo Figueiredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pessoa]]></surname>
<given-names><![CDATA[Tânia C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[Isis Sacramento]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde do Arco Ribeirinho Hospital Nossa Senhora do Rosário Serviço de Pediatria]]></institution>
<addr-line><![CDATA[Barreiro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde do Arco Ribeirinho Hospital Nossa Senhora do Rosário Serviço de Ginecologia e Obstetrícia]]></institution>
<addr-line><![CDATA[Barreiro ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>19</volume>
<numero>1</numero>
<fpage>12</fpage>
<lpage>19</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-58302025000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-58302025000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-58302025000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  In Portugal, there was a decrease in the number of induced abortion (IA) between 2011 and 2021, with a slight increase since 2022. The percentage of abortion by women request performed in women under 20 years old has been decreasing, ranging between 8.3% and 9.1%.  Aim:  To characterize the IA performed in adolescents in a Portuguese district hospital.  Study Design, Population and Methods:  Retrospective descriptive observational study that included all young women under the age of 20 who underwent IA between 2010 and 2023. Sociodemographic aspects, obstetric and contraceptive history, characteristics of the abortions, and subsequent counseling were analyzed.  Results:  During the study period, 712 IA were performed on 669 adolescents, with a decreasing trend observed between 2010 and 2021, followed by an increase in the last two years. The minimum age was 13 years (median age 18 years) and 88.9% of the adolescents were single. 85.9% were Portuguese and, among the foreigners, 61.7% were from Portuguese-speaking African countries. The majority (68.3%) were students and, among those who worked, 49.1% were unemployed. Roughly half (47.5%) did not use contraception, and the main method, when used, was the condom (29.2%). Additionally, 10.1% had previously undergone at least one IA and 8% had at least one child. In 56.6% of the cases, there was a referral to a family planning appointment at primary health care, and the main contraceptive methods chosen after abortion were hormonal (95.2%), with long-acting methods preferred in 44.8% of cases.  Conclusions:  The recent increasing trend of IA in adolescence, a period of particular vulnerability, should prompt intervention. It is crucial to optimize strategies that involve education, awareness, and promotion of accessibility to more effective contraceptive methods, particularly long-acting methods, as well as to reinforce referrals and ensure follow-up of these young women.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  Em Portugal verificou-se um decréscimo do número de interrupções voluntárias da gravidez (IVG) entre 2011 e 2021, com um discreto aumento desde 2022. A percentagem de interrupções realizadas em mulheres com menos de 20 anos tem vindo a diminuir, variando entre 8,3 e 9,1%.  Objetivo:  Caracterizar as IVG realizadas em adolescentes num hospital distrital português.  Desenho de Estudo, População e Métodos:  Estudo observacional retrospetivo descritivo que incluiu todas as jovens com idade inferior a 20 anos que realizaram IVG entre 2010 e 2023. Foram analisados aspetos sociodemográficos, antecedentes obstétricos, contraceção, características da IVG e orientação subsequente.  Resultados:  Durante o período de estudo foram realizadas 712 IVG em 669 adolescentes, observando-se uma tendência decrescente entre 2010 e 2021, seguida por um aumento nos dois últimos anos. A idade mínima foi de 13 anos (mediana 18 anos), e 88,9% das adolescentes eram solteiras. 85,9% eram portuguesas e, das estrangeiras, 61,7% eram naturais de Países Africanos de Língua Oficial Portuguesa (PALOP). A maioria (68,3%) eram estudantes e, das trabalhadoras, 49,1% estavam desempregadas. Cerca de metade (47,5%) não usava contraceção e o principal método, quando utilizado, foi o preservativo (29,2%). Adicionalmente, 10,1% tinha realizado pelo menos uma IVG previamente e 8% tinha pelo menos um filho. Em 56,6% dos casos houve encaminhamento para consulta de planeamento familiar ao nível dos Cuidados de Saúde Primários e os principais métodos contracetivos escolhidos após a IVG foram os hormonais (95,2%), sendo os métodos de longa duração preferidos em 44,8% dos casos.  Conclusão:  A recente tendência crescente de IVG na adolescência, período de particular vulnerabilidade, exige intervenção. É essencial a otimização de estratégias educativas, de sensibilização e promoção da acessibilidade a métodos contracetivos mais eficazes, nomeadamente métodos de longa duração, bem como o reforço do encaminhamento e seguimento destas jovens.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Abortion]]></kwd>
<kwd lng="en"><![CDATA[Induced]]></kwd>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
<kwd lng="en"><![CDATA[Contraception.]]></kwd>
<kwd lng="pt"><![CDATA[Aborto Induzido]]></kwd>
<kwd lng="pt"><![CDATA[Adolescente]]></kwd>
<kwd lng="pt"><![CDATA[Contracepção.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bearak]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Popinchalk]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ganatra]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Moller]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Tunçalp]]></surname>
<given-names><![CDATA[Ö]]></given-names>
</name>
<name>
<surname><![CDATA[Beavin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Unintended pregnancy and abortion by income, region, and the legal status of abortion estimates from a comprehensive model for 1990-2019]]></article-title>
<source><![CDATA[Lancet Glob Health]]></source>
<year>2020</year>
<volume>8</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>e1152-61</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>Direção-Geral da Saúde</collab>
<source><![CDATA[Relatório de Análise dos Registos das Interrupções da Gravidez | 2022]]></source>
<year>2022</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wellisch]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Chor]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adolescent girls and abortion]]></article-title>
<source><![CDATA[Pediatr Ann]]></source>
<year>2015</year>
<volume>44</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>384-92</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prescott]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Matthews]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Long-acting reversible contraception A review in special populations]]></article-title>
<source><![CDATA[Pharmacotherapy]]></source>
<year>2014</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>46-59</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="">
<collab>Direção-Geral da Saúde</collab>
<source><![CDATA[Relatório dos Registos das Interrupções da Gravidez | 2018]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mann]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Bateson]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Black]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Teenage Pregnancy]]></article-title>
<source><![CDATA[Aust J Gen Pract]]></source>
<year>2020</year>
<volume>49</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>310-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sedgh]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bearak]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bankole]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Popinchalk]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ganatra]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>2016</year>
<volume>388</volume>
<numero>10041</numero>
<issue>10041</issue>
<page-range>258-67</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Braverman]]></surname>
<given-names><![CDATA[PK]]></given-names>
</name>
<name>
<surname><![CDATA[Adelman]]></surname>
<given-names><![CDATA[WP]]></given-names>
</name>
<name>
<surname><![CDATA[Alderman]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Breuner]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Levine]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Marcell A]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Contraception for adolescents]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>2014</year>
<volume>134</volume>
<page-range>e1244-56</page-range><publisher-name><![CDATA[American Academy of Pediatrics]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Menon]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Long-acting reversible contraception: Specific issues for adolescents]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>2020</year>
<volume>146</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Palma]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Contraceptive choices pre and post pregnancy in adolescence]]></article-title>
<source><![CDATA[J Pediatr Adolesc Gynecol]]></source>
<year>2015</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>24-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<collab>Direção-Geral da Saúde</collab>
<source><![CDATA[Realizadas 15870 interrupções da gravidez a pedido da mulher em 2022]]></source>
<year>2023</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="">
<collab>PORDATA</collab>
<source><![CDATA[Taxa de fecundidade por grupo etário]]></source>
<year>2024</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sedgh]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Finer]]></surname>
<given-names><![CDATA[LB]]></given-names>
</name>
<name>
<surname><![CDATA[Bankole]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Eilers]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adolescent pregnancy, birth, and abortion rates across countries levels and recent trends]]></article-title>
<source><![CDATA[Journal of Adolescent Health]]></source>
<year>2015</year>
<volume>56</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>223-30</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sedlecky]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Stankovic]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Contraception for adolescents after abortion]]></article-title>
<source><![CDATA[European Journal of Contraception and Reproductive Health Care]]></source>
<year>2016</year>
<page-range>4-14</page-range><publisher-name><![CDATA[Taylor and Francis Ltd]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Águas]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bombas]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Avaliação das práticas contracetivas das mulheres em Portugal]]></article-title>
<collab>Pereira da Silva D</collab>
<source><![CDATA[Acta Obstet Ginecol Port]]></source>
<year>2016</year>
<volume>10</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>184-92</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kapp]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Eckersberger]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Lavelanet]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodriguez]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medical abortion in the late first trimester a systematic review]]></article-title>
<source><![CDATA[Contraception]]></source>
<year>2019</year>
<volume>99</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>77-86</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
