Jump to ContentJump to Main Navigation
Show Summary Details
More options …

International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

See all formats and pricing
More options …
Ahead of print


Investigation of the prevalence and causes and of legal abortion of teenage married mothers in Iran

Fatemeh Ghodrati
  • Department of Theology, Faculty of Humanities Science College, Yasouj University, Yasouj, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Narges Saadatmand
  • Department of Midwifery, School of Nursing and Midwifery, Student Research Committee of Shiraz University of Medical Sciences, Shiraz, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Saeid Gholamzadeh / Marzieh Akbarzadeh
  • Corresponding author
  • Maternal-Fetal Medicine Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran, Phone: 0711-6474250, Fax: 0711-647425
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2018-02-05 | DOI: https://doi.org/10.1515/ijamh-2017-0091



The therapeutic abortion law, in accordance with the fatwa issued by our Muslim jurisprudent approved by the parliament in 2005, has made major developments in dealing with cases of therapeutic abortions.


This study aimed at identifying the prevalence and causes of therapeutic abortion requests to the Legal Medicine Organization of Fars province, Shiraz, by pregnant teenager mothers.


This study was a retrospective, cross-sectional, descriptive survey. In this study, all documents related to therapeutic abortion requests from the Legal Medicine Organization of Fars province (southern Iran) from 2006 to 2013 were investigated. The total sample size included 1664, out of which 142 were teenagers. Sampling was carried out using Convenience method. Data were analyzed using SPSS statistical software, version 16, descriptive statistics and χ2.


In this study, 142 mothers were under 20 years of age (8.5%). The prevalence of fetal abortion license requests was 110 (78.6%) and for maternal causes was 30 (21.4%). There was no significant statistical correlation between fetal causes in different years (p = 0.083).

The most common causes of fetal abortion request were for thalassemia treatment in 78 cases (79.9%) followed by fetal malformations (20.9%); also, the most common maternal cause was thalassemia in 14 cases (51.9%) and depression in three cases (1.11%), respectively.


Our results showed that after approval of therapeutic abortion law, requests for therapeutic abortion due to fetal causes are extensively increasing. There is still a need for coordination of judicial, medical and legal authorities for prompt notification.

Keywords: abortion; Iran; legal; prevalence; teenager


  • [1]

    Faúndes A, Shah IH. Evidence supporting broader access to safe legal abortion. Int J Gynaecol Obstet. 2015;131(Suppl 1):S56–9.CrossrefPubMedGoogle Scholar

  • [2]

    Ouattara A, Ouédraogo A, Ouédraogo CM, Lankoande J. Unsafe abortions in countries that restrict legal abortions. Epidemiologic, clinical, and prognostic aspects at the University Hospital Center Yalgado-Ouédraogo of Ouagadougou. Med Sante Trop. 2015;25(2):210–4.PubMedGoogle Scholar

  • [3]

    Gelaye AA, Taye KN, Mekonen T. Magnitude and risk factors of abortion among regular female students in Wolaita Sodo University, Ethiopia. BMC Womens Health. 2014;14:50.Web of SciencePubMedCrossrefGoogle Scholar

  • [4]

    Wellisch L, Chor J. Adolescent girls and abortion. Pediatr Ann. 2015;44(9):384–92.Web of ScienceCrossrefPubMedGoogle Scholar

  • [5]

    Moreau C, Trussell J, Bajos N. Contraceptive paths of adolescent women undergoing an abortion in France. J Adolesc Health. 2012;50(4):389–94.PubMedCrossrefWeb of ScienceGoogle Scholar

  • [6]

    Sedgh G, Singh S, Shah IH, Ahman E, Henshaw SK, Bankole A. Induced abortion: incidence and trends worldwide from 1995 to 2008. Lancet. 2012;379(9816):625–32.Web of ScienceCrossrefPubMedGoogle Scholar

  • [7]

    Motaghi Z, Poorolajal J, Keramat A, Shariati M, Yunesian M, Masoumi SZ. Induced abortion rate in Iran: a meta-analysis. Arch Iran Med. 2013;16(10):594–8.PubMedGoogle Scholar

  • [8]

    Ranji A. Induced abortion in Iran: prevalence, reasons, and consequences. J Midwifery Womens Health. 2012;57:482–8.Web of SciencePubMedCrossrefGoogle Scholar

  • [9]

    Ghodrati F, Saadatmand N, Dinpazhoh M, Akbarzadeh M. Epidemiological study of legal abortion due to fetal defects in the files referred to Fars Province forensic medicine centers from 2007 to 2013. Shiraz E-Med J. 2016;17(11):e40023.Google Scholar

  • [10]

    Gholamzadeh S, Godrati F, Saadatmand N, Akbarzadeh M. The obstetrics and gynecology and genetic counseling of mother with legal abortion had been referred to in Fars Province center since 2007–2013. Shiraz E-Med J. 2016;17:e35271.Google Scholar

  • [11]

    Erfani A, McQuillan K. Rates of induced abortion in Iran: the roles of contraceptive use and religiosity. Stud Fam Plan. 2008;39(2):111–22.CrossrefWeb of ScienceGoogle Scholar

  • [12]

    Bazmi S, Behnoush B, Kiani M, Bazmi E. Comparative study of therapeutic abortion permissions in central clinical department of Tehran Legal Medicine Organization before and after approval of law on abortion in Iran. Iran J Pediatr. 2008;18(4):315–22.Google Scholar

  • [13]

    Tofighi H, Mousavi Pour F, Barooni Sh. Study of legal abortion in legal medicine centers during 1999–2000. J Legal Med Islamic Republic of Iran. 2001;7: 27–1.Google Scholar

  • [14]

    Sayedoshohadaie F, Zandvakili F, Yousefinejad V, Yousefi Z, Gharibi, F. Investigation of the causes of therapeutic abortion requests in Legal Medicine Organization in Sanandaj, from 2004 to 2008. J Kurdistan Univ Med Sci. 2011;16(3):76–83.Google Scholar

  • [15]

    Ghadipasha M, Aminian Z. The study of abortion licences being issued by Legal Medicine office of Kerman in 2005 and a short comparison with last years issued licences. J Kerman Univ Med Sci. 2007;14(2):147–52.Google Scholar

  • [16]

    Abbasi M, Shamsi Gooshki E, Allahbedashti N. Abortion in Iranian legal system: a review. Iran J Allergy Asthma Immunol. 2014;13(1):71–84.PubMedGoogle Scholar

  • [17]

    Hedayat KM, Shooshtarizadeh P, Raza M. Therapeutic abortion in Islam: contemporary views of Muslim Shiite scholars and effect of recent Iranian legislation. J Med Ethics. 2006;32(11):652–7.PubMedCrossrefGoogle Scholar

  • [18]

    Ghodrati F, Akbarzadeh M. The rights of the fetus: ensoulment as the cut-off point legislation on abortion. Health Sci J. 2016;10(1):15.Google Scholar

  • [19]

    Iranian legal medicin organization. [cited 2017]. Available from: http://www.lmo.ir/index.aspx?fkeyid=&siteid=1&pageid=2316&newsview=26747.Google Scholar

  • [20]

    Aghajani H, Samavat A, Haghazali M, Valizadeh F, Sarbazi G. Primary health care: an approach to community control of genetic and congenital disorders. Iran J Public Health. 2009;38(1):113–4.Google Scholar

  • [21]

    Shapiro GK. Abortion law in Muslim-majority countries: an overview of the Islamic discourse with policy implications. Health Policy Plan. 2014;29(4):483–94.Web of ScienceCrossrefGoogle Scholar

  • [22]

    Asman O. Abortion in Islamic countries-legal and religious aspects. Med Law. 2004;23:73–89.PubMedGoogle Scholar

  • [23]

    Maral I, Durukan E, Albyrak S, Oztimur N, Biri A, Bumin MA. Induced abortion frequency in Ankara, Turkey, before and after the legal regulation of induced abortion. Eur J Contracept Reprod Health Care. 2007;12:279–88.PubMedWeb of ScienceCrossrefGoogle Scholar

  • [24]

    Ilyas M, Alam M, Ahmad H, Sajid-ul-Ghafoor. Abortion and protection of the human fetus: religious and legal problems in Pakistan. Hum Reprod Genet Ethics. 2009;1:55–9.Google Scholar

  • [25]

    Sasongko TH, Salmi AR, Zilfalil BA, Albar MA, Mohd Hussin ZA. Permissibility of prenatal diagnosis and abortion for fetuses with severe genetic disorder: type 1 spinal muscular atrophy. Ann Saudi Med. 2010;30:427–31.PubMedWeb of ScienceCrossrefGoogle Scholar

About the article

Received: 2017-05-22

Accepted: 2017-08-02

Published Online: 2018-02-05

Author contributions: MA contributed to the conception of the work, conducting the study, revising the draft, approval of the final version of the manuscript, and agreed with all aspects of the work FG and NS and SG agreed with all aspects of the work.

Authors conflict: No declared.

Declaration of interest: The authors have no conflicts to declare.

Citation Information: International Journal of Adolescent Medicine and Health, 20170091, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0091.

Export Citation

©2018 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Comments (0)

Please log in or register to comment.
Log in