The analysis of the texts selected for this review indicated that there are no studies directly associated to the factors which represent risk for pregnant women to search for late-term abortion after rape. However, seven studies have highlighted significant initiatives and procedures that can reduce risks and avoid late-term unsafe abortion (Table

1). The woman who seeks deliberate abortion may consider different reasons such as economic difficulties, health problems, neglect or lack of a partner, interference on the project life, conflict with society’s rules, or social vulnerability. In all cases, the common element is unwanted pregnancy, which makes the decision of abortion complex and multifactorial.5 Drezett et al. (1998)6 have assumed that the variability in gestational age of women seeking legal Selumetinib manufacturer abortion could be related to difficulties in access to health services and barriers to the development of violence and pregnancy. However, other conditions may be associated, such as vulnerability

and limiting the autonomy of people with mental illness. It is also possible that crimes in which the selleckchem perpetrator threatens the physical integrity of the victim or a family member, produce a similar effect. Mitchell et al. (2014)7 also showed that abortion knowledge and attitudes are not driven simply by age, religion or class, but rather a complex interplay that includes both social spaces and gender. Prevention of abortion morbidity and mortality among adolescents requires comprehensive sexuality and reproductive health education that includes factual distinctions between safe and unsafe abortion methods. The difference in the legalization of abortion across countries increases the complexity of the consequences of rape. The laws of each country determine the extent of the problem and dictate the rules and procedures viable, leaving health services act within the established limits. According to Kalonda (2012),8 from the politico-legal point of view, ending rape impunity

and decriminalizing abortion are recommended. Calpain Decriminalizing abortion give women choice and save victims and pregnant women from risks related to the pregnancy, a childbirth, or an eventual unsafe abortion. These risks increase the maternal mortality already high in Congo-Kinshasa (between 950 and 3,000 for 100,000 live births). After reviewing the laws of the 191 countries around the world for which information is available and categorizing them by legal indications, which include preservation of the woman’s life, health reasons, pregnancy due to sex offences, fetal impairment, socio-economic reasons, Boland (2010)9 concluded that while most countries may not decriminalise all abortions in the near future, especially second trimester abortions, less comprehensive legislative and regulatory reforms are possible.