Abortions beyond 12 weeks’ gestation comprise the minority of cases globally, namely 10%–40% of all services, depending on country.1 2 Later abortions are critical to facilitate as their safe provision can mitigate significant abortion-related mortality and morbidity.1 People seeking later abortions often face financial and logistical barriers, are more likely to have experienced violence, and be young.1 2 In March 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. Since then, we have witnessed strains on health services, travel restrictions, stay-at-home orders and physical distancing measures to curtail disease spread.3 The resulting disruptions in supply chains, economic instability, interruptions in health services, and fear of seeking treatment have impacted both the need for and access to abortion care, which is considered an essential service by WHO.3 4 While all abortion services are essential, ensuring access to later care is crucial given the numerous barriers and delays women face which may be exacerbated by the pandemic, particularly among the most vulnerable and underserved.3 In many settings, particularly low-resource and legally restricted countries, accessing facility-based later abortion care was challenging prior to the pandemic.1 It has become even more difficult during lockdowns, public transportation stoppages and travel restrictions.3 Strategies to mitigate the COVID-19 impact and maintain or expand access to later abortion care must draw on key innovations, including task-sharing (both provider cadre and facility level), expansion …

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解决新冠肺炎 (COVID-19) 期间及之后全球对后期堕胎护理的迫切需求


妊娠 12 周以上的堕胎仅占全球病例的少数，即占所有服务的 10%–40%，具体取决于国家/地区。1 2 后期堕胎对于促进至关重要，因为其安全提供可以显着降低与堕胎相关的死亡率和发病率。1寻求较晚堕胎的人往往面临经济和后勤障碍，更有可能经历过暴力，而且年龄较小。1 2 2020 年 3 月，世界卫生组织 (WHO) 宣布 COVID-19 为大流行病。自那时以来，我们目睹了医疗服务、旅行限制、居家令和保持身体距离措施等方面的压力，以遏制疾病传播。3由此导致供应链中断、经济不稳定、医疗服务中断以及对寻求治疗的恐惧影响了堕胎护理的需要和获得，而世卫组织认为堕胎护理是一项基本服务。3 4 虽然所有堕胎服务都是必不可少的，但考虑到妇女面临的众多障碍和延误，这些障碍和延误可能会加剧，确保获得后期护理至关重要。 3 在许多环境中，特别是资源匮乏和受到法律限制的国家，在大流行之前获得基于设施的后期堕胎护理是一项挑战。1 在封锁期间，这变得更加困难，公共场所交通中断和旅行限制。3 减轻 COVID-19 影响并维持或扩大后期堕胎护理机会的战略必须利用关键创新，包括任务共享（提供者干部和设施层面）、扩展……