Effective Factors on the Time of Admission of Abortion Patients with Fetal Causes Presenting to Legal Medicine Center of Khorasan Razavi From April 2013 to April 2014

Background and Many clients who seek abortion therapy (due to fetal abnormality) fail to obtain permission due to late diagnosis of fetal abnormality and subsequently encounter numerous problems. The aim of this study was to find out the factors affecting this late diagnosis following a solution to prevent it. This study was performed by descriptive-analytical on all clients for abortion therapy in Legal Medicine Center of Mashhad during 2014 and data were collected using a researcher-made questionnaire and EXCEL& SPSS software using descriptive statistics including average, mean, percentage and frequency of description by t-student test if parametric and non-parametric of variables using U Mann Whitney and chi-square tests were analyzed. Out of 600 distributed questionnaires, 558 items were completed and included in the study. Findings showed that 558 items of 13.1% of clients did not receive the permission of abortion therapy and received 85.1%. Also 13.3% after the nineteenth week and 86.7% before nineteenth week have been visited. The comparison of these two groups showed that in the dimension of individual variables, family size (p value = 0.01) and type of abnormality (p value = 0.01), in the dimension of individual empowerment variables, education (p value = 0.017), husband’s education (p value = 0.05), mother’s education (p value = 0.05) and father’s education (p value = 0.002), husband’s job (p value = 0.02) and income (p value = 0.03) and in the dimension of structural variables in the area of residence (p value = 0.02), use of care 1 and 2 during pregnancy (p value = 0.00), use of health home (p value = 0.01), problem access to the treatment center (p value = 0.02) had a significant difference in the two groups. The couples, who have low socioeconomic status and consequently less awareness than other groups of society, need advice and information concerning how to follow their health of during pregnancy. Guidance of mothers timely with fetal abnormality requires timely detection of abnormalities following regular visits and timely diagnosis by the clinician. This is completed by compiling a schedule for pregnancy and providing the necessary education and awareness to the health authorities at health centers, especially for health care homes and families, is achievable. However, abnormalities that occur during late pregnancy and cause late referrals require fundamental and specialized studies to shorten the diagnosis time.