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Sahebi, Z., Zare Arashlouei, A., Bokaie, M. (2026). Prevalence of Spontaneous and Induced Abortion and Its Associated Factors in Iran: A Narrative Review. Shahid Sadoughi University of Medical Sciences- Journal Management System, 8(1), 3-12. doi: 10.18502/wjpn.v8i1.21579
Zohreh Sahebi; Azam Zare Arashlouei; Mahshid Bokaie. "Prevalence of Spontaneous and Induced Abortion and Its Associated Factors in Iran: A Narrative Review". Shahid Sadoughi University of Medical Sciences- Journal Management System, 8, 1, 2026, 3-12. doi: 10.18502/wjpn.v8i1.21579
Sahebi, Z., Zare Arashlouei, A., Bokaie, M. (2026). 'Prevalence of Spontaneous and Induced Abortion and Its Associated Factors in Iran: A Narrative Review', Shahid Sadoughi University of Medical Sciences- Journal Management System, 8(1), pp. 3-12. doi: 10.18502/wjpn.v8i1.21579
Sahebi, Z., Zare Arashlouei, A., Bokaie, M. Prevalence of Spontaneous and Induced Abortion and Its Associated Factors in Iran: A Narrative Review. Shahid Sadoughi University of Medical Sciences- Journal Management System, 2026; 8(1): 3-12. doi: 10.18502/wjpn.v8i1.21579

Prevalence of Spontaneous and Induced Abortion and Its Associated Factors in Iran: A Narrative Review

World Journal of Peri & Neonatology
Article 2, Volume 8, Issue 1, May 2026, Pages 3-12    PDF (1.77 M)
Document Type: Scientific Review
DOI: 10.18502/wjpn.v8i1.21579
Authors
Zohreh Sahebi1; Azam Zare Arashlouei1; Mahshid Bokaie* 2
1Student Research Committee‚ Faculty of Nursing and Midwifery‚ Shahid Sadoughi University of Medical Sciences‚ Yazd‚ Iran
2Research Center for Nursing and Midwifery Care, Comprehensive Research Institute for Maternal and Child Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract
Background: The primary goal of this study was to determine the prevalence of various abortion types and to identify the most significant associated factors within Iran by aggregating findings from nationwide studies.
Methods: This study was conducted as a narrative review, entailing a systematic search of both national and international databases (2010-2025) to analyze quantitative epidemiological findings regarding abortion and its
related determinants in the Iranian context.
Results: The data indicated that approximately 73,000 to 80,000 illegal and unsafe abortions are performed annually in Iran, with a lifetime prevalence of 12-14% among women of reproductive age. The most significant underlying causes were identified as financial problems, social pressures, and legal restrictions. Spontaneous abortion was found to affect
19-26% of the female population. Severe reproductive health inequities were observed; female sex workers experienced induced abortion at rates 2.5-3 times higher than the general population (35-37% vs. 12-14%).
Reported complications included depressive symptoms in over 50% of cases and chronic reproductive issues in 7-11% of women.
Conclusion: This review demonstrates that abortion in Iran, despite legal restrictions, remains a troubling issue, resulting in tens of thousands of unsafe abortions annually with severe health complications for women. Restrictive
laws have not effectively reduced the incidence rates but have driven the practice underground. Given certain methodological limitations, these findings should be utilized to inform policy-making with appropriate caution.
A harm-reduction approach emphasizing contraceptive access, sexual health education, and targeted counseling for vulnerable groups is urgently needed.
Keywords
Prevalence; Abortion; Iran; Unsafe abortion
References
  1. Harty T, Trench M, Keegan O, O'Donoghue K, Nuzum D. The experiences of men following recurrent miscarriage in an Irish tertiary hospital: A qualitative analysis. Health Expect 2022; 25(3): 1048-57.
    2. Berk JS. Berek & Novak's Gynecology. Philadelphia, PA: Lippincott Williams & Wilkins; 2024.
    3. Abortion. [8 Dec 2025]. Available from: https://www.who.int/news-room/factsheets/ detail/abortion.
    4. Bearak JM, Popinchalk A, Beavin C, Ganatra B, Moller A-B, Tunçalp Ö, et al. Countryspecific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015-2019. BMJ Glob Health 2022; 7(3): e007151.
    5. Shirdel E, Asadisarvestani K, Kargar FH. The abortion trend after the pronatalist turn of population policies in Iran: a systematic review from 2005 to 2022. BMC Public Health 2024; 24(1): 1885.
    6. Rastegari A, Baneshi MR, Haji-Maghoudi S, Nakhaee N, Eslami M, Malekafzali H, et al. Estimating the annual incidence of abortions in Iran applying a network scale-up approach. Iran Red Crescent Med J 2014; 16(10): e15765.
    7. Ghofrani M, Asghari F, Kashanian M, Zeraati H, Fotouhi A. Prevalence of induced abortion in Iran: a comparison of two indirect estimation techniques. Int Perspect Sex Reprod Health 2018; 44(2): 73-9.
    8. Haseli A, Rahnejat N, Rasoal D. Reasons for unsafe abortion in Iran after pronatalist policy changes: a qualitative study. Reprod Health. 2024; 21(1): 182.
    9. La X, Wang W, Zhang M, Liang L. Definition and multiple factors of recurrent spontaneous abortion. Environment and Female Reproductive Health Adv Exp Med Biol 2021; 1300: 231-257.
    10. NeJhaddadgar N, Darabi F, Ezati F. Factors affecting inducted abortion: a scoping review. J Res Health 2025; 15(1): 105-16.
    11. Abdoljabbari M, Saharkhiz N, Karamkhani M, Rahmani R. Study of Causes, Methods and Complications of Early and Late Miscarriage due to Intentional Abortion in Women referred to Health Centers covered by Shahid Beheshti University. Advances in Nursing & Midwifery 2019; 28(3): 46-52.
    12. Ghodrati F, Saadatmand N, Gholamzadeh S, Akbarzadeh M. The seven-year epidemiological study of legal abortion caused by heart disease, blood disorders, diabetes and hypertension as referred to forensic medicine centers in Fars province. Fam Med Prim Care Rev 2019; 21(1): 23-29.                                                                     13. Mahdavi SA, Jafari A, Azimi K, Dehghanizadeh N, Barzegar A. Therapeutic abortion in Iran: an epidemiologic study of legal abortion in 2 years. BMC Res Notes 2020; 13(1): 261.
    14. Karamouzian M, Mirzazadeh A, Shokoohi M, Khajehkazemi R, Sedaghat A, Haghdoost AA. Lifetime abortion of female sex workers in Iran: findings of a national bio-behavioural survey in 2010. PloS One. 2016; 11(11): e0166042.
    15. Moradi G, Gouya MM, Ezzati Amini E, Ghorbani SS, Akbarpour S, Zareie B. Intentional abortion and its associated factors among female sex workers in Iran: Results from national bio-behavioral surveillance-2020. PloS
    One 2022; 17(8): e0273732.
    16. Khezri M, Shokoohi M, Karamouzian M, Mirzazadeh A, Ghalekhani N, Gholamypour Z. Induced abortion and associated factors among female sex workers in Iran. Eur J Contracept Reprod Health Care 2020; 25(6): 434-8.
    17. Hojati M, Mansourian M, Izadi S. Lifetime prevalence of abortion in 10-53-year-old females in isfahan province and its determinants: a population-based crosssectional study. Iranian Biomedical Journal 2024; 28(7): 419.
    18. Moradinazar M, Najafi F, Nazar ZM, Hamzeh B, Pasdar Y, Shakiba E. Lifetime Prevalence of Abortion and Risk Factors in Women: Evidence from a Cohort Study. J Pregnancy 2020; 2020: 4871494.
    19. Moradinazar M, Rostami R, Armaghan N, Shakiba M, Rai A, Azizi SA, et al. Epidemiological features of spontaneous abortion in the North Africa and the Middle East from 1990 to 2019: results from the global burden of Disease Study 2019. J Family Reprod Health 2022; 16(3): 183-91.
    20. Alijanzadeh M, Yazdi N, Alamshahi M, Griffiths MD, Alimoradi Z. Prevalence, reasons, and attitude towards abortion among Iranian married women of reproductive age in Qazvin province. Discov Public Health 2024; 21(1): 155.
    21. Hojati M, Izadi S, Mansourian M. Epidemiology of spontaneous abortion in iran: a comprehensive analysis of demographic, socioeconomic, fertility, clinical characteristics, and lifestyle factors. 2025.
    22. Salimi Y, Mansournia MA, Abdollahpour I, Nedjat S. Lifetime prevalence of abortion in 15-50 year-old females in Tehran and its predictors; a population-based cross-sectional study [in Persian]. IRJE 2021; 17(3): 236-43.
    23. Mosayebi-Molasaraie M, Doosti-Irani A, Pilevari S, Cheraghi Z. Predictors of miscarriage in the west of Iran: a case-control study. Journal of Iranian Medical Council 2023; 6(2): 362-8.
    24. Razeghi Nasrabad HB. A Difficult decision in a contradictory Space: A qualitative approach to the causes and contexts of abortion in Tehran, Iran [in Persian]. Strategic Research on Social Problems 2025; 14(4): 19-50.
    25. Shahbazi S. The consequences of unsafe abortion: a qualitative study. J J Adv Nurs 2012;6 8(6): 1247-55.
    26. Ganatra B, Gerdts C, Rossier C, Johnson BR, Tunçalp Ö, Assifi A, et al. Global, regional, and subregional classification of abortions by safety, 2010-14: estimates from a Bayesian hierarchical model. Lancet 2017; 390(10110): 2372 81.
    27. Wall LL, Yemane A. Infectious complications of abortion. Open Forum Infect Dis 2022; 9(11): ofac553
    28. Masten M, Campbell O, Horvath S, Zahedi-Spung L. Abortion and mental health and wellbeing: a contemporary review of the literature. Curr Psychiatry Rep 2024; 26(12): 877-84.
    29. Auger N, Healy-Profitós J, Ayoub A, Lewin A, Low N. Induced abortion and implications for long-term mental health: a cohort study of 1.2 million pregnancies. J Psychiatr Res 2025; 187: 304-10.
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