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Prostitutes are vulnerable to unplanned pregnancies and abortions. In Brazil, abortion is a crime and there is no data about unsafe abortions for this population. The study describes how prostitutes perform illegal abortions and the health consequences thereof. Semi-structured interviews with 39 prostitutes from three cities in Brazil with previous induced abortion experience were conducted. Sixty-six abortions, with between one and eight occurrences per woman, were recorded.
The majority of the cases resulted from sexual activity with clients. The inconsistent use of condoms with regular clients and the consumption of alcohol during work were indicated as the main causes of unplanned pregnancies.
The main method to perform abortion was the intravaginal and oral use of misoprostol, acquired in pharmacies or on the black market. Invasive measures were less frequently reported, however with more serious health complications. The fear of complaint to the police meant that most women do not inform the health team regarding induced abortion. The majority of prostitutes aborted with the use of illegally-acquired misoprostol, ending abortion in a public hospital with infection and hemorrhagic complications.
The data indicate the need for a public policy focusing on the reproductive health of prostitutes. A maioria dos casos resultaram de atividades sexuais com os clientes. The sexual and reproductive health of female sex workers is widely unexplored by public health studies in Latin America.
There was an increase in the use of condoms among female sex workers, but international research data demonstrate that they still have high rates of unplanned pregnancies and abortions compared with other groups 3 - 5. In Brazil abortion is forbidden by the Penal Code. There are three exceptions in which women will not be prosecuted: in the case of rape, risk to the life of the woman, and foetal anencephaly.