Abortion performed in unsafe and risky conditions is often accompanied by severe complications such as uterine perforation, infection and hemorrhage, which are among the major causes of maternal death; it is an important factor of discrimination against women in health services, which hinders their search for these services (15).
In the abortion process, women become desperate. They suffer from the abandonment of their companion and are judged by family members and health professionals. The social judgment starts in the family environment, and abortion comes from the censorship that women imagine they will receive from the family when it becomes aware of their pregnancy, because this was not the result of a stable relationship, or a balanced phase for the family. Thus, the decision to abort is a lonely decision (14).
Abortion represents a high risk to the physical and mental health of women and it has a higher incidence in women who are young, of African descendent and have a low educational level. Among these women are those suffering from SCA, who reside in the poorest regions of the country (16).
Social factors, such as the cultural and economic conditions of the families, influence the women’s motherhood projects. The facilities or difficulties to carry out such projects vary from one class to another, and depend on the situation and the quality of the health services available, the presence of the family and its support and the solidarity networks around these women. The material conditions of existence do not determine the choice for motherhood, but they interfere with the possibilities for their realization (8.9).