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Table 1 Potential annual impacts of a 10% proportional decline in use of sexual and reproductive health care services resulting from COVID-19–related disruptions in 132 low- and middle-income countries. Source: Riley et al. [26]

From: Contraception access during the COVID-19 pandemic

Disruption in essential sexual and reproductive health care Impact
10% decline in use of short- and long-acting reversible contraceptives 48,558,000 additional women with an unmet need for modern contraceptives
15,401,000 additional unintended pregnancies
10% decline in service coverage of essential pregnancy-related and newborn carea 1,745,000 additional women experiencing major obstetric complications without care
28,000 additional maternal deaths
2,591,000 additional newborns experiencing major complications without care
168,000 additional newborn deaths
10% shift in abortions from safe to unsafeb 3,325,000 additional unsafe abortions
1,000 additional maternal deaths
  1. Notes: Service changes are presumed to be the average change over a year, and impacts are on an annual basis
  2. aThe 10% reduction in service coverage encompasses changes in access for some interventions (e.g., delivery in a facility) and changes in the content or quality of care for others (e.g., provision of magnesium sulfate for eclampsia treatment)
  3. bUnsafe abortions are those performed by persons lacking the necessary skills, or in an environment that does not conform to minimal medical standards, or both