Summer 2020, Volume 29, Issue 2 (40-45) Copyright © 2020 The Author(s); Published by Advances in Nursing and Midwifery. This is an open access article, distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses /by-nc/4.0/) which permits others to copy and redistribute material just in noncommercial usages, provided the original work is properly cited. Advances in Nursing and Midwifery Original Article The Awareness and Attitude of, Midwives Working in Private Offices in Tehran Province, Iran Toward Abortion Laws and Related Factors Masoumeh Name 1 , Mahbobeh Ahmadi Doulabi 2,* , Asiye Jafari 3 , Fatemeh Salmani 4 1 Master’s Degree Midwifery, Majoring Forensic Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2 Assistant Professor, Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health Shahid Beheshti University of Medical Sciences, Tehran, Iran 3 Legal Medicine Specialist, Member of Legal Medicine Reasearch Center, Tehran, Iran 4 Assistant Professor of Biostatistics, Department of Epidemiology and Biostatistics, School of Health Social Determinants of Health Research Center Birjand University of Medical Sciences, Birjand, Iran *Corresponding author: Mahbobeh Ahmadi Doulabi, Department of Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health Shahid Beheshti University of Medical Sciences, Tehran, Iran. E-mail: mah1372@yahoo.com DOI: 10.29252/anm-30313 Submitted: 06-01-2020 Accepted: 13-02-2020 Published: 20-04-2020 Abstract Introduction: Legal abortion is performed to prevent maternal and fetal disorders. Midwives' awareness and attitude toward abortion laws have undeniable effects on the decisions made by women with high-risk pregnancies. By recent study, The present study evaluated the awareness and attitudes of midwives working in private offices in Tehran Province, Iran, toward abortion laws and related factors. Methods: This descriptive-analytical study was done in 2016. A total of 236 midwives were selected from Tehran Province took simple random sampling. The data were collected took using a valid and reliable researcher-made questionnaire by items related to demographic characteristics, awareness, and attitude. The collected data were analyzed by descriptive tests (mean, standard deviation, confidence interval, frequency, and relative frequency) and linear regression analysis. Results: The midwives' mean scores of awareness and attitude were 57.7 ± 7.44 (95% CI: 56.61-58.54) and 99.08 ± 10.09 (95% CI: 97.83-100.38), respectively. Midwives' age (B = 0.21), work shifts in the midwifery office (B = 1.29), being a member of the Midwifery Learner Society (B = 3.05), and cooperating with local legal medicine centers (B = 3.63) were found to be the predictors of awareness scores. Gain experience in the midwifery office was the only predictor of midwives' attitude, i.e., every one-year increase in work experience decreased the scores of attitude by 1.61 points. Conclusions: The participating midwives had a moderate level of awareness, which was affected by different variables. Cooperating with local legal medicine centers had the most significant effect on improving midwives' awareness. Moreover, the midwives had low scores of attitude, and a few variables predicted their attitude. Keywords: Awareness Attitude Legal Abortion Midwife Relevant Factors © 2020. Advances in Nursing and Midwifery How to cite: Name M, Ahmadi Doulabi M, Jafari A, Salmani F. The Awareness and Attitude of, Midwives Working in Private Offices in Tehran Province, Iran Toward Abortion Laws and Related Factors. Adv Nurs Midwifery. 2020;29(1):40-45. doi: 10.29252/anm-30313 INTRODUCTION Abortion is defined as the termination of pregnancy (for any reason) during the first 20 weeks or the removal of a fetus weighing less than 500 g, i.e., before the fetus can alive out of the uterus. Abortions can be either spontaneous or induced. Induced abortions can be illegal (intentional) or legal (therapeutic) [1]. In Iran, if the pregnancy threatens the mother's life born, fetal anomalies are presented, abortions are legally accepted. Permissions from the Iranian Legal Medicine Organization are essential in all cases [2]. Unsafe abortions are considered as a serious global health issue. Forty-six million out of 210 million pregnancies lead to abortion each year, and half of these abortions are unsafe. Laws forbiddance law to abort in many countries