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Induced abortion in Pakistan: community-based research
1Collective for Social Science Research, Karachi. ayesha.ahsan30@gmail.com
JPMA. the Journal of the Pakistan Medical Association
|January 7, 2014
Summary
Induced abortion in Pakistan primarily affects uneducated women over 30 with multiple children, often due to contraceptive failure. Despite perceived stigma, community research is feasible and ongoing studies are crucial for understanding diverse contexts.
Area of Science:
- Reproductive Health
- Public Health
- Sociology
Background:
- This review synthesizes community studies on induced abortion in Pakistan from 1969 to 2010.
- It includes data from the Induced Abortion Survey (IAS) 2010.
Purpose of the Study:
- To highlight findings on abortion seeker profiles, reasons for induced abortions, methods used, and post-abortion complication (PAC) treatment.
- To assess trends and challenges in induced abortion care within Pakistan.
Main Methods:
- Comprehensive review of community-based studies on induced abortion in Pakistan.
- Inclusion of data from the Induced Abortion Survey (IAS) 2010.
Main Results:
- Abortion seekers are predominantly uneducated women over 30 with at least three children.
- Contraceptive failure is a major reason for induced abortion.
- High complication rates persist despite perceived provider safety; Dilation and Curettage (D&C) is the predominant method, while folk methods decline.
- Women seek care for complications sooner than previously observed.
Conclusions:
- Community-level research on induced abortion is feasible despite stigma.
- Further community studies are recommended to capture the diversity of the Pakistani context.
- Advocacy and research into "semi-safe" providers are suggested.
