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Midwives' perspectives on preventing unsafe abortion: a qualitative study.
Leila Bozorgian1, Solmaz Mohammadi2, Firoozeh Nourimand3
1Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Iranian midwives advocate for revising restrictive abortion laws and enhancing reproductive health education to combat unsafe abortion practices. They emphasize a holistic, woman-centered approach, highlighting the crucial role of policy, risk communication, and support systems.
Area of Science:
- Reproductive Health
- Public Health Policy
- Midwifery Practice
Background:
- Unsafe abortion presents global health risks, exacerbated in Iran by restrictive 2022 abortion laws.
- Midwives are primary healthcare contacts for women seeking abortion or post-abortion care, facing new challenges due to policy changes.
- This study explores Iranian midwives' perspectives on unsafe abortion in the context of evolving legal and social landscapes.
Purpose of the Study:
- To investigate the views of midwives in Yasuj, Iran, regarding unsafe abortion.
- To identify strategies for preventing unsafe abortion and promoting reproductive health from the perspective of healthcare providers.
Main Methods:
- A qualitative study employing conventional content analysis.
- In-depth, semi-structured interviews were conducted with 14 experienced midwives in Yasuj, Iran.
- Purposive sampling and MAXQDA software were used for data collection and analysis, ensuring trustworthiness.
Main Results:
- Analysis revealed four key themes: policy development (including caregiver/client policies and family planning re-orientation), risk communication strategies (education on risks), media education on parenting, and the need for a supportive approach (economic/social support).
- Midwives highlighted the importance of implementing clear policies for both healthcare providers and clients.
- Effective risk communication and media engagement were identified as crucial for reproductive health promotion.
Conclusions:
- Midwives recommended revising restrictive abortion laws, expanding family planning programs, and establishing clear clinical guidelines.
- There is a strong emphasis on educating women about the dangers of unsafe procedures and leveraging media for accurate reproductive health information.
- A holistic, rights-based, and woman-centered approach is essential, with midwives playing a vital role in policy and program development for improved women's health outcomes.
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