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Stage-Specific Psychological Distress, Coping, and Social Support among Women Undergoing Pregnancy Termination in
Marie Grace Sandra Musabwasoni1, Marie Klingberg-Allvin2, Donatilla Mukamana3
1Department of Midwifery, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda Kigali, Rwanda.
Rwanda Journal of Medicine and Health Sciences
|February 16, 2026
Summary
Women undergoing pregnancy termination in Rwanda experience significant psychological distress, particularly during the peri- and post-termination phases. Key predictors of distress include stress, maladaptive coping, and low social support, highlighting the need for integrated interventions.
Area of Science:
- Psychological outcomes
- Maternal health
- Reproductive health
Background:
- Pregnancy termination is a complex and emotionally impactful experience.
- Understanding psychological outcomes is crucial for effective support.
- Rwanda's context requires culturally sensitive interventions.
Purpose of the Study:
- To assess psychological outcomes and coping mechanisms in women undergoing pregnancy termination in Rwanda.
- To identify predictors of psychological distress and resilience.
- To inform culturally sensitive, stage-specific interventions.
Main Methods:
- Cross-sectional comparative study of 305 women at pre, peri, and post-termination stages.
- Data collected using validated instruments for distress, coping, and social support.
- Statistical analyses included ANOVA, correlations, and linear regressions.
Main Results:
- The peri-termination phase showed highest vulnerability with elevated stress, depression, and reduced coping/support.
- Distress, including stress and depression, peaked in the post-termination phase.
- Perceived stress, maladaptive coping, and low social support predicted anxiety and depression.
Conclusions:
- Integrated emotional support and empathetic communication are essential.
- Community-based interventions can reduce stigma and promote recovery.
- Findings support Rwanda's maternal health strategy and global efforts to humanize reproductive services.
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