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在乌干达中部妇女中诱导堕胎的经验和驱动因素
Simon Peter Sebina Kibira1, Melissa Stillman2, Fredrick E Makumbi1
1School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
PLOS global public health
|December 6, 2023
概括
乌干达的不安全堕胎是由不支持性伴侣和社会经济因素驱动的. 寻求堕胎的女性经历了显著的身体和情绪上的痛苦,突出了需要更好的生殖健康护理和心理健康支持的需要.
科学领域:
- 生殖健康 生殖健康
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 不安全的堕胎是全球孕产妇死亡的主要原因,但乌干达等限制性环境的数据很少.
- 对堕胎驱动因素和经验的有限理解阻碍了防止不安全手术和改善堕胎后护理的努力.
研究的目的:
- 调查乌干达中部堕胎妇女的司机和生活经历.
- 为旨在减少不安全堕胎和加强获得安全生殖保健服务的计划提供信息.
主要方法:
- 涉及40名妇女的定性研究,这些妇女在乌干达的坎帕拉和更大的拉卡伊地区自我报告了堕胎.
- 通过深入采访 (2021年5月至9月) 收集的数据,通过受访者驱动的抽样进行招聘后.
- 使用Atlas.ti管理的转录音频数据的专题分析 9.
主要成果:
- 关键的驱动因素包括不支持性伴侣 (否认责任,强奸/玷污),职业/教育目标,以及害怕让家人失望的恐惧.
- 妇女报告了显著的情绪困扰 (混乱,羞耻,忽视) 和身体疼痛,以及耻辱,即使在寻求安全堕胎护理时.
- 虽然医疗机构是根据感知质量的选择,但咨询是最小的;成本是选择方法的主要因素.
结论:
- 解决伴侣支持和意外怀孕的心理健康至关重要.
- 安全堕胎和全面的堕胎后护理,包括咨询,对于限制性环境中的母亲健康至关重要.
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