生殖年龄妇女的死亡:在寻求堕胎的妇女中进行的探索性案例研究
Preeti Gautam1, Mahesh C Puri2, Sunita Karki2
1School of Health and Social Wellbeing, University of the West of England, Bristol, United Kingdom.
Journal of Nepal Health Research Council
|April 15, 2024
概括
在尼泊尔,被拒绝堕胎服务的妇女面临更高的死亡风险,自杀和结核病是导致死亡的主要原因. 合法堕胎的机会并没有直接导致这些死亡,突出了更广泛的健康和社会问题.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 2002年,尼泊尔将堕胎合法化,但对许多妇女来说,堕胎仍然是一个挑战.
- 了解对被拒绝堕胎服务的妇女的后果对于公共卫生至关重要.
- 关于尼泊尔寻求堕胎的妇女死亡原因的数据有限.
研究的目的:
- 调查2019年至2020年期间在尼泊尔寻求堕胎服务的妇女死亡的原因.
- 为了比较堕胎的妇女和被拒绝服务的妇女之间的死亡结果.
主要方法:
- 一项全国性的纵向研究跟踪了寻求堕胎服务的妇女.
- 通过对三年来进行的随访采访,收集了有关死亡的数据.
- 经过培训的工作人员对家庭成员进行了深入采访,以确定死亡原因.
主要成果:
- 在2019年4月至2022年12月期间,报告有9例死亡.
- 四名妇女进行了堕胎,而五名妇女最初被拒绝接受服务.
- 死亡的主要原因是自杀 (大多数) 和结核病;没有死亡归因于堕胎或分娩.
结论:
- 在尼泊尔,被拒绝合法堕胎服务的妇女面临着严重的死亡风险,主要是自杀和结核病.
- 这些发现强调了需要全面的生殖健康服务和社会支持系统.
- 确保安全和可访问的堕胎护理对于妇女的健康和福祉至关重要.
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