Narratives of women presenting with abortion complications in Southwestern Nigeria: A qualitative study.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
13
08
2018
accepted:
15
05
2019
entrez:
30
5
2019
pubmed:
30
5
2019
medline:
30
1
2020
Statut:
epublish
Résumé
Unsafe abortion continues to impact negatively on women's health in countries with restrictive abortion laws. It remains one of the leading causes of maternal mortality and morbidity. Paradoxically, modern contraceptive prevalence remains low and the unmet need for contraception continues to mirror unwanted pregnancy rates in many countries within sub-Saharan Africa. This qualitative study assessed women's knowledge; their expectation and experiences of the methods employed for abortion; and their health care-seeking decisions following a complicated abortion. Women who presented with abortion complications were purposively sampled from seven health facilities in south-west Nigeria. In-depth interviews were conducted by social scientists with the aid of a semi-structured interview guide. Coding schemes were developed and content analysis was performed with WEFTQDA software. Thirty-one women were interviewed. Misoprostol was used by 16 women; 15 women used other methods. About one-fifth of respondents were aged ≤ 20 years; almost one-third were students. Common reasons for terminating a pregnancy were: "too young/still in school/training"; "has enough number of children"; "last baby too young" and "still breastfeeding". Women had little knowledge about methods used. Friends, nurses or pharmacists were the commonest sources of information. Awareness about use of misoprostol for abortion among women was high. Women used misoprostol to initiate an abortion and were often disappointed if misoprostol did not complete the abortion process. Given its clandestine manner, women were financially exploited by the abortion providers and only presented to hospitals for post-abortion care as a last resort. Women's narratives of their abortion experience highlight the difficulties and risks women encounter to safeguard and protect their sexual and reproductive health. To reduce unsafe abortion therefore, urgent and synergized efforts are required to promote prompt access to family planning and post-abortion care services.
Identifiants
pubmed: 31141550
doi: 10.1371/journal.pone.0217616
pii: PONE-D-18-23854
pmc: PMC6541294
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0217616Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Afr J Reprod Health. 2017 Mar;21(1):114-121
pubmed: 29595032
Lancet. 2017 Nov 25;390(10110):2372-2381
pubmed: 28964589
Lancet Glob Health. 2014 Jun;2(6):e323-33
pubmed: 25103301
Int Perspect Sex Reprod Health. 2015 Dec;41(4):170-81
pubmed: 26871725
Afr J Reprod Health. 2011 Mar;15(1):47-55
pubmed: 21987937
Afr J Reprod Health. 2004 Dec;8(3):103-15
pubmed: 17348329
Health Econ Rev. 2014 Jun 17;4:3
pubmed: 25024929
Int J Gynaecol Obstet. 2010 Oct;111(1):53-6
pubmed: 20674918
Reprod Health Matters. 2002 May;10(19):18-21
pubmed: 12369323
Acta Obstet Gynecol Scand. 2005 Mar;84(3):270-80
pubmed: 15715536
PLoS One. 2018 Dec 31;13(12):e0209415
pubmed: 30596683
Lancet. 2006 Nov 25;368(9550):1908-19
pubmed: 17126724
Southeast Asian J Trop Med Public Health. 2012 Mar;43(2):471-8
pubmed: 23082598
J Family Med Prim Care. 2018 Nov-Dec;7(6):1521-1526
pubmed: 30613553
Southeast Asian J Trop Med Public Health. 2010 May;41(3):696-704
pubmed: 20578560
Am J Public Health. 2013 Mar;103(3):400-4
pubmed: 23327236
Ghana Med J. 2015 Sep;49(3):187-94
pubmed: 26693195
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937