Dhillon B S, Chandhiok N, Kambo I, Saxena N C
Division of Reproductive Health and Nutrition, Indian Council of Medical Research, Ansari Nagar, New Delhi - 110 029, India.
Indian J Med Sci. 2004 Nov;58(11):478-84.
Despite a liberal Medical Termination of Pregnancy (MTP) act and awareness of family planning, maternal mortality attributable to induced abortion is high.
Assess attitude, behavior, practices and utilization of services by rural women for induced abortion and concurrent acceptance of contraception.
Cross sectional survey of eligible married women in 13 states in India over one year.
A total of 1851 women who had an induced abortion during the previous 3 years were interviewed.
Includes proportions, rates and chi-square test.
The main reason for seeking abortion was "don't need any more children" (42%), and in 12.4 per cent they specifically mentioned that they "don't need any more daughters". Around 46% of women accessed abortion services from private clinics as compared to government hospital (37.1%) and Primary Health Centre/Community Health Centre (14.0%). The decision to terminate the pregnancy and place of abortion was made by the husband in 42.8% and 52.5% respectively. Regret for abortion was expressed by 29.6% of the women. However, only 7.2% said they would not advice others for induced abortion. Nearly one half of the women undergoing abortion accepted a family planning method concurrently; of these Intra Uterine Device/oral contraceptives and a permanent method was adopted by 37.2% and 49.1% respectively. Acceptance of vasectomy by male partner was found to be low (1.3%). "Husband objected" (32.3%) was the main reason for not accepting post abortal contraception. Majority of the acceptors said they would recommend to others the same place where they had undergone abortion, thus indicating their satisfaction with the source and services received.
Counselling for post-abortal contraceptive should be provided to the couple so that they can make an informed choice.
尽管有宽松的人工流产（MTP）法案以及计划生育意识，但人工流产导致的孕产妇死亡率仍很高。
评估农村妇女对人工流产的态度、行为、做法以及服务利用情况，同时评估她们对避孕措施的接受程度。
对印度13个邦符合条件的已婚妇女进行为期一年的横断面调查。
对过去3年内有过人工流产经历的1851名妇女进行了访谈。
包括比例、率和卡方检验。
寻求人工流产的主要原因是“不再想要孩子”（42%），12.4%的妇女特别提到“不再想要女儿”。约46%的妇女从私立诊所获得人工流产服务，相比之下，从政府医院获得服务的占37.1%，从初级卫生保健中心/社区卫生保健中心获得服务的占14.0%。分别有42.8%和52.5%的妇女终止妊娠的决定以及人工流产地点由丈夫决定。29.6%的妇女表示对人工流产感到后悔。然而，只有7.2%的妇女表示不会建议他人进行人工流产。近一半接受人工流产的妇女同时采用了计划生育方法；其中，37.2%的妇女采用了宫内节育器/口服避孕药，49.1%的妇女采用了永久性避孕方法。男性伴侣接受输精管切除术的比例较低（1.3%）。“丈夫反对”（32.3%）是不接受人工流产后避孕措施的主要原因。大多数接受者表示会向他人推荐她们接受人工流产的同一地点，这表明她们对所获得的服务来源和服务感到满意。
应为夫妇提供人工流产后避孕咨询，以便他们能够做出明智的选择。
