Kaye D K, Mirembe F, Bantebya G, Johansson A, Ekstrom A M
Department of Obstetrics and Gynaecology, Makerere University Medical School, P.O. Box 7072, Kampala, Uganda.
East Afr Med J. 2005 Nov;82(11):579-85. doi: 10.4314/eamj.v82i11.9413.
To explore the methods, reasons and decision-making process for termination of pregnancy among adolescents and older women, in Mulago hospital, Kampala, Uganda.
Comparative study.
Nine hundred and forty two women seeking postabortion care, of which 333 had induced abortion (of whom 115 were adolescents).
The emergency gynaecological ward of Mulago Hospital, Kampala, Uganda from September 2003 through June 2004.
Women with induced abortion were single, in polygamous marital relationships and of lower parity (p<0.001); had lower education and number of living children (p<0.05), reported more (p<0.001) mistimed, unplanned or unwanted pregnancies, and were 13 times more likely to have recent history of domestic violence. Relationship issues were the most common reason for pregnancy termination for both categories. Decision-making for induced abortion was influenced by socio-economic, educational and personal considerations. Instrumentation and use of local herbs in the genitalia were the most common methods for pregnancy termination. Neither methods used for pregnancy termination nor reasons differed when adolescents were compared with older women.
Relationship issues influence the decision-making process for pregnancy termination. Neither methods used for pregnancy termination nor reasons for pregnancy termination differ when adolescents are compared with older women.
探讨乌干达坎帕拉穆拉戈医院青少年和成年女性终止妊娠的方法、原因及决策过程。
对比研究。
942名寻求流产后护理的女性，其中333人接受了人工流产（115人为青少年）。
2003年9月至2004年6月期间，乌干达坎帕拉穆拉戈医院的急诊妇科病房。
接受人工流产的女性单身、处于一夫多妻婚姻关系且产次较低（p<0.001）；受教育程度和存活子女数量较少（p<0.05），报告有更多（p<0.001）时机不当、意外或意外怀孕情况，且近期遭受家庭暴力的可能性高出13倍。人际关系问题是两类人群终止妊娠的最常见原因。人工流产的决策受社会经济、教育和个人因素影响。器械引产和在生殖器部位使用当地草药是最常见的终止妊娠方法。青少年与成年女性相比，终止妊娠的方法和原因均无差异。
人际关系问题影响终止妊娠的决策过程。青少年与成年女性相比，终止妊娠的方法和原因均无差异。
