Gallo Maria F, Nghia Nguyen C
Research and Evaluation, Ipas, 300 Market Street, Suite 200, Chapel Hill, NC 27516, USA.
Soc Sci Med. 2007 May;64(9):1812-22. doi: 10.1016/j.socscimed.2007.02.005. Epub 2007 Mar 13.
Although legal and safe-induced abortion services are available on request in Vietnam, second-trimester abortion still occurs. Given the increased risks and higher costs associated with later-term abortions, we conducted a qualitative study to understand the determinants of delaying abortion until the second trimester. We used purposive sampling to conduct semi-structured face-to-face interviews with 60 women aged 14-47 receiving an abortion at 13-24 weeks of gestation in 5 health facilities in 3 provinces in Vietnam. We also interviewed 6 providers from the study facilities. Three broad categories for factors influencing delays in obtaining abortions emerged: most women failed to recognize their pregnancy during the first trimester; women described structural barriers to accessing services earlier; and some women either needed time to make a decision or only decided to abort after other events had transpired. A richer understanding of the factors that prevent women from obtaining an abortion during the first trimester could be useful for informing interventions that support women in receiving care earlier during their pregnancies.
尽管在越南，合法且可按需提供的安全人工流产服务是存在的，但中期妊娠流产仍有发生。鉴于晚期流产相关风险增加且成本更高，我们开展了一项定性研究，以了解导致流产推迟至中期妊娠的决定因素。我们采用目的抽样法，对越南3个省份5家医疗机构中60名年龄在14至47岁、妊娠13至24周接受流产手术的女性进行了半结构化面对面访谈。我们还采访了研究机构的6名医护人员。出现了影响流产延迟的三大类因素：大多数女性在孕早期未意识到自己怀孕；女性描述了早期获得服务存在的结构性障碍；一些女性要么需要时间做决定，要么在其他事情发生后才决定流产。更深入地了解阻碍女性在孕早期进行流产的因素，可能有助于为支持女性在孕期更早接受护理的干预措施提供信息。
