Chhabra S, Palaparthy S, Mishra S
Department of Obstetrics and Gynaecology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India.
J Obstet Gynaecol. 2009 May;29(4):333-6. doi: 10.1080/01443610902838365.
This study covers issues on advanced unwanted pregnancies in rural single women in South-east Asia, with reference to age, education, occupation, person responsible (i.e. baby's father) and reasons for delay in seeking assistance. It describes single women with pregnancy beyond the time for abortion, as set by the Indian abortion law. The study involved 314 girls/women and was set in the Mahatma Gandhi Institute of Medical Sciences, Sevagram, India. The girls/women were admitted, provided with free facilities and had their babies looked after by hospital staff until given up for adoption, or otherwise. The outcomes of the study showed that most individuals (71.01%) were rural, less-literate, working girls. In 94.26% of cases, the baby's father was known; 24 (7.64%) reported rape (13 by a known person). A total of 66 individuals (21.02%) did not inform their parents about the pregnancy for up to 5 months. Five (1.59%) went to unqualified medical practitioners and 16.56% to private practitioners who did not give their services. A total of 47 (14.96%) had waited for the person responsible for their pregnancy before seeking assistance. There was a total of 315 babies born to 310 mothers (five twins); four absconded undelivered; 13 absconded after delivery (two with their babies, 11 leaving babies). The study found that pregnancies were often caused by rape and girls/women with no knowledge of abortion laws, shyness, fear, lack of desired privacy, lack of resources, misleading management at periphery all went beyond 20 weeks. Mostly, the babies were not accepted--the girls married the babies' fathers, but left their babies. Emergency contraception for unprotected sexual intercourse is essential.
本研究涵盖了东南亚农村单身女性意外怀孕晚期的相关问题，涉及年龄、教育程度、职业、责任人（即婴儿父亲）以及寻求援助延迟的原因。它描述了那些怀孕时间超过印度堕胎法规定的可堕胎期限的单身女性。该研究在印度塞格拉姆的圣雄甘地医学科学研究所开展，涉及314名女孩/妇女。这些女孩/妇女被收治入院，享受免费设施，她们的婴儿由医院工作人员照料，直至被送去领养或另行安置。研究结果显示，大多数人（71.01%）是农村地区、识字不多的职业女性。在94.26%的案例中，婴儿的父亲是已知的；24人（7.64%）报告遭遇强奸（其中13人是被熟人强奸）。共有66人（21.02%）长达5个月未告知父母自己怀孕。5人（1.59%）去找了不合格的医生，16.56%去找了不提供服务的私人执业医生。共有47人（14.96%）在寻求援助前等待孩子的父亲出面。310位母亲共生下315个婴儿（其中5对双胞胎）；4人未分娩就潜逃了；13人在分娩后潜逃（2人带着孩子，11人遗弃了孩子）。研究发现，怀孕往往是由强奸导致的，而女孩/妇女不了解堕胎法、害羞、恐惧、缺乏所需的隐私、缺乏资源、周边地区误导性的处理方式等因素都导致她们怀孕超过20周。大多数情况下，婴儿不被接受——女孩嫁给了婴儿的父亲，但却遗弃了自己的孩子。针对无保护性行为的紧急避孕措施至关重要。
