Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet Huddinge, Sweden.
Cult Health Sex. 2010 Apr;12(3):247-62. doi: 10.1080/13691050903353383.
An estimated 60% of all adolescent pregnancies in low-income countries are unintended. The present study was carried out at the university hospital in Lusaka, Zambia over a four-month period in 2005. The aim was to explore experiences of pregnancy loss and to ascertain the girl's contraceptive knowledge and use and their partner's involvement in the pregnancy/abortion. Eighty-seven girls aged 13-19 years admitted to hospital for incomplete abortions were interviewed. Of these girls, 53 (61%) had had a spontaneous abortion and 34 (39%) had undergone an unsafe induced abortion. Significantly more girls with an unsafe induced abortion were single, students, had completed more years in school and were in less stable relationships. Girls' overall contraceptive knowledge and use was low and most pregnancies were unplanned. Partners played a decisive role in terminating pregnancy through unsafe induced abortion. Traditional healers, girls themselves and health professionals were the main abortion providers. Young women's health risks due to unprotected sex and lack of contraceptive services should urgently be addressed. The existence of the abortion law and access to emergency contraception should be better publicized in Zambia.
在低收入国家，估计有 60%的青少年怀孕是意外怀孕。本研究于 2005 年在赞比亚卢萨卡的大学医院进行，历时四个月。目的是探讨流产经历，并确定女孩的避孕知识和使用情况，以及其伴侣在怀孕/流产中的参与情况。对 87 名因不完全流产住院的 13-19 岁女孩进行了访谈。其中 53 名（61%）女孩有自然流产，34 名（39%）女孩进行了不安全的人工流产。进行不安全人工流产的女孩中，单身、学生、在校时间更长且关系更不稳定的比例显著更高。女孩的整体避孕知识和使用水平较低，大多数怀孕都是意外怀孕。伴侣通过不安全的人工流产决定终止妊娠。传统的治疗师、女孩自己和卫生专业人员是主要的堕胎提供者。由于缺乏保护措施的性行为和缺乏避孕服务，年轻女性的健康风险应紧急得到解决。赞比亚应更好地宣传堕胎法和紧急避孕措施的可及性。
