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亚美尼亚女性和医生对堕胎的认知、态度及行为

Knowledge, attitudes, and practice of abortion among women and doctors in Armenia.

作者信息

Chong Erica, Tsereteli Tamar, Vardanyan Susanna, Avagyan Gayane, Winikoff Beverly

机构信息

Gynuity Health Projects, New York, NY 10010, USA.

出版信息

Eur J Contracept Reprod Health Care. 2009 Oct;14(5):340-8. doi: 10.3109/13625180903131348.

DOI:10.3109/13625180903131348
PMID:19916760
Abstract

OBJECTIVE

To assess knowledge and attitudes towards abortion among women and obstetricians/gynaecologists in Armenia, in order to facilitate the introduction of medical abortion.

METHODS

Ninety-nine doctors and 400 women in three cities in Armenia were purposively selected to participate in face-to-face interviews using structured survey instruments.

RESULTS

Most women knew that abortion is legal under any (31%) or certain (50%) circumstances. The majority of women had heard of medical abortion, but had superficial or incorrect knowledge of the method. Thirty percent of women expressed a preference for medical abortion over surgical abortion. Despite the fact that the medications are not readily available in Armenia, nearly one out of three doctors reported having experience in using misoprostol or mifepristone + misoprostol to terminate pregnancies. Doctors not providing medical abortion cited concerns about the method's efficacy and safety, or felt that they did not have enough information. One-third of doctors were very interested in receiving training on medical abortion methods.

CONCLUSIONS

Both doctors and women in Armenia are interested in medical abortion as an alternative to surgical abortion. Efforts should focus on informing women about the legality of abortion and the details of the medical abortion procedure, and on training doctors in this new method.

摘要

目的

评估亚美尼亚女性及妇产科医生对堕胎的认知和态度,以推动药物流产的引入。

方法

在亚美尼亚三个城市中,有目的地选取了99名医生和400名女性,使用结构化调查工具进行面对面访谈。

结果

大多数女性知道堕胎在任何(31%)或某些(50%)情况下是合法的。大多数女性听说过药物流产,但对该方法只有肤浅或错误的认知。30%的女性表示比起手术流产,更倾向于药物流产。尽管亚美尼亚不易获得相关药物,但近三分之一的医生报告称有使用米索前列醇或米非司酮+米索前列醇终止妊娠的经验。不提供药物流产的医生表示担心该方法的有效性和安全性,或者觉得自己没有足够的信息。三分之一的医生对接受药物流产方法的培训非常感兴趣。

结论

亚美尼亚的医生和女性都对药物流产作为手术流产的替代方法感兴趣。应努力让女性了解堕胎的合法性和药物流产程序的细节,并对医生进行这种新方法的培训。

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