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墨西哥城卫生保健专业人员对合法堕胎的经验和看法:一项定性研究。

Experiences and opinions of health-care professionals regarding legal abortion in Mexico City: a qualitative study.

机构信息

Population Council, Morelos No. 21, Colonia Del Carmen Coyoacan, Mexico City 04100, Mexico.

出版信息

Stud Fam Plann. 2011 Sep;42(3):183-90. doi: 10.1111/j.1728-4465.2011.00280.x.

DOI:10.1111/j.1728-4465.2011.00280.x
PMID:21972671
Abstract

This study examines the experiences and opinions of health-care professionals after the legalization of abortion in Mexico City in 2007. Sixty-four semistructured interviews were conducted between 1 December 2007 and 16 July 2008 with staff affiliated with abortion programs in 12 hospitals and 1 health center, including obstetricians/gynecologists, nurses, social workers, key decisionmakers at the Ministry of Health, and others. Findings suggest that program implementation was difficult because of the lack of personnel, space, and resources; a great number of conscientious objectors; and the enormous influx of women seeking services, which resulted in a work overload for participating professionals. The professionals interviewed indicate that the program improved significantly over time. They generally agree that legal abortion should be offered, despite serious concerns about repeat abortions. They recommend improving family planning campaigns and post-procedure contraceptive use, and they encourage the opening of primary health-care facilities dedicated to providing abortion services.

摘要

这项研究考察了 2007 年墨西哥城堕胎合法化后医疗保健专业人员的经验和看法。2007 年 12 月 1 日至 2008 年 7 月 16 日期间,与 12 家医院和 1 家保健中心的堕胎项目工作人员进行了 64 次半结构化访谈,包括妇产科医生/妇科医生、护士、社会工作者、卫生部主要决策者和其他人员。调查结果表明,由于人员、空间和资源的缺乏,方案的实施非常困难;大量的出于良心拒服兵役者;以及寻求服务的妇女大量涌入,导致参与专业人员的工作负担过重。接受采访的专业人员表示,该方案随着时间的推移有了显著改善。他们普遍认为应该提供合法堕胎,尽管对重复堕胎存在严重担忧。他们建议改善计划生育运动和堕胎后的避孕措施,并鼓励开设专门提供堕胎服务的基层医疗保健设施。

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