Ipas, Chapel Hill, NC 27514, USA.
Int J Gynaecol Obstet. 2012 Sep;118 Suppl 2:S167-71. doi: 10.1016/S0020-7292(12)60017-4.
Malawian women in all sectors of society are suffering from social implications of unwanted pregnancy and unsafe abortion. Unwanted pregnancies occur among women who have limited access to family planning and safe abortion. A legally restrictive setting for safe abortion services leads many women to unsafe abortion, which has consequences for them and their families. In-depth interviews were conducted with 485 Malawian stakeholders belonging to different political and social structures. Interviewees identified the impact of unwanted pregnancy and unsafe abortion to be the greatest on young women. Premarital and extramarital pregnancies were highly stigmatized; stigma directly related to abortion was also found. Community-level discussions need to focus on reduction of stigma.
马拉维社会各界的女性都深受意外怀孕和不安全堕胎带来的社会影响之苦。意外怀孕的情况发生在那些获得计划生育和安全堕胎服务机会有限的女性身上。安全堕胎服务的法律限制环境导致许多女性选择不安全堕胎，这对她们及其家庭都造成了后果。研究人员对属于不同政治和社会结构的 485 名马拉维利益攸关方进行了深入访谈。受访者指出，意外怀孕和不安全堕胎对年轻女性的影响最大。婚前和婚外怀孕受到高度污名化；还发现与堕胎直接相关的污名化。社区层面的讨论需要集中在减少污名化上。
