Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA; Fairhaven College, Western Washington University, Bellingham, WA 98225, USA.
Contraception. 2013 Oct;88(4):509-17. doi: 10.1016/j.contraception.2013.03.010. Epub 2013 Mar 22.
Despite abortion being legal, complications from induced abortion are the second leading cause of maternal mortality in Ghana. The objective of this study was to understand the decision-making process associated with induced abortion in Ghana.
Data were collected from female postabortion patients, male partners, family planning nurses and obstetricians/gynecologists at two teaching hospitals in Ghana using in-depth interviews and focus group discussions.
While experiences differ for married and single women, men are involved in abortion decision making directly, through "orders" to abort, or indirectly, through denying responsibility for the pregnancy. Health care providers can be barriers to seeking safe abortions in this setting.
Women who choose to terminate a pregnancy without their male partners' knowledge should have the means (both financial and social) to do so safely. Interventions with health care providers should discourage judgemental attitudes and emphasize individually focused patient care.
尽管堕胎是合法的，但人工流产引起的并发症仍是加纳产妇死亡的第二大主要原因。本研究旨在了解加纳人工流产相关的决策过程。
在加纳的两家教学医院，通过深入访谈和焦点小组讨论，从人工流产后的女性患者、男性伴侣、计划生育护士和妇产科医生那里收集数据。
虽然已婚和单身女性的经历不同，但男性可以直接通过“命令”堕胎或间接通过否认对怀孕负责来参与堕胎决策。在这种情况下，医疗保健提供者可能会成为寻求安全堕胎的障碍。
选择在没有男性伴侣知情的情况下终止妊娠的女性应该有安全堕胎的手段（包括经济和社会方面）。与医疗保健提供者的干预措施应避免带有评判性的态度，并强调以个体为中心的患者护理。
