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孟加拉国女性使用调节月经药物的经历。

Women's experiences with medication for menstrual regulation in Bangladesh.

作者信息

Marlow Heather M, Biswas Kamal, Griffin Risa, Menzel Jamie

机构信息

a Department of Research and Evaluation , Ipas , Chapel Hill , NC , USA.

b Department of Research and Evaluation , Ipas Bangladesh , Dhaka , Bangladesh.

出版信息

Cult Health Sex. 2016;18(3):349-60. doi: 10.1080/13691058.2015.1078911. Epub 2015 Nov 3.

DOI:10.1080/13691058.2015.1078911
PMID:26529099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4732455/
Abstract

Menstrual regulation has been legal in Bangladesh since 1974, but the use of medication for menstrual regulation is new. In this study, we sought to understand women's experiences using medication for menstrual regulation in Bangladesh. We conducted 20 in-depth interviews with rural and urban women between December 2013 and February 2014. All interviews were audiotaped, transcribed, translated, computer recorded and coded for analysis. The majority of women in our study had had positive experiences with medication for menstrual regulation and successful outcomes, regardless of whether they obtained their medication from medicine sellers/pharmacies, doctors or clinics. Women were strongly influenced by health providers when deciding which method to use. There is a need to educate not only women of reproductive age, but also communities as a whole, about medication for menstrual regulation, with a particular emphasis on cost and branding the medication. Continued efforts to improve counselling by providers about the dose, medication and side-effects of medication for menstrual regulation, along with education of the community about medication as an option for menstrual regulation, will help to de-stigmatise the procedure and the women who seek it.

摘要

自1974年起,月经调节术在孟加拉国已合法化,但使用药物进行月经调节是新出现的情况。在本研究中,我们试图了解孟加拉国女性使用药物进行月经调节的经历。2013年12月至2014年2月期间,我们对农村和城市女性进行了20次深入访谈。所有访谈均进行了录音、转录、翻译、电脑记录并编码以便分析。在我们的研究中,大多数女性在使用药物进行月经调节方面都有积极的经历和成功的结果,无论她们是从药品销售商/药店、医生还是诊所获得药物。女性在决定使用哪种方法时受到医疗服务提供者的强烈影响。不仅有必要对育龄女性,而且要对整个社区进行关于月经调节药物的教育,尤其要强调药物的成本和品牌。持续努力改善医疗服务提供者关于月经调节药物的剂量、用药及副作用的咨询服务,同时对社区进行关于药物作为月经调节一种选择的教育,将有助于消除该程序以及寻求该程序的女性所面临的污名化。

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Int J Gynaecol Obstet. 2014 Jun;125(3):247-52. doi: 10.1016/j.ijgo.2013.11.015. Epub 2014 Mar 5.
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Availability and provision of misoprostol and other medicines for menstrual regulation among pharmacies in Bangladesh via mystery client survey.通过神秘客户调查评估孟加拉国药店中米索前列醇和其他调节月经药物的供应和供应情况。
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Acceptability and feasibility of mifepristone-misoprostol for menstrual regulation in Bangladesh.米非司酮-米索前列醇用于孟加拉国月经调节的可接受性和可行性。
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Menstrual regulation, unsafe abortion, and maternal health in Bangladesh.孟加拉国的月经调节、不安全堕胎与孕产妇健康。
Issues Brief (Alan Guttmacher Inst). 2012 Sep(3):1-8.
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The incidence of menstrual regulation procedures and abortion in Bangladesh, 2010.2010 年孟加拉国的月经调节程序和人工流产发生率。
Int Perspect Sex Reprod Health. 2012 Sep;38(3):122-32. doi: 10.1363/3812212.
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