Iyengar Kirti, Klingberg Allvin Marie, Iyengar Sharad D, Danielsson Kristina Gemzell, Essén Birgitta
Karolinska University Hospital, Stockholm, Sweden.
Action Research and Training for Health, Udaipur, Rajasthan, India.
Glob Qual Nurs Res. 2016 Dec 19;3:2333393616683073. doi: 10.1177/2333393616683073. eCollection 2016 Jan-Dec.
The aim of this study is to explore women's experiences and perceptions of home use of misoprostol and of the self-assessment of the outcome of early medical abortion in a low-resource setting in India. In-depth interviews were conducted with 20 women seeking early medical abortion, who administered misoprostol at home and assessed their own outcome of abortion using a low-sensitivity pregnancy test. With home use of misoprostol, women were able to avoid inconvenience of travel, child care, and housework, and maintain confidentiality. The use of a low-sensitivity pregnancy test alleviated women's anxieties about retained products. Majority said they would prefer medical abortion involving a single visit in future. This study provides nuanced understanding of how women manage a simplified medical abortion in the context of low literacy and limited communication facilities. Service delivery guidelines should be revised to allow women to have medical abortion with fewer visits.
本研究的目的是在印度资源匮乏的环境中，探索女性在家使用米索前列醇的经历和认知，以及她们对早期药物流产结果的自我评估。对20名寻求早期药物流产的女性进行了深入访谈，她们在家自行服用米索前列醇，并使用低灵敏度的妊娠试验自行评估流产结果。通过在家使用米索前列醇，女性能够避免出行、照顾孩子和家务带来的不便，并保持隐私。使用低灵敏度的妊娠试验减轻了女性对残留组织的焦虑。大多数人表示，她们未来更倾向于单次就诊的药物流产。本研究为低文化水平和有限沟通设施背景下女性如何进行简化药物流产提供了细致入微的理解。应修订服务提供指南，以使女性能够减少就诊次数进行药物流产。
