Department of Family Medicine and Primary Health Care, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, Pretoria.
S Afr Fam Pract (2004). 2020 Mar 26;62(1):e1-e5. doi: 10.4102/safp.v62i1.4310.
Various reasons have been cited in studies conducted in South Africa on why women legally terminate their pregnancies. We sought to determine the reasons for women to terminate their pregnancies legally and their contraceptive practices. This study was conducted at Soshanguve 3 Community Health Centre (CHC), located in a semi-rural zone in the north-west of Pretoria, Gauteng province of South Africa.
A cross-sectional study design was adopted in this study.
Of the 250 respondents, high participation (23.2%) was noted amongst women aged 18-20 years. Eighty-three (33.2%) respondents did not have children, 108 (43.2%) had completed their secondary school education and 226 (90.4%) were Christian. Of the participants, 80% were single and 62.8% were unemployed. About 85.6% (214) of respondents had not had a previous abortion. A total of 24% of respondents requested abortion because they wanted to focus on their education, while 23.1% were not ready to be parents and 21.7% experienced financial difficulties. With regard to practice, all respondents had already used contraception and the most used contraceptive was the male condom (43.5%), followed by an injectable contraceptive (7.1%).
While academic reasons, not being ready to be a parent and financial difficulties were named as the main reasons for terminating a pregnancy legally, the selected pregnant women at Soshanguve 3 CHC demonstrated an unsatisfactory practice of contraceptive measures.
在南非进行的研究中，提出了各种导致女性合法终止妊娠的原因。我们旨在确定女性合法终止妊娠的原因及其避孕措施。这项研究是在位于南非豪登省比勒陀利亚西北部半农村地区的索沙古夫 3 社区卫生中心（CHC）进行的。
本研究采用了横断面研究设计。
在 250 名受访者中，18-20 岁的女性参与度较高（23.2%）。83 名（33.2%）受访者没有孩子，108 名（43.2%）完成了中学教育，226 名（90.4%）是基督教徒。在参与者中，80%是单身，62.8%没有工作。约 85.6%（214 名）的受访者之前没有过堕胎。共有 24%的受访者要求堕胎，因为他们想专注于学业，而 23.1%的受访者还没有准备好当父母，21.7%的受访者则面临经济困难。在实践方面，所有受访者都已经使用了避孕措施，最常用的避孕方法是男用避孕套（43.5%），其次是可注射避孕药（7.1%）。
虽然学术原因、还没有准备好当父母和经济困难被列为合法终止妊娠的主要原因，但在索沙古夫 3 号 CHC 选择的孕妇避孕措施的实践并不令人满意。
