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贫困低资源国家已婚弱势妇女群体中的安全堕胎:描述性横断面研究。

Safe Abortion among Underprivileged Group Married Women of Low Resource Country: A Descriptive Cross-sectional Study.

机构信息

Department of Public Health, Om Health Campus, Kathmandu, Nepal.

Centre for Mental Health and Counselling Service-Nepal, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2020 Sep 27;58(229):672-676. doi: 10.31729/jnma.5298.

DOI:10.31729/jnma.5298
PMID:33068089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7580325/
Abstract

INTRODUCTION

Unsafe Abortion is one of the leading causes of maternal death. The unhygienic and dangerous practice has been encountered in various geographical areas of Nepal. Despite its legalization, many women are still being not concerned and well informed regarding safe abortion and become victims of it. The main aim of this study was to assess the knowledge and practice regarding safe abortion among married women of reproductive (14 to 49) years of an underprivileged group of low resource country, Nepal.

METHODS

A descriptive cross-sectional study design was done in Rajbanshi community of Jhapa District. Data collection was done after taking ethical approval. Study population was selected conveniently. Data was collected by using a semi-structured questionnaire via face to face interviews among 420 married women of reproductive (14-49) years. All the extracted data were entered and analyzed using Statistical Package for the Social Services version 20. Descriptive analysis was doneand presented using frequency and percentage.

RESULTS

Out of 420 respondents, 388 respondents (92.4%) found to have poor knowledge, regarding safe abortion. Likewise, only 44 respondents (10.05%) had practiced abortion, of which only 2 respondents (0.05%) had an unsafe abortion and 42 respondents (10%) had practiced safe abortion.

CONCLUSIONS

Practices of unsafe abortion were prevalent. Respondents with poor knowledge werefound to have done abortion. In this context, it can be concluded that knowledge regarding safe abortion can be increased by educating and providing awareness to the people of society.

摘要

简介

不安全堕胎是导致产妇死亡的主要原因之一。在尼泊尔的各个地理区域都曾出现过不卫生和危险的堕胎做法。尽管堕胎已经合法化,但许多妇女仍然对此缺乏关注和了解,因此成为不安全堕胎的受害者。本研究的主要目的是评估尼泊尔一个资源匮乏的低等群体中已婚育龄妇女(14 至 49 岁)对安全堕胎的知识和实践情况。

方法

在贾帕地区的拉金班希社区进行了一项描述性的横断面研究设计。在获得伦理批准后进行了数据收集。方便选取研究人群。通过面对面访谈,使用半结构式问卷对 420 名 14-49 岁的已婚育龄妇女进行了数据收集。所有提取的数据均使用社会服务统计软件包 20 版进行录入和分析。采用描述性分析,以频率和百分比表示。

结果

在 420 名受访者中,有 388 名(92.4%)受访者被发现对安全堕胎的知识掌握较差。同样,只有 44 名(10.05%)受访者实施过堕胎,其中只有 2 名(0.05%)实施了不安全堕胎,42 名(10%)实施了安全堕胎。

结论

不安全堕胎的做法很普遍。知识掌握较差的受访者曾实施过堕胎。在这种情况下,可以得出结论,通过对社会大众进行教育和提高认识,可以增加人们对安全堕胎的知识。

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本文引用的文献

1
Medical abortion in Nepal: a qualitative study on women's experiences at safe abortion services and pharmacies.尼泊尔的药物流产:一项关于妇女在安全流产服务和药店的经历的定性研究。
Reprod Health. 2019 Jul 15;16(1):105. doi: 10.1186/s12978-019-0755-0.
2
Is It Safe to Provide Abortion Pills over the Counter? A Study on Outcome Following Self-Medication with Abortion Pills.非处方提供堕胎药是否安全?一项关于自行服用堕胎药后的结果研究。
J Clin Diagn Res. 2015 Jan;9(1):QC01-4. doi: 10.7860/JCDR/2015/11626.5388. Epub 2015 Jan 1.
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Effects of educational intervention among reproductive age group women on safe abortion.育龄妇女教育干预对安全堕胎的影响。
JNMA J Nepal Med Assoc. 2013 Oct-Dec;52(192):612-8.
4
From concept to measurement: operationalizing WHO's definition of unsafe abortion.从概念到测量:落实世界卫生组织对不安全堕胎的定义
Bull World Health Organ. 2014 Mar 1;92(3):155. doi: 10.2471/BLT.14.136333.
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Management of postabortion hemorrhage: release date November 2012 SFP Guideline #20131.流产后出血的管理:发布日期 2012 年 11 月 SFP 指南 #20131。
Contraception. 2013 Mar;87(3):331-42. doi: 10.1016/j.contraception.2012.10.024. Epub 2012 Dec 4.
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Knowledge, attitudes, and practice of abortion among women and doctors in Armenia.亚美尼亚女性和医生对堕胎的认知、态度及行为
Eur J Contracept Reprod Health Care. 2009 Oct;14(5):340-8. doi: 10.3109/13625180903131348.