Johnson B R, Horga M, Andronache L
IPAS (International Projects Assistance Services), Carrboro, North Carolina 27510.
Lancet. 1993 Apr 3;341(8849):875-8. doi: 10.1016/0140-6736(93)93074-b.
After the downfall of the Ceausescu regime in December, 1989, the new Government of Romania abolished the law that prohibited abortions on request. Subsequently, the rate of legally induced abortions increased significantly while the rate of maternal mortality declined dramatically. Despite the large number of women who request induced abortions, most women and gynaecologists say that they would prefer to prevent unwanted pregnancies through the use of modern contraception. In this paper we examine factors that contribute to the disparity between women's desire to use modern contraception to prevent unwanted pregnancies and their practice of having induced abortions to prevent unwanted births. The results show that women (and suggest that men) need a wide choice of dependably available high-quality contraceptives; they need to be able to obtain information, counselling, and methods from a wide range of sources/health-care providers; both women's and men's perceptions about, and use of, modern contraception could be positively affected through sexual education started in secondary school; and, to reduce repeat abortions, women's post-abortion family-planning needs must not be neglected.
1989年12月齐奥塞斯库政权倒台后，罗马尼亚新政府废除了允许按需堕胎的法律。随后，合法人工流产率显著上升，而孕产妇死亡率则大幅下降。尽管有大量妇女要求人工流产，但大多数妇女和妇科医生表示，她们更愿意通过使用现代避孕方法来预防意外怀孕。在本文中，我们研究了导致妇女希望使用现代避孕方法预防意外怀孕的意愿与她们通过人工流产预防意外生育的实际做法之间存在差距的因素。结果表明，妇女（并表明男性）需要有多种可靠可得的高质量避孕方法可供选择；她们需要能够从广泛的来源/医疗保健提供者那里获得信息、咨询和方法；通过在中学开始的性教育，男女对现代避孕方法的认知和使用都可能受到积极影响；而且，为了减少重复堕胎，妇女堕胎后的计划生育需求绝不能被忽视。
