Lema V M, Rogo K O, Kamau R K
Department of Obstetrics and Gynaecology, College of Medicine, University of Malawi, Blantyse.
East Afr Med J. 1996 Mar;73(3):164-8.
In a study involving 1077 women who were admitted and treated for incomplete abortion and its related problems at eight hospitals (seven district and one mission hospitals) in six of the eight provinces of Kenya, between October 1988 and March 1989, 169 (15.7%) had illegally induced unsafe abortion, based on their own history and clinical findings. The illegally induced unsafe abortions were common among both rural and urban dwellers, and women from almost all social and economic strata were involved. However, they were more common among the youth (< 25 year olds), school girls, those with high formal education, in formal employment, and not currently married. Majority (90.4%), of the induced group said their pregnancies were unwanted, as compared to only 29.1% of the non-induced (p < 0.05). The main determining factor for termination of pregnancy amongst these women appeared to be the fact that it was unwanted and/or unplanned, either because of inappropriate timing, the type of man responsible, the relationship itself and the social and economic implications thereof. This is contributed to by poor contraceptive use inspite of very good awareness, and/or desire to use. There is urgent need to integrate abortion care and related services into the overall reproductive health care and as a part of the broader safe motherhood initiative in Kenya. In addition it is necessary to revise the legal provisions on abortion so as to make them more relevant. Appropriate management of adolescent fertility, should be undertaken with the aim of reducing the extent of illegally induced unsafe abortion with attendant sequealae.
1988年10月至1989年3月期间，在肯尼亚八个省中的六个省的八家医院（七家区级医院和一家教会医院）对1077名因不完全流产及其相关问题入院治疗的妇女进行了一项研究。根据她们自己的病史和临床检查结果，169名（15.7%）妇女进行了非法的不安全堕胎。非法的不安全堕胎在农村和城市居民中都很常见，几乎所有社会和经济阶层的妇女都有涉及。然而，在年轻人（<25岁）、女学生、受过高等正规教育、有正式工作且未婚的人群中更为常见。在人工流产组中，大多数（90.4%）表示她们的怀孕是意外怀孕，而非人工流产组中这一比例仅为29.1%（p<0.05）。这些妇女终止妊娠的主要决定因素似乎是怀孕是意外的和/或计划外的，原因包括时机不当、男方类型、关系本身及其社会和经济影响。尽管对避孕有很好的认知和/或使用意愿，但避孕措施使用不当加剧了这种情况。肯尼亚迫切需要将堕胎护理及相关服务纳入整体生殖健康护理，并作为更广泛的安全孕产倡议的一部分。此外，有必要修订关于堕胎的法律规定，使其更具相关性。应采取适当措施管理青少年生育，以减少非法不安全堕胎及其后遗症的发生程度。
