Unsafe abortion requiring hospital admission in the Eastern Highlands of Papua New Guinea - a descriptive study of women’s and health care workers’ experiencesReportar como inadecuado




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Reproductive Health

, 12:22

First Online: 21 March 2015Received: 11 March 2014Accepted: 12 March 2015DOI: 10.1186-s12978-015-0015-x

Cite this article as: Vallely, L.M., Homiehombo, P., Kelly-Hanku, A. et al. Reprod Health 2015 12: 22. doi:10.1186-s12978-015-0015-x

Abstract

BackgroundIn Papua New Guinea induced abortion is restricted under the Criminal Code Law. Unsafe abortions are known to be widely practiced and sepsis due to unsafe abortion is a leading cause of maternal mortality.

MethodsWe undertook a six month, prospective, mixed methods study at the Eastern Highlands Provincial Hospital. Semi structured and in depth interviews were undertaken with women presenting following induced abortion. This paper describes the reasons why women resorted to unsafe abortion, the techniques used, decision to seek post abortion care and women’s reflections post abortion.

Results28 women were admitted to hospital following an induced abortion. Reasons for inducing an abortion included: wanting to continue with studies, relationship problems and socio-cultural factors. Misoprostol was the most frequently used method to end the pregnancy. Physical and mechanical means, traditional herbs and spiritual beliefs were also reported. Women sought care post abortion due to excessive vaginal bleeding, and severe abdominal pain with some afraid they would die if they did not seek help.

ConclusionIn the absence of contraceptive information and services to avoid, postpone or space pregnancies, women in this setting are resorting to unsafe means to end an unwanted pregnancy, putting their lives at risk. Women need access to safe, effective means of abortion.

KeywordsUnsafe abortion Abortion methods Misoprostol Traditional herbs Papua New Guinea AbbreviationsCPRContraceptive prevalence rate

DHSDemographic and Health Survey

EHPEastern Highlands Province

HCWHealth Care Worker

IDIIn depth Interview

IRBInternal Review Board

MMRMaternal Mortality Ratio

MRACMedical Research Advisory Committee

NDoHNational Department of Health

NHISNational health information System

NGONon-Government Organisation

PNGPapua New Guinea

PNGIMRPapua New Guinea Institute of Medical Research

PACPost abortion care

SSISemi structured interview

TFRTotal Fertility Rate

USAIDUnited States Agency for International Development

WHOWorld Health Organization

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Autor: Lisa M Vallely - Primrose Homiehombo - Angela Kelly-Hanku - Andrea Whittaker

Fuente: https://link.springer.com/







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