scholarly journals Women's Experiences And Perspectives Of Induced Abortions In Urban Slum Areas Of Karachi, Pakistan

2020 ◽  
Vol 20 (2) ◽  
pp. 177-200
Author(s):  
Zain Iftikhar ◽  
Shagufta Nasreen
Keyword(s):  
Developing Countries ◽  
Large Family ◽  
Urban Slum ◽  
Induced Abortion ◽  
Partner Choice ◽  
Male Child ◽  
Traumatic Experience ◽  
Interview Guide ◽  
Induced Abortions ◽  
Gender Based

Unsafe abortion is one of the leading causes in developing countries where the rate of obtaining an abortion is high due to financial issues and the desire of a male child. This paper is extracted from a study about roles of midwives in unsafe and induced abortions in the urban slums of Karachi city. The objective of this paper is to discuss the causes of induced abortions and to explore the experiences of women having induced abortions. The study was conducted through interviewing schedule based upon open and close ended questions. The interview guide included questions about the causes of abortions, problems faced by women during the process, and effects on their social and economic aspects of their lives. Results show that the major reason of induced abortion is poverty, including others like large family size and family pressure due to economic burden, male child preference, social stigmas and sometimes due to partner choice. Findings of the study suggest that abortion is a traumatic experience which involved intentional death of an unborn child. It has also been discovered that women experience abortion, felt grief, shame, sorrow, and depression. The study concludes that induced abortion is used as a contraceptive method by poor women. As they are performed in unhygienic and illegal methods, they become a health risk which affects women lives socially, economically, physically and psychologically. The findings of the study will help in understanding the problems faced by women having induced abortions. Additionally, it would also assist in developing gender based reproductive health programs in developing countries.

scholarly journals Impacts of Electricity Outages in Urban Households in Developing Countries: A Case of Accra, Ghana

Energies ◽  
2021 ◽  
Vol 14 (12) ◽  
pp. 3676
Author(s):  
Paul Nduhuura ◽  
Matthias Garschagen ◽  
Abdellatif Zerga
Keyword(s):  
Developing Countries ◽  
Social Services ◽  
Large Family ◽  
Household Survey ◽  
Limited Attention ◽  
Electricity Supply ◽  
High Exposure ◽  
Urban Households ◽  
Using Data ◽  
Family Setting

Many developing countries in Africa face a “double tragedy” when it comes to electrification. Electricity access rates are low, while those who have access to electricity face frequent outages. There are ongoing efforts aimed at increasing access to electricity on the continent. However, the need to improve the reliability of electricity supply receives limited attention. Unreliable electricity impacts users by limiting electricity utilization and the benefits that should accrue from having an electricity connection. Using data from 496 household survey questionnaires, this study examines the impacts of electricity outages in urban households in Accra, Ghana. The study applies correlation and regression analyses to identify which household characteristics are associated with or predict households reporting outage impacts. Outages were found to impact household safety/security, access to food, and access to social services and were found to cause appliance damage as well. Factors that are significantly correlated with reporting certain outage impacts include respondent’s annual income and employment status, frequency of electricity outages, and household size. Significant predictors of reporting outage impacts are socioeconomic disadvantage, high exposure to outages, and living in a large family setting. The study’s findings underscore the need for interventions to eliminate, or at least minimize, electricity supply interruptions in developing countries if sustainable social and economic development is to be achieved.

scholarly journals Repeat Induced Abortion among Chinese Women Seeking Abortion: Two Cross Sectional Studies

2021 ◽  
Vol 18 (9) ◽  
pp. 4446
Author(s):  
Longmei Tang ◽  
Shangchun Wu ◽  
Dianwu Liu ◽  
Marleen Temmerman ◽  
Wei-Hong Zhang
Keyword(s):  
Negative Binomial ◽  
Induced Abortion ◽  
Education Level ◽  
Married Women ◽  
Negative Binomial Regression Model ◽  
Related Factors ◽  
Cross Sectional ◽  
Lower Education Level ◽  
Induced Abortions ◽  
Lower Education

Background: In China, there were about 9.76 million induced abortions in 2019, 50% of which were repeat abortions. Understanding the tendency of repeat induced abortion and identifying its related factors is needed to develop prevention strategies. Methods: Two hospital-based cross-sectional surveys were conducted from 2005–2007 and 2013–2016 in 24 and 90 hospitals, respectively. The survey included women who sought an induced abortion within 12 weeks of pregnancy. The proportion of repeat induced abortions by adjusting the covariates through propensity score matching was compared between the two surveys, and the zero-inflated negative binomial regression model was established to identify independent factors of repeat induced abortion. Results: Adjusting the age, occupation, education, marital status and number of children, the proportion of repeat induced abortions in the second survey was found to be low (60.28% vs. 11.11%), however the unadjusted proportion was high in the second survey (44.97% vs. 51.54%). The risk of repeat induced abortion was higher among married women and women with children [ORadj and 95% CI: 0.31 (0.20, 0.49) and 0.08 (0.05, 0.13)]; the risk among service industry staff was higher when compared with unemployed women [ORadj and 95% CI: 0.19 (0.07, 0.54)]; women with a lower education level were at a higher risk of a repeat induced abortion (ORadj < 1). Compared with women under the age of 20, women in other higher age groups had a higher frequency of repeat induced abortions (IRadj: 1.78, 2.55, 3.27, 4.01, and 3.93, separately); the frequency of women with lower education levels was higher than those with a university or higher education level (IRadj > 1); the repeat induced abortion frequency of married women was 0.93 (0.90, 0.98) when compared to the frequency of unmarried women, while the frequency of women with children was 1.17 (1.10, 1.25) of childless women; the induced abortion frequency of working women was about 60–95% with that of unemployed women. Conclusions: The repeat induced abortion proportion was lower than 10 years ago. Induced abortion seekers who were married, aged 20 to 30 years and with a lower education level were more likely to repeat induced abortions.

Sexual and Reproductive Health in China

2021 ◽  
Author(s):  
Qianling Zhou ◽  
Chu-Yao Jin ◽  
Hai-Jun Wang
Keyword(s):  
Reproductive Health ◽  
Sexual Intercourse ◽  
Sexual And Reproductive Health ◽  
Sexual Transmission ◽  
Induced Abortion ◽  
Gender Based Violence ◽  
The Disabled ◽  
Gender Based ◽  
Contraceptive Practice ◽  
Hiv Aids

Databases of PubMed, Scopus, and China National Knowledge Infrastructure (CNKI) were used to search relevant articles on sexual and reproductive health (SRH) in China published from 2005 to the present (2021), based on the World Health Organization’s (WHO) Operational Framework on Sexual Health and Its Linkages to Reproductive Health. The following results were found. (a) SRH education and information among the Chinese were insufficient, in particular regarding contraception, pregnancy, and sexually transmitted diseases (STDs). Adolescents, migrants, and the rural population had insufficient knowledge of SRH. (b) Fertility care services were mainly available in large cities, in urban areas, and for married couples. Services targeted for rural-to-urban migrants, rural residents, and the disabled and elderly are needed. (c) A total of 22.4% of youths aged 15–24 had premarital sexual intercourse, and the age of first sexual intercourse was decreasing. Risky sexual behaviors included multiple partners, casual and commercial sex, and having sex after drinking alcohol. (d) The contraceptive practice rate of women aged 15–49 in China was higher than the world’s corresponding figure. However, contraceptive use among young people was low (only 32.3% among unmarried women). (e) Unmarried pregnancy induced by low contraceptive practice is a critical issue in China. (f) Induced abortion was the major consequence of unmarried pregnancy. The rate of induced abortion among the general population in 2016 was 28.13‰, and the rate among unmarried women was increasing annually. (g) There were 958,000 HIV-infected cases in China as of October 2019. Sexual transmission was the major transmission route of HIV-AIDS. More men than women were infected. Men having sex with men comprised the high-risk group of sexual transmission of HIV-AIDS. (h) Gender-based violence including intimate partner violence (IPV), sexual violence, sexual coercion, and child sexual abuse (CSA) might be underreported in China, since many victims were afraid to seek help as well as due to limited services. Legal and regulatory measures should therefore be taken to prevent and reduce gender-based violence. For future perspectives of SRH in China, it is important to pay attention to SRH education and services. An up-to-date national survey on SRH is needed to reflect the current situation and to capture changes over the past decade. Most of the current research has been conducted among adolescents, and more studies are needed among other groups, such as the disabled, the elderly, and homosexual populations.

BIRTH CONTROL AS VIEWED IN 1923 BY A HIGHLY RESPECTED AMERICAN PEDIATRICIAN

PEDIATRICS ◽  
1978 ◽  
Vol 62 (3) ◽  
pp. 330-330
Author(s):  
T. E. C.
Keyword(s):  
United States ◽  
New Zealand ◽  
Birth Control ◽  
The United States ◽  
Induced Abortion ◽  
Actual Number ◽  
Contraceptive Methods ◽  
Loss Of Life ◽  
Induced Abortions ◽  
Large Families

Dr. Richard Arthur Bolt (1880-1959) was both a greatly respected American pediatrician and an acknowledged leader in the development of maternal and infant hygiene programs. His chapter entitled "The Mortalities of Infancy" in Isaac Abt's (1867-1955) encyclopedic, nine-volume treatise on pediatrics, published between 1923 and 1926, contains this negative view of birth control.1 This terrific loss of life in utero or shortly after birth constitutes a serious problem from a biological as well as a social standpoint. Of recent years there has been an alarming increase in the frequency and actual number of induced abortions. This has gone hand in hand with the insidious propaganda for so-called "birth control" or "voluntary parenthood"—a movement which has gained momentum in France, Holland and New Zealand, and has gradually spread to England and the United States. While the birth control enthusiasts would indignantly disclaim any connection between the "contraceptive methods" of "voluntary parenthood" and induced abortions, it is very evident that the more "moral technique" of contraception must often break down and relief from the "accidents" which follow be frequently sought in induced abortion. Thus far contraceptive methods have been practiced largely by the elite and better educated classes. Those most able to bear children and meet their support have been the very ones to shirk the responsibility, while those for whom birth control is claimed to be a great boon still proceed to build up large families. It has been estimated that at least four children to a family are necessary to keep up the stock.

scholarly journals Patterns of induced abortion in urban area of Southeastern region, Brazil

1998 ◽  
Vol 32 (1) ◽  
pp. 7-17 ◽  
Author(s):  
Rebeca de Souza e Silva
Keyword(s):  
Single Women ◽  
Induced Abortion ◽  
Demographic Variables ◽  
Contraceptive Methods ◽  
Live Births ◽  
Number Of Children ◽  
Induced Abortions ◽  
Reproductive Life ◽  
Southeastern Region ◽  
Fertile Women

OBJECTIVE: To assess the behavior of induced abortion as a function of certain demographic variables, for the population of fertile women (15 to 49 years old) residing in the Vila Madalena subdistrict S. Paulo (Brazil). MATERIAL AND METHOD: Two population samples were selected. One sample, with 996 women, investigated the incidence of induced abortions during 1987, using the RRT. In the other, involving 1,004 women, the same information was detected through a conventional approach. In both samples, the induced abortion occurring during the reproductive life was recorded in direct fashion. Though this analysis refers only to information about past abortions, that is by 2,000 women -, it should be noted that it is exactly the RRT that lends credibility to the found or results given results. CONCLUSION: The analysis furnishes evidence showing that single women, young women between the ages of 15 and 19, women who have not had live births, women who have a number of children below the expected ideal, women who use contraceptive methods (especially inefficient ones) and women who do not have any restrictions as to abortion constitute the categories most inclined to resort to induced abortion. This grouping suggests the existence of interrelationships between categories, that is, each of these categories is probably composed primarily of the same women, those who are at the beginning of their reproductive lives.

scholarly journals Backstreet abortion: Women’s experiences

Curationis ◽  
1997 ◽  
Vol 20 (2) ◽  
Author(s):  
F. Makorah ◽  
K. Wood ◽  
R. Jewkes
Keyword(s):  
Descriptive Study ◽  
Induced Abortion ◽  
Public Hospitals ◽  
Western Cape ◽  
Eastern Cape ◽  
Personal Experiences ◽  
Induced Abortions ◽  
Experiences Of Women ◽  
Depth Interviews ◽  
Induce Abortion

This was a descriptive study aimed at exploring the personal experiences of women who induce abortion and the circumstances surrounding induced abortion. The study was conducted in six public hospitals in four different provinces: Baragwanath (Gauteng), Groote Schuur and Tygerberg (Western Cape), King Edward and R.K. Khan (Kwa-Zulu/Natal) and Livingstone (Eastern Cape). In-depth interviews were conducted with 25 African, Indian and Coloured women admitted to the hospitals following backstreet abortions. The study gave women the opportunity to "speak for themselves" about "why" and "how" and the context in which the unscfe induced abortions occurred

scholarly journals Lived Experiences of Women Who Underwent Induced Abortion: A qualitative study of Rakai District, Uganda

2021 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Nalubega Joy Margaret ◽  
Omona Kizito
Keyword(s):  
Lived Experiences ◽  
Health Workers ◽  
Induced Abortion ◽  
Medical Standards ◽  
Child Bearing ◽  
Products Of Conception ◽  
Induced Abortions ◽  
Life Threatening ◽  
Study Population ◽  
Experiences Of Women

Background: Induced abortion is one where products of conception are expelled before 28 weeks of gestation. The process can be safe or unsafe. Safe termination of pregnancy is performed by skilled persons using appropriate tools whereas unsafe induced abortion is performed either by persons without the necessary skills or in an environment without the minimum medical standards, or both.Objectives: To explore the lived experiences of women who had induced abortion in Rakai DistrictMethodology: Phenomenological qualitative design was used. Study population was women who underwent induced abortion. 25 women who had induced abortions in past 1-3years were interviewed. Data was collected by in-depth interviews, tape recorded; transcribed verbatim and written in note book.Results: Lived experiences included denial, shame, confusion, fear, anger, anxiety, depression and uncertainty. Participants reported use of local herbs like “ekiwoko” and “majaani”, “etwaata”, “kisuula” and roots of sugar canes, among others, to induce abortion. The processes were mostly traditional, associated with: severe pain, heavy bleeding, and so on. They were life-threatening and horrible. Short- and long-term lived experiences included secondary barrenness, depression, crying-in-privacy and regrets, among others.Conclusion: Health workers and women in child-bearing age need to work together to discuss how to control unplanned pregnancies. 

scholarly journals Stillbirth in Canada: anachronistic definition and registration processes impede public health surveillance and clinical care

2021 ◽  
Author(s):  
K.S. Joseph ◽  
Lily Lee ◽  
Laura Arbour ◽  
Nathalie Auger ◽  
Elizabeth K. Darling ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Surveillance ◽  
Fetal Death ◽  
Clinical Care ◽  
Induced Abortion ◽  
Death Registration ◽  
Starting Point ◽  
Induced Abortions ◽  
History Of ◽  
Definition Of

AbstractThe archaic definition and registration processes for stillbirth currently prevalent in Canada impede both clinical care and public health. The situation is fraught because of definitional problems related to the inclusion of induced abortions at ≥20 weeks’ gestation as stillbirths: widespread uptake of prenatal diagnosis and induced abortion for serious congenital anomalies has resulted in an artefactual temporal increase in stillbirth rates in Canada and placed the country in an unfavourable position in international (stillbirth) rankings. Other problems with the Canadian stillbirth definition and registration processes extend to the inclusion of fetal reductions (for multi-fetal pregnancy) as stillbirths, and the use of inconsistent viability criteria for reporting stillbirth. This paper reviews the history of stillbirth registration in Canada, provides a rationale for updating the definition of fetal death and recommends a new definition and improved processes for fetal death registration. The recommendations proposed are intended to serve as a starting point for reformulating issues related to stillbirth, with the hope that building a consensus regarding a definition and registration procedures will facilitate clinical care and public health.

Differences in Variability, Interactivity and Skills in Social Play of Young Chimpanzees Living in Peer Groups and in a Large Family Zoo Group

Behaviour ◽  
1996 ◽  
Vol 133 (9-10) ◽  
pp. 717-739 ◽  
Author(s):  
Jan A.R.A.M. van HOOFF ◽  
Herman Dienske ◽  
Warner Jens ◽  
René P. Spijkerman
Keyword(s):  
Early Stage ◽  
Sex Role ◽  
Peer Group ◽  
Peer Groups ◽  
Large Family ◽  
Social Play ◽  
Well Being ◽  
Detailed Comparison ◽  
Partner Choice ◽  
The Social

AbstractThis paper provides a detailed comparison of play characteristics of chimpanzees raised in peer-only groups and in a socially complex semi-natural zoo situation. We expected play in peer groups to be of a lesser quality, that is less variable, interactive and skillful. To test this we quantified details such as the diversity of social play types, the bout length, the way social play is started, maintained and stopped and the use of play signals. The differences in play-type frequencies between the groups are most likely caused by differences in housing conditions and demographics; the smaller sex difference in peer group adolescents is most likely due to a limited partner choice. We found no indication that chimpanzees raised in peer groups played less diversely than those in the zoo. The social play characteristics of peer group and zoo chimpanzees are similar, except for the frequency of gnaws before wrestle and the frequency of play-faces within wrestle. Overall, there are no results from which we can conclude directly that chimpanzees isolated from their mother at an early stage and placed in a peer group are less capable in social play, although possibly it is more clear to the zoo individuals that a next interaction will be 'play'; zoo individuals may need less regular removal of ambiguity about the intention of the behaviour. The few differences between peer group and zoo in their social play characteristics that can be related to peer group rearing conditions indicate that the social development in those chimpanzees raised in peer groups is similar to that of chimpanzees in the semi-natural zoo. This is not to say that providing more natural conditions than is usually done in laboratories is unnecessary. These may still add considerably to the animals' well-being and in terms of animal welfare, it can be concluded that a variety of partners in the housing condition is beneficial to speed of sex-role development in young chimpanzees.

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