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

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.

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Backstreet abortion: Women’s experiences

Curationis ◽

10.4102/curationis.v20i2.1312 ◽

1997 ◽

Vol 20 (2) ◽

Cited By ~ 1

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

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Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2680-1 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 3

Author(s):

Halley P. Crissman ◽

Charisse Loder ◽

Carlo Pancaro ◽

Jason Bell

Keyword(s):

Case Report ◽

Amniotic Fluid ◽

Point Of Care ◽

Healthy Woman ◽

Induced Abortion ◽

Amniotic Fluid Embolism ◽

Case Presentation ◽

Induced Abortions ◽

Life Threatening ◽

Severe Coagulopathy

Abstract Background Amniotic fluid embolism (AFE) is a rare, life threatening obstetric complication, often associated with severe coagulopathy. Induced abortions are extremely safe procedures however complications including AFE can occur. Case presentation A 29-year-old previously healthy woman, gravida 1 para 0, presented for a scheduled second trimester induced abortion via dilation and evacuation at 22-weeks gestation. The case was complicated by a suspected AFE with associated profound coagulopathy. Viscoelastic point-of-care coagulation analysis was used to successfully and swiftly guide management of her coagulopathy. Conclusion AFE can occur in the setting of induced abortion. This case report suggests viscoelastic point-of-care coagulation analyzers may aid in the management of pregnancy-related coagulopathy by providing faster coagulation assessment than laboratory testing, and facilitating timely, targeted management of coagulopathy.

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Fertility after Induced Abortion: a Register-Based Study in Finland in 2000-2008

Finnish Yearbook of Population Research ◽

10.23979/fypr.45052 ◽

2010 ◽

pp. 25-44 ◽

Cited By ~ 1

Author(s):

Heini Väisänen ◽

Markus Jokela

Keyword(s):

Economic Status ◽

Induced Abortion ◽

Birth Registry ◽

Childless Women ◽

Medical Birth Registry ◽

Induced Abortions ◽

Study Population ◽

Socio Demographic Factors ◽

Post Abortion ◽

Demographic Patterns

The article explores the determinants of fertility behaviour after an induced abortion in Finland. The purpose of the study is to determine whether there are socio-demographic factors associated with the risk of having repeat abortions. The data were collected from the Registry of Induced Abortions and from the Medical Birth Registry in 2000-2008. The study population consists of the 63,763 women who had their first induced abortion during that time. Our results indicate that there are significant differences in fertility patterns of women with different socio-demographic backgrounds. The likelihood of repeat abortion was high for teenagers, parous, low socio-economic status (SES), urban and unmarried women. Delivery was the most likely for 20-34-year-olds, rural and childless women, and for women, who were living with their partner and were no longer students. New pregnancy was unlikely for at least 30-year-olds, parous and high SES groups. The results show that these socio-demographic patterns should be taken into account when developing post-abortion counselling.

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The Lived Experiences of Iranian Women, Injured from Their Husbands’ Infidelity

Modern Applied Science ◽

10.5539/mas.v10n4p70 ◽

2016 ◽

Vol 10 (4) ◽

pp. 70

Author(s):

Maryam Fatehizade ◽

Akram Rahimi ◽

Zahra Yousefi

Keyword(s):

Qualitative Analysis ◽

Lived Experiences ◽

Qualitative Method ◽

Phenomenological Research ◽

Structured Interview ◽

Iranian Women ◽

Study Results ◽

Study Population ◽

Four Levels ◽

Experiences Of Women

The current study mainly aims to investigate the lived experiences of women who were injured from their husbands’ infidelity in city of Isfahan in Iran country. The study was a phenomenological research with a qualitative method. The study population included women of Isfahan, who were injured from their husbands’ infidelity. In order to choose samples, the purposive sampling was applied; and a total number of ten women were selected out of all who were injured from their husbands’ infidelity. Moreover, the study tools included a semi-structured interview, the questions of which were provided according to the data obtained from the investigation of texts and sources with the purpose of recognizing the lived experiences of women injured from their husbands’ infidelity. The process of interviewing the participants continued until the saturation of the category. In order to analyze the data, we applied qualitative analysis and primary and secondary coding and categorizing method. The study results indicated that they lived experiences of women who were injured from their husbands’ infidelity, included ten main sub categories which are placed in four levels: confronting with tension, needs, spirituality, cooperation and effective communication.

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A Multicentric non-interventional observational study to determine treatment patterns and response of drugs in various stages of breast cancer along with epidemiology

International Journal of Pharmaceutical Research and Life Sciences ◽

10.26452/ijprls.v8i2.1291 ◽

2020 ◽

Vol 8 (2) ◽

pp. 71-81

Author(s):

Mukkamala Durga Niharika ◽

Shaik Kulsumbi ◽

Devagiri Anupama ◽

Tadigiri Vineela Supriya ◽

Kotari Navya ◽

...

Keyword(s):

Breast Cancer ◽

Observational Study ◽

Receptor Expression ◽

Breast Cancer Patients ◽

Female Patients ◽

Life Threatening ◽

Guntur District ◽

Study Population ◽

Hormone Receptor Expression

Cancer is a life-threatening disease which causes to lose cohesiveness and orderliness of normal tissue. These malignant cells can spread to any other organ through blood flow or lymphatic flow and develop malignancy over there; this phenomenon is called metastasis. The aim is to focus on treatment pattern and response of drugs in various stages of breast cancer along with epidemiology. It is a non- interventional multicentric observational study. Female patients confirmed with Breast cancer are included in the study. All the relevant data were collected on a patient demographic form after obtaining informed consent from individual patients. In our study, the mean age of presentation in breast cancer patients was 41.35 years. Further it was found that 40.5% (n = 81) majority-female patients with Breast cancer are from Guntur District and 21.5% (n= 43). The majority of women with Breast cancer have hormone receptor expression of ER+/PR+HER2- was found to be 33% (n= 50). In the study on analyzing comorbidities of the study population, it was noted that 28.5% of women were affected with Diabetes mellitus. In our study, it was found that most of the patients with Breast cancer have been most often prescribed with Adriamycin 27.86%. From these observations, we conclude that late menarche may be one of the etiological causes of breast cancer in women, Invasive carcinoma in situ is the most commonly reported breast cancer in the study. Patients have been diagnosed with breast cancer at their stage 3 of progression, which may be the reason for making it mandatory for more than 50% of patients to undergo 6 to 8 cycles of chemotherapy. Coming to the patterns of drug use, ADRIAMYCIN, CYCLOPHOSPHAMIDE and DOCETAXEL are the three most commonly used single drug and combinational drug therapies among the study population.

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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094446 ◽

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.

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Diagnosis of gestational diabetes in Uganda: The reactions of women, family members and health workers

Women s Health ◽

10.1177/17455065211013769 ◽

2021 ◽

Vol 17 ◽

pp. 174550652110137

Author(s):

Flavia Zalwango ◽

Janet Seeley ◽

Arthur Namara ◽

Sanjay Kinra ◽

Moffat Nyirenda ◽

...

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Health Workers ◽

Family Members ◽

Medical Attention ◽

Middle Income ◽

Diabetes Mellitus Diagnosis ◽

Life Threatening ◽

Fear And Anxiety

Objectives: In Uganda, as in many other low- and middle-income countries, screening for gestational diabetes mellitus is suboptimal and is rarely embedded in routine antenatal care. We describe the experiences of women in Uganda who underwent screening for gestational diabetes mellitus and were diagnosed with the condition as they navigate both the reaction of family members and their interaction with health workers. Methods: Pregnant women aged 18 years or older and between 24 and 28 weeks of gestation were enrolled from the antenatal clinics at one of the five hospitals between 13 June 2018 and 31 October 2019. Ten women with gestational diabetes mellitus, ten family members and six health workers were purposively selected to take part. Interviews and focus group discussions were used to collect data on the socio-cultural and health system factors that influence timely screening and effective management of gestational diabetes mellitus in Uganda. Data were analysed thematically. Results: Women generally reflected on the importance of gestational diabetes mellitus screening and felt that an early diagnosis helped them to get timely medical attention, and most reported a positive experience of the care provided by health workers. However, women who were diagnosed with gestational diabetes mellitus reported feeling fearful and anxious, and some were worried that the condition might be life-threatening. Many women reported that they were upset and largely unprepared to receive a gestational diabetes mellitus diagnosis. A gestational diabetes mellitus diagnosis not only stirred intense feelings of fear and anxiety in women but also affected their spouses and other family members. Many male partners were sympathetic and willing to provide support. Conclusion: Our findings highlight the need to understand the perceptions and emotions that accompany a gestational diabetes mellitus diagnosis to best support women and their family members. An improved recognition of these factors can inform the development of effective gestational diabetes mellitus screening and management programmes.

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Cervical Cancer: Assessment of Its Knowledge, Utilization of Services and Its Determinant Among Female Undergraduate Students in a Low Resource Setting

International Quarterly of Community Health Education ◽

10.1177/0272684x211006608 ◽

2021 ◽

pp. 0272684X2110066

Author(s):

Chidebe Christian Anikwe ◽

Philip Chidubem Osuagwu ◽

Cyril Chijioke Ikeoha ◽

Okechukwu B Ikechukwu Dimejesi ◽

Bartholomew Chukwunonye Okorochukwu

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Pap Smear ◽

Health Workers ◽

P Value ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Resource Setting ◽

Study Population

Background Cervical cancer is a preventable disease that contributes significantly to the death of women. This study is aimed at determining the level of knowledge and utilization of cervical cancer screening and its determinants among female undergraduates of Ebonyi State University. Methods A structured questionnaire was used for a cross-sectional survey of the study population between January 1 and March 3, 2018. The data were analyzed using IBM SPSS Statistics version 20. Data were represented with frequency table, simple percentage, mode, range, Chi square and pie chart. The level of significance is at P-value < 0.05. Results Majority (74.8%) of the respondents were aware of cervical cancer and it could be prevented (70.8%). More than three-fifths (68.30%) were informed via health workers, and 86.8% were aware that post-coital vaginal bleeding is a symptom. Less than half (49.8%) knew that HPV is the primary cause, and only 32.9% were aware of the HPV vaccine. One-quarter of the respondent were aware that early coitarche is a risk factor for cervical cancer. Only 41.8% of the women were aware of Pap smear, 9.2% had undergone screening, and 97.6% were willing to be screened. Marital status was the significant determinant of being screened while class level did not significantly influence uptake of cervical cancer screening. The most common reason (20.6%) for not being screened was lack of awareness of the test. Conclusion Our study population had a good knowledge of cervical cancer, but utilization of cervical cancer screening was poor. Awareness creation through the mass media and provision of affordable screening services can promote the use of cervical cancer screening in the study area.

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‘You don’t look autistic’: A qualitative exploration of women’s experiences of being the ‘autistic other’

Autism ◽

10.1177/1362361321993722 ◽

2021 ◽

pp. 136236132199372

Author(s):

Kate Seers ◽

Rachel C Hogg

Keyword(s):

Lived Experiences ◽

Well Being ◽

Autism Spectrum ◽

Social Expectations ◽

Autism Spectrum Condition ◽

Women’S Experiences ◽

Women's Experiences ◽

Spectrum Condition ◽

The Impact ◽

Experiences Of Women

There is currently a paucity of literature exploring the experiences of women on the autism spectrum. It is imperative research is conducted to capture the experiences of women on the autism spectrum and ensure appropriate support is provided to this cohort. Drawing upon a social constructionist framework, this qualitative research study sought to understand how psychological and socio-cultural constructions of autism spectrum condition and gender influence the well-being of women on the autism spectrum. Eight participants engaged in a semi-structured interview, with thematic analysis conducted to demonstrate the impact of gender roles and social expectations on the women’s identity and autism spectrum condition expression. The research highlighted the changing understandings of autism spectrum condition across a woman’s lifespan and the process and impact of resisting hegemonic autism spectrum condition categorisation. The findings demonstrate that social constructions of gender and stereotypical understandings of autism spectrum condition, which prioritise a deficit, medical model, have significant consequences for women’s well-being and subjectivity. The women experienced challenging formative years, but with diagnosis and the evolution and acceptance of their identities, they were able to resist negative narratives of autism spectrum condition, embrace their strengths and develop adaptive coping strategies. It is hoped this article generates insights for societal and clinical recognition to better support women on the autism spectrum. Lay abstract Most autism spectrum condition research addresses the neurological and biological causes of autism spectrum condition, focusing upon deficits associated with autism spectrum condition and behavioural interventions designed to minimise these deficits. Little is known about the lived experiences of adult women on the autism spectrum and how they navigate social expectations around gender, autism spectrum condition and gendered understandings of autism spectrum condition. The lived experiences of eight women on the AS will be shared here, with attention to how gendered expectations influence women’s experiences of autism spectrum condition, their sense of self and well-being. Findings showed these women struggled to reconcile the expectations of others, particularly early in life. The women had difficultly conforming to stereotypical ideals of femininity, yet as they aged, they felt less need to conform, valuing their unique style and behaviours. The women also rejected deficit-oriented descriptions of autism spectrum condition generated by the medical community, preferring to focus on their strengths and unique characteristics. It is hoped this article helps psychologists and the wider community to understand and meet the needs of women on the AS.

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

PEDIATRICS ◽

10.1542/peds.62.3.330 ◽

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.

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