Investigating social consequences of unwanted pregnancy and unsafe abortion in Malawi: The role of stigma

Investigating social consequences of unwanted pregnancy and unsafe abortion in Malawi: The role of stigma
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DOI:
10.1016/s0020-7292(12)60017-4
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发表时间:
2012-09-01
影响因子:
3.8
通讯作者:
Mhango, Chisale
Mhango, Chisale
中科院分区:
医学4区
文献类型:
--
作者:
Leyandowski, Brooke A.;Kalilani-Phiri, Linda;Mhango, Chisale

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马拉维社会各部门的妇女都受到意外怀孕和不安全堕胎的社会影响。意外怀孕发生在计划生育和安全堕胎机会有限的妇女中。对安全堕胎服务的法律限制导致许多妇女进行不安全堕胎,这对她们及其家庭造成了后果。对属于不同政治和社会结构的485名马拉维利益攸关方进行了深入访谈。受访者指出,意外怀孕和不安全堕胎对年轻妇女的影响最大。婚前怀孕和婚外怀孕受到高度鄙视;还发现与堕胎直接相关的鄙视。(C)2012由Elsevier爱尔兰有限公司代表国际妇产科联合会出版。
Malawian women in all sectors of society are suffering from social implications of unwanted pregnancy and unsafe abortion. Unwanted pregnancies occur among women who have limited access to family planning and safe abortion. A legally restrictive setting for safe abortion services leads many women to unsafe abortion, which has consequences for them and their families. In-depth interviews were conducted with 485 Malawian stakeholders belonging to different political and social structures. Interviewees identified the impact of unwanted pregnancy and unsafe abortion to be the greatest on young women. Premarital and extramarital pregnancies were highly stigmatized; stigma directly related to abortion was also found. Community-level discussions need to focus on reduction of stigma. (C) 2012 Published by Elsevier Ireland Ltd. on behalf of International Federation of Gynecology and Obstetrics.