Pregnancy loss: spontaneous and induced abortions among young women in Lusaka, Zambia
Pregnancy loss: spontaneous and induced abortions among young women in Lusaka, Zambia
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DOI：
10.1080/13691050903353383
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发表时间：
2010-01-01
影响因子：
2.2
通讯作者：
Ransjo-Arvidson, Anna-Berit
中科院分区：
文献类型：
--
作者：
Dahlback, Elisabeth;Maimbolwa, Margaret;Ransjo-Arvidson, Anna-Berit
据估计，低收入国家60%的少女怀孕是意外的。本研究于2005年在赞比亚卢萨卡的大学医院进行了为期四个月的研究。目的是探讨流产的经历，确定女孩的避孕知识和使用情况，以及其伴侣参与怀孕/堕胎的情况。87名年龄在13-19岁之间的女孩因不完全堕胎而住院接受了采访。在这些女孩中，53人（61%）曾自然流产，34人（39%）曾进行过不安全的人工流产。接受不安全人工流产的女孩中，单身、在校学生、完成学业年限较长且关系不太稳定的女孩明显较多。女孩的总体避孕知识和使用率很低，大多数怀孕都是计划外的。伴侣在通过不安全人工流产终止妊娠方面发挥了决定性作用。传统治疗师、女孩本人和保健专业人员是主要的堕胎提供者。应紧急解决年轻妇女因无保护性行为和缺乏避孕服务而面临的健康风险。赞比亚应更好地宣传堕胎法的存在和获得紧急避孕药具的机会。
An estimated 60% of all adolescent pregnancies in low-income countries are unintended. The present study was carried out at the university hospital in Lusaka, Zambia over a four-month period in 2005. The aim was to explore experiences of pregnancy loss and to ascertain the girl's contraceptive knowledge and use and their partner's involvement in the pregnancy/abortion. Eighty-seven girls aged 13-19 years admitted to hospital for incomplete abortions were interviewed. Of these girls, 53 (61%) had had a spontaneous abortion and 34 (39%) had undergone an unsafe induced abortion. Significantly more girls with an unsafe induced abortion were single, students, had completed more years in school and were in less stable relationships. Girls' overall contraceptive knowledge and use was low and most pregnancies were unplanned. Partners played a decisive role in terminating pregnancy through unsafe induced abortion. Traditional healers, girls themselves and health professionals were the main abortion providers. Young women's health risks due to unprotected sex and lack of contraceptive services should urgently be addressed. The existence of the abortion law and access to emergency contraception should be better publicized in Zambia.