“Who wants to go repeatedly to the hospital?” : Perceptions and experiences of simplified medical abortion in Rajasthan, India


Autoria(s): Iyengar, Kirti; Klingberg-Allvin, Marie; Iyengar, Sharad; Paul, Mandira; Gemzell-Danielsson, Kristina; Essen, Birgitta
Data(s)

2016

Formato

application/pdf

Identificador

http://urn.kb.se/resolve?urn=urn:nbn:se:du-23769

doi:10.1177/2333393616683073

Idioma(s)

eng

Publicador

Högskolan Dalarna, Omvårdnad

Karolinska institutet

Karolinska institutet

Action for Reserach in Health (ARTH)

Uppsala Universitet

Karolinska Institutet

Uppsala Universitet

Relação

Global Qualitative Nursing Research, 2333-3936, 2016, 3,

Direitos

info:eu-repo/semantics/openAccess

Tipo

Article in journal

info:eu-repo/semantics/article

text

Resumo

The aim of this study is to explore women's experiences and perceptions of home use of misoprostol and of the self-assessment of the outcome of early medical abortion in a low-resource setting in India. In-depth interviews were conducted with 20 women seeking early medical abortion, who administered misoprostol at home and assessed their own outcome of abortion using a low-sensitivity pregnancy test. With home use of misoprostol, women were able to avoid inconvenience of travel, child care, and housework, and maintain confidentiality. The use of a low-sensitivity pregnancy test alleviated women's anxieties about retained products. Majority said they would prefer medical abortion involving a single visit in future. This study provides nuanced understanding of how women manage a simplified medical abortion in the context of low literacy and limited communication facilities. Service delivery guidelines should be revised to allow women to have medical abortion with fewer visits.

Palavras-Chave #India; abortion; access to; health care; low resource setting; primary; remote; reproduction; rural; self-care #Public Health, Global Health, Social Medicine and Epidemiology #Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi