Document Detail


Reasons, methods used and decision-making for pregnancy termination among adolescents and older women in Mulago Hospital, Uganda.
MedLine Citation:
PMID:  16463752     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To explore the methods, reasons and decision-making process for termination of pregnancy among adolescents and older women, in Mulago hospital, Kampala, Uganda. DESIGN: Comparative study. SUBJECTS: Nine hundred and forty two women seeking postabortion care, of which 333 had induced abortion (of whom 115 were adolescents). SETTING: The emergency gynaecological ward of Mulago Hospital, Kampala, Uganda from September 2003 through June 2004. RESULTS: Women with induced abortion were single, in polygamous marital relationships and of lower parity (p<0.001); had lower education and number of living children (p<0.05), reported more (p<0.001) mistimed, unplanned or unwanted pregnancies, and were 13 times more likely to have recent history of domestic violence. Relationship issues were the most common reason for pregnancy termination for both categories. Decision-making for induced abortion was influenced by socio-economic, educational and personal considerations. Instrumentation and use of local herbs in the genitalia were the most common methods for pregnancy termination. Neither methods used for pregnancy termination nor reasons differed when adolescents were compared with older women. CONCLUSION: Relationship issues influence the decision-making process for pregnancy termination. Neither methods used for pregnancy termination nor reasons for pregnancy termination differ when adolescents are compared with older women.
Authors:
D K Kaye; F Mirembe; G Bantebya; A Johansson; A M Ekstrom
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  East African medical journal     Volume:  82     ISSN:  0012-835X     ISO Abbreviation:  East Afr Med J     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2006-02-08     Completed Date:  2006-03-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372766     Medline TA:  East Afr Med J     Country:  Kenya    
Other Details:
Languages:  eng     Pagination:  579-85     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Makerere University Medical School, P.O. Box 7072, Kampala, Uganda.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced*
Adolescent
Adult
Decision Making*
Domestic Violence / statistics & numerical data
Female
Humans
Marital Status
Parity
Pregnancy
Socioeconomic Factors
Uganda

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