Experience of clandestine use of medical abortion among university students in Chile: a qualitative study

Manríquez, Irma Ester Palma; Standen, Claudia Moreno; Carimoney, Andrea Álvarez; Richards, Alondra

doi:10.1016/j.contraception.2017.09.008

Cited by 24 publications

(29 citation statements)

References 19 publications

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“…AGYW expressed a range of reactions to and emotions surrounding their abortion including confusion, shame, guilt, and fear, but also selfagency and empowerment. Outside of Africa, the context through which an AGYW received an abortion informed their psychosocial outcomes, including parental and partner support, timely access to services, and cultural and internalized stigma around abortion (38)(39)(40)(41)(42)(43)(44).…”

Section: Overviewmentioning

confidence: 99%

Psychosocial Experiences of Adolescent Girls and Young Women Subsequent to an Abortion in Sub-saharan Africa and Globally: A Systematic Review

Zia

Mugo

Ngure

et al. 2021

Front. Reprod. Health

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Introduction: Unmet need for contraception, unintended pregnancy, and access to safe abortion remain global challenges preventing adolescent girls and young women (AGYW) from achieving optimal reproductive health. Furthermore, AGYW face difficulties navigating sexual autonomy, lack of agency or experience negotiating sexual acts, and challenges accessing sexual health information and services. The aim of this systematic review is to assess the psychosocial outcomes of AGYW who have experienced an abortion with particular focus on sub-Saharan Africa, which bears the global burden of unintended pregnancy and risk of death due to unsafe abortion.Materials and Methods: The systematic review was registered and used search terms to identify peer-reviewed articles relevant to “post-abortion,” “psychosocial,” “adolescent girls,” and “young women” from PubMed, Embase, PsycInfo, and Cumulative Index to Nursing and Allied Health Literature. Examples of psychosocial experiences include quality of life, stigma, and mental health outcomes. Rayyan software (Qatar, 2020) was used by two reviewers to assess the relevance of each article to psychosocial outcomes of AGYW any time after an abortion or accessing post-abortion services. Analysis was conducted with a focus on data from Africa and comparisons are made to non-African settings.Results: A total of 2,406 articles were identified and 38 articles fit the criteria. Six selected articles were from Africa, including Ghana, Kenya, Uganda, and Zambia, and the remaining articles were from other regions. Themes around stigma, shame, and abandonment associated with the experience of abortion were prevalent in all regions. Studies of psychosocial outcomes of AGYW in sub-Saharan Africa highlight social isolation as well as learned resilience among young women who abort.Discussion: Navigating abortion as an AGYW involves managing internalized and perceived stigma, fear of violence, secrecy, and growing resilient in order to overcome the significant barriers that society and culture place on access to an essential service in sexual and reproductive health. Post-abortion psychosocial outcomes highlight the need for support services and investigation of contexts that perpetuate and necessitate unsafe abortion. Empowerment of AGYW may present an important opportunity to build self-agency and positive coping mechanisms to withstand social pressures during stigmatizing circumstances associated with abortion.

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Section: Overviewmentioning

confidence: 99%

Psychosocial Experiences of Adolescent Girls and Young Women Subsequent to an Abortion in Sub-saharan Africa and Globally: A Systematic Review

Zia

Mugo

Ngure

et al. 2021

Front. Reprod. Health

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“…En el código O06 se encuentran ocultos tanto los egresos como las muertes maternas relacionadas al aborto inducido ilegal, código utilizado frecuentemente por respeto a la privacidad y confidencialidad de la entrega voluntaria de información, como también respeto a la negativa de entregar antecedentes relacionados a la causa de la pérdida reproductiva (32,33). Se desconoce la cifra de abortos que no requirieron hospitalización y posiblemente asociados al uso de misoprostol adquiridos en el mercado negro (34)(35)(36).…”

Section: Discussionunclassified

“…La tendencia descendente de la mortalidad materna por aborto en Cuba, podría estar dado por el énfasis creciente al uso regular de métodos anticonceptivos modernos en reemplazo del aborto inducido ("evitar mejor que abortar"), y al uso de intervenciones que determinan aborto precoz con menor riesgo de morbimortalidad como la "regulación menstrual" (14). En Chile la tendencia de la mortalidad por aborto no presentó cambios significativos; esto puede explicarse porque la mortalidad por aborto en Chile decreció en forma importante en la década 1990-1999 (25), y se mantiene muy baja (0,8/100.000 nv en 2015) dado por la amplia cobertura y uso regular de métodos anticonceptivos modernos, y posiblemente al uso clandestino de métodos abortivos de bajo riesgo y de fácil acceso como es el misoprostol (34)(35)(36).…”

Section: Discussionunclassified

Mayor mortalidad materna por aborto en Cuba que en Chile, 2000-2015

Donoso¹,

Vera

2018

Rev. chil. obstet. ginecol.

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La muerte materna por aborto inseguro es un severo problema de salud pública, países con leyes de aborto liberales tendrían menor riesgo de aborto inseguro y de mortalidad por aborto. Cuba tiene una legislación que no penaliza el aborto inducido, mientras en Chile es ilegal en todos los casos hasta su reciente despenalización en 3 causales. Objetivo: Se postula que Cuba tendría una menor mortalidad materna por aborto que Chile, por lo que se propone comparar la evolución de la razón de mortalidad materna por aborto entre ambos países, en el período 2000-2015. Material y Método: Los datos crudos de muertes asociadas al aborto y nacidos vivos se obtienen de las bases de datos de estadísticas vitales de ambos países. La oportunidad relativa de muerte se estima según Odds Ratio (OR) con intervalo de confianza del 95% (IC 95%) de las razones de mortalidad materna. Resultados: La razón de muerte materna asociada al aborto fue mayor en Cuba que en Chile (OR: 1,91; IC 95%: 1,331 a 2,739; p=0,0004). Se observa una tendencia al descenso en Cuba y mientras no se observan cambios en Chile. Conclusiones: Contrario a lo postulado basado en las diferentes legislaciones de ambos países, en el período 2000-2015, Cuba presentó mayor razón de mortalidad materna asociada al aborto que Chile. Se comentan posibles condicionantes de la diferencia encontrada.

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“…By now, there is general agreement that the emergence of drugs capable of inducing termination of pregnancy without any surgical intervention has led to improved access to safe legal abortion 13 or even to a less unsafe abortion when used by the women themselves. [14][15][16] The recommended medical method for pregnancy termination is the combination of an antiprogesterone originally called RU 486 and currently known as mifepristone, with a prostaglandin administered 24 to 48 hours later. 17,18 Recent very large studies strongly suggest that both surgical and medical methods are almost equally effective and safe.…”

Section: Introductionmentioning

confidence: 99%

Advantages and Disadvantages of Medical Abortion, According to Brazilian Residents in Obstetrics and Gynaecology

Bento

Pádua

Pacagnella

et al. 2020

Rev Bras Ginecol Obstet

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Objective To find out which was the opinion of residents in obstetrics and gynecology about the advantages and disadvantages of medical abortion as compared with surgical procedures. Method Cross-sectional multicenter study among residents in obstetrics and gynecology from 21 maternity hospitals located in 4 different geographical regions of Brazil, using a self-responded questionnaire with 31 questions related to their opinion and experience on providing abortion services. Results Most residents agreed that “being less invasive” (94.7%), “does not require anesthesia” (89.7%), “can be accompanied during the process” (89.1%), “prevents physical trauma” (84.4%) were the main advantages of medical abortion. Conclusion Residents perceived both clinical and personal issues as advantages of medical abortion.

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Experience of clandestine use of medical abortion among university students in Chile: a qualitative study

Cited by 24 publications

References 19 publications

Psychosocial Experiences of Adolescent Girls and Young Women Subsequent to an Abortion in Sub-saharan Africa and Globally: A Systematic Review

Psychosocial Experiences of Adolescent Girls and Young Women Subsequent to an Abortion in Sub-saharan Africa and Globally: A Systematic Review

Mayor mortalidad materna por aborto en Cuba que en Chile, 2000-2015

Advantages and Disadvantages of Medical Abortion, According to Brazilian Residents in Obstetrics and Gynaecology

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