Multicenter study on midwifery students' attitudes towards abortion and it's place in their future practice – Comparison of respondents at early and late stages of the university education

Michalik, Anna; Zdun-Ryżewska, Agata; Pięta, Beata; Basiński, Krzysztof; Kiełbasińska, Joanna; Mazurkiewicz, B; Olszewska, Jolanta; Łukaszuk, Krzysztof

doi:10.1016/j.nepr.2019.01.003

Cited by 13 publications

(11 citation statements)

References 18 publications

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“…This study assessed willingness of graduating midwifery, medical, nursing and PHO students towards providing induced abortion services and found 290 students out of 424 students willing to perform induced abortion for indications supported by law, making a proportion of 68.4% (95%Cl: 64.2, 72.9). This nding was in line with ndings in California-66.21% (14) and Poland-70% (15).…”

Section: Discussionsupporting

confidence: 90%

Willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar, Northwest Ethiopia: Institution based Cross sectional study

Enyew¹

2020

Preprint

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Background: In developing countries, abortion is often unsafe and a signiﬁcant cause of maternal morbidity and mortality accounting for about 8% (4.7%–13.2%) of maternal mortality worldwide. Internationally, safe abortion services are recognized as reducing maternal mortality, and liberalized abortion laws are associated with reduced mortality resulting from unsafe abortion procedures. However, health care providers have moral, social and gender-based reservations that affects their willingness towards providing induced abortion services. The purpose of this study was to assess willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar. Methods: Institution based cross sectional study was conducted from March 29 to May 30, 2019. All graduating students available during data collection period were considered as study population. Stratified simple random sampling technique was used to select 424 study participants. Pre tested, semi- structured, self-administered questionnaire was used to collect data. Data analysis was done using SPSS version 20. Ethical clearance was obtained from School of midwifery under the delegation of institutional review board of university of Gondar. Results: 290 students out of 424 students were willing to perform induced abortion for indications supported by Ethiopian abortion law, making a proportion of 68.4% (95%Cl: 64.2, 72.9). Sex (Being male (AOR = 4.89, 95%CI: 3.02, 7.89)), religion (being orthodox than protestant (AOR = 10.41, 95%CI: 3.02, 21.57)), being Muslim than protestant (AOR = 5.73, 95%CI: 1.37, 15.92)) and having once or less a week religious attendance (AOR=2.00, 95% CI: 1.20, 3.34) were factors associated with willingness towards performing induced abortion. Conclusions: According to this study willingness of students towards providing induced abortion services was good. However female students, protestant followers and those students with more than once a week religious attendance should be encouraged to support women’s access to induced abortion services by referring them to other health care professionals willing to provide induced abortion services..

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Section: Discussionsupporting

confidence: 90%

Willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar, Northwest Ethiopia: Institution based Cross sectional study

Enyew¹

2020

Preprint

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 90%

Willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar, Northwest Ethiopia: Institution based Cross sectional study

Enyew

2020

Preprint

View full text Add to dashboard Cite

Background: In developing countries, abortion is often unsafe and a signiﬁcant cause of maternal morbidity and mortality accounting for about 8% (4.7%–13.2%) of maternal mortality worldwide. Internationally, safe abortion services are recognized as reducing maternal mortality, and liberalized abortion laws are associated with reduced mortality resulting from unsafe abortion procedures. However, health care providers have moral, social and gender-based reservations that affects their willingness towards providing induced abortion services. The purpose of this study was to assess willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar. Methods: Institution based cross sectional study was conducted from March 29 to May 30, 2019. All graduating students available during data collection period were considered as study population. Stratified simple random sampling technique was used to select 424 study participants. Pre tested, semi- structured, self-administered questionnaire was used to collect data. Data analysis was done using SPSS version 20. Ethical clearance was obtained from School of midwifery under the delegation of institutional review board of university of Gondar.Results: 290 students out of 424 students were willing to perform induced abortion for indications supported by Ethiopian abortion law, making a proportion of 68.4% (95%Cl: 64.2, 72.9). Sex (Being male (AOR = 4.89, 95%CI: 3.02, 7.89)), religion (being orthodox than protestant (AOR = 10.41, 95%CI: 3.02, 21.57)), being Muslim than protestant (AOR = 5.73, 95%CI: 1.37, 15.92)) and having once or less a week religious attendance (AOR=2.00, 95% CI: 1.20, 3.34) were factors associated with willingness towards performing induced abortion.Conclusions: According to this study willingness of students towards providing induced abortion services was good. However female students, protestant followers and those students with more than once a week religious attendance should be encouraged to support women’s access to induced abortion services by referring them to other health care professionals willing to provide induced abortion services.

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“…The routine nursing and midwifery tasks described in the articles were pregnancy diagnosis and options counselling (Levi et al, 2009), pharmacological and nonpharmacological pain relief (Lindström, Wulff, Dahlgren, & Lalos, 2011), administration of anti‐D, and antibiotic prophylaxis (Cappiello, Beal, & Simmonds, 2011), handling the products of conception (Andersson, Gemzell‐Danielsson, & Christensson, 2014; Mauri, Ceriotti, Soldi, & Guerrini Contini, 2015; Michalik et al, 2019; Mizuno, 2011; Nicholson, Slade, & Fletcher, 2010), gestational dating, bimanual examination (Averbach, Puri, Blum, & Rocca, 2018) screening for domestic violence, postabortion contraception care (Purcell, Cameron, Lawton, Glasier, & Harden, 2016), referrals (Grace, 2016), health education (Cappiello et al, 2011; Halldén, Lundgren, & Christensson, 2011), counselling (Hulme‐Chambers et al, 2018), prescription of abortion drugs (Simmonds, Beal, & Eagen‐Torkko, 2017), administration of abortion drugs, manual vacuum aspiration abortions (MVA) (Berer, 2009; Bridgman‐Packer & Kidanemariam, 2018; Paul, Gemzell‐Danielsson, Kiggundu, Namugenyi, & Klingberg‐Allvin, 2014), postabortion phone counselling (Dawson, Bateson, Estoesta, & Sullivan, 2016), peer education (Puri, Regmi, Tamang, & Shrestha, 2014; Puri, Tamang, Shrestha, & Joshi, 2015), care of or referral for postabortion complications (Hulme‐Chambers et al, 2018; Yegon et al, 2019), screening and treatment of sexually transmitted infections and human immunovirus (Yegon et al, 2019) and management of postabortion complications (Cleeve et al, 2019; Paul et al, 2014; Yarnall et al, 2009; Yegon et al, 2019). These tasks were not ubiquitous.…”

Section: Resultsmentioning

confidence: 99%

“…Ghanaian midwifery schools added CAC to the curriculum in 2007 (Rominski, Lori, Nakua, Dzomeku, & Moyer, 2016). In Poland, the midwifery degree is regulated nationally and requires theoretical and practical preparation of students to provide abortion care, though students feel abortion is inadequately covered in the curriculum (Michalik et al, 2019). A descriptive study carried out across 77 nursing and midwifery schools in Japan found little content devoted to the abortion procedure itself, favouring instead the legal aspects of abortion as well as family planning, emergency contraception, postabortion complications and psychological effects of abortion (Mizuno, 2014).…”

Section: Resultsmentioning

confidence: 99%

The role of nurses and midwives in the provision of abortion care: A scoping review

Mainey

O’Mullan

Reid‐Searl

et al. 2020

Journal of Clinical Nursing

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Aims and objectives: To define the role and scope of the nurse and midwife within the global context of abortion. Background: An estimated 56 million women seek abortions each year; nurses and midwives are commonly involved in their care (Singh et al., 2018, https://www.guttm acher. org/sites/ defau lt/files/ report_pdf/abort ion-world wide-2017.pdf). As new models of abortion care emerge, there is a pressing need to develop a baseline understanding of the role and scope of nurses and midwives who care for women seeking abortions. Design: The review design was Arksey and O'Malley's five-stage methodological framework. The review follows the PRISMA-ScR checklist. Methods: MEDLINE, CINAHL, Scopus and ScienceDirect were used to identify original research, commentaries and reports, published between 2008-2019, from which we selected 74 publications reporting on the nursing or midwifery role in abortion care. Results: Nurses and midwives provide abortion care in a variety of practice. Three themes emerged from the literature: the regulated role; providing psychosocial care; and the expanding scope of practice. Conclusions: The literature on nursing and midwifery practice in abortion care is broad. Abortion-related practices are potentially over-regulated. Appropriately trained nurses and midwives can provide abortions as safely as physicians. The preparation of nurses and midwives to provide abortion care requires further research. Also, healthcare organisations should explore person-centred models of abortion care.Relevance to clinical practice: Abortion care is a common procedure performed across many healthcare settings. Nurses and midwives provide technical and psychosocial care to women who seek abortions. Governments and regulatory bodies could safely extend their scope of practice to increase women's access to safe abortions.Introduction of education programmes, as well as embedding practice in person-centred models of care, may improve outcomes for women seeking abortions.

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Multicenter study on midwifery students' attitudes towards abortion and it's place in their future practice – Comparison of respondents at early and late stages of the university education

Cited by 13 publications

References 18 publications

Willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar, Northwest Ethiopia: Institution based Cross sectional study

Willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar, Northwest Ethiopia: Institution based Cross sectional study

Willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar, Northwest Ethiopia: Institution based Cross sectional study

The role of nurses and midwives in the provision of abortion care: A scoping review

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