Unintended pregnancy amongst women attending antenatal clinics at the Port Moresby General Hospital

Sanga, Karen; Mola, Glen; Wattimena, Jeany; Justesen, Aafke; Black, Kirsten

doi:10.1111/ajo.12219

Cited by 38 publications

(57 citation statements)

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“…Recent studies have shown that the majority of pregnancies after short intervals are unintended. [48][49][50] Moreover, unintended pregnancy is associated with a higher risk of prenatal maternal stress. 51,52 Gunnes et al 30 hypothesized that closely spaced pregnancies would be associated with increased maternal stress during the pregnancy of the index child, which increases the likelihood of developing ASD in this child.…”

Section: Main Findingsmentioning

confidence: 99%

Birth Spacing and Risk of Autism and Other Neurodevelopmental Disabilities: A Systematic Review

2016

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Section: Main Findingsmentioning

confidence: 99%

Birth Spacing and Risk of Autism and Other Neurodevelopmental Disabilities: A Systematic Review

2016

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“…Misoprostol to end an unwanted pregnancy is becoming increasingly used in both developed and developing countries [4, 8] and has been previously reported in the setting for this study [26]. Table 4.7 outlines correct regimes for the use of misoprostol-only induced abortion.…”

Section: Discussionmentioning

confidence: 99%

“…In 1968, obstetric causes was among the top fifteen leading causes of death in hospital, a ranking that remained unchanged in 1998 [25]. Since 1978, all health workers have been encouraged to report all maternal deaths through Maternal Mortality report forms [26], however in reality such formal documentation is rarely undertaken, and many maternal deaths remain unreported [27][28][29]. In her earlier work in 1990, Gillett [13] noticed the same causes of maternal death as are seen today, that is PPH and sepsis.…”

Section: Causes and Timing Of Maternal Deathsmentioning

confidence: 99%

“…The proportion of women who die depends on the rapid response with appropriate care. In resource poor settings, without access to professional skilled care, the use of an oral drug, such as misoprostol could save many lives [24][25][26][27][28] and reduce the incidence of anaemia as a result of PPH [3]. …”

mentioning

confidence: 99%

“…They were also significantly more likely to be anaemic. Clinical management and outcome was similar for women in both groups with no significant differences in their management or duration of hospital stay.Misoprostol to end an unwanted pregnancy is becoming increasingly used in both developed and developing countries [4, 8] and has been previously reported in the setting for this study [26]. Table 4.7 outlines correct regimes for the use of misoprostol-only induced abortion.…”

mentioning

confidence: 99%

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Unsafe abortion and unsupervised births: understanding the challenges of pregnancy and childbirth in the rural highlands of Papua New Guinea

Vallely¹

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INTRODUCTIONPapua New Guinea (PNG) has one of the highest maternal mortality ratios in the world.Postpartum haemorrhage is the leading cause of maternal death, followed by sepsis related to childbirth and unsafe abortion, the same reasons as identified in other low-resource settings.PNG has a high rate of unsupervised births, with an estimated 60% of women giving birth unsupervised.Focussing on the leading causes of maternal mortality, the overall aim of this thesis is to describe women's perceptions and experiences of pregnancy and childbirth from one setting in the Eastern Highlands of PNG; and to describe a community-based intervention to improve maternal health outcomes. This thesis comprises of three studies, divided into two themes: (1) unsafe abortion; and (2) community perceptions and experiences of pregnancy and childbirth. METHODS Theme One: Unsafe abortionThrough a mixed methods approach, a six month prospective study was undertaken at the Eastern Highlands Provincial Hospital. Women admitted to hospital following both spontaneous and induced abortion were identified through the review of medical records.Clinical and socio-demographic data were captured using a study-specific case note record form. Semi structured and in-depth interviews were undertaken to provide further insight into women's experiences following induced abortion. Health care workers perceptions relating to abortion were also explored. Theme Two: Community experiences and perceptions of pregnancy and childbirthTwo studies were included in theme two. Both took place in the remote, rural area of Unggai Bena district, Eastern Highlands Province, an area with a high rate of unsupervised births.The first of these two studies used qualitative methods to identify knowledge, perceptions and experiences of pregnancy and childbirth. Focus group discussions, undertaken with men and women in the community, were followed by in depth interviews. During the in depth women's personal experiences relating to pregnancy and childbirth, especially their reasons for giving birth outside a formal health facility, were explored.iii The second study was designed following the findings from the first study. Through a community based intervention study, communities in the study site were provided with key messages relating to the importance of supervised, health facility births and recognising postpartum haemorrhage. Women attending antenatal clinic were invited to participate in a prospective study. After individual instruction 200 women were enrolled and provided with a clean birth kit which included 600mcg of misoprostol (a drug for reducing postpartum haemorrhage), for oral self-administration following an unsupervised birth. All women were followed-up postpartum when data relating to the acceptability of the intervention were collected using a study specific semi-structured questionnaire.All qualitative data were analysed through a content analysis approach using continuous comparison. All qualitative data were managed using NVivo v.9 (QSL Inter...

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Women’s Health Considerations for Lipid Management

2015

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Unintended pregnancy amongst women attending antenatal clinics at the Port Moresby General Hospital

Cited by 38 publications

References 18 publications

Birth Spacing and Risk of Autism and Other Neurodevelopmental Disabilities: A Systematic Review

Birth Spacing and Risk of Autism and Other Neurodevelopmental Disabilities: A Systematic Review

Unsafe abortion and unsupervised births: understanding the challenges of pregnancy and childbirth in the rural highlands of Papua New Guinea

Women’s Health Considerations for Lipid Management

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