Factors determining on-demand abortion decision-making in women

Viorelia Grosu, Corina Cardaniuc, Adriana Paladi
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Abstract

Introduction. Abortion causes problems in reproductive health, relationships in a couple, psychological and social consequences. A woman's decision to have an abortion depends on many factors, whereas in low-income countries, abortion is viewed as a method of family planning. Material and methods. A descriptive, quantitative and qualitative sample study was conducted in the Republic of Moldova from December 2021 to February 2022 to identify and evaluate the factors influencing a woman’s decision-making to terminate a pregnancy, as well as to develop recommendations for reducing the number of abortions on demand. The quantitative assessment included a survey carried out on a sample of 399 women who underwent abortions on demand. The qualitative study involved three focus group meetings, where the obstetrician-gynecologists shared their ideas upon the factors determining a woman's decision to terminate a pregnancy. Results. Analyzing the data obtained, the present research identified the following factors that determined the decision-making of women to terminate a pregnancy: (i) lack of support and disturbed psycho-emotional state in  women; (ii) social and economic problems, particularly, poverty; (iii) study/career-related conditions; (iv) age; e) difficult relationship with  the partner, particularly, domestic violence; (v) fear of COVID-19 infection. Conclusions. Women's reasons for seeking abortions are complex, traced out by circumstantial and systemic realities.  
决定妇女按需堕胎决策的因素
介绍。堕胎造成生殖健康、夫妻关系、心理和社会后果方面的问题。妇女决定堕胎取决于许多因素,而在低收入国家,堕胎被视为计划生育的一种方法。材料和方法。2021年12月至2022年2月在摩尔多瓦共和国进行了一项描述性、定量和定性抽样研究,以确定和评估影响妇女决定终止妊娠的因素,并就减少按需堕胎次数提出建议。定量评估包括对399名按要求堕胎的妇女进行抽样调查。定性研究包括三次焦点小组会议,在会议上,妇产科医生分享了他们对决定妇女决定终止妊娠的因素的看法。结果。本研究通过对所得数据的分析,确定了以下影响妇女终止妊娠决策的因素:(1)妇女缺乏支持和心理情绪状态紊乱;社会和经济问题,特别是贫穷问题;(iii)与学习/职业有关的条件;(四)年龄;E)与伴侣关系困难,特别是家庭暴力;(五)对COVID-19感染的恐惧。结论。妇女寻求堕胎的原因很复杂,可以从环境和系统现实中找到原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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