Classified by OpenAIRE intomesheuropmc: reproductive and urinary physiology, embryonic structures
Despite changes to the South African abortion legislation in 1996, barriers to women accessing abortions still exist. Second trimester abortions, an inherently more risky procedure, continue to be 20% of all abortions. Understanding the reasons why women delay seeking an abortion until the second trimester is important for informing interventions to reduce the proportion of second trimester abortions in South Africa.
Qualitative research methods were used to collect data. Twenty-seven in-depth interviews were conducted in 2006 with women seeking a second trimester abortion at one public sector tertiary hospital and two NGO health care facilities in the greater Cape Town area, South Africa. Data were analysed using a grounded theory approach.
Almost all women described multiple and interrelated factors that influenced the timing of seeking an abortion. Reasons why women delayed seeking an abortion were complex and were linked to changes in personal circumstances often leading to indecision, delays in detecting a pregnancy and health service related barriers that hindered access to abortion services.
Understanding the complex reasons why women delay seeking an abortion until the second trimester can inform health care interventions aimed at reducing the proportion of second trimester abortions in South Africa.
The results below are discovered through our pilot algorithms. Let us know how we are doing!
- 1. South African Parliament: Choice on Termination of Pregnancy Act, Act no.92 of 1996. .
- 2. Jewkes R, Rees H: Dramatic decline in abortion related mortality due to the Choice on Termination of Pregnancy Act. S Afr Med J 2005, 95(4):250.
- 3. Harrison A, Montgomery ET, Lurie M, Wilkinson D: Barriers to implementing South Africa's Termination of Pregnancy Act in rural KwaZulu/Natal. Health Policy Plan 2000, 15(4):424-431.
- 4. Jewkes R, Gumede T, Westaway M, Dickson K, Brown H, Rees H: Why are women still aborting outside designated facilities in metropolitan South Africa? BJOG 2005, 112(9):1236-1242.
- 5. Varkey SJ: Abortion services in South Africa: available yet not accessible to all. Int Fam Plan Perspect 2000, 26(2):87-88.
- 6. Morroni C, Myer L, Tibazarwa K: Knowledge of the abortion legislation among South African women: a cross-sectional study. Reproductive Health 2006, 3:7.
- 7. South African Department of Health: Termination of Pregnancy Update Cumulative Statistics through 2004. Pretoria: Department of Health; 2005.
- 8. Strauss L, Herndon J, Chang J, Parker W, Bowens S, Berg C: Abortion surveillance:United States,2001. MMWR Surveill Summ 2004, 53:1-32.
- 9. World Health Organization: Safe Abortion: Technical and Policy Guidance for Health Systems. World Health Organization: Geneva; 2004.
- 10. Bartlett L, Berg C, Shulman H, Zane S, Green C, Whitebread S, Atrash H: Risk factors for legal induced abortion-related mortality in the United States. Obstet Gynecol 2004, 103(4):729-737.
- 11. Drey E, Foster D, Jackson R, Lee S, Cardenas L, Darney P: Risk factors associated with presenting for abortion in the second trimester. Obstet Gynecol 2006, 107(1):128-135.
- 12. Finer L, Frohwirth L, Dauphinee L, Singh S, Moore A: Timing of steps and reasons for delays in obtaining abortions in the United States. Contraception 2006, 74(4):334-344.
- 13. Morroni C, Moodley J: Characteristics of women booking for first and second trimester abortions at pubic sector clinics in Cape Town. SAJOG 2006, 12(2):81-82.
- 14. Cooper D, Dickson K, Blanchard K, Cullingworth L, Mavimbela N, von Mollendorf C, van Bogaert L, Winikoff B: Medical abortion: The possibilities for introduction in the public sector in South Africa. Reprod Health Matters 2005, 13(26):35-43.
- 15. Department of Health, Republic of South Africa: South African Demographic and Health Survey. Pretoria Department of Health 2001.
- 16. Mitchell E, Trueman K, Gabriel M, Bock L: Building alliances from ambivalence: evaluation of abortion values clarification workshops with stakeholders in South Africa. Afr J Reprod Health 2005, 9(3):89-99.
- 17. Wood K, Jewkes R: Blood blockages and scolding nurses: barriers to adolescent contraceptive use in South Africa. Reprod Health Matters 2006, 14(27):109-118.
No related research data.
No similar publications.