- Shirin Shahbazi
- - Department of Midwifery, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
- Nahid Fathizadeh
- - Department of Midwifery, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
- Fariba Taleghani
- - Department of Nursing, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Received: 1/1/2008 Accepted: 1/1/2008 - Publisher : Avicenna Research Institute |
|
Related Articles |
|
Other Format |
|
|
|
Abstract
Introduction: Induced abortion is illegal in Iran and most other countries but in case pregnancy threatens maternal or fetal life, one can terminate the pregnancy, while doing illegal or clandes-tine and perhaps septic abortions usually leads to various undesirable life-threatening outcomes. The importance of exploring different aspects of illegal abortion and its related causes is an obvious subject. Therefore, this study investigates the experiences and views of some women and the outlook of authorities on illegal abortion practices. Materials & Methods: In this qualitative content analysis study, women that had a history of abortion and people with theological, political, legal or scientific (The patient care team) views were interviewed on illegal abortion outcomes in Karaj and Tehran, from March to September 2006. The data were content analyzed. Results: Five main themes emerged from this qualitative study. Only the results of one theme, “Assessment of condition”, with three main categories will be discussed in this article. These main categories included reactions, religious and personal beliefs and socio-political restrictions. The major reactions were divided into two minor subgroups 1) the treatment team, family and friends and the society. The medical team was further subdivided into two minor 2) supportive and preventive categories. The preventive subdivision 3) was divided into three minor divisions of abstaining from cooperation, caution and encouragement. Conclusion: Reactions of family and friends and the medical team to illegal abortions, are regarded as important for decision-making by pregnant women who want to commit them. False beliefs or incertitude in Sharia, and considering abortion of more benefit to the family compared to continuing it, all favor a state to ignore prohibitive ethical issues. The patient care team’s support also affects the way social restrictions are confronted and the pregnant women eventually commit abortion. Therefore, providing a separate consultation in health centers for women who have unwanted pregnancies could reduce abortion rates committed due to economic, social and family problems or being unaware of ethical and religious issues. Evaluation of the causes for assistance by the patient care team could help solve this health problem too.
Keywords:
Illegal abortion, Content analysis, Patient care team, Religious beliefs, Personal beliefs, Family, Decision making, Reaction To cite this article:References
- Cohen S. Envisioning life without Roe: lessons without borders, The Guttmacher Report on Public Policy. 2003;6(2):3-5.
- Harris AA. Supportive counseling before and after elective pregnancy termination. Midwifery and women health 2004;49(2):105-111. [PubMed]
- Bruce O, Bentar S. Policy update on safe and legal abortion 30 years after Roe. Instiue for Womens Population Research (IWPR.org). 2003;p:241.
- Rasch V, Muhammad H, Urassa E, Bergström S. The problem of illegally induced abortion: results from a hospital-based study conducted at district level in Dar es Salaam. Trop Med Int Health. 2000;5(7):495-502. [PubMed]
- Tremayne S. Abortion in the developing world. J Med Ethics. 2000;26(6):483-4.
- فاخری طراوت. بررسی موارد ارجاع شده سقط تحریکی به مرکز آموزشی درمانی معتضدی کرمانشاه سال 1380. فصلنامه عملی پژوهشی دانشکده پرستاری مامایی و پیراپزشکی کرمانشاه، سال دوم، شماره دوم، بهار وتابستان 1384، صفحه:45.
- Behjati Ardekani Z, Akhondi MM, Sadeghi MR, Sadri Ardakani H. The necessity of a comprehensive study on abortion in Iran. J Reprod Infirtil. 2005;6(4):299-320.
- محمد زاده فرناز، فلاحیان معصومه. وضعیت سقط عمدی در بیمارستان آیت الله طالقانی وابسته به دانشگاه علوم پزشکی شهید بهشتی، سالهای 1380و1381. مجله پزشکی قانونی، زمستان 1382، سال نهم، شماره سی و دوم، صفحات: 193-190.
- Fisher WA, Singh SS, Shuper PA, Carey M, Otchet F, MacLean-Brine D, et al. Characteristics of women undergoing repeat induced abortion. CMAJ. 2005;172 (5):637-41. [PubMed]
- Eslami SH. Ethical approaches to abortion; a case study.J Reprod Infirtil. 2005;6 (4):321-42.
- Gheshlaghi F. The History, Ethics, Rules in Midwifery and forensic Medicine. Isfehan: Isfehan University of Medical Science; 2005. p 58.
- Rossier C, Guiella J, Ouedraogo A, Thieba B. Estima-ting clandestine abortion with the confidents method-results from Ouagadougou, Burkino Faso. Soc Sci Med 2006;62(1):254-66. [PubMed]
- مهدیزاده فرهاد. سقط جنین، آسیبها، علل و پیامدها. نشریه بهداشت خانواده1383، شماره 28، سال نهم، صفحات: 44-46.
- Mohsenni A. Abortion in Islamic Jurisprudence. J Reprod Infirtil. 2005;6(4):390-7.
- Schaster S. Abortion in moral world of the Cameroon gradsfields. Reprod Health Matters. 2005;13(26):130-8. [PubMed]
- Rana A, Pradhan N, Gurung G, Singh N. Induced sep-tic abortion: a major factor in maternal mortality and morbidity. Obstet Gynaecol Res. 2004;30(1):3-8. [PubMed]
- Elul B, Bracken H, Verma Sh, Ved R, Singhi R, Lockwood K. Unwanted pregnancy and induced abortion in Rajashtan,India: a qualitative exploration. New Delhi, India, Population Council. 2004;p:...
- Escat J, Danforth D. Danforth's obstetrics and gynecology, 9th ed. Ebrahimi F, Vahid Dastjerdi M, translator. Tehran: Nasle Farda. 2003.
- Shotorbani S, Zimmerman FJ, Bell JF, Ward D, Assefi N. Attitudes and intentions of future health care providers toward abortion provision, perspective on sexual and reproductive health. Newyork. 2004;36(2): 58. [PubMed]
- Jahangir M. Islamic criminal code. Tehran: Didar; 2006. p 130.