“My friend who bought it for me, she has had an abortion before.” The influence of Ghanaian women’s social networks in determining the pathway to induced abortion
BackgroundEven given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to understand why young women seeking an abortion in a legally enabling environment chose to do this outside the formal healthcare system.Meth...
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Published in | BMJ sexual & reproductive health Vol. 43; no. 3; pp. 216 - 221 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
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BMJ Publishing Group LTD
01.07.2017
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Abstract | BackgroundEven given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to understand why young women seeking an abortion in a legally enabling environment chose to do this outside the formal healthcare system.MethodsWomen being treated for complications arising from a self-induced abortion as well as for elective abortions at three hospitals in Ghana were interviewed. Community-based focus groups were held with women as well as men, separately. Interviews and focus group discussions were conducted until saturation was reached.ResultsA total of 18 women seeking care for complications from a self-induced abortion and 11 seeking care for an elective abortion interviewed. The women ranged in age from 13 to 35 years. There were eight focus groups; two with men and six with women. The reasons women self-induce are: (1) abortion is illegal; (2) attitudes of the healthcare workers; (3) keeping the pregnancy a secret; and (4) social network influence. The meta-theme of normalisation of self-inducing’ an abortion was identified.DiscussionWhen women are faced with an unplanned and unwanted pregnancy, they consult individuals in their social network whom they know have dealt with a similar situation. Misoprostol is widely available in Ghanaian cities and is successful at inducing an abortion for many women. In this way, self-inducing abortions using medication procured from pharmacists and chemical sellers has become normalised for women in Kumasi, Ghana. |
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AbstractList | BackgroundEven given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to understand why young women seeking an abortion in a legally enabling environment chose to do this outside the formal healthcare system.MethodsWomen being treated for complications arising from a self-induced abortion as well as for elective abortions at three hospitals in Ghana were interviewed. Community-based focus groups were held with women as well as men, separately. Interviews and focus group discussions were conducted until saturation was reached.ResultsA total of 18 women seeking care for complications from a self-induced abortion and 11 seeking care for an elective abortion interviewed. The women ranged in age from 13 to 35 years. There were eight focus groups; two with men and six with women. The reasons women self-induce are: (1) abortion is illegal; (2) attitudes of the healthcare workers; (3) keeping the pregnancy a secret; and (4) social network influence. The meta-theme of normalisation of self-inducing’ an abortion was identified.DiscussionWhen women are faced with an unplanned and unwanted pregnancy, they consult individuals in their social network whom they know have dealt with a similar situation. Misoprostol is widely available in Ghanaian cities and is successful at inducing an abortion for many women. In this way, self-inducing abortions using medication procured from pharmacists and chemical sellers has become normalised for women in Kumasi, Ghana. Background Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to understand why young women seeking an abortion in a legally enabling environment chose to do this outside the formal healthcare system. Methods Women being treated for complications arising from a self-induced abortion as well as for elective abortions at three hospitals in Ghana were interviewed. Community-based focus groups were held with women as well as men, separately. Interviews and focus group discussions were conducted until saturation was reached. Results A total of 18 women seeking care for complications from a self-induced abortion and 11 seeking care for an elective abortion interviewed. The women ranged in age from 13 to 35 years. There were eight focus groups; two with men and six with women. The reasons women self-induce are: (1) abortion is illegal; (2) attitudes of the healthcare workers; (3) keeping the pregnancy a secret; and (4) social network influence. The meta-theme of normalisation of self-inducing' an abortion was identified. Discussion When women are faced with an unplanned and unwanted pregnancy, they consult individuals in their social network whom they know have dealt with a similar situation. Misoprostol is widely available in Ghanaian cities and is successful at inducing an abortion for many women. In this way, self-inducing abortions using medication procured from pharmacists and chemical sellers has become normalised for women in Kumasi, Ghana. Background: Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to understand why young women seeking an abortion in a legally enabling environment chose to do this outside the formal healthcare system. Methods: Women being treated for complications arising from a self-induced abortion as well as for elective abortions at three hospitals in Ghana were interviewed. Community-based focus groups were held with women as well as men, separately. Interviews and focus group discussions were conducted until saturation was reached. Results: A total of 18 women seeking care for complications from a self-induced abortion and 11 seeking care for an elective abortion interviewed. The women ranged in age from 13 to 35 years. There were eight focus groups; two with men and six with women. The reasons women self-induce are: (1) abortion is illegal; (2) attitudes of the healthcare workers; (3) keeping the pregnancy a secret; and (4) social network influence. The meta-theme of normalisation of self-inducing' an abortion was identified. Discussion: When women are faced with an unplanned and unwanted pregnancy, they consult individuals in their social network whom they know have dealt with a similar situation. Misoprostol is widely available in Ghanaian cities and is successful at inducing an abortion for many women. In this way, self-inducing abortions using medication procured from pharmacists and chemical sellers has become normalised for women in Kumasi, Ghana. References Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to understand why young women seeking an abortion in a legally enabling environment chose to do this outside the formal healthcare system. Women being treated for complications arising from a self-induced abortion as well as for elective abortions at three hospitals in Ghana were interviewed. Community-based focus groups were held with women as well as men, separately. Interviews and focus group discussions were conducted until saturation was reached. A total of 18 women seeking care for complications from a self-induced abortion and 11 seeking care for an elective abortion interviewed. The women ranged in age from 13 to 35 years. There were eight focus groups; two with men and six with women. The reasons women self-induce are: (1) abortion is illegal; (2) attitudes of the healthcare workers; (3) keeping the pregnancy a secret; and (4) social network influence. The meta-theme of normalisation of self-inducing' an abortion was identified. When women are faced with an unplanned and unwanted pregnancy, they consult individuals in their social network whom they know have dealt with a similar situation. Misoprostol is widely available in Ghanaian cities and is successful at inducing an abortion for many women. In this way, self-inducing abortions using medication procured from pharmacists and chemical sellers has become normalised for women in Kumasi, Ghana. Background Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to understand why young women seeking an abortion in a legally enabling environment chose to do this outside the formal healthcare system. Methods Women being treated for complications arising from a self-induced abortion as well as for elective abortions at three hospitals in Ghana were interviewed. Community-based focus groups were held with women as well as men, separately. Interviews and focus group discussions were conducted until saturation was reached. Results A total of 18 women seeking care for complications from a self-induced abortion and 11 seeking care for an elective abortion interviewed. The women ranged in age from 13 to 35 years. There were eight focus groups; two with men and six with women. The reasons women self-induce are: (1) abortion is illegal; (2) attitudes of the healthcare workers; (3) keeping the pregnancy a secret; and (4) social network influence. The meta-theme of normalisation of self-inducing’ an abortion was identified. Discussion When women are faced with an unplanned and unwanted pregnancy, they consult individuals in their social network whom they know have dealt with a similar situation. Misoprostol is widely available in Ghanaian cities and is successful at inducing an abortion for many women. In this way, self-inducing abortions using medication procured from pharmacists and chemical sellers has become normalised for women in Kumasi, Ghana. |
Author | Lori, Jody R Morhe, Emmanuel SK Rominski, Sarah D |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28330856$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1186/1471-2458-11-159 10.1016/j.contraception.2012.10.020 10.1016/j.ijgo.2010.08.022 10.1016/j.contraception.2011.05.131 10.1016/j.ijgo.2007.03.009 10.1016/S0140-6736(11)61786-8 10.1186/1742-4755-11-70 10.1016/j.contraception.2010.10.011 10.1016/S2214-109X(14)70227-X 10.1186/1471-2393-12-127 10.1016/S0140-6736(06)69481-6 10.1016/S0968-8080(04)24010-1 10.1111/j.1728-4465.2012.00326.x 10.1363/3816412 10.2307/3583415 |
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Copyright | Faculty of Sexual and Reproductive Healthcare of the Royal College of Obstetricians and Gynaecologists (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. Copyright: 2017 © Faculty of Sexual and Reproductive Healthcare of the Royal College of Obstetricians and Gynaecologists (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. |
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References_xml | – volume: 9 start-page: 89 year: 2005 article-title: Building alliances from ambivalence: evaluation of abortion values clarification workshops with stakeholders in South Africa publication-title: Afr J Reprod Health contributor: fullname: Gabriel – year: June 2006 article-title: Prevention and Management of Unsafe Abortion: Comprehensive Abortion Care Services publication-title: Standards and Protocols. – volume: 11 year: 2011 article-title: Distribution of causes of maternal mortality among different socio-demographic groups in Ghana; a descriptive study publication-title: BMC Public Health doi: 10.1186/1471-2458-11-159 contributor: fullname: Stafström – volume: 87 start-page: 128 year: 2013 article-title: Misoprostol in women’s hands: a harm reduction strategy for unsafe abortion publication-title: Contraception doi: 10.1016/j.contraception.2012.10.020 contributor: fullname: Coeytaux – volume: 112 start-page: 40 year: 2011 article-title: Oral misoprostol as an alternative to surgical management for incomplete abortion in Ghana publication-title: Int J Gynaecol Obstet doi: 10.1016/j.ijgo.2010.08.022 contributor: fullname: Blum – volume: 84 year: 2011 article-title: Buccal use of misoprostol alone for early abortion: the experience in four Latin American countries publication-title: Contraception doi: 10.1016/j.contraception.2011.05.131 contributor: fullname: Sivin – volume: 98 start-page: 66 year: 2007 article-title: Reducing maternal mortality due to elective abortion: potential impact of misoprostol in low-resource settings publication-title: Int J Gynaecol Obstet doi: 10.1016/j.ijgo.2007.03.009 contributor: fullname: Grossman – volume: 379 start-page: 625 year: 2012 article-title: Induced abortion: incidence and trends worldwide from 1995 to 2008 publication-title: Lancet doi: 10.1016/S0140-6736(11)61786-8 contributor: fullname: Shah – volume: 11 start-page: 70 year: 2014 article-title: Role-players in abortion decision-making in the Accra 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fullname: Asamoah – volume: 11 start-page: 70 year: 2014 ident: 2024052709473556000_43.3.216.14 article-title: Role-players in abortion decision-making in the Accra Metropolis, Ghana publication-title: Reprod Health doi: 10.1186/1742-4755-11-70 contributor: fullname: Kumi-Kyereme – ident: 2024052709473556000_43.3.216.9 doi: 10.1016/j.ijgo.2010.08.022 – volume: 98 start-page: 66 year: 2007 ident: 2024052709473556000_43.3.216.24 article-title: Reducing maternal mortality due to elective abortion: potential impact of misoprostol in low-resource settings publication-title: Int J Gynaecol Obstet doi: 10.1016/j.ijgo.2007.03.009 contributor: fullname: Harper |
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Snippet | BackgroundEven given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought... Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to... Background Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought... Background Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought... BACKGROUNDEven given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought... Background: Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought... |
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StartPage | 216 |
SubjectTerms | Abortion Birth control Community Confidentiality Consent Focus groups Health services Hospitals Interviews Maternal mortality Pandemics Pregnancy Public health Publishing Qualitative research Reproductive health Social networks Sociodemographics Womens health |
Title | “My friend who bought it for me, she has had an abortion before.” The influence of Ghanaian women’s social networks in determining the pathway to induced abortion |
URI | http://dx.doi.org/10.1136/jfprhc-2016-101502 https://www.ncbi.nlm.nih.gov/pubmed/28330856 https://www.proquest.com/docview/1916098583 https://search.proquest.com/docview/1880466688 https://search.proquest.com/docview/1937395671 |
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