PDF(Pubmed)
Abstract：
BACKGROUND: In countries where abortion laws are stringent, induced abortions are prevalent. The limited availability of abortion services within these regions amplifies the likelihood of maternal complications and mortality. Induced abortions represent a significant public health concern in Iran and are characterized by a multitude of intricate factors that remain largely unexplored. Gaps in knowledge persist pertaining to the influences driving induced abortion within the Iranian context. To adequately address the issue of induced abortion, it is imperative to discern the determinants that shape the decision-making process. The primary objective of this study was to design an intervention program focused on mitigating the occurrence of induced abortion within couples, with an emphasis on identifying the key factors that contribute to this phenomenon.
METHODS: This study comprises three phases. In the first phase, a qualitative approach based on the I-change model will be employed to identify the factors influencing induced abortion. The second phase involves a systematic review to identify the determinants of induced abortion and strategies to prevent induced abortion. In the third phase, the outcomes of the qualitative approach and systematic review will be shared with experts and specialists using the Delphi method to categorize and prioritize strategies. Subsequently, based on the final consensus, a comprehensive program will be developed to prevent induced abortion.
CONCLUSIONS: This study introduces an I-change model-based program for the prevention of induced abortion. The prevention of induced abortion holds great significance in mitigating maternal morbidity and mortality, curtailing healthcare expenses, and fostering population growth rates. The research findings will be disseminated via reputable peer-reviewed journals and communicated to the academic and medical communities. This dissemination aims to provide valuable insights that can contribute to the advancement of induced abortion and abortion prevention programs.
Induced abortion is restricted in Iran, and many married women with unintended pregnancies resort to clandestine procedures, resulting in adverse health outcomes. Induced abortion contributes to 2.3% of maternal mortality rates in the country. Understanding the factors influencing abortion is crucial for designing effective preventive interventions. Due to cultural and political sensitivities, reliable data on the determinants of induced abortion in Iran, particularly from the perspective of male partners, remain scarce. Existing research primarily focuses on women’s views, neglecting the potential influence of men on abortion-related decisions. This study aims to bridge this gap by investigating the determinants of induced abortion in couples and developing a comprehensive couple-based abortion prevention program in Iran. Employing a mixed-methods approach, this study explored the factors associated with couples’ decisions regarding abortion. Subsequently, a systematic review will identify existing knowledge on abortion determinants and preventive strategies. On the basis of this comprehensive understanding, an evidence-informed abortion prevention plan will be devised. The findings of this study can inform policymakers and population/reproductive health experts, ultimately aiming to reduce the burden of negative health and social consequences associated with abortion, leading to cost reductions and improved health outcomes for women, families, and society.
METHODS: This study comprises three phases. In the first phase, a qualitative approach based on the I-change model will be employed to identify the factors influencing induced abortion. The second phase involves a systematic review to identify the determinants of induced abortion and strategies to prevent induced abortion. In the third phase, the outcomes of the qualitative approach and systematic review will be shared with experts and specialists using the Delphi method to categorize and prioritize strategies. Subsequently, based on the final consensus, a comprehensive program will be developed to prevent induced abortion.
CONCLUSIONS: This study introduces an I-change model-based program for the prevention of induced abortion. The prevention of induced abortion holds great significance in mitigating maternal morbidity and mortality, curtailing healthcare expenses, and fostering population growth rates. The research findings will be disseminated via reputable peer-reviewed journals and communicated to the academic and medical communities. This dissemination aims to provide valuable insights that can contribute to the advancement of induced abortion and abortion prevention programs.
Induced abortion is restricted in Iran, and many married women with unintended pregnancies resort to clandestine procedures, resulting in adverse health outcomes. Induced abortion contributes to 2.3% of maternal mortality rates in the country. Understanding the factors influencing abortion is crucial for designing effective preventive interventions. Due to cultural and political sensitivities, reliable data on the determinants of induced abortion in Iran, particularly from the perspective of male partners, remain scarce. Existing research primarily focuses on women’s views, neglecting the potential influence of men on abortion-related decisions. This study aims to bridge this gap by investigating the determinants of induced abortion in couples and developing a comprehensive couple-based abortion prevention program in Iran. Employing a mixed-methods approach, this study explored the factors associated with couples’ decisions regarding abortion. Subsequently, a systematic review will identify existing knowledge on abortion determinants and preventive strategies. On the basis of this comprehensive understanding, an evidence-informed abortion prevention plan will be devised. The findings of this study can inform policymakers and population/reproductive health experts, ultimately aiming to reduce the burden of negative health and social consequences associated with abortion, leading to cost reductions and improved health outcomes for women, families, and society.
摘要：
背景：在堕胎法严格的国家，人工流产很普遍。这些区域内堕胎服务有限，增加了产妇并发症和死亡率的可能性。人工流产在伊朗是一个重大的公共卫生问题，其特点是许多复杂的因素仍未被探索。在伊朗背景下，与推动人工流产的影响有关的知识差距仍然存在。为充分解决人工流产的问题,必须辨别决定决策过程的决定因素。这项研究的主要目的是设计一项干预计划，重点是减轻夫妻中人工流产的发生。重点是确定导致这种现象的关键因素。
方法：本研究包括三个阶段。在第一阶段,将采用基于I-变化模型的定性方法来确定影响人工流产的因素.第二阶段涉及系统审查，以确定人工流产的决定因素和预防人工流产的策略。在第三阶段,定性方法和系统审查的结果将使用德尔菲方法与专家和专家共享，以对策略进行分类和优先排序。随后，基于最终共识，将制定一项全面的计划来防止人工流产。
结论：本研究介绍了一种基于I-change模型的人工流产预防方案。预防人工流产对降低孕产妇发病率和死亡率具有重要意义,削减医疗费用，促进人口增长率。研究结果将通过知名的同行评审期刊传播，并传达给学术界和医学界。这一传播旨在提供有价值的见解，有助于推进人工流产和预防流产计划。
人工流产在伊朗受到限制，许多意外怀孕的已婚妇女诉诸秘密程序，导致不良的健康结果。人工流产占该国孕产妇死亡率的2.3%。了解影响流产的因素对于设计有效的预防干预措施至关重要。由于文化和政治敏感性，关于伊朗人工流产决定因素的可靠数据，特别是从男性伴侣的角度来看，保持稀缺。现有的研究主要集中在妇女的观点，忽略男性对堕胎相关决定的潜在影响。这项研究旨在通过调查夫妻人工流产的决定因素并在伊朗制定全面的基于夫妻的人工流产预防计划来弥合这一差距。采用混合方法方法，这项研究探讨了夫妇决定堕胎的相关因素.随后，系统审查将确定有关堕胎决定因素和预防策略的现有知识。在这种全面认识的基础上,将制定一项有证据的堕胎预防计划。这项研究的结果可以为政策制定者和人口/生殖健康专家提供信息，最终旨在减轻与堕胎相关的负面健康和社会后果的负担，导致成本降低和改善妇女的健康结果，家庭,和社会。
方法：本研究包括三个阶段。在第一阶段,将采用基于I-变化模型的定性方法来确定影响人工流产的因素.第二阶段涉及系统审查，以确定人工流产的决定因素和预防人工流产的策略。在第三阶段,定性方法和系统审查的结果将使用德尔菲方法与专家和专家共享，以对策略进行分类和优先排序。随后，基于最终共识，将制定一项全面的计划来防止人工流产。
结论：本研究介绍了一种基于I-change模型的人工流产预防方案。预防人工流产对降低孕产妇发病率和死亡率具有重要意义,削减医疗费用，促进人口增长率。研究结果将通过知名的同行评审期刊传播，并传达给学术界和医学界。这一传播旨在提供有价值的见解，有助于推进人工流产和预防流产计划。
人工流产在伊朗受到限制，许多意外怀孕的已婚妇女诉诸秘密程序，导致不良的健康结果。人工流产占该国孕产妇死亡率的2.3%。了解影响流产的因素对于设计有效的预防干预措施至关重要。由于文化和政治敏感性，关于伊朗人工流产决定因素的可靠数据，特别是从男性伴侣的角度来看，保持稀缺。现有的研究主要集中在妇女的观点，忽略男性对堕胎相关决定的潜在影响。这项研究旨在通过调查夫妻人工流产的决定因素并在伊朗制定全面的基于夫妻的人工流产预防计划来弥合这一差距。采用混合方法方法，这项研究探讨了夫妇决定堕胎的相关因素.随后，系统审查将确定有关堕胎决定因素和预防策略的现有知识。在这种全面认识的基础上,将制定一项有证据的堕胎预防计划。这项研究的结果可以为政策制定者和人口/生殖健康专家提供信息，最终旨在减轻与堕胎相关的负面健康和社会后果的负担，导致成本降低和改善妇女的健康结果，家庭,和社会。
