Post-abortion care

堕胎后护理
  • 文章类型: Journal Article
    暴力社会和政治冲突给国内流离失所者带来了若干挑战,尤其是女孩和年轻女性,其中包括性暴力(SV)。尽管在人道主义背景下有关于SV的大量记录,评估水平的研究,检查披露模式(DP)并评估在这些环境中堕胎护理的可用性没有得到足够的关注。这项范围审查旨在综合当前基于非洲的SV研究,DP,以及人道主义背景下的堕胎和堕胎后护理(APAC)。我们对五个数据库进行了系统的搜索:MEDLINE,PubMed,Scopus,Embase和谷歌学者,其中检索到的文章符合纳入标准。审查遵循PRISMA指南和关键评估技能计划(CASP),包含十个问题,以帮助确认研究设计的有效性和与类似研究相比的结果的独创性。搜索后应用了一系列纳入和排除标准,来自10个非洲国家的35篇有性暴力证据的合格文章,披露模式,和亚太地区的营地被纳入研究.结果将非洲人道主义环境中的SV情况描述为“可怕”,\"bad\",“流行病”,和“严重”,因为女孩被用作性对象,用于增强形象和作为战争武器。我们还发现,APAC在非洲的非法性导致冲突背景下秘密堕胎的发生率很高。在非洲境内流离失所者中披露SV并不遵循明确的模式,而是通常由社会人口特征决定。性健康是所有人的基本权利,正如SDG3所规定的那样,这使该主题成为一个重大的公共卫生问题。因此,我们得出结论,尽管在某些情况下,由于不良反应,披露可能会加剧污名化,它仍然是至关重要的愈合过程。
    Violent social and political conflicts have caused several challenges to internally displaced persons (IDPs), especially girls and young women, among which is sexual violence (SV). Despite extensive records on SV in humanitarian contexts, studies to assess the level, examine the disclosure pattern (DP) and evaluate the availability of abortion care in these settings have received inadequate attention. This scoping review sought to synthesise the current African-based research on SV, DP, and abortion and post-abortion care (APAC) in humanitarian contexts. We conducted a systematic search of five databases: MEDLINE, PubMed, Scopus, Embase and Google Scholar, where the articles retrieved met the criteria for inclusion. The review adhered to PRISMA guidelines and the Critical Appraisal Skills Programme (CASP), containing ten questions to help confirm the validity of the research design and the originality of the results in comparison with similar studies. A series of inclusion and exclusion criteria were applied after the search, and 35 eligible articles from ten African countries with evidence of sexual violence, disclosure patterns, and APAC in camp settings were included in the study. Results described situations of SV in humanitarian settings in Africa as \"terrible\", \"bad\", \"an epidemic\", and \"severe\" as girls were used as sex objects, for profile enhancement and as a weapon of war. We also found that the illegality of APAC in Africa is causing a high occurrence of clandestine abortions in conflict contexts. Disclosing SV among IDPs in Africa did not follow a clear-cut pattern but was generally determined by socio-demographic characteristics. Sexual health is a fundamental right of all, as enshrined in SDG 3, which makes this topic a major public health issue. We therefore conclude that although disclosure may aggravate stigmatisation in some instances due to adverse reactions, it is still crucial to the healing processes.
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  • 文章类型: Review
    背景:堕胎及其并发症是危害妇女健康的挑战,尤其是在发展中国家。似乎mhealth技术的应用可以作为堕胎后护理中安全且负担得起的策略。这项研究的目的是确定影响人工流产后护理中mhealth技术使用的因素。
    方法:这是2023年进行的一项综述研究,在PubMed上搜索了2010年至2023年11月1日以英文发表的文章,Scopus,ProQuest,WebofScience,和Embase数据库以及GoogleScholar。使用数据提取表收集数据,并进行叙述性分析。
    结果:影响因素可分为激励因素和抑制因素。激励因素包括个体因素的亚组(例如,节省时间),技术因素(例如,可用性),经济因素(例如,节省成本),和伦理法律因素(例如,提高信息的安全性和保密性)。同样,抑制因素由个体因素组成(例如,害怕表达堕胎),技术因素(例如,缺乏对网络和互联网的访问),经济因素(例如,不适当的患者财务状况),和道德法律(例如,对信息的安全性和机密性的担忧)。
    结论:本研究强调了在流产后护理中考虑影响mHealth技术设计和实施的各种技术和非技术因素的重要性。开发人员需要解决这些因素,以确保成功采用技术并降低风险。这些发现有助于增强女性的健康,并为未来在mHealth领域的技术接受模式提供见解。
    BACKGROUND: Abortion and its complications are challenges that endanger women\'s health, especially in developing countries. It seems that the application of mhealth technology can be useful as a safe and affordable strategy in post-abortion care. The purpose of this study was to identify factors influencing the use of mhealth technology in post-abortion care.
    METHODS: This was a review study conducted in 2023 and articles published in English between 2010 and 1st November 2023 were searched in PubMed, Scopus, ProQuest, Web of Science, and Embase databases as well as Google Scholar. Data were collected using a data extraction form and were analyzed narratively.
    RESULTS: The influencing factors could be divided into the motivating and inhibiting factors. The motivating factors included the subgroups of the individual factors (e.g., saving time), technical factors (e.g., usability), economic factors (e.g., saving costs), and ethico-legal factors (e.g., improving security and confidentiality of the information). Similarly, the inhibiting factors consisted of individual factors (e.g., fear of expressing abortion), technical factors (e.g., a lack of access to the network and the Internet), economic factors (e.g., inappropriate patient financial status), and ethico-legal (e.g., concerns over the security and confidentiality of information).
    CONCLUSIONS: This study underscores the importance of considering various technical and non-technical factors influencing the design and implementation of mHealth technology in post-abortion care. Developers need to address these factors to ensure successful technology adoption and mitigate risks. The findings contribute to the enhancement of women\'s health and offer insights for future technology acceptance models in the mHealth field.
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  • 文章类型: Journal Article
    Low rates of contraception in much of sub-Saharan Africa result in unplanned pregnancies, which in young, unmarried women often result in unsafe abortion. Increasing the use of highly effective forms of contraception has the potential to reduce the abortion-related mortality and morbidity. In this cross-sectional study, information collected by the post-abortion family planning counsellor was analysed. De-identified data from one year (June 2012-May 2013) were extracted from the logbook. Multivariate linear and logistic regression was performed. A total of 612 women received care for post-abortion complications from June 2012 to May 2013. Young, unmarried women, and those who were being treated for complications arising from an induced versus spontaneous abortion were more likely to report they would use \'abstinence\' as their method of contraception following their treatment. This vulnerable group could benefit from an increased uptake of long-acting reversible contraceptive methods to avoid repeated unplanned pregnancies and the potential of future unsafe abortions.
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