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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Post Abortion Women’s Perceptions of Utilizing Long Acting Reversible Contraceptive Methods in Uganda. A Qualitative Study
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Post Abortion Women’s Perceptions of Utilizing Long Acting Reversible Contraceptive Methods in Uganda. A Qualitative Study

机译：堕胎后妇女对乌干达使用长效可逆避孕方法的看法。定性研究

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Background: About one-third of all pregnancies that occur in low income countries are unintended. An estimated 1.2 million unwanted pregnancies occur in Uganda annually. The majority of the unwanted pregnancies end in unsafe abortion which is one of the five direct causes of maternal mortality. Abortion related complications are responsible for 26% of all maternal deaths in Uganda. Abortion complications can be avoided if women appropriately use contraception to avoid unwanted pregnancy. However, in Uganda the contraceptive prevalence is low at 30% and less than 4% of women rely on long acting reversible contraceptives. Aim: We aimed to explore post-abortion women’s perceptions of using of long acting reversible contraception (LARC). Methods: A qualitative research design was used for data collection and analysis. Thirty in-depth interviews with post abortion women in Mulago hospital were carried out using an interview guide. Interviews were transcribed and coded using nodes and subsequently through query, we derived themes. Results: Emergent themes regarding women perceptions of using LARC methods were myths and misinformation, fear of side effects, women’s lived experiences, relatives’ influence, health providers’ perceptions, lack of knowledge and women desire for spacing children for a long time. Conclusion and recommendations: The majority of women were skeptical about using LARC. There is a need to educate women to dispel myths, misinformation and quality counseling to address the benefits and side effects of LARC. There is also a need to revamp the knowledge and skills of the healthcare providers regarding LARC methods.
机译：背景：低收入国家发生的所有怀孕中约有三分之一是意外的。据估计，乌干达每年发生120万例意外怀孕。大多数意外怀孕都以不安全的流产而告终，这是造成孕产妇死亡的五种直接原因之一。与流产有关的并发症占乌干达所有孕产妇死亡的26％。如果妇女适当地使用避孕药来避免意外怀孕，则可以避免流产并发症。但是，在乌干达，避孕普及率很低，只有30％，而不到4％的女性依靠长效可逆避孕药。目的：我们旨在探讨堕胎后妇女对使用长效可逆避孕（LARC）的看法。方法：采用定性研究设计进行数据收集和分析。使用访谈指南对穆拉戈医院的流产后妇女进行了30次深度访谈。访谈是使用节点进行转录和编码的，随后通过查询，我们得出了主题。结果：与妇女对使用LARC方法的看法有关的新兴主题包括神话和错误信息，对副作用的恐惧，妇女的生活经历，亲戚的影响，卫生保健提供者的看法，缺乏知识以及妇女渴望长时间生育孩子。结论和建议：大多数女性对使用LARC持怀疑态度。有必要教育妇女消除神话，错误信息和质量咨询，以解决拉丁美洲和加勒比地区的好处和副作用。还需要改进医疗保健提供者关于LARC方法的知识和技能。

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