10 research outputs found
Additional file 2: of WomenĆ¢ĀĀs experiences seeking informal sector abortion services in Cape Town, South Africa: a descriptive study
Survey Instrument. This is the survey instrument used to survey participants. (PDF 450ĆĀ kb
Additional file 1: of Ć¢ĀĀHow shall we surviveĆ¢ĀĀ: a qualitative study of womenĆ¢ĀĀs experiences following denial of menstrual regulation (MR) services in Bangladesh
Interview Guide. (PDF 335kb
Characteristics of Women with Hypovolemic Shock Secondary to Obstetric Hemorrhage at Time of Study Entry, Nigeria (nā=ā1,149).
Ī“<p>N<sup>o</sup> women survived: 890, N<sup>o</sup> women died: 183; <b><sup>Ļ</sup></b>N<sup>o</sup> women survived: 875, N<sup>o</sup> women died: 189; <b><sup>ā¬</sup></b>N<sup>o</sup> women survived: 487, N<sup>o</sup> women died: 91; <b><sup>Ā£</sup></b>N<sup>o</sup> women survived: 887, N<sup>o</sup> women died: 155; <sup>Ļ</sup>N<sup>o</sup> women survived:942, N<sup>o</sup> women died:198; <b><sup>Ā„</sup></b>N<sup>o</sup> women survived: 937, N<sup>o</sup> women died: 193; <b><sup>ā</sup></b> N<sup>o</sup> women survived: 679, N<sup>o</sup> women died: 111; <b><sup>Āµ</sup></b> N<sup>o</sup> women survived: 624, N<sup>o</sup> women died: 103; <b><sup>Ī±</sup></b> N<sup>o</sup> women survived: 442, N<sup>o</sup> women died: 73; <b><sup>Ī²</sup></b> N<sup>o</sup> women survived: 596, N<sup>o</sup> women died: 104; <b><sup>Ļ</sup></b> N<sup>o</sup> women survived: 627, N<sup>o</sup> women died: 104; <b><sup>Ļ</sup></b> N<sup>o</sup> women survived: 586, N<sup>o</sup> women died: 109; <b><sup>Ļ</sup></b> N<sup>o</sup> women survived: 847, N<sup>o</sup> women died: 173; <b><sup></sup></b> N<sup>o</sup> women survived: 848, N<sup>o</sup> women died: 141; <b><sup></sup></b> N<sup>o</sup> women survived: 273, N<sup>o</sup> women died: 43.</p
Odds Ratios for Death by Selected Participant Characteristics, Unadjusted and Adjusted for Treatment Receipt, Nigeria (nā=ā1,149).
<p><i>Note: adjusted analyses controlled for treatment variables: any blood transfusion and any IV fluid receipt.</i></p
Reasons for denial of abortion by gestational age at time of abortion seeking.
Reasons for denial of abortion by gestational age at time of abortion seeking.</p
Denial of abortion by legal status.
IntroductionIn Nepal, abortion is legal on request through 12 weeks of pregnancy and up to 28 weeks for health and other reasons. Abortion is available at public facilities at no cost and by trained private providers. Yet, over half of abortions are provided outside this legal system. We sought to investigate the extent to which patients are denied an abortion at clinics legally able to provide services and factors associated with presenting late for care, being denied, and receiving an abortion after being denied.MethodsWe used data from a prospective longitudinal study with 1835 women aged 15ā45. Between April 2019 and December 2020, we recruited 1,835 women seeking abortions at 22 sites across Nepal, including those seeking care at any gestational age (n = 537) and then only those seeking care at or after 10 weeks of gestation or do not know their gestational age (n = 1,298). We conducted interviewer-led surveys with these women at the time they were seeking abortion service (n = 1,835), at six weeks after abortion-seeking (n = 1523) and six-month intervals for three years. Using descriptive and multivariable logistic regression models, we examined factors associated with presenting for abortion before versus after 10 weeks gestation, with receiving versus being denied an abortion, and with continuing the pregnancy after being denied care. We also described reasons for the denial of care and how and where participants sought abortion care subsequent to being denied. Mixed-effects models was used to accounting clustering effect at the facility level.ResultsAmong those recruited when eligibility included seeking abortion at any gestational age, four in ten women sought abortion care beyond 10 weeks or did not know their gestation and just over one in ten was denied care. Of the full sample, 73% were at or beyond 10 weeks gestation, 44% were denied care, and 60% of those denied continued to seek care after denial. Nearly three-quarters of those denied care were legally eligible for abortion, based on their gestation and pre-existing conditions. Women with lower socioeconomic status, including those who were younger, less educated, and less wealthy, were more likely to present later for abortion, more likely to be turned away, and more likely to continue the pregnancy after denial of care.ConclusionDenial of legal abortion care in Nepal is common, particularly among those with fewer resources. The majority of those denied in the sample should have been able to obtain care according to Nepalās abortion law. Abortion denial could have significant potential implications for the health and well-being of women and their families in Nepal.</div
Characteristics of women seeking abortion by gestational age among those who completed the baseline survey.
Characteristics of women seeking abortion by gestational age among those who completed the baseline survey.</p
Reasons for abortion by gestational age at time of abortion seeking.
Reasons for abortion by gestational age at time of abortion seeking.</p
Predictors of denial of abortion and of carrying the pregnancy to term among women over 10 weeks of pregnancy.
Predictors of denial of abortion and of carrying the pregnancy to term among women over 10 weeks of pregnancy.</p