Delays in seeking an abortion until the second trimester: a qualitative study in South Africa

<p>Abstract</p> <p>Background</p> <p>Despite changes to the South African abortion legislation in 1996, barriers to women accessing abortions still exist. Second trimester abortions, an inherently more risky procedure, continue to be 20% of all abortions. Understanding...

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Main Authors: Gabriel Mosotho, Orner Phyllis, Harries Jane, Mitchell Ellen
Format: Article
Language:English
Published: BMC 2007-09-01
Series:Reproductive Health
Online Access:http://www.reproductive-health-journal.com/content/4/1/7
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author Gabriel Mosotho
Orner Phyllis
Harries Jane
Mitchell Ellen
author_facet Gabriel Mosotho
Orner Phyllis
Harries Jane
Mitchell Ellen
author_sort Gabriel Mosotho
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Despite changes to the South African abortion legislation in 1996, barriers to women accessing abortions still exist. Second trimester abortions, an inherently more risky procedure, continue to be 20% of all abortions. Understanding the reasons why women delay seeking an abortion until the second trimester is important for informing interventions to reduce the proportion of second trimester abortions in South Africa.</p> <p>Methods</p> <p>Qualitative research methods were used to collect data. Twenty-seven in-depth interviews were conducted in 2006 with women seeking a second trimester abortion at one public sector tertiary hospital and two NGO health care facilities in the greater Cape Town area, South Africa. Data were analysed using a grounded theory approach.</p> <p>Results</p> <p>Almost all women described multiple and interrelated factors that influenced the timing of seeking an abortion. Reasons why women delayed seeking an abortion were complex and were linked to changes in personal circumstances often leading to indecision, delays in detecting a pregnancy and health service related barriers that hindered access to abortion services.</p> <p>Conclusion</p> <p>Understanding the complex reasons why women delay seeking an abortion until the second trimester can inform health care interventions aimed at reducing the proportion of second trimester abortions in South Africa.</p>
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spelling doaj.art-22fd1b501cc5452585511842d79a22122022-12-22T03:26:23ZengBMCReproductive Health1742-47552007-09-0141710.1186/1742-4755-4-7Delays in seeking an abortion until the second trimester: a qualitative study in South AfricaGabriel MosothoOrner PhyllisHarries JaneMitchell Ellen<p>Abstract</p> <p>Background</p> <p>Despite changes to the South African abortion legislation in 1996, barriers to women accessing abortions still exist. Second trimester abortions, an inherently more risky procedure, continue to be 20% of all abortions. Understanding the reasons why women delay seeking an abortion until the second trimester is important for informing interventions to reduce the proportion of second trimester abortions in South Africa.</p> <p>Methods</p> <p>Qualitative research methods were used to collect data. Twenty-seven in-depth interviews were conducted in 2006 with women seeking a second trimester abortion at one public sector tertiary hospital and two NGO health care facilities in the greater Cape Town area, South Africa. Data were analysed using a grounded theory approach.</p> <p>Results</p> <p>Almost all women described multiple and interrelated factors that influenced the timing of seeking an abortion. Reasons why women delayed seeking an abortion were complex and were linked to changes in personal circumstances often leading to indecision, delays in detecting a pregnancy and health service related barriers that hindered access to abortion services.</p> <p>Conclusion</p> <p>Understanding the complex reasons why women delay seeking an abortion until the second trimester can inform health care interventions aimed at reducing the proportion of second trimester abortions in South Africa.</p>http://www.reproductive-health-journal.com/content/4/1/7
spellingShingle Gabriel Mosotho
Orner Phyllis
Harries Jane
Mitchell Ellen
Delays in seeking an abortion until the second trimester: a qualitative study in South Africa
Reproductive Health
title Delays in seeking an abortion until the second trimester: a qualitative study in South Africa
title_full Delays in seeking an abortion until the second trimester: a qualitative study in South Africa
title_fullStr Delays in seeking an abortion until the second trimester: a qualitative study in South Africa
title_full_unstemmed Delays in seeking an abortion until the second trimester: a qualitative study in South Africa
title_short Delays in seeking an abortion until the second trimester: a qualitative study in South Africa
title_sort delays in seeking an abortion until the second trimester a qualitative study in south africa
url http://www.reproductive-health-journal.com/content/4/1/7
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AT harriesjane delaysinseekinganabortionuntilthesecondtrimesteraqualitativestudyinsouthafrica
AT mitchellellen delaysinseekinganabortionuntilthesecondtrimesteraqualitativestudyinsouthafrica