Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls

Background: Despite the implementation of a safe motherhood program in many countries, unsafe abortion continues to be a matter of reproductive health. Thus, urgent efforts to make abortion legal and safe have been recommended in developing countries. The present study was done to determine the know...

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Main Authors: Shabnam Bazmi, Mehrzad Kiani, Mahdieh Saidi, Forouzan Akrami
Format: Article
Language:English
Published: Shaheed Beheshti University of Medical Sciences 2021-03-01
Series:International Journal of Medical Toxicology and Forensic Medicine
Subjects:
Online Access:https://journals.sbmu.ac.ir/ijmtfm/article/view/31958
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author Shabnam Bazmi
Mehrzad Kiani
Mahdieh Saidi
Forouzan Akrami
author_facet Shabnam Bazmi
Mehrzad Kiani
Mahdieh Saidi
Forouzan Akrami
author_sort Shabnam Bazmi
collection DOAJ
description Background: Despite the implementation of a safe motherhood program in many countries, unsafe abortion continues to be a matter of reproductive health. Thus, urgent efforts to make abortion legal and safe have been recommended in developing countries. The present study was done to determine the knowledge of midwives and obstetricians about the therapeutic abortion law as well as their attitude about the ethical pitfalls.Methods: In this descriptive knowledge and attitude study, a researcher-made questionnaire was used to gather data, after estimating the appropriate Cronbach’s Alpha coefficient. A total of 162 midwives and obstetricians working in public and private medical centers affiliated to Shahid Beheshti University of Medical Sciences in 2018 were included in the study by convenience sampling method.Results: According to the results, 9.3% of participants had a low level, 72.8% had a moderate level, and only 17.9% had a good level of knowledge. The total mean score of knowledge was 7.17±1.7. The mean score of knowledge in the group of obstetricians (7.60±1.74) was significantly higher than midwives (6.94±1.54), (t=2.29, P=0.024). There was a significant correlation between participants’ age and their knowledge (r=0.912, P=0.001). Also, 47.53% of the participants believed that the therapeutic abortion law has some pitfalls. The most frequent attitude was about the restriction of the therapeutic law up to 19 weeks for fetal indications.Conclusion: The level of participants’ knowledge was low to moderate. The findings indicated the need for training the professional standards related to prenatal genetic screening and therapeutic abortion.
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spelling doaj.art-b4467edd52ad4b72beae027a544807502022-12-21T22:42:49ZengShaheed Beheshti University of Medical SciencesInternational Journal of Medical Toxicology and Forensic Medicine2251-87622251-87702021-03-0111131958https://doi.org/10.32598/ijmtfm.v11i.31958Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical PitfallsShabnam Bazmi0Mehrzad Kiani1Mahdieh Saidi2Forouzan Akrami3Department of Medical Ethics, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Medical Ethics, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mental Health Research Center, Psychosocial Health Research Institue, Iran University of Medical Sciences, Tehran, Iran.Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Background: Despite the implementation of a safe motherhood program in many countries, unsafe abortion continues to be a matter of reproductive health. Thus, urgent efforts to make abortion legal and safe have been recommended in developing countries. The present study was done to determine the knowledge of midwives and obstetricians about the therapeutic abortion law as well as their attitude about the ethical pitfalls.Methods: In this descriptive knowledge and attitude study, a researcher-made questionnaire was used to gather data, after estimating the appropriate Cronbach’s Alpha coefficient. A total of 162 midwives and obstetricians working in public and private medical centers affiliated to Shahid Beheshti University of Medical Sciences in 2018 were included in the study by convenience sampling method.Results: According to the results, 9.3% of participants had a low level, 72.8% had a moderate level, and only 17.9% had a good level of knowledge. The total mean score of knowledge was 7.17±1.7. The mean score of knowledge in the group of obstetricians (7.60±1.74) was significantly higher than midwives (6.94±1.54), (t=2.29, P=0.024). There was a significant correlation between participants’ age and their knowledge (r=0.912, P=0.001). Also, 47.53% of the participants believed that the therapeutic abortion law has some pitfalls. The most frequent attitude was about the restriction of the therapeutic law up to 19 weeks for fetal indications.Conclusion: The level of participants’ knowledge was low to moderate. The findings indicated the need for training the professional standards related to prenatal genetic screening and therapeutic abortion.https://journals.sbmu.ac.ir/ijmtfm/article/view/31958professional ethicsabortionlawmidwivesobstetricians
spellingShingle Shabnam Bazmi
Mehrzad Kiani
Mahdieh Saidi
Forouzan Akrami
Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls
International Journal of Medical Toxicology and Forensic Medicine
professional ethics
abortion
law
midwives
obstetricians
title Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls
title_full Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls
title_fullStr Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls
title_full_unstemmed Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls
title_short Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls
title_sort knowledge and attitude of midwives and obstetricians towards therapeutic abortion law and its ethical pitfalls
topic professional ethics
abortion
law
midwives
obstetricians
url https://journals.sbmu.ac.ir/ijmtfm/article/view/31958
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AT mahdiehsaidi knowledgeandattitudeofmidwivesandobstetricianstowardstherapeuticabortionlawanditsethicalpitfalls
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