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"Who Wants to Go Repeatedly to the Hospital?": Perceptions and Experiences of Simplified Medical Abortion in Rajasthan, India
Karolinska Univ Hosp, Stockholm, Sweden;Act Res & Training Hlth, Udaipur, Rajasthan, India.
Karolinska Univ Hosp, Stockholm, Sweden;Dalarna Univ, Falun, Sweden.
Act Res & Training Hlth, Udaipur, Rajasthan, India.
Karolinska Univ Hosp, Stockholm, Sweden.
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2016 (English)In: Global qualitative nursing research, ISSN 2333-3936, Vol. 3, article id 2333393616683073Article in journal (Refereed) Published
Abstract [en]

The aim of this study is to explore women's experiences and perceptions of home use of misoprostol and of the self-assessment of the outcome of early medical abortion in a low-resource setting in India. In-depth interviews were conducted with 20 women seeking early medical abortion, who administered misoprostol at home and assessed their own outcome of abortion using a low-sensitivity pregnancy test. With home use of misoprostol, women were able to avoid inconvenience of travel, child care, and housework, and maintain confidentiality. The use of a low-sensitivity pregnancy test alleviated women's anxieties about retained products. Majority said they would prefer medical abortion involving a single visit in future. This study provides nuanced understanding of how women manage a simplified medical abortion in the context of low literacy and limited communication facilities. Service delivery guidelines should be revised to allow women to have medical abortion with fewer visits.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS INC , 2016. Vol. 3, article id 2333393616683073
Keywords [en]
self-care, abortion, reproduction, primary, health care, remote, rural, access to, India, low resource setting
National Category
Public Health, Global Health, Social Medicine and Epidemiology Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-400174DOI: 10.1177/2333393616683073ISI: 000436679300042PubMedID: 28462355OAI: oai:DiVA.org:uu-400174DiVA, id: diva2:1380847
Available from: 2019-12-19 Created: 2019-12-19 Last updated: 2019-12-19Bibliographically approved

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