Why Do Women Present Late for Abortion?

SSPSSR Cornwallis NE, University of Kent, UK.
Best practice & research. Clinical obstetrics & gynaecology (Impact Factor: 1.92). 03/2010; 24(4):479-89. DOI: 10.1016/j.bpobgyn.2010.02.005
Source: PubMed


This article summarises the findings of studies relating to why women present for abortion at gestations of more than 12 weeks. Its primary focus is on British experience, but relevant studies from other countries are described. Key findings reveal that there are many different reasons. Much of the delay occurs prior to women requesting an abortion; other key issues include women's concerns about what is involved in having the abortion and aspects of relationships with their partners and/or parents. Further, after requesting an abortion, delays are partly 'service-related' - for example, waiting for appointments - and partly 'woman-related' for example, missing or cancelling appointments. The relative contributions to the delay of these various factors are discussed. The implications of the research for abortion education and service provision are considered. Abortion for reasons linked to foetal abnormality is not covered in this article.

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    • "According to one study, the mortality from abortions rises exponentially by 38% for each additional week of gestation beyond 8 weeks.[10] Some of the causes for second-trimester abortions have been highlighted earlier;[671112] they include difficulty in early recognition of pregnancy and logistic delays, the latter being partly woman-related and partly service-related.[13] However, whether factors such as age, parity, education, employment, income and religion influence the timing for presentation for abortion is not well documented. "
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    ABSTRACT: to describe women's experiences of an abortion in the second trimester. qualitative design using semi-structured interviews. six women were interviewed after a second trimester abortion. the women were interviewed in person after they were discharged from the hospital. Interviews were recorded, transcribed, and then analysed using qualitative content analysis. four categories were identified: to consider and accept the decision; to lack understanding about the abortion procedure; to be in need of support and information; to have memories for life. Findings show that information and support during the whole abortion process is important. Women found it difficult to make the decision and going through abortion left memories for life. information and support is of great importance for women in this vulnerable situation. The need for further support points out the need to have follow-up contacts with women after an induced second trimester abortion.
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