Adult Health Nursing

Permanent URI for this collection

http://etd.aau.edu.et/handle/123456789/85

Browse

Browsing Adult Health Nursing by Subject "Abortion"

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Prevalence Of Depression and its Associated Factor Among Women Undergoing Abortion in Addis Ababa Selected Public Health Facilities, Ethiopia, 2025
    (Addis Ababa University, 2025-06-16) Feruza Shamil; Leul Deribe; Addishiwot Fantahun; Semaria Berhe
    Background: Abortion is defined as the loss of an intrauterine pregnancy before fetal viability. Depression is one of the most prevalent mental health issues among women who experience an abortion. Regardless of whether they are from high-income or low-income countries, post-abortion depression poses a significant public health concern, as it adversely affects women's mental well-being and overall health. Objective: To assess the prevalence of depression and associated factors among women undergoing abortion in Addis Ababa selected public health facility of, Ethiopia, 2025 Method: A facility-based cross-sectional study was conducted between March 01 to April 15, 2025. A total of 422 women seeking abortion services were selected through consecutive sampling. Stratified random sampling was employed to select health facilities, followed by simple random sampling within each facility, with proportional allocation based on facility size. Data were collected via telephone interviews using Kobo-Toolbox, and depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). The EPDS was pre-tested at Tikur Anbessa Specialized Hospital on 21 women or 5% of the sample. Data analysis was performed using SPSS version 25, with descriptive statistics and logistic regression to identify factors associated with depression. Result: Of the 422 women approached, 409 (96.9%) completed the interview successfully. The positive depression screening (EPDS score ≥ 13) was 39.9%, with 163 participants scoring 13 or higher. Multivariate analysis identified significant factors associated with depression, including educational level, relationship duration, type of abortion procedure, recurrent pregnancy loss, intimate partner violence, pregnancy intention, and levels of social support. Conclusion and Recommendation: This study result revealed two in five women were found to likely have depression. These findings highlight the need to screen women after abortion for depression and integrate mental health services into post-abortion care.
  • No Thumbnail Available
    Item
    The Prevalence and Contributing Factors of Grief in Women Experiencing Abortion in Selected Public Hospitals
    (Addis Ababa University, 2025-06-11) Tsion Bewketu; Leul Deribe; Niguse Tadele
    Background: Grief, a common emotional response to loss, is linked to negative psychological effects, and higher gestational age and decisional conflict can lead to greater pain after termination. This study aimed to address several critical gaps in current research. There is limited understanding of the emotional impact of abortion, particularly grief, which remains underexplored in existing literature. Objective: To assess the prevalence and contributing factors of grief in women experiencing abortion in selected public hospitals in Addis Ababa, Ethiopia, 2025. Methods: A cross-sectional study design was used to assess the prevalence and contributing factors of grief in women experiencing abortion. A total sample size of 422 participants was selected through a simple random sampling method from public hospitals in Addis Ababa, Ethiopia. Data collection occurred from January to March 2025. Face-to-face interviews were conducted, and data analysis was performed using SPSS version 26, applying bi-variable and multivariable binary logistic regression to identify contributing factors associated with grief. Result: The PGS-33 was used to assess grief severity, with a significant proportion scoring above the clinical cutoff. The study found a significant difference in grief scores across educational status groups. Lower support was associated with higher grief severity. Pregnancy-related factors also contributed to grief symptoms. Conclusion: The study reveals that 76% of the participants experience severe grief, with sociodemographic factors contributing to higher levels. Support systems can reduce grief severity. Recommendation: Healthcare providers should screen for grief symptoms, provide psychological support, and provide clear referrals to specialized services. Community-level informational materials and collaboration with religious leaders can manage grief. National guidelines should integrate grief training.