Reasons and Lived Experiences of Women who Undergone Repeat Induced Abortion, in Wolaita Sodo Town,Wolaita Zone ,Southern Ethiopia,2021.

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Date

2021-06

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Addis Ababa University

Abstract

Background: Induced abortion is surgical or medical termination of a live fetus that hasnot reached viability. Repeat induced abortion refers to a condition in which a woman has at least one previous history of induced pregnancy termination. It bound in a vicious cycle with repeat unintended or unplanned pregnancy and remains rising concern in the international community, particularly for developing countries. Repeat induced abortion is commonly associated with contraceptive type a woman use, that is not well suited to her status. If it is not corrected after a first abortion, the risk of having repeat abortions will increase. Objectives: This study was aimed to explore and describe the reasons of women,who undergo repeat induced abortion; in Wolaita Sodo town, Wolaita zone, SouthernEthiopia. Methods: A qualitative phenomenological study approach was conducted from February 15 up to March 22, 2021 among women in Wolaita Sodo town. Women between 17 and 35 years old, who had been repeat induced abortion seekers and used to live in Wolaita Sodo town were selected using purposive sampling. The investigator conducted the interviews by using semi-structured interview guide through In-Depth interview data collection method. Data were audio recorded, transcribed verbatim and translated in to English and at the end imported to ATLAS.ti 8 software for coding. Analysis was done deductively. Code book development, peer debriefing, multiple coders and audit trials were applied to maintain rigor of the data. Result: The findings revealed reasons of repeat induced abortion among women at maternal, partner and family, healthcare and educational institution, community and policy level. It also explored effects of abortion and unwanted pregnancy in the women's perspectives. Economic problem, fear ofcontraceptive side effects and desire to limit number of children were repetitively mentioned reasons. Conclusion: Study revealed multiple reasons for repeat induced abortion in holistic manner; and presented key emotional and physical effects of abortion and unintended pregnancy. Recommendations: multistage interventions at individual,family, community, institutions and policy level are suggested to prevent the problem.

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Keywords

Repeat induced abortion, Reasons, Contraceptive use, Women, Ethiopia.

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