Determination of the Opinions in Women Admitted to Gynecology Polyclinic on Abortion

Abstract

Objective: The aim of this study was to determine the thoughts of women who applied to the gynecology outpatient clinic of a university hospital. Methods: This study included a total of 192 women, who sought medical treatment at gynecology outpatient clinic in Marmara Region a training and research hospital. Relationship seeker descriptive model was used as the method of the study. The data were collected through face-to-face interviews with a 25-item question-naire prepared by the researchers in line with the literature. These were entered into IBM SPSS program and the results were obtained in percentages. Results: In this study, it was determined that 38.5% of women had abortions, 52.9% of them had an abortion due to unplanned pregnancy, and 47.1% had an abortion due to medical needs. 67.1% of the women stated that they felt psychologically bad after abortion and 86.5% of the women who had an abortion stated that they should get psychological support. When the obstacles in front of women's abortion decision are examined, it was seen that religious beliefs (23.8%), economic situation (18.5%), spouse (12.5%) and families (5.3%) were effective. While 40% of women wanted abortion to be banned, 37.5% of them were found to oppose this ban. Conclusion: It is seen that half of the women did not agree on the prohibition of abortion, while similar proportion of women opposed this ban. It was determined that the emotions experienced after the abortion threaten the physical and psychological health of women. It is recommended that midwives and nurses focus on the psychological needs of women as well as their physical needs in counseling services for women who will have abortion.Abortion is a diagnosis and treatment method used in the diagnosis of uterine malignancy, control of dysfunctional uterine bleeding, treatment of incomplete abortions, therapeutic abortions, and evaluation of infertility. Around 25 million unsafe abortions occur each year in developing countries.In addition, it is stated that between 4.7% and 13.2% of the causes of maternal death each year are unsafe abortions. At the same time, death or disability related to abortion; states that sexuality education, effective use of birth control methods, not prohibiting abortion and preventing complications can be prevented. While most of the discussions about abortion focus on the woman’s body or the child’s right to life, women’s thoughts are put in the background. It is very important that midwives and nurses, who have a consultancy role in taking the abortion decision, are with the woman in the decision to be taken by the woman and explain the abortion to the woman in all aspects. This study was carried out in order to reflect the thoughts of women who are the main interlocutors of the subject, and to determine the thoughts of women on abortion. This study was designed and conducted based in a simple descriptive manner that determining of the opinions in women admitted to gynecology polyclinic on abortion. The study was designed for determining the women in the age range of 18-65 years, who were enrolled in a gynecology polyclinic on abortion. The population of the study consisted of 200 women who were enrolled in the gynecology outpatient clinic of a training and research hospital in the Marmara Region between January 2 and February 2, 2014. However, the sample group consisted of 192 women. A survey form prepared by the researchers was used as data collection tool. After determining that women in the age range of 18-65 years, who were registered in gynecology outpatient clinic of a training and research hospital in the Marmara Region would participate in the study, the data were collected one by one from the system of the aforementioned unit. In preparing a database and analysis, IBM SPSS (Statis-tical Package for Social Sciences) 23.0 Windows package program was used. The results were evaluated at a confidence interval of 95% and a significance level of p <.05. Descriptive statistical methods (mean, standard deviation, median, frequency, percentage, minimum, maximum) were used while evaluating the study data. Chi-square and Fisher Exact test were used as the significance test. The ethical approval required for conducting the study was obtained from the Clinical Researches Ethics Committee of the İstanbul Training and Research Hospital. The study was conducted under the principles of the Declaration of Helsinki. Written permissions were also obtained from institutions. Verbal consent of women who agreed to participate in the study was obtained. When the educational status of the women participating in the research was examined; It was determined that 52.6% were elementary and below and 47.4% were high school and above. It was determined that 58.9% of women were housewives. It has been determined that 52.1% of the total monthly Income and expense of the family is equal. Of the women who participated in the study, 62.5% were using a family planning method. Among the family planning methods used, it was determined that RIA was used at the highest rate (32.5%). Among the family planning methods used, it was determined that 21.6% family condom was used. It was determined that there was a statistically significant difference was found between educational status, employment status, number of children, marital status and abortion status (p <.05). And it was determined that there was no statistically significant difference between spouse’s educational status, economic status, and family planning and abortion status were compared. It was found that abortion could be approved in cases where the life of the woman is in danger (38.1%), in case of conception after rape (22.5%), in case the baby is likely to be born with an anomaly (16.3%), in case the woman cannot be married (12.6%), the couple does not want more children (6.8%). It was found that 53.6% of the participants stated that they prefer to have abortion in public hospitals, and 40.1% of them stated that abortion should be banned. After the abortion, 44.8% stated that it bothered them to know other people, and 94.3% stated that they received information from the health personnel when it was decided to have an abortion. Abortion is a practice that affects women’s health physically and psychologically in the prevention of pregnancies. The women stated that abortion was not used as a family planning method and that they had an abortion due to an unplanned pregnancy. A significant difference was found between the number of children and the status of having an abortion, as the level of education decreased. © 2022, AVES. All rights reserved.