At the time of the fresh 2012 legal changes, most countries for the Latin America plus the Caribbean banned abortion completely or let they towards narrow factor. Simply a few jurisdictions in your community, and Cuba, Guyana, and you will Mexico Town, welcome abortion versus restrict concerning need; Uruguay’s laws was hence an upfront towards region [12, 13]. In the first couple of years of your own law, 15,996 abortion features was in fact offered from the Uruguayan wellness program .
Once the utilization of the latest abortion laws from inside the Uruguay could have been lauded, barriers in order to secure abortion care and attention persist [4, 9, 14]. Including barriers include abortion-relevant stigma. Abortion stigma can be defined as a contributed comprehending that abortion are fairly incorrect and you can/otherwise socially inappropriate so when “a good ?negative feature ascribed in order to women who attempt to terminate a pregnancy that scratches him or her, inside the house otherwise on the outside, just like the inferior compared to ideals off womanhood” . The desired wishing period, obligatory counseling, and you can diligent objection get perpetuate stigma otherwise slow down quick accessibility worry [9, 10, 17]. Additionally, the latest “repeat abortion prevention policy” observed in the CHPR, which produces post-abortion birth-control , could also enjoys inadvertently lead to abortion stigma on women who have more than simply that abortion. Hoggart mais aussi al. believe making reference to “repeat” abortion “carries connotations away from ‘repeat offender’, suggests a cycle regarding frequent high-risk sexual and you may birth-control behaviour and you can off maybe not kaunein Sveitsin tyttГ¶ seksikГ¤s understanding away from earlier in the day mistakes” . The fresh new stigma with the abortion is subscribe secrecy, public separation, anxieties from judgement, and feelings away from guilt or shame certainly one of women that look for abortion around the globe; it may trigger delays so you can worry otherwise bad fitness outcomes, and may worsen almost every other traps knowledgeable of the women trying to safe abortion properties [4, fifteen, 16, 20, 21].
Following utilization of the newest 2012 rules, sexual and you may reproductive wellness groups (“SRH communities”) was educated of the Iniciativas Sanitarias at the public, government-work on establishment to add legal abortion qualities nationwide, that have statutes mandating therapy abortion given that standard strategy
This study aimed to assess knowledge looking to abortion qualities, perceptions from stigma, thinking toward abortion, and you can knowledge of this new abortion law certainly women that sought abortion proper care pursuing the utilization of courtroom earliest-trimester abortion when you look at the Uruguay.
Methods
I used a cross-sectional detailed analysis, meeting qualitative and you will decimal investigation out of feminine and you can providers. So it paper gifts quantitative survey data that were collected between ong women who acquired abortion services during the CHPR hospital in Montevideo. Almost half of Uruguay’s population of approximately step three.dos million stays in Montevideo , while the CHPR was chosen because web site to have analysis range since it is the greatest ladies’ health in the united kingdom-providing the large number of abortion characteristics regarding people facility . I examined quantitative and you can qualitative study alone; brand new qualitative findings out of this data are composed in other places and they are referenced through the it paper .
Feminine was in fact hired towards the studies due to benefits testing just before introducing the third away from four mandated check outs; a medical facility employee competed in research employment allowed qualified feminine to join and provide their contact details in the event that interested. The analysis group then contacted such women so you’re able to plan interview, that have been accomplished following 4th head to. Feminine was in fact qualified to receive the research whenever they was indeed 18 ages of age or old, talked Foreign-language, together with done the abortion attributes at the using hospital. A trained interviewer given the brand new survey when you look at the-member of a private place on medical center once new fourth visit, otherwise by the telephone immediately easier into customer. Instantaneously ahead of establishing brand new survey, people provided spoken concur plus the told concur setting is closed because of the interviewer. Brand new survey is complete by the interviewer on a digital pill utilizing the safer, on the internet program SurveyMonkey (SurveyMonkey Inc., Palo Alto, Ca, USA).
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