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Medical students are afraid to include abortion in their future practices: in-depth interviews in Maharastra, India
BACKGROUND: Unsafe abortions are estimated to cause eight per-cent of maternal mortality in India. Lack of providers, especially in rural areas, is one reason unsafe abortions take place despite decades of legal abortion. Education and training in reproductive health services has been shown to influ...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4710021/ https://www.ncbi.nlm.nih.gov/pubmed/26758763 http://dx.doi.org/10.1186/s12909-016-0532-5 |
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author | Sjöström, Susanne Essén, Birgitta Gemzell-Danielsson, Kristina Klingberg-Allvin, Marie |
author_facet | Sjöström, Susanne Essén, Birgitta Gemzell-Danielsson, Kristina Klingberg-Allvin, Marie |
author_sort | Sjöström, Susanne |
collection | PubMed |
description | BACKGROUND: Unsafe abortions are estimated to cause eight per-cent of maternal mortality in India. Lack of providers, especially in rural areas, is one reason unsafe abortions take place despite decades of legal abortion. Education and training in reproductive health services has been shown to influence attitudes and increase chances that medical students will provide abortion care services in their future practice. To further explore previous findings about poor attitudes toward abortion among medical students in Maharastra, India, we conducted in-depth interviews with medical students in their final year of education. METHOD: We used a qualitative design conducting in-depth interviews with twenty-three medical students in Maharastra applying a topic guide. Data was organized using thematic analysis with an inductive approach. RESULTS: The participants described a fear to provide abortion in their future practice. They lacked understanding of the law and confused the legal regulation of abortion with the law governing gender biased sex selection, and concluded that abortion is illegal in Maharastra. The interviewed medical students’ attitudes were supported by their experiences and perceptions from the clinical setting as well as traditions and norms in society. Medical abortion using mifepristone and misoprostol was believed to be unsafe and prohibited in Maharastra. The students perceived that nurse-midwives were knowledgeable in Sexual and Reproductive Health and many found that they could be trained to perform abortions in the future. CONCLUSIONS: To increase chances that medical students in Maharastra will perform abortion care services in their future practice, it is important to strengthen their confidence and knowledge through improved medical education including value clarification and clinical training. |
format | Online Article Text |
id | pubmed-4710021 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47100212016-01-13 Medical students are afraid to include abortion in their future practices: in-depth interviews in Maharastra, India Sjöström, Susanne Essén, Birgitta Gemzell-Danielsson, Kristina Klingberg-Allvin, Marie BMC Med Educ Research Article BACKGROUND: Unsafe abortions are estimated to cause eight per-cent of maternal mortality in India. Lack of providers, especially in rural areas, is one reason unsafe abortions take place despite decades of legal abortion. Education and training in reproductive health services has been shown to influence attitudes and increase chances that medical students will provide abortion care services in their future practice. To further explore previous findings about poor attitudes toward abortion among medical students in Maharastra, India, we conducted in-depth interviews with medical students in their final year of education. METHOD: We used a qualitative design conducting in-depth interviews with twenty-three medical students in Maharastra applying a topic guide. Data was organized using thematic analysis with an inductive approach. RESULTS: The participants described a fear to provide abortion in their future practice. They lacked understanding of the law and confused the legal regulation of abortion with the law governing gender biased sex selection, and concluded that abortion is illegal in Maharastra. The interviewed medical students’ attitudes were supported by their experiences and perceptions from the clinical setting as well as traditions and norms in society. Medical abortion using mifepristone and misoprostol was believed to be unsafe and prohibited in Maharastra. The students perceived that nurse-midwives were knowledgeable in Sexual and Reproductive Health and many found that they could be trained to perform abortions in the future. CONCLUSIONS: To increase chances that medical students in Maharastra will perform abortion care services in their future practice, it is important to strengthen their confidence and knowledge through improved medical education including value clarification and clinical training. BioMed Central 2016-01-12 /pmc/articles/PMC4710021/ /pubmed/26758763 http://dx.doi.org/10.1186/s12909-016-0532-5 Text en © Sjöström et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Sjöström, Susanne Essén, Birgitta Gemzell-Danielsson, Kristina Klingberg-Allvin, Marie Medical students are afraid to include abortion in their future practices: in-depth interviews in Maharastra, India |
title | Medical students are afraid to include abortion in their future practices: in-depth interviews in Maharastra, India |
title_full | Medical students are afraid to include abortion in their future practices: in-depth interviews in Maharastra, India |
title_fullStr | Medical students are afraid to include abortion in their future practices: in-depth interviews in Maharastra, India |
title_full_unstemmed | Medical students are afraid to include abortion in their future practices: in-depth interviews in Maharastra, India |
title_short | Medical students are afraid to include abortion in their future practices: in-depth interviews in Maharastra, India |
title_sort | medical students are afraid to include abortion in their future practices: in-depth interviews in maharastra, india |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4710021/ https://www.ncbi.nlm.nih.gov/pubmed/26758763 http://dx.doi.org/10.1186/s12909-016-0532-5 |
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