Unsafe abortion in rural Tanzania – the use of traditional medicine from a patient and a provider perspective
Identifieur interne : 000862 ( Main/Exploration ); précédent : 000861; suivant : 000863Unsafe abortion in rural Tanzania – the use of traditional medicine from a patient and a provider perspective
Auteurs : Vibeke Rasch [Danemark] ; Pernille H. S Rensen [Danemark] ; Anna R. Wang [Danemark] ; Flora Tibazarwa [Tanzanie] ; Anna K. J Ger [Danemark]Source :
- BMC Pregnancy and Childbirth [ 1471-2393 ] ; 2014.
Abstract
The circumstances under which women obtain unsafe abortion vary and depend on the traditional methods known and the type of providers present. In rural Tanzania women often resort to traditional providers who use plant species as abortion remedies. Little is known about how these plants are used and their potential effect.
Data were obtained among women admitted with incomplete abortion at Kagera Regional Hospital during the period January - June, 2006. The women underwent an empathetic interview to determine if they had experienced an unsafe abortion prior to their admission. In all 125/187 women revealed having had an unsafe abortion. The women identified as having had an unsafe abortion underwent a questionnaire interview where information about abortion provider and abortion method used was obtained through open-ended questions. To get more detailed information about the traditional methods used to induce abortion, in-depths interviews and focus group discussions were performed among traditional providers and nurses. Finally, the plant specimen’s effectiveness as abortion remedies was assessed through pharmacological analyses.
Among women admitted with incomplete abortions, 67% had had an unsafe abortion. Almost half of the women who had experienced an unsafe abortion had resorted to traditional providers and plant species were in these cases often used as abortion remedies. In all 21 plant species were identified as potential abortion remedies and analysed, 16 of the species were found to have a uterine contractive effect; they significantly increased the force of contraction, increased the frequency of contractions or did both.
Unsafe abortion is common in rural Tanzania where many women use plant species to terminate an unwanted pregnancy. The plants have a remarkable strong uterine contractive effect. To further understand the consequences of unsafe abortion there is a need for further analyses of the plants’ potential toxicity and mutagenicity.
Url:
DOI: 10.1186/s12884-014-0419-6
PubMed: 25524498
PubMed Central: 4279892
Affiliations:
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S Rensen</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of International Health, Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 3D Blegdamsvej, 2200 Copenhagen N, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of International Health, Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 3D Blegdamsvej, 2200 Copenhagen N</wicri:regionArea><wicri:noRegion>2200 Copenhagen N</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Anna R" sort="Wang, Anna R" uniqKey="Wang A" first="Anna R" last="Wang">Anna R. Wang</name><affiliation wicri:level="1"><nlm:aff id="Aff3">The Medical Faculty, University of Southern Denmark, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>The Medical Faculty, University of Southern Denmark, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author><author><name sortKey="Tibazarwa, Flora" sort="Tibazarwa, Flora" uniqKey="Tibazarwa F" first="Flora" last="Tibazarwa">Flora Tibazarwa</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Botany, University of Dar es Salaam, Dar es Salaam, P.O. Box 35060, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Botany, University of Dar es Salaam, Dar es Salaam, P.O. Box 35060</wicri:regionArea><wicri:noRegion>P.O. Box 35060</wicri:noRegion></affiliation></author><author><name sortKey="J Ger, Anna K" sort="J Ger, Anna K" uniqKey="J Ger A" first="Anna K" last="J Ger">Anna K. J Ger</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, 2 Universitetsparken, 2100 Copenhagen O, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, 2 Universitetsparken, 2100 Copenhagen O</wicri:regionArea><wicri:noRegion>2100 Copenhagen O</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25524498</idno><idno type="pmc">4279892</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279892</idno><idno type="RBID">PMC:4279892</idno><idno type="doi">10.1186/s12884-014-0419-6</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000650</idno><idno type="wicri:Area/Pmc/Curation">000649</idno><idno type="wicri:Area/Pmc/Checkpoint">000657</idno><idno type="wicri:Area/Ncbi/Merge">001953</idno><idno type="wicri:Area/Ncbi/Curation">001953</idno><idno type="wicri:Area/Ncbi/Checkpoint">001953</idno><idno type="wicri:Area/Main/Merge">000862</idno><idno type="wicri:Area/Main/Curation">000862</idno><idno type="wicri:Area/Main/Exploration">000862</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Unsafe abortion in rural Tanzania – the use of traditional medicine from a patient and a provider perspective</title><author><name sortKey="Rasch, Vibeke" sort="Rasch, Vibeke" uniqKey="Rasch V" first="Vibeke" last="Rasch">Vibeke Rasch</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Obstetrics and Gynaecology, Odense University Hospital, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Obstetrics and Gynaecology, Odense University Hospital, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author><author><name sortKey="S Rensen, Pernille H" sort="S Rensen, Pernille H" uniqKey="S Rensen P" first="Pernille H" last="S Rensen">Pernille H. S Rensen</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of International Health, Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 3D Blegdamsvej, 2200 Copenhagen N, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of International Health, Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 3D Blegdamsvej, 2200 Copenhagen N</wicri:regionArea><wicri:noRegion>2200 Copenhagen N</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Anna R" sort="Wang, Anna R" uniqKey="Wang A" first="Anna R" last="Wang">Anna R. Wang</name><affiliation wicri:level="1"><nlm:aff id="Aff3">The Medical Faculty, University of Southern Denmark, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>The Medical Faculty, University of Southern Denmark, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author><author><name sortKey="Tibazarwa, Flora" sort="Tibazarwa, Flora" uniqKey="Tibazarwa F" first="Flora" last="Tibazarwa">Flora Tibazarwa</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Botany, University of Dar es Salaam, Dar es Salaam, P.O. Box 35060, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Botany, University of Dar es Salaam, Dar es Salaam, P.O. Box 35060</wicri:regionArea><wicri:noRegion>P.O. Box 35060</wicri:noRegion></affiliation></author><author><name sortKey="J Ger, Anna K" sort="J Ger, Anna K" uniqKey="J Ger A" first="Anna K" last="J Ger">Anna K. J Ger</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, 2 Universitetsparken, 2100 Copenhagen O, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, 2 Universitetsparken, 2100 Copenhagen O</wicri:regionArea><wicri:noRegion>2100 Copenhagen O</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Pregnancy and Childbirth</title><idno type="eISSN">1471-2393</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The circumstances under which women obtain unsafe abortion vary and depend on the traditional methods known and the type of providers present. In rural Tanzania women often resort to traditional providers who use plant species as abortion remedies. Little is known about how these plants are used and their potential effect.</p></sec><sec><title>Methods</title><p>Data were obtained among women admitted with incomplete abortion at Kagera Regional Hospital during the period January - June, 2006. The women underwent an empathetic interview to determine if they had experienced an unsafe abortion prior to their admission. In all 125/187 women revealed having had an unsafe abortion. The women identified as having had an unsafe abortion underwent a questionnaire interview where information about abortion provider and abortion method used was obtained through open-ended questions. To get more detailed information about the traditional methods used to induce abortion, in-depths interviews and focus group discussions were performed among traditional providers and nurses. Finally, the plant specimen’s effectiveness as abortion remedies was assessed through pharmacological analyses.</p></sec><sec><title>Results</title><p>Among women admitted with incomplete abortions, 67% had had an unsafe abortion. Almost half of the women who had experienced an unsafe abortion had resorted to traditional providers and plant species were in these cases often used as abortion remedies. In all 21 plant species were identified as potential abortion remedies and analysed, 16 of the species were found to have a uterine contractive effect; they significantly increased the force of contraction, increased the frequency of contractions or did both.</p></sec><sec><title>Conclusion</title><p>Unsafe abortion is common in rural Tanzania where many women use plant species to terminate an unwanted pregnancy. The plants have a remarkable strong uterine contractive effect. 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J Ger</name><name sortKey="S Rensen, Pernille H" sort="S Rensen, Pernille H" uniqKey="S Rensen P" first="Pernille H" last="S Rensen">Pernille H. S Rensen</name><name sortKey="Wang, Anna R" sort="Wang, Anna R" uniqKey="Wang A" first="Anna R" last="Wang">Anna R. Wang</name></country><country name="Tanzanie"><noRegion><name sortKey="Tibazarwa, Flora" sort="Tibazarwa, Flora" uniqKey="Tibazarwa F" first="Flora" last="Tibazarwa">Flora Tibazarwa</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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