@article{fdi:010072357,
  title = {{C}omplications with use of misoprostol for abortion in {M}adagascar : between ease of access and lack of information},
  author = {{P}ourette, {D}olores and {M}attern, {C}. and {R}atovoson, {R}. and {R}aharimalala, {P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}he objective was to learn what complications some women experienced in {M}adagascar following use of misoprostol for abortion and what treatment they received post misoprostol use. {S}tudy design: {T}his was a qualitative study in 2015-2016 among women who had experienced complications after use of misoprostol, with or without additional methods, for abortion; what information they received before use; what dosage and regimens they used; what complications they experienced; and what treatment they received postuse. {W}e initially conducted in-depth, semistructured interviews with 60 women who had undergone an abortion that resulted in complications. {T}he results presented here are based on interviews with the subset of 19 women who had used misoprostol. {R}esults: {T}he 19 women were aged 16-40, with an average age of 21-26 at interview and average age of 18-21 at abortion. {T}o obtain an abortion, they sought advice from partners, friends, family members, and/or traditional practitioners and health care providers. {M}isoprostol was easily accessible through the formal and informal sectors, but the dosages and regimens the women used on the advice of others were extremely variable, did not match {WHO} guidelines and were apparently ineffective, resulting in failed abortion, incomplete abortion, heavy bleeding/hemorrhage, strong pain and/or infection. {C}onclusions: {T}his study provides data on complications from the use of misoprostol as an abortifacient in {M}adagascar. {H}ealth care providers need training in correct misoprostol use and how to treat complications. {L}aw and policy reforms are needed to support such training and to ensure the provision of safe abortion services in the public health system.},
  keywords = {{M}adagascar ; {M}isoprostol use ; {W}omen's experiences ; {L}ack of information ; {C}omplications of unsafe abortion ; {P}ostabortion care ; {MADAGASCAR}},
  booktitle = {},
  journal = {{C}ontraception},
  volume = {97},
  numero = {2},
  pages = {116--121},
  ISSN = {0010-7824},
  year = {2018},
  DOI = {10.1016/j.contraception.2017.12.005},
  URL = {https://www.documentation.ird.fr/hor/fdi:010072357},
}