Women's Experiences And Perspectives Of Induced Abortions In Urban Slum Areas Of Karachi, Pakistan

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Unsafe abortion is one of the leading causes in developing countries where the rate of obtaining an abortion is high due to financial issues and the desire of a male child. This paper is extracted from a study about roles of midwives in unsafe and induced abortions in the urban slums of Karachi city. The objective of this paper is to discuss the causes of induced abortions and to explore the experiences of women having induced abortions. The study was conducted through interviewing schedule based upon open and close ended questions. The interview guide included questions about the causes of abortions, problems faced by women during the process, and effects on their social and economic aspects of their lives. Results show that the major reason of induced abortion is poverty, including others like large family size and family pressure due to economic burden, male child preference, social stigmas and sometimes due to partner choice. Findings of the study suggest that abortion is a traumatic experience which involved intentional death of an unborn child. It has also been discovered that women experience abortion, felt grief, shame, sorrow, and depression. The study concludes that induced abortion is used as a contraceptive method by poor women. As they are performed in unhygienic and illegal methods, they become a health risk which affects women lives socially, economically, physically and psychologically. The findings of the study will help in understanding the problems faced by women having induced abortions. Additionally, it would also assist in developing gender based reproductive health programs in developing countries.