Study of the Effective Factors in Women’s Decision to Make Abortion and Their Belief and Religious Views in this Regard

  • Morteza Abdoljabbari Department of Islamic Studies, Center for the Study of Religion and Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Marzieh Karamkhani School of Medical Sciences Education, Center for the Study of Religion and Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Nasrin Saharkhiz Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Mohammadamin Pourhosseingholi Department of Health System Research, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences,Tehran, Iran.
  • Masoumeh Shokri Khoubestani - Center for the Study of Religion and Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


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Background and Objectives: As far as medical science is concerned, abortion is classified into four categories: spontaneous, induced, traumatic, and criminal. In spite of increase in the quantity and quality of contraceptive techniques and the rising level of public awareness of this issue, unwanted pregnancy is still a problem. When women face unwanted pregnancy, they might resort to criminal abortion.

Materials and Methods: This is a descriptive research study. Researcher-made questionnaires were given to women with a history of abortion in the last 10 years, referring to health centers selected by Shahid Beheshti University of Medical Sciences. 369 subjects were randomly selected. The results were analyzed using the statistical software SPSS(Version 17).

Results: The results of the study indicated that 26% of women were aged 26, and the educational level of 41.8% of them was diploma at the time of abortion.  Financial and family problems accounted for 20% and 15% of abortions respectively, and were the most prevalent factors. Spouses were the most influential encouraging factor in about 50% of the units under investigation. 29% and 17.5% of abortions were committed at 8th and 7th weeks of pregnancy respectively. 42.4% of individuals considered abortion as a religiously prohibited action and only 4.3% women having abortion did pay for their child’s blood money.

and viral diseases accounted for the reasons of abortion by 19.5 percent and 3.6 percent of women respectively. As for encouragement for abortion, the frequency distribution of the subjects revealed that 55.3 percent of women had abortion at the suggestion of their husbands and 0.3 percent did it due to their working conditions and because of others. The results of the study show that only 4.3 percent of women having abortion did pay for their child’s blood money.

Conclusion: Abortion is a controversial issue, which can be considered as a social or jurisprudence-associated issue; thus, it is necessary to take it into serious consideration in the Iranian-Islamic society.  Results of this study indicated the financial problem as the most prevalent factor and spouse’s opinion as the most encouraging factor. Additionally, individuals had a frail attitude and ideology towards abortion.

Keywords: Abortion, Intentional abortion, Women,Religious, Legal

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Finer LB, Henshaw SK. Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on sexual and reproductive health. 2006; 38(2): 90-6.

Singh S, Sedgh G, Hussain R. Unintended pregnancy: worldwide levels, trends, and outcomes. Studies in family planning. 2010; 41(4): 241-50.

Erfani A. Levels, trends, and determinants of unintended pregnancy in iran: the role of contraceptive failures. Studies in family planning. 2013; 44(3): 299-317. (Full Text in Persian)

Rashidian A, Khosravi A, Khabiri R, Khodayari-Moez E, Elahi E, Arab M, et al. Islamic Republic of Iran's Multiple Indicator Demograpphic and Healh Survey (IrMIDHS) 2010. Tehran: Ministry of Health and Medical Education.2012:83-6. (Full Text in Persian)

Agha Yari Hir T, Mehryar AH. Estimation of induced abortion rates in Iran: Application of proximate determinants model. Journal of Population Association of Iran. 2007; 2: 61-91. (Full Text in Persian)

Abdullahi F, Mohammadpour Tahamtan RA. Study on consequences of unwanted pregnancies in women admitted to hospitals administered by Mazandaran University of Medical Science, 1999- 2000. Journal of Mazandaran University of Medical Sciences. 2003; 14: 40-5. (Full Text in Persian)

Cohen SA. Envisioning life without Roe: lessons without borders. Guttmacher Report on Public Policy. 2003; 6(2): 3-5.

Ghoodarzi MS. Pezeshki Qhanooni. Tehran: Nashr Mizan;2004. (Full Text in Persian)

Milsom I. Contraception and family planning. European Practice in Gynecology and Obstetrics Series. Elsevier. Sweden; 2006.

Nikpour B, Majlessi F, Tol A, Eshraghi N. Assessment of Induced Abortions and its Effective Factors in Comparison with Spontaneous Abortions among Women Refer to Hospitals in South of Tehran. Journal of Family Health. 2013; 1(3): 14-20. (Full Text in Persian)

Majlessi F, Rahimi Forooshani A, Shariat M. Prevalence of induced abortion and associated complications in women attending hospitals in Isfahan. East Mediter Health Journal. 2008; 14(1): 103-9. (Full Text in Persian)

Mohammadi E, Nourizadeh R, Simbar M. Understanding reasons why women facing unintended pregnancy seeking for abortion: a qualitative study. Journal of the Iranian Institue for HealthSciences Research. 2014; 13: 413-24. (Full Text in Persian)

Aghayari Hir T, Mehryar AH. Indirect estimation of the total induced abortion using the proximate determinants of fertility in Iran by province Family Health Hafslnamh. Journal of Population Association of Iran. 2007; 2(3): 61-91. (Full Text in Persian)

Uygur D, Erkaya S. Reasons why women have induced abortions in a developing country. European journal of obstetrics & gynecology and reproductive biology. 2001; 96(2): 211-4.

Kirkman M, Rowe H, Hardiman A, Mallett S, Rosenthal D. Reasons women give for abortion: a review of the literature. Archives of women's mental health. 2009; 12(6): 365-78.

Sihvo S, Bajos N, Ducot B, Kaminski M. Women’s life cycle and abortion decision in unintended pregnancies. Journal of Epidemiology and Community Health. 2003; 57(8): 601-5.

Skjeldestad FE, Borgan JK, Daltveit AK, Nymoen EH. Induced abortion: effects of marital status, age and parity on choice of pregnancy termination. Acta obstetricia et gynecologica Scandinavica. 1994; 73(3): 255-60.

Shakour M, Yousefi AR, Bazrafkan l, Jouhari Z, Taheri S, Omid A. The ethical aspects of abortion in medical education Iranian Journal of Medical Ethics and History. 2013; 6(5): 24-34. (Full Text in Persian)

Kelley J, Evans MD, Headey B. Moral reasoning and political conflict: The abortion controversy. British Journal of Sociology.1993: 589-612.

Eslami SH. Ethical approach to abortion; a case study. Journal of Reproduction and Infertility. 2005; 6(4): 321-42. (Full Text in Persian)

Behjati Ardekani Z, Akhondi MM, Sadeghi MR, Sadri Ardekani H. The need to consider different aspects of abortion in Iran. Journal of Reproduction and Infertility. 2005; 6(4): 299-320. (Full Text in Persian)

Tavafian SS, Ramezanzadeh F. Demographic characteristics influencing the decision to induced abortions referred to teaching hospitals based on the Health Belief Model. Journal of Payesh. 2007; 6(2): 64-157. (Full Text in Persian)

Nemati A. Abortion from the perspective of contemporary jurisprudence. Journal of Reproduction and Infertility. 2005; 6(4): 369-74. (Full Text in Persian)

Abdoljabari M. Abortion from the perspective of jurisprudence, law and ethics. 1 ed. Tabriz: Tabriz University of Medical Sciences and Health Services; 2008. (Full Text in Persian)

Banihashemi Khomeini H. Tozih Almasael Maraje. Qom: Islamic Publications Office;2006. (Full Text in


Khomeini R. TahrirAlvasileh. Qom: DarAlelm; 1991. (Full Text in Persian)

Shahbazi SF, N.Taleghani, F. The Process of Illegal Abortion: A Qualitative Study. Journal of Payesh 2011; 10(2): 95-183. (Full Text in Persian)

Zamani-Alavijeh F, Noohjah S, Kheiriyat M, Haghighizadeh MH. Related factors of unwanted pregnancy and intention of women for continuation or termination based on HBM. Journal of Payesh. 2012; 11(4): 54-545. (Full Text in Persian)

Chinichian M, Halakooii-Naiini K, Rafaii-Shirpak K. Voluntary abortion in Iran: a qualitative study. Journal of Payesh. 2007; 6(3): 219-32. (Full Text in Persian)

Lie ML, Robson SC, May CR. Experiences of abortion: a narrative review of qualitative studies. BMC Health Services Research. 2008; 8(1): 1.

Motavalli R, Alizadeh L, Namadi Vosoughi M, Shahbazzadegan S. Evaluation of the Prevalence, Reasons and Consequences of Induced Abortion in Women of Ardabil in 2011. Journal of Ardabil University of Medical Sciences. 2012; 12(4): 91- 384.

Bozkurt AI, Özcirpici B, Ozgur S, Sahinoz S, Sahinoz T, Saka G, et al. Induced abortion and effecting factors of ever married women in the Southeast Anatolian Project Region, Turkey: a cross sectional study. BMC public Health. 2004; 4(1): 1.

Raatikainen K, Heiskanen N, Heinonen S. Induced abortion: not an independent risk factor for pregnancy outcome, but a challenge for health counseling. Annals of epidemiology. 2006; 16(8): 587-92.

Veisi F, Zanganeh M. Illegal abortion causes and methods of referrals to special clinic of Kermanshah University of Medical Sciences. Journal of Forensic Medicine. 2012; 18(1): 52-47. (Full Text in Persian)

Makarem Shirazi N. Religious subjects. 1 ed. Qom: Ali ebn Abitaleb; 2001. (Full Text in Persian)

Mousavi Khomeini SR. Toziholmasael. 8 ed. Ghom: Jameatol Modarresin Publication of Ghom Seminary; 1993. (Full Text in Persian)

Golpayegani M. Majmaolmasaek. Ghom: Dar Al -Qoran Al -Karim; 1988. (Full Text in Persian)

The holy Quran. Al-Momenoon. verse 11-14. Translated by: Ayatollah Al-ozma Naser Makarem Shirazi. Qom: Imam Ali Ebne Abi Taleb (Ýa); 2010. (Full Text in Arabic)

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