Shahid Beheshti University of Medical Sciences, Iran
  • Register
  • Login

International Journal of Medical Toxicology and Forensic Medicine

  • Home
  • About
    • About the Journal
    • Aims and Scope
    • Editorial Team
    • Contact
  • Issues
    • Current
    • Archives
  • Indexing & Abstracting
  • Editorial Policies
    • Peer Review Process
    • Ethical Codes: Medical Research
    • Principles of Publishing Ethics
    • Conflicts of Interest
    • Publication Frequency
    • Open Access Policy
    • CrossMark Policy
    • Article Processing Charges
    • Privacy Statement
  • Announcements
  • Register
  • Login
  • Author Guidelines
Advanced Search
  1. Home
  2. Archives
  3. Vol. 11 No. 1 (2021): International Journal of Medical Toxicology and Forensic Medicine
  4. Original Article (Forensic Medicine)

Vol. 11 No. 1 (2021)

January 2021

Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls

  • Shabnam Bazmi
  • Mehrzad Kiani
  • Mahdieh Saidi
  • Forouzan Akrami

International Journal of Medical Toxicology and Forensic Medicine, Vol. 11 No. 1 (2021), 23 January 2021 , Page 31958
https://doi.org/10.32598/ijmtfm.v11i1.31958 Published: 03/10/2021

  • View Article
  • Download
  • Cite
  • References
  • Statastics
  • Share

Abstract

Background: Despite the implementation of a safe motherhood program in many countries, unsafe abortion continues to be a matter of reproductive health. Thus, urgent efforts to make abortion legal and safe have been recommended in developing countries. The present study was done to determine the knowledge of midwives and obstetricians about the therapeutic abortion law as well as their attitude about the ethical pitfalls.
Methods: In this descriptive knowledge and attitude study, a researcher-made questionnaire was used to gather data, after estimating the appropriate Cronbach’s Alpha coefficient. A total of 162 midwives and obstetricians working in public and private medical centers affiliated to Shahid Beheshti University of Medical Sciences in 2018 were included in the study by convenience sampling method.
Results: According to the results, 9.3% of participants had a low level, 72.8% had a moderate level, and only 17.9% had a good level of knowledge. The total mean score of knowledge was 7.17±1.7. The mean score of knowledge in the group of obstetricians (7.60±1.74) was significantly higher than midwives (6.94±1.54), (t=2.29, p=0.024). There was a significant correlation between participants’ age and their knowledge (r=0.912, p=0.001). Also, 47.53% of the participants believed that the therapeutic abortion law has some pitfalls. The most frequent attitude was about the restriction of the therapeutic law up to 19 weeks for fetal indications.
Conclusion: The level of participants’ knowledge was low to moderate. The findings indicated the need for training the professional standards related to prenatal genetic screening and therapeutic abortion.

Keywords:
  • Professional ethics
  • Abortion
  • Law
  • Midwives
  • Obstetricians
  • pdf

How to Cite

Bazmi, S., Kiani, M., Saidi, M., & Akrami, F. (2021). Knowledge and Attitude of Midwives and Obstetricians Towards Therapeutic Abortion Law and its Ethical Pitfalls. International Journal of Medical Toxicology and Forensic Medicine, 11(1), 31958. https://doi.org/10.32598/ijmtfm.v11i1.31958
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

References

Fathalla MF. Human rights aspects of safe motherhood. Best Pract Res Clin Obstet Gynaecol. 2006; 20(3):409-19. [DOI:10.1016/j.bpobgyn.2005.11.004] [PMID]

Shah IH, Åhman E. Unsafe abortion differentials in 2008 by age and developing country region: High burden among young women. Reprod Health Matters. 2012; 20(39):169-73. [DOI:10.1016/S0968-8080(12)39598-0]

Bartlett LA, Berg CJ, Shulman HB, Zane SB, Green CA, Whitehead S, et al. Risk factors for legal induced abortion-related mortality in the United States. Obstet Gynecol. 2004; 103(4):729-37. [DOI:10.1097/01.AOG.0000116260.81570.60] [PMID]

Samandari G, Wolf M, Basnett I, Hyman A, Andersen K. Implementation of legal abortion in Nepal: A model for rapid scale-up of high-quality care. Reprod Health. 2012; 9:7. [DOI:10.1186/1742-4755-9-7] [PMID] [PMCID]

Erfani A. Levels, trends and correlates of abortion in Tehran, Iran: 2009-2014. Int Perspect Sex Reprod Health. 2016; 42(2):93-101. [DOI:10.1363/42e1316] [PMID]

Berer M, Hoggart L. Progress toward decriminalization of abortion and universal access to safe abortions: National trends and strategies. Health Hum Rights. 2019; 21(2):79-83. [PMID] [PMCID]

Hourieh SM, Abolghasem P, Feizollah A. Knowledge and attitudes of a number of Iranian policy- makers towards abortion. J Reprod Infertil. 2010; 11(3):189-95. [PMID] [PMCID]

Smith KA, Johnson RL. Medical opinion on abortion in Jamaica: A national Delphi survey of physician, nurses, and midwives. Stud Fam Plann. 1976; 7(12):334-9. [DOI:10.2307/1965964] [PMID]

Ramos S, Romero M, Ramón Michel A. Health care providers’ opinions on abortion: A study for the implementation of the legal abortion public policy in the Province of Santa Fe, Argentina. Reprod Health. 2014; 11:72. [DOI:10.1186/1742-4755-11-72] [PMID] [PMCID]

Assifi AR, Berger B, Tunçalp Ö, Khosla R, Ganatra B. Women’s awareness and knowledge of abortion laws: A systematic review. PLoS One. 2016; 24;11(3):e0152224. [DOI:10.1371/journal.pone.0152224] [PMID] [PMCID]

Mirzamoradi M, Saleh M, Jamali M, Bakhtiyari M, Pooransari P, Saleh Gargari S. Factors related to unwanted pregnancies and abortion in the northern district of the city of Tehran, Iran. Women Health. 2018; 58(6):714-28. [DOI:10.1080/03630242.2017.1342738] [PMID]

Sjöström S, Essén B, Gemzell-Danielsson K, Klingberg-Allvin M. Medical students are afraid to include abortion in their future practices: In-depth interviews in Maharastra, India. BMC Med Educ. 2016; 16:8. [DOI:10.1186/s12909-016-0532-5] [PMID] [PMCID]

Ghadipasha M, Bashardoost N, Ghodoosi A, Samadirad B, Nikian Y, Roohparvar R. [Knowledge level of gynecologists and midwives of Yazd concerning rules and regulations of therapeutic abortion (legal) and criminal abortion (Persian)]. J Shahid Sadoughi Univ Med Sci. 2011; 19(2):141-7. https://www.sid.ir/fa/journal/ViewPaper.aspx?ID=151078

Afhami N, Bahadoran P, Taleghani HR, Nekuei N. The knowledge and attitudes of midwives regarding legal and religious commandments on induced abortion and their relationship with some demographic characteristics. Iran J Nurs Midwifery Res. 2016; 21(2):177-82. [DOI:10.4103/1735-9066.178244] [PMID] [PMCID]

Goldman LA, García SG, Díaz J, Yam EA. Brazilian obstetrician-gynecologists and abortion: A survey of knowledge, opinions and practices. Reprod Health. 2005; 2:10. [DOI:10.1186/1742-4755-2-10] [PMID] [PMCID]

Kestler E. Obstetrician-Gynecologists’ knowledge of and attitudes toward medical abortion in Guatemala. Int J Gynaecol Obstet. 2012; 116(2):120-3. [DOI:10.1016/j.ijgo.2011.09.015] [PMID]

Oelhafen S, Monteverde S, Cignacco E. Exploring moral problems and moral competences in midwifery: A qualitative study. Nurs Ethics. 2019; 26(5):1373-86. [DOI:10.1177/0969733018761174] [PMID]

Stapleton G. Qualifying choice: Ethical reflection on the scope of prenatal screening. Med Health Care Philos. 2017; 20(2):195-205. [DOI:10.1007/s11019-016-9725-2] [PMID] [PMCID]

Hammarstedt M, Jacobsson L, Wulff M, Lalos A. Views of midwives and gynecologists on legal abortion-a population-based study. Acta Obstet Gynecol Scand. 2005; 84(1):58-64. [DOI:10.1111/j.0001-6349.2005.00695.x] [PMID]

Bazmi S, Behnoush B, Kiani M, Bazmi E. [Comparative study of therapeutic abortion permissions in central clinical department of Tehran Legal Medicine Organization before and after approval of law on abortion in Iran (Persian)]. Iran J of Pediatr. 2008; 18(4):315-22. https://www.sid.ir/en/journal/ViewPaper.aspx?id=124878

Abbasi M, Gooshki ES, Allahbedashti N. Abortion in Iranian legal system. Iran J Allergy Asthma Immunol. 2014; 13(1):71-84. https://ijaai.tums.ac.ir/index.php/ijaai/article/view/47

  • Abstract Viewed: 441 times
  • pdf Downloaded: 398 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

Developed By

Open Journal Systems

Information

  • For Readers
  • For Authors
  • For Librarians

Browse

Make a Submission

Make a Submission
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact

 

Copyright  The Author(s); This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

       

Powered by OJSPlus