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Real life is different: A qualitative study of why women delay abortion until the second trimester in Vietnam

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  • Gallo, Maria F.
  • Nghia, Nguyen C.

Abstract

Although legal and safe-induced abortion services are available on request in Vietnam, second-trimester abortion still occurs. Given the increased risks and higher costs associated with later-term abortions, we conducted a qualitative study to understand the determinants of delaying abortion until the second trimester. We used purposive sampling to conduct semi-structured face-to-face interviews with 60 women aged 14-47 receiving an abortion at 13-24 weeks of gestation in 5 health facilities in 3 provinces in Vietnam. We also interviewed 6 providers from the study facilities. Three broad categories for factors influencing delays in obtaining abortions emerged: most women failed to recognize their pregnancy during the first trimester; women described structural barriers to accessing services earlier; and some women either needed time to make a decision or only decided to abort after other events had transpired. A richer understanding of the factors that prevent women from obtaining an abortion during the first trimester could be useful for informing interventions that support women in receiving care earlier during their pregnancies.

Suggested Citation

  • Gallo, Maria F. & Nghia, Nguyen C., 2007. "Real life is different: A qualitative study of why women delay abortion until the second trimester in Vietnam," Social Science & Medicine, Elsevier, vol. 64(9), pages 1812-1822, May.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:9:p:1812-1822
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    References listed on IDEAS

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    1. Gammeltoft, Tine, 2002. "Seeking trust and transcendence: sexual risk-taking among Vietnamese youth," Social Science & Medicine, Elsevier, vol. 55(3), pages 483-496, August.
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    Cited by:

    1. Ernestina Coast & Samantha R Lattof & Yana van der Meulen Rodgers & Brittany Moore & Cheri Poss, 2021. "The microeconomics of abortion: A scoping review and analysis of the economic consequences for abortion care-seekers," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-21, June.
    2. Samantha R Lattof & Ernestina Coast & Yana van der Meulen Rodgers & Brittany Moore & Cheri Poss, 2020. "The mesoeconomics of abortion: A scoping review and analysis of the economic effects of abortion on health systems," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-25, November.

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