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Knowledge, attitudes and perceptions in relation to Menstrual Regulation (MR) among future midwives in Bangladesh: A quantitative approach among midwifery students
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2017 (English)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background:

In Bangladesh, abortion is restricted except to save the life of a woman, but menstrual regulation (MR) is allowed to induce menstruation and return to non-pregnancy after a missed period. Midwives who are relatively new professionals in Bangladesh can play an important role in Comprehensive Abortion Care (CAC) and scale up their involvement in post-abortion care is an important strategy in expanding access to care. Midwifery lead interventions have shown to be associated with efficient use of resources and to have a positive impact on health outcomes. Quality of care regarding MR depends on providers attitude, perceptions, and knowledge which can be ensured by midwives.

Objective:

To investigate the knowledge, attitudes, and perceptions in relation to menstrual regulation among future midwives in Bangladesh.

Methods:

A cross-sectional design using standardized questionnaires with closed questions covering knowledge, attitudes, and perceptions in relation to MR were conducted among 150 midwifery students of third-year students from 16 institutions providing midwifery education programme at diploma level in Bangladesh. 141 completed questionnaires were entered and statistically analyzed by Excel.

Results

: From this study, it was found that more than half of the students would deny providing MR service if the woman does not have consent from her husband (56%) but would provide MR services to the woman if she is unmarried (56%). Regarding the MR policy in Bangladesh, 98% students have the perception that women seeking MR services need a husband’s or parental permission. 71% knows that MR is allowed up to 12 weeks from the last date of menstruation, 84% knows about the use of misoprostol as safe MR agent. Regarding the accessibly of MR services, 83% knows it is accessible in tertiary or referral facilities and only 59% knows that it is accessible in rural primary health care facilities. Still, 27% knows that only doctors are allowed to perform MR.

Conclusion:

Service providers’ attitude towards service recipients depends on their knowledge and practice, important are changes in attitude. Specific training, advocacy and also counseling regarding MR services can change perceptions.

Place, publisher, year, edition, pages
2017.
Keyword [en]
Menstrual regulation, Postabortion care, comprehensive abortion care, family planning, service delivery, Health services
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-26661OAI: oai:DiVA.org:du-26661DiVA: diva2:1162235
Available from: 2017-12-04 Created: 2017-12-04

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf