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Int J Environ Res Public Health. 2017 Dec 4;14(12).

"I am ready and willing to provide the service … though my religion frowns on abortion" - Ghanaian midwives' mixed attitudes to abortion services: a qualitative study

Oppong-Darko P, Amponsa-Achiano K and Darj E

Abstract

Background: Unsafe abortion is a major preventable public health problem and contributes to high mortality among women. Ghana has ratified international conventions to prevent unwanted pregnancies and provide safe abortion services, legally authorizing midwives to provide induced abortion services in certain circumstances.

Objective: The aim of the study was to understand midwives' readiness to be involved in legal induced abortions, should the law become less restricted in Ghana.

Methods: Participants emphasized their willingness to reduce maternal mortalities, their experiences of maternal deaths, and their passion for the health of pregnant women. Knowledge of Ghana's abortion law was generally low. Different views were expressed regarding readiness to engage in abortion services. Some expressed it as being sinful and against their religion to assist in abortion care, whilst others felt it was good to save the lives of women.

Results: Non-pregnant female adolescents presenting for treatment from January 1, 2013 to January 31, 2016 (N=123).

Conclusion: The midwives made it clear that unsafe abortions are common, stigmatizing and contributing to maternal mortality, issues that must be addressed. They made various suggestions to reduce this preventable tragedy.

Comment:This study gives some suggestions about how to talk to a colleague who sees the need to save women's lives, but has religious doubts about abortion. The most important recommendation is to emphasize "saving of a woman's life" and "preventing unsafe abortion". (HMV)