Matches in SemOpenAlex for { <https://semopenalex.org/work/W4310778982> ?p ?o ?g. }
- W4310778982 abstract "In Malawi, abortion is only legal to save a pregnant woman's life. Treatment for complications after unsafe abortions has a massive impact on the already impoverished health care system. Even though manual vacuum aspiration (MVA) and misoprostol are the recommended treatment options for incomplete abortion in the first trimester, surgical management using sharp curettage is still one of the primary treatment methods in Malawi. Misoprostol and MVA are safer and cheaper, whilst sharp curettage has more risk of complications such as perforation and bleeding and requires general anesthesia and a clinician. Currently, efforts are being made to increase the use of misoprostol in the treatment of incomplete abortions in Malawi. To achieve successful implementation of misoprostol, health care providers' perceptions on this matter are crucial.A qualitative approach was used to explore health care providers' perceptions of misoprostol for the treatment of incomplete abortion using semi-structured in-depth interviews. Ten health care providers were interviewed at one urban public hospital. Each interview lasted 45 min on average. Health care providers of different cadres were interviewed in March and April 2021, nine months after taking part in a training intervention on the use of misoprostol. Interviews were recorded, transcribed verbatim and analyzed using 'Systematic Text Condensation'.The health care providers reported many advantages with the increased use of misoprostol, such as reduced workload, less hospitalization, fewer infections, and task-shifting. Availability of the drug and benefits for the patients were also highlighted as important. However, some challenges were revealed, such as deciding who was eligible for the drug and treatment failure. For these reasons, some health care providers still choose surgical treatment as their primary method.Findings in this study support the recommendation of increased use of misoprostol as a treatment for incomplete abortion in Malawi, as the health care providers interviewed see many advantages with the drug. To scale up its use, proper training and supervision are essential. A sustainable and predictable supply is needed to change clinical practice. Unsafe abortion is a major contributor to maternal mortality worldwide. Unsafe abortion is the termination of an unintended pregnancy by a person without the required skills or equipment, which might lead to serious complications. In Malawi, post-abortion complications are common, and the maternal mortality ratio is among the highest in the world. Retained products of conception, referred to as an incomplete abortion, are common after spontaneous miscarriages and unsafe induced abortions. There are several ways to treat incomplete abortion, and the drug misoprostol has been successful in the treatment of incomplete abortion in other low-income countries. This study explored perceptions among health care providers using misoprostol to treat incomplete abortions and whether the drug can be fully embraced by Malawian health care professionals. Health personnel at a Malawian hospital were interviewed individually regarding the use of the drug for treating incomplete abortions. This study revealed that health care providers interviewed are satisfied with the increased use of misoprostol. They highlighted several benefits, such as reduced workload and that it enabled task-shifting so that various hospital cadres could now treat patients with incomplete abortions. The health care workers also observed benefits for women treated with the drug compared to other treatments. The challenges mentioned were finding out who was eligible for the drug and drug failure. This study supports scaling up the use of misoprostol in the treatment of incomplete abortions in Malawi; the Ministry of Health and policymakers should support future interventions to increase its use." @default.
- W4310778982 created "2022-12-17" @default.
- W4310778982 creator A5001806958 @default.
- W4310778982 creator A5050867429 @default.
- W4310778982 creator A5053190268 @default.
- W4310778982 creator A5065716710 @default.
- W4310778982 creator A5069739269 @default.
- W4310778982 creator A5076300595 @default.
- W4310778982 creator A5079122542 @default.
- W4310778982 creator A5091278100 @default.
- W4310778982 date "2022-12-03" @default.
- W4310778982 modified "2023-10-09" @default.
- W4310778982 title "Health care providers’ perceptions of using misoprostol in the treatment of incomplete abortion in Malawi" @default.
- W4310778982 cites W1566782878 @default.
- W4310778982 cites W1582796425 @default.
- W4310778982 cites W1606709542 @default.
- W4310778982 cites W1926838000 @default.
- W4310778982 cites W1966322517 @default.
- W4310778982 cites W1971220245 @default.
- W4310778982 cites W1973224869 @default.
- W4310778982 cites W1996192226 @default.
- W4310778982 cites W2021397753 @default.
- W4310778982 cites W2030824486 @default.
- W4310778982 cites W2034099807 @default.
- W4310778982 cites W2036177655 @default.
- W4310778982 cites W2057506198 @default.
- W4310778982 cites W2060017494 @default.
- W4310778982 cites W2071296754 @default.
- W4310778982 cites W2081753990 @default.
- W4310778982 cites W2083432568 @default.
- W4310778982 cites W2097097792 @default.
- W4310778982 cites W2098840754 @default.
- W4310778982 cites W2103666798 @default.
- W4310778982 cites W2104197658 @default.
- W4310778982 cites W2122169076 @default.
- W4310778982 cites W2123730276 @default.
- W4310778982 cites W2124503617 @default.
- W4310778982 cites W2138744238 @default.
- W4310778982 cites W2144836996 @default.
- W4310778982 cites W2168835373 @default.
- W4310778982 cites W2184786191 @default.
- W4310778982 cites W2282584967 @default.
- W4310778982 cites W2406224458 @default.
- W4310778982 cites W2472729053 @default.
- W4310778982 cites W2515652091 @default.
- W4310778982 cites W2589729939 @default.
- W4310778982 cites W2604605410 @default.
- W4310778982 cites W2614757054 @default.
- W4310778982 cites W2767135921 @default.
- W4310778982 cites W2788651538 @default.
- W4310778982 cites W2883395325 @default.
- W4310778982 cites W2892415327 @default.
- W4310778982 cites W2920819593 @default.
- W4310778982 cites W3013246017 @default.
- W4310778982 doi "https://doi.org/10.1186/s12913-022-08878-3" @default.
- W4310778982 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36461125" @default.
- W4310778982 hasPublicationYear "2022" @default.
- W4310778982 type Work @default.
- W4310778982 citedByCount "0" @default.
- W4310778982 crossrefType "journal-article" @default.
- W4310778982 hasAuthorship W4310778982A5001806958 @default.
- W4310778982 hasAuthorship W4310778982A5050867429 @default.
- W4310778982 hasAuthorship W4310778982A5053190268 @default.
- W4310778982 hasAuthorship W4310778982A5065716710 @default.
- W4310778982 hasAuthorship W4310778982A5069739269 @default.
- W4310778982 hasAuthorship W4310778982A5076300595 @default.
- W4310778982 hasAuthorship W4310778982A5079122542 @default.
- W4310778982 hasAuthorship W4310778982A5091278100 @default.
- W4310778982 hasBestOaLocation W43107789821 @default.
- W4310778982 hasConcept C131872663 @default.
- W4310778982 hasConcept C137992405 @default.
- W4310778982 hasConcept C138816342 @default.
- W4310778982 hasConcept C141071460 @default.
- W4310778982 hasConcept C144024400 @default.
- W4310778982 hasConcept C159110408 @default.
- W4310778982 hasConcept C160735492 @default.
- W4310778982 hasConcept C162324750 @default.
- W4310778982 hasConcept C190248442 @default.
- W4310778982 hasConcept C2777914877 @default.
- W4310778982 hasConcept C2778079182 @default.
- W4310778982 hasConcept C2778642596 @default.
- W4310778982 hasConcept C2779076696 @default.
- W4310778982 hasConcept C2779199973 @default.
- W4310778982 hasConcept C2779234561 @default.
- W4310778982 hasConcept C2779904257 @default.
- W4310778982 hasConcept C2908647359 @default.
- W4310778982 hasConcept C2908733174 @default.
- W4310778982 hasConcept C2986817661 @default.
- W4310778982 hasConcept C36289849 @default.
- W4310778982 hasConcept C50522688 @default.
- W4310778982 hasConcept C512399662 @default.
- W4310778982 hasConcept C54355233 @default.
- W4310778982 hasConcept C71924100 @default.
- W4310778982 hasConcept C86803240 @default.
- W4310778982 hasConcept C99454951 @default.
- W4310778982 hasConceptScore W4310778982C131872663 @default.
- W4310778982 hasConceptScore W4310778982C137992405 @default.
- W4310778982 hasConceptScore W4310778982C138816342 @default.
- W4310778982 hasConceptScore W4310778982C141071460 @default.
- W4310778982 hasConceptScore W4310778982C144024400 @default.