Evidence map›Paper›PMID 30089448›Full record

ArticleBMC pregnancy and childbirth2018

A qualitative analysis of decision-making among women with sexual violence-related pregnancies in conflict-affected eastern Democratic Republic of the Congo.

Jennifer Scott, Monica A Onyango, Gillian Burkhardt, Colleen Mullen, Shada Rouhani, Sadia Haider, Katherine Albutt, Ashley Greiner, Michael VanRooyen, Susan Bartels

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Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jennifer ScottDepartment of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Kirstein 3rd Floor, Boston, MA, 02215, USA. jscott3@bidmc.harvard.edu.ORCID http://orcid.org/0000-0001-5024-2719
Monica A OnyangoDepartment of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, MA, 02118, USA.
Gillian BurkhardtHarvard Humanitarian Initiative, 14 Story Street, Cambridge, MA, 02138, USA.
Colleen MullenDepartment of Psychiatry, Boston Medical Center, One Boston Medical Center Place, Boston, MA, 02118, USA.
Shada RouhaniHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
Sadia HaiderDepartment of Obstetrics & Gynecology, University of Chicago, 5837 S. Maryland Avenue, Chicago, IL, 60615, USA.
Katherine AlbuttHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
Ashley GreinerHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
Michael VanRooyenHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
Susan BartelsHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSexual violence is prevalent in conflict-affected settings and may result in sexual violence-related pregnancies (SVRPs). There are limited data on how women with SVRPs make decisions about pregnancy continuation or termination, especially in contexts with limited or restricted access to comprehensive reproductive health services.

methodsA qualitative study was conducted in Bukavu, Democratic Republic of the Congo (DRC) as part of a larger mixed methods study in 2012. Utilizing respondent-driven sampling (RDS), adult women who self-reported sexual violence and a resultant SVRP were enrolled into two study subgroups: 1) women currently raising a child from an SVRP (parenting group) and 2) women who terminated an SVRP (termination group). Trained female research assistants conducted semi-structured interviews with a subset of women in a private setting and responses were manually recorded. Interview notes were translated and uploaded to a qualitative software program, coded, and thematic content analysis was conducted.

resultsA total of 55 women were interviewed: 38 in the parenting group and 17 in the termination group. There were a myriad of expressed attitudes, beliefs, and emotional responses toward SVRPs and the termination of SVRPs with three predominant influences on decision-making, including: 1) the biologic, ethnic, and social identities of the fetus and/or future child; 2) social reactions, including fear of social stigmatization and/or rejection; and 3) the power of religious beliefs and moral considerations on women's autonomy in the decision-making process.

conclusionFindings from women who continued and women who terminated SVRPs reveal the complexities of decision-making related to SVRPs, including the emotional reasoning and responses, and the social, moral, and religious dimensions of the decision-making processes. It is important to consider these multi-faceted influences on decision-making for women with SVRPs in conflict-affected settings in order to improve provision of health services and to offer useful insights for subsequent programmatic and policy decisions.

Indexed as

Abortion, InducedArmed ConflictsDecision MakingHealth Services AccessibilityAdolescentAdultDemocratic Republic of the CongoEmotionsFemaleHumansMiddle AgedMoralsPregnancyPsychological DistanceQualitative ResearchReligionConflictDecision-makingDemocratic Republic of the CongoPregnancyReproductive health servicesSexual violence

Identifiers

PMID30089448
PMCPMC6083512

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.