Evidence map›Paper›PMID 32999722›Full record

ArticleSAGE open medicine2020

Resolving unintended pregnancy crisis: Is adoption a viable option? A cross-sectional study in Kumasi, Ghana.

Evans Kofi Agbeno, Joseph Osarfo, Anthony Amanfo Ofori, Emmanuel Kusi Achampong, Betty Akua Oparebea Anane-Fenin, Wisdom Klutse Azanu, Kwadwo Sarbeng, Emmanuel Senanu Komla Morhe

Open access · goldAbstract read
In one paragraph

Article in SAGE open medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 33% of its field
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

8 authors at 4 institutions in 1 country.

Evans Kofi AgbenoDepartment of Obstetrics and Gynaecology, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.
Joseph OsarfoAsante Mampong Municipal Hospital, Ghana Health Service, Asante Mampong, Ghana.ORCID https://orcid.org/0000-0002-5366-3997
Anthony Amanfo OforiDepartment of Obstetrics and Gynaecology, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.
Emmanuel Kusi AchampongDepartment of Medical Education and IT, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.
Betty Akua Oparebea Anane-FeninDepartment of Obstetrics and Gynaecology, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.
Wisdom Klutse AzanuDepartment of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.
Kwadwo SarbengObstetrics and Gynaecology Directorate, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Emmanuel Senanu Komla MorheDepartment of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.
University of Cape Coast · GHUniversity of Health and Allied Sciences · GHGhana Health Service · GHKomfo Anokye Teaching Hospital · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUnintended pregnancy presents a crisis situation with limited options for resolution. Abortion appears to be a commonly chosen option but is stigmatized in many societies including Ghana. Keeping a child from an unintended pregnancy is also unsuitable for many people. Carrying through with the pregnancy and placing the child up for adoption is a potential management option but there is scanty literature on how viable this option is to women globally including Ghana. The study sought to assess acceptability of this option and its barriers and facilitators in Ghana.

methodsThis study was a part of a bigger analytical cross-sectional study on unintended pregnancy in Kumasi conducted in three centres from January to April 2014. Exit interviews were conducted for 461 consenting women to capture data on demography, reproductive profile and acceptability of giving up a child from an unintended pregnancy for adoption. Frequencies, proportions and means were computed and presented in tables.

resultsOver 85% of respondents would not give up their children for adoption as a way to manage their unintended pregnancy, whereas about 6% were undecided. A need for the child to grow up in a two-parent home was considered more important than the financial security of the adoptive parents while disappointment from family and friends came up as marked barrier to adoption.

conclusionsKeeping a pregnancy and placing the child up for adoption is presently not ideal for managing an unintended pregnancy crisis. More education is needed to increase awareness of adoption as an option in resolving this crisis while continued efforts are made at primary prevention through using contraceptives. The complex adoption process must be made friendly for women with unintended pregnancies who neither desire parenting nor abortion.

Indexed as

abortionchild adoptionGhanaresolving optionsUnintended pregnancy

Identifiers

PMID32999722
PMCPMC7506785
OpenAlexW3087663594

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.