In this sense, women suffering from SCA suffer in advance for any possible sanction and judgment they might face if the people next to them identify that they sought such a measure. The decision to abort is always assigned, individually, as a women’s responsibility. However, it is noteworthy that the social and family contexts, in which the women in the abortion process are inserted, are neither analyzed in the perspective of health care, nor the circumstances that led to the decision to terminate pregnancy.
The context of women suffering from SCA presents scarce material resources, since the majority are poor and have no formal job or individual income, most of them are dependent on the family for their support and their marital relationships are weakened by sickness and constant hospitalizations. All of this influences their decision to abort, and that decision is burdened by feelings of guilt, fear, self-loathing and self-punishment (13).
Moreover, the reports show that women use various abortion methods combined, in their eagerness to solve the problem, thus exposing themselves to risks and complications. According to their report, the orientations for the use of abortion methods and the realization of illegal abortions are performed by lay people, such as vendors of medicinal herbs, girlfriends and/or pharmacy attendants.