Women’s General Knowledge Regarding Abortion: Impact of Counseling Based on PLISSIT Model

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Women’s General Knowledge Regarding Abortion: Impact of Counseling Based on PLISSIT Model

1Walaa Khalaf Gooda, 2*Hanan Elzeblawy Hassan, 3Noha Nasser Nashed
1Lecturer of Maternal & Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt
2Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt
3Nurse Specialist at Beni-Suef University hospital
ABSTRACT

Background: Pregnancy loss and abortion are psychologically impactful events leading to pain, hospitalization, social limitations, and lifestyle changes. Societal responses to abortion are influenced by religious, cultural, and psychosocial factors, and a woman’s comprehension of abortion affects her access to safe reproductive health services. Post-abortion care counseling, utilizing frameworks like PLISSIT, assists women in making informed decisions by addressing psychological, emotional, and social complications, thereby enhancing their well-being and adaptation. Aim: The current study was conducted to evaluate women’s general knowledge regarding abortion after implementation counseling based on PLISSIT model. Subjects and Methods: Design: A quasi-experimental (pre- and post-test) research design was used. Subjects & Settings: A convenient sample of 92 women who had abortions affiliated obstetrics & gynecology unit at Beni-Suef University Hospital. Tools: (1) structured interview questionnaire. (2) women’s knowledge regarding abortion and management. (3) post-abortion counseling based on the PLISSIT model. Results: the mean age 28.13±5.824 years, 87% were married and 42.4% had intermediate education. Results proved satisfactory answers were among women’s aged 20-30 years. It revealed that 7.6% of the studied women pre-counseling improved to 54.3% satisfactory answer post implementation of counseling sessions. Moreover, 7.6% of studied women who married had satisfactory answer knowledge before the counseling which improved into 69.5% satisfactory answer post implementation of counseling sessions. Conclusion: Based on the results of the current study, it was observed that there was no There was no statistically significant relation between the studied women’ total knowledge level and their age, marital status, and educational level. However, post counselling; satisfactory answers were more proven among young, married women who had intermediate education. Recommendations: Implement an educational counseling program based on PLISSIT and provide model for nurses to improve their knowledge to improve women’s knowledge, so, they will be able to counseling for women after that.

 

KEYWORDS 

General Knowledge, Abortion, Counseling, PLISSIT Model

 

REFERENCES

1) Fernández‐Basanta, S., Coronado, C., Bondas, T., Llorente‐García, H., & Movilla‐Fernández, M. J. (2022): Unravelling the grief of involuntary pregnancy loss: A meta‐ethnography of midwives’ and nurses’ emotional experiences. Scandinavian journal of caring sciences, 36(3), 599-613. ‏
2) Nashed N., Hassan H., Gooda W. Impact of Post Abortion Counseling Based on PLISSIT Model on Women’s Life Style. Egyptian Journal of Health Care, 2025; 16 (2): 1009-1028. Doi: 10.21608/ejhc.2025.438157.
3) Vallury, K. (2023): Abortion Stigma in a Pro-choice World: A Mixed Methods Study of Abortion Stigma in Australia (Doctoral dissertation, Flinders University, College of Humanities, Arts and Social Sciences.) 3246(56)235467. ‏
4) Bruno, M. T., Caruso, S., Scalia, G., Costanzo, M., Di Pasqua, S., Boemi, S., & Palumbo, M. (2023): Papillomavirus Infection as Potential Cause of Miscarriage in the Early Gestational Age: A Prospective Study. Diagnostics, 13(9): 1659.
5) Hassan H., Abd-ELhakam F., Ali E. Effect of Life Style Modification Implemented Program Among Infertile Women with Poly Cystic Ovary Syndrome on Obesity and Menstrual Regulation. Journal of Clinical and Laboratory Research, 2025; 8(2): 1-7. DOI:10.31579/2768-0487/166
6) Sheha E., Hassan H., Gamel W. Association between pre-pregnant overweight and obesity and periodontal disease during pregnancy: a cross sectional study. International Journal of Studies in Nursing. 2018; 3(1): 1-21.
doi:10.20849/ijsn.v3i1.207.
7) Hamal, S., Gurung, Y. B., Shrestha, B., Shrestha, P., Sapkota, N. L., & Shrestha, V. L. (2024): Factors associated with miscarriage in Nepal: Evidence from Nepal Demographic and Health Surveys, 2001–2016. Plos one, 19(4)2357, e0302001.‏
8) Hassan H., Abd-ELhakam F., Ali E. Infertility and Obesity: Impact of Lifestyle Modification. American Journal of Nursing Research, 2025; 13(3): 59-67. doi: 10.12691/ajnr-13-3-1.
9) Mehra, V. M., Farooqi, S., Sriram, P., & Tunde-Byass, M. (2024): Diagnosis and management of early pregnancy loss. CMAJ, 196(34), E1162-E1168. ‏
10) VandeVusse, A. J., Mueller, J., Kirstein, M., Strong, J., & Lindberg, L. D. (2023): “Technically an abortion”: Understanding perceptions and definitions of abortion in the United States. Social Science & Medicine, 335, (34)116216.‏
11) Ramadan, A., Abo Shabana, K., & Mossa, S. (2021): Assessment of post abortion woman lifestyle. Egyptian Journal of Health Care, 12(3), 831-842. doi:10.21608/ejhc.2021.192060.
12) Hassan H., Saber N., Sheha E. (2019). Comprehension of Dyspareunia and Related Anxiety among Northern Upper Egyptian women: Impact of Nursing Consultation Context Using PLISSIT Model. Nursing & Care Open Access Journal, 6(1): 1-19. DOI: 10.15406/ncoaj.2019.06.00177
13) Malk R., Fahem E., Hassan H., Soultan A. (2022). Efficacy of Training Program on Nurses Performance regarding Preventive Measures of Venous Thromboembolism among Critical Pregnant Women. Egyptian Journal of Health Care, 13(2): 401-413. DOI: 10.21608/EJHC.2022.230390
14) Eid S., Abou-Shabana K., Hassan A., Hassan H. (2023). Effect of Pre-Gynecological Examination Counseling Sessions on Relieving Women’s Pain, Discomfort and Enhancing their Satisfaction. Journal of Nursing Science – Benha University, 4(1): 751-768.
15) Ali M., Elshabory N., Hassan H., Zahra N., Alrefai H. (2018). Perception about Premarital Screening and Genetic Counseling Among Males and Females Nursing Students. IOSR Journal of Nursing and Health Science, 7(1): 51-57. doi:10.9790/1959-0701065157
16) Hassan H., Gamel W., Sheha E., Sayed M., Arafa A. (2019). Menstrual disorders Necessitating Counseling among Students in Beni-Suef University. Clinical Nursing Studies, 7(2): 29-36. doi:10.5430/cns.v7n2p29
17) Martin, D. G., & Johnson, E. A. (2024): Counseling and therapy skills. Waveland Press 73(5), 374-380. ‏
18) Hassan H., Eid S., Hassan A., Abou-Shabana K. (2022). Pre-Gynecological Examination: Impact Counseling on Women’s Pain, Discomfort, and Satisfaction. American Journal of Public Health Research, 10(2): 63-75
19) Abou-Shabana K., Hassan A., Eid S., Hassan H. (2022). Effect of Counseling Sessions on Women’s Satisfaction during Gynecological Examination. Journal of Obstetrics Gynecology and Reproductive Sciences, 6(4): 1-10. DOI: 10.31579/2578-8965/119
20) Hassan H., Gooda W., Ahmed T., Farag D. (2025). Marital, Sexual Satisfaction and Quality of Life among Post-hysterectomy Women: Impact of Nursing Counseling Guided by BETTER Model. Egyptian Journal of Health Care, 16 (1): 99-116. Doi: 10.21608/ejhc.2025.402051
21) Foster, A. M., Arnott, G., Hobstetter, M., Zaw, H., Maung, C., Sietstra, C., & Walsh, M. (2016): Establishing a referral system for safe and legal abortion care: a pilot project on the Thailand-Burma border. International Perspectives on Sexual and Reproductive Health, 42(3):7836.
22) Turesheva, A., Aimagambetova, G., Ukybassova, T., Marat, A., Kanabekova, P., Kaldygulova, L., & Atageldiyeva, K. (2023): Recurrent pregnancy loss etiology, risk factors, diagnosis, and management. Fresh look into a full box. Journal of Clinical Medicine, 12(12), 4074.
doi:10.3390/jcm12124074.
23) Haghighi, M., Oladbaniadam, K., Mohaddesi, H., & Rasuli, J. (2022): Individual counseling in mothers bereaved by pregnancy loss. Journal of Education and Health Promotion, 11(1), 209.
doi:10.4103/jehp.jehp_1765_21.
24) Keshavarz, Z., Karimi, E., Golezar, S., Ozgoli, G., & Nasiri, M. (2021): The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: A single-group pretest–posttest trial. BMC Women’s Health, 21(1). doi:10.1186/s12905-021-01570-4.
25) Cuenca, D. (2023): Pregnancy loss: Consequences for mental health. Frontiers in global women’s health, 3, (53) 1032212. ‏
26) Ibrahim, S., Ragab, K., Abdel, N., & Fathy, W. (2020): Investigate women’s knowledge, attitude and their immediate intervention regarding habitual abortion. Egyptian Journal of Health Care, 11(3), 938-951. doi:10.21608/ejhc.2020.207949.
27) Turner, K. L., Pearson, E., George, A., & Andersen, K. L. (2018): Values clarification workshops to improve abortion knowledge, attitudes and intentions: A pre-post assessment in 12 countries. Reproductive Health, 15(1). doi:10.1186/s12978-018-0480-0.
28) Vongxay, V., Chaleunvong, K., Essink, D. R., Durham, J., & Sychareun, V. (2020): Knowledge of and attitudes towards abortion among adolescents in Lao PDR. Global Health Action, 13(sup2), 1791413. doi:10.1080/16549716.2020.1791413.
29) Ngo, A., Nguyen, V. T., Phan, H., Pham, V., Ngo, C., Nguyen, L., & Ha, T. (2023): Effectiveness of mHealth intervention on safe abortion knowledge and perceived barriers to safe abortion services among female sex workers in Vietnam. mHealth, 9, 3-3. doi:10.21037/mhealth-22-41.
30) Hassan, H., Zahran, K., Youness, E., & Nady, F. (2015). Pregnant Women’s Awareness, Intention and Compliance regarding Folic Acid Usage for Prevention of Neural Tube Defects According to Health Belief Model in Beni-Suef City. Pyrex Journal of Nursing and Midwifery, 1(3), 13-26.
31) Hassan, H., Nady, F., Youns, E., & Zahran, K. (2016). Call for Change Level of Knowledge, Awareness and Attitude to Follow A High Folate Diet Among Pregnant Women. IOSR Journal of Nursing and Health Science, 5(1), 93-100. https://doi.org/10.9790/1959-051293100.
32) Said, A. (2016). Effect of counseling intervention on women’s knowledge, practices and lifestyle of fetal well-being among Primigravida. International Journal of Nursing Science, 6(4), 87-93
33) Farg, D., & Hassan, H. (2019). Study Hyperemesis Graviderum Requiring Hospital Admission during Pregnancy: Effect of Nursing Implication on Its Progress. American Journal of Nursing Research, 7(3), 328-341.
https://doi.org/10.12691/ajnr-7-3-14
34) Hassan, H., Said, S., & Hassanine, Sh. (2017). Disparities of Prevalence and Causes of Maternal Antenatal Anxiety among Primigravida Pregnant Women in Egypt. American Research Journal of Nursing, 3(1), 1-15.
https://doi.org/10.9790/1959-051293100
35) Mostafa H., Yousef F., Hassan H. (2018). Health Related Quality of Life Educational Interventions: Effect on Chronic Hepatitis C Patients’. Saudi Journal of Nursing and Health Care; 1(2): 56-67.
36) Said S., Hassan H., Sarhan A. (2018). Effect of an Educational Intervention on Women’s Knowledge and Attitude Regarding Cervical Cancer. American Journal of Nursing Research; 6(2): 59-66. doi: 10.12691/ajnr-6-2-4.
37) Hassan H, Nasr E. (2017). Improving nurses’ knowledge and skills regarding tocolytics for inhibiting preterm labor. Clinical Nursing Studies; 5(1): 1-12. https://doi.org/10.5430/cns.v5n1p1.
38) Abd-Elfattah N., Mohamed A., Hassan H. (2025). Effect of an Educational Program on Women’s Intention regarding Oocyte Cryopreservation. Journal of Comprehensive Nursing Research and Care, 10(2): 1-8. doi:
https://doi.org/10.33790/jcnrc1100221.
39) Hassan H., Gooda W., Nashed N. (2025). Correlation between Women’s Knowledge, Life Style and Impact Level of Social Networking Sites on Women After Abortion Using Counseling Based On PLISSIT Model. American Journal of Public Health Research, 13(5): 199-207. doi: 10.12691/ajphr-13-5-1.
40) Mohamed H., Hassan H., Masoud H. (2025). Call for Enhancing Pregnant Women’s Knowledge Regarding Teratogenic Medica¬tions and Most Common Drugs That Cause Congenital Anomalies. NL Journal of Medical and Pharmaceutical Sciences, 1(3): 27-35.
41) Hassan H., Mohamed A. Elfattah N. (2025). Working Females’ Knowledge, Attitude, and Intention at Beni-Suef University regarding Oocyte Cryopreservation: Effect of an Educational Program. American Journal of Nursing Research, 13(4):97-102. doi: 10.12691/ajnr-13-4-2
42) Zaki S., Nady S., Hassan H. (2025). Preventive Measures of Breast Cancer Female Workers’ Knowledge. Journal of Clinical and Laboratory Research, 8(2): 1-6. DOI:10.31579/2768-0487/169
43) Atwa A., Hassan H., Ahmed S. (2019). The impact of a hospital-based awareness program on the knowledge of patients about breast cancer and cancer cervix. International Journal of Studies in Nursing; 4(1): 20-29. doi:10.20849/ijsn.v4i1.
44) Hassan H., Abd-ELhakam F., Kasem E. (2025). Relationship between Infertile Overweight and Polycystic Ovary Syndrome Women’s Characteristics and Lifestyle Habits: An Interventional Study. Journal of General medicine and Clinical Practice, 8(8): 1-7. DOI:10.31579/2639-4162/285
45) Masters K. (2013): Edgar Dale’s Pyramid of Learning in medical education: A literature review, Medical Teacher; 35(11): e1584-e1593. https://doi.org/10.3109/0142159X.2013.800636
46) Hassan H. (2019). Integrative Nursing Science in Women’s Pre-conceptional Wellness. International Journal of Health and Biological Sciences; 2(1): 17-18.
47) Hassan H., Mohamady Sh., & Abd El-Gawad N. (2017). Protocol for improving nursing performance towards placental examination at labor units. Clinical Nursing Studies; 5(2): 1-11. http://dx.doi.org/10.5430/cns.v5n2p1.
48) Gamel W., Genedy A., Hassan H. (2020). Impact of Puerperal Sepsis Self-Care Nursing Guideline on Women’s Knowledge and Practices. American Journal of Nursing Research, 8(2): 132-141. doi:10.12691/ajnr-8-2-1
49) Nady F., Said M., Youness E., Hassan H. (2017). Impact of Tailored Educational Program of Quality of Life Improvement on Women Undergoing Breast Cancer Treatment at El-Minia Region, Egypt. American Research Journal of Gynaecology, 1(1): 1-17. doi:10.21694/2577-5928.17001
50) Hassan H., Gooda W., Nashed N. (2025). Post Abortion Women’s Life Style: Impact of Counseling Based on PLISSIT Model. American Journal of Nursing Research, 13 (4): 89-96. doi: 10.12691/ajnr-13-4-1.
51) Abd-Elfattah N., Mohamed A., Hassan H. (2025). Enhancing Females’ Knowledge regarding Oocyte Cryopreservation: Effect of an Educational Program. International Journal of Clinical Research and Reports, 4(6): 2-8. DOI: 10.31579/2835-785X/109.
52) Hassan H., Mohamed H., Masoud H. (2025). Women’s Knowledge and Attitude regarding Teratogenic Medications and Practices toward Minor Discomfort: Impact of an Educational Program. International Journal of Family & Community Medicine, 9(6): 146-152. DOI: 10.15406/ijfcm.2025.09.00397
53) Said D., Gooda W., Mohamed E., Hassan H. (2026). Effect of Continuous Care Model on Recurrence of Vulvovaginal Candidiasis Infection among Pregnant Women. Egyptian Journal of Health Care, 17 (1): 121-144 1009-1028. Doi: 10.21608/ejhc.2026.479146.
54) Abd-Elfattah N., Mohamed A., Hassan H. (2026). Study women’s attitude regarding Oocyte Cryopreservation: The Impact of an Educational Initiative. American Journal of Public Health Research, 14(1): 1-6. DOI: 10.12691/ajphr-14-1-1.
55) Mohamed, S. (2022). Knowledge improvement through targeted reproductive counseling. International Journal of Women’s Health, 49(2), 101–108.
56) Ali, A., Fathy, N., & Kamal, S. (2021). Determinants of abortion awareness among young women. Egyptian Journal of Nursing, 37(1), 45–53.
57) El-Sayed, H., & Khalifa, N. (2020). Marital status and reproductive knowledge: A cross-sectional study. Cairo Medical Journal, 88(3), 67–75.
58) Ahmed, R., Hassan, H., & El-Masry, R. (2020). Women’s knowledge about abortion and associated factors. Journal of Reproductive Health, 34(2), 123–132.
59) Hassan H., Ali R., Abd El Salam S., Kamal H. (2021). Impact of an Educational Program on Sexual Dysfunction Associated With Cervical Cancer. Journal of Cancer Research and Treatment, 9(2): 22-31. DOI:10.12691/jcrt-9-2-1
60) Hassan H., Ramadan S., Ali R., Kamal H. (2021). Sexual Issues among Cervical Cancer Survivors’ Women in Northern Upper Egypt. Journal of Advanced Trends in Basic and Applied Science, 1(1): 1-11.

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