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Determinants of first and second trimester induced abortion - results from a cross-sectional study taken place 7 years after abortion law revisions in Ethiopia.

Bonnen KI, Tuijje DN, Rasch V - BMC Pregnancy Childbirth (2014)

Bottom Line: As a result women were given access to safe pregnancy termination in first and second trimester.In all 808 safe abortion cases and 21 unsafe abortion cases were included in the study.Young age, poor education and the prospect of single parenthood were associated with second trimester abortion.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynaecology, Odense University Hospital, Odense, Denmark. vrasch@health.sdu.dk.

ABSTRACT

Background: In 2005 Ethiopia took the important step to protect women's reproductive health by liberalizing the abortion law. As a result women were given access to safe pregnancy termination in first and second trimester. This study aims to describe socio-economic characteristics and contraceptive experience among women seeking abortion in Jimma, Ethiopia and to describe determinants of second trimester abortion.

Methods: A cross-sectional study conducted October 2011 - April 2012 in Jimma Town, Ethiopia among women having safely induced abortion and women having unsafely induced abortion. In all 808 safe abortion cases and 21 unsafe abortion cases were included in the study. Of the 829 abortions, 729 were first trimester and 100 were second trimester abortions. Bivariate and multivariate logistic regressions were used to determine risk factors associated with second trimester abortion. The associations are presented as odds ratios (OR) with 95% confidential intervals. Age stratified analyses of contraceptive experience among women with first and second trimester abortions are also presented.

Results: Socio-economic characteristics associated with increased ORs of second trimester abortion were: age < 19 years, being single, widowed or divorced, attending school, being unemployment, being ipara or para 3+, and having low education. The contraceptive prevalence rate varied across age groups and was particularly low among young girls and young women experiencing second trimester abortion where only 15% and 19% stated they had ever used contraception.

Conclusion: Young age, poor education and the prospect of single parenthood were associated with second trimester abortion. Young girls and young women were using contraception comparatively less often than older women. To ensure women full right to control their fertility in the setting studied, modern contraception should be made available, accessible and affordable for all women, regardless of age.

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Percentage of women experienced using contraception by age group.
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Fig2: Percentage of women experienced using contraception by age group.

Mentions: Ever use of modern contraception was reported by 67% of the women having first trimester induced abortion and 21% of the women having second trimester induced abortion (Table 3). Ever use of contraception by age groups is presented in Figure 2. The frequency in contraceptive use increased by age among both women having first and second trimester abortion, however, across all age groups the proportion of women who stated they had ever used contraception was comparatively lower among second trimester abortion women. In the age group < 19 years, 44% of the girls having first trimester abortion had ever used contraception whereas the same applied for only 15% of the girls having second trimester abortion. Among young women aged 20–24, 70% of first trimester and 19% of second trimester abortion women had ever used contraception. Among women aged 25+, 85% of first trimester and 47% of second trimester abortion women had ever used contraception. In relation to the intercourse where conception most likely happened a similar picture was found (Figure 3). In the age group < 19 years, 16% of the girls having first trimester abortion and 5% of the girls having second trimester abortion stated they had used contraception in relation to the intercourse where they conceived. Among young women aged 20–24, the same applied for 28% having first trimester and 7% having second trimester abortion whereas 37% and 12% of women aged 25+ with first trimester and second trimester abortion stated the same. Hence, the proportion of women, who stated contraceptive use at the intercourse where they most likely conceived, increased by age among both groups of abortion women but across all age groups the prevalence rates were significantly lower among women having second trimester abortion.Table 3


Determinants of first and second trimester induced abortion - results from a cross-sectional study taken place 7 years after abortion law revisions in Ethiopia.

Bonnen KI, Tuijje DN, Rasch V - BMC Pregnancy Childbirth (2014)

Percentage of women experienced using contraception by age group.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4307197&req=5

Fig2: Percentage of women experienced using contraception by age group.
Mentions: Ever use of modern contraception was reported by 67% of the women having first trimester induced abortion and 21% of the women having second trimester induced abortion (Table 3). Ever use of contraception by age groups is presented in Figure 2. The frequency in contraceptive use increased by age among both women having first and second trimester abortion, however, across all age groups the proportion of women who stated they had ever used contraception was comparatively lower among second trimester abortion women. In the age group < 19 years, 44% of the girls having first trimester abortion had ever used contraception whereas the same applied for only 15% of the girls having second trimester abortion. Among young women aged 20–24, 70% of first trimester and 19% of second trimester abortion women had ever used contraception. Among women aged 25+, 85% of first trimester and 47% of second trimester abortion women had ever used contraception. In relation to the intercourse where conception most likely happened a similar picture was found (Figure 3). In the age group < 19 years, 16% of the girls having first trimester abortion and 5% of the girls having second trimester abortion stated they had used contraception in relation to the intercourse where they conceived. Among young women aged 20–24, the same applied for 28% having first trimester and 7% having second trimester abortion whereas 37% and 12% of women aged 25+ with first trimester and second trimester abortion stated the same. Hence, the proportion of women, who stated contraceptive use at the intercourse where they most likely conceived, increased by age among both groups of abortion women but across all age groups the prevalence rates were significantly lower among women having second trimester abortion.Table 3

Bottom Line: As a result women were given access to safe pregnancy termination in first and second trimester.In all 808 safe abortion cases and 21 unsafe abortion cases were included in the study.Young age, poor education and the prospect of single parenthood were associated with second trimester abortion.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynaecology, Odense University Hospital, Odense, Denmark. vrasch@health.sdu.dk.

ABSTRACT

Background: In 2005 Ethiopia took the important step to protect women's reproductive health by liberalizing the abortion law. As a result women were given access to safe pregnancy termination in first and second trimester. This study aims to describe socio-economic characteristics and contraceptive experience among women seeking abortion in Jimma, Ethiopia and to describe determinants of second trimester abortion.

Methods: A cross-sectional study conducted October 2011 - April 2012 in Jimma Town, Ethiopia among women having safely induced abortion and women having unsafely induced abortion. In all 808 safe abortion cases and 21 unsafe abortion cases were included in the study. Of the 829 abortions, 729 were first trimester and 100 were second trimester abortions. Bivariate and multivariate logistic regressions were used to determine risk factors associated with second trimester abortion. The associations are presented as odds ratios (OR) with 95% confidential intervals. Age stratified analyses of contraceptive experience among women with first and second trimester abortions are also presented.

Results: Socio-economic characteristics associated with increased ORs of second trimester abortion were: age < 19 years, being single, widowed or divorced, attending school, being unemployment, being ipara or para 3+, and having low education. The contraceptive prevalence rate varied across age groups and was particularly low among young girls and young women experiencing second trimester abortion where only 15% and 19% stated they had ever used contraception.

Conclusion: Young age, poor education and the prospect of single parenthood were associated with second trimester abortion. Young girls and young women were using contraception comparatively less often than older women. To ensure women full right to control their fertility in the setting studied, modern contraception should be made available, accessible and affordable for all women, regardless of age.

Show MeSH
Related in: MedlinePlus