scholarly journals Induced Second Trimester Abortion and Associated Factors in Amhara Region Referral Hospitals

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Amlaku Mulat ◽  
Hinsermu Bayu ◽  
Habtamu Mellie ◽  
Amare Alemu
Keyword(s):  
Associated Factors ◽  
First Trimester ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Second Trimester ◽  
Amhara Region ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Second Trimester Abortion

Background. Although the vast majority of abortions are performed in the first trimester, still 10–15% of terminations of pregnancies have taken place in the second trimester period globally. As compared to first trimester, second trimester abortions are disproportionately contribute for maternal morbidity and mortality especially in low-resource countries where access to safe second trimester abortion is limited. The main aim of this study was to assess the prevalence and associated factors of induced second trimester abortion in Amhara region referral hospitals, northwest Ethiopia.Methods. Institution based cross-sectional study was conducted in Amhara region referral hospitals among 416 women who sought abortion services. Participants were selected using systematic sampling technique. Data were collected using pretested structured questionnaire through interviewing. After the data were entered and analyzed; variables which havePvalue < 0.2 in bivariate analysis, not colinear, were entered into multiple logistic regressions to see the net effect with 95% CI andPvalue < 0.05.Results. The prevalence of induced second trimester abortion was 19.2%. Being rural (AOR = 1.86 [95% CI = 1.11–3.14]), having irregular menstrual cycle (AOR = 1.76 [95% CI = 1.03–2.98]), not recognizing their pregnancy at early time (AOR = 2.05 [95% CI = 1.21–3.48]), and having logistics related problems (AOR = 2.37 [95% CI = 1.02–5.53]) were found to have statistically significant association with induced second trimester abortion.Conclusion. Induced second trimester abortion is high despite the availability of first trimester abortion services. Therefore, increase accessibility and availability of safe second trimester abortion services below referral level, counseling and logistical support are helpful to minimize late abortions.

scholarly journals Utilisation of second-trimester spontaneous and induced abortion services in public hospitals in Mexico, 2007–2015

2019 ◽  
Vol 45 (4) ◽  
pp. 283-289 ◽  
Author(s):  
Lily T Alexander ◽  
Evelyn Fuentes-Rivera ◽  
Biani Saavedra-Avendaño ◽  
Raffaela Schiavon ◽  
Noe Maldonado Rueda ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
State Level ◽  
Population Data ◽  
First Trimester ◽  
Public Hospitals ◽  
Second Trimester ◽  
Trimester Abortion ◽  
Discharge System ◽  
Abortion Law ◽  
Second Trimester Abortion

BackgroundData on utilisation of in-facility second-trimester abortion services are sparse. We describe temporal and geographical trends in utilisation of in-facility second-trimester abortion services across Mexico.MethodsWe used 2007–2015 data from Mexico’s Automated Hospital Discharge System (SAEH) to identify second-trimester abortive events (ICD O02-O08) in public hospitals across Mexico’s 32 states. We described utilisation, calculated rates using population data, and used logistic regression to identify woman- and state-level factors (municipality-level marginalisation, state-level abortion law) associated with utilisation of second-trimester versus first-trimester services.ResultsWe identified 145 956 second-trimester abortions, or 13.4% of total documented hospitalizations for abortion between 2007 to 2015. The annual utilisation rate of second-trimester abortion remained constant, between 0.5 to 0.6 per 1000 women aged 15–44 years. Women living in highly marginalised municipalities had 1.43 higher odds of utilising abortions services in their second versus their first trimester, when compared with women in municipalities with low marginalisation (95% CI 1.18 to 1.73). Living in a state with a health or fetal anomaly exception to abortion restrictions was not associated with higher utilisation of second-trimester abortion services.ConclusionsOur results suggest there is a need for all types of second-trimester abortion services in Mexico. To improve health outcomes for Mexican women, especially the most vulnerable, access to safe second-trimester abortion services must be ensured through the implementation of current legal exceptions and renewed attention to the training of healthcare providers.

scholarly journals Comparative study between intravaginal misoprostol and extra-amniotic instillation of ethacridine lactacte for second trimester abortion

2017 ◽  
Vol 6 (6) ◽  
pp. 2575
Author(s):  
Suryaprakash Jagdevappa Karande ◽  
Meena Shantanu Gunjotikar
Keyword(s):  
Side Effects ◽  
Pregnancy Termination ◽  
First Trimester ◽  
Second Trimester ◽  
Trimester Abortion ◽  
Ethacridine Lactate ◽  
Second Trimester Pregnancy ◽  
Group A ◽  
Second Trimester Abortion ◽  
Group B

Background: The methods of terminating pregnancy in the first trimester are simple, safe and effective. Factors like lack of knowledge about availability of MTP services, ignorance, denial of pregnancy, fear of society may account for decrease in number of first trimester abortions. The aims of the present study were to compare the efficacy, induction abortion interval and side effects of intravaginal misoprostol with extra amniotic installation of ethacridine lactate for second trimester abortion.Methods: 60 women coming to MTP clinics requesting second trimester pregnancy termination between 12 to 20 weeks were selected. Detail history and examination was carried out in each patient. They divided into two groups, Group A (30) intravaginal misoprostol 400 initially followed by 400 micrograns every 6 hourly if required. Group B (30) extra-amniotic 0.1% ethacridine lactate 150 cc.Results: In Group A success rate was 100% while in Group B it was 76.66%, which is highly statistically significant (P< 0.01). Mean I – A interval in Group A was 14.58+5.25 hours was highly significantly less than in Group B, it was 33.91 + 3.97 hours (p<0.0001). In Group A complete abortion has occurred in 28 cases (93.33%) and in Group B in 12 cases (52.17%).Conclusions: We conclude that, as compared to extra-amniotic instillation of ethacridinelactate intravaginal misoprostol is the preferred regimen in second trimester abortion because of its high efficacy, shorter induction abortion interval, high incidence of completeness of abortion, low incidence of side effects and better tolerance by the patient. 

National survey of attitudes towards pregnancy termination procedures among anaesthesiology residents in the US

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 477
Author(s):  
Paris Stowers ◽  
Aneesa Thannickal ◽  
Martha Wojtowycz ◽  
Jodi Wallis ◽  
Zevidah V. Reiss
Keyword(s):  
Maternal Health ◽  
Online Survey ◽  
Pregnancy Termination ◽  
First Trimester ◽  
Second Trimester ◽  
Fetal Anomalies ◽  
Trimester Abortion ◽  
The Us ◽  
Second Trimester Abortion ◽  
Abortion Access

Anaesthesiologists are vital to abortion access in the US. An online survey of 215 anaesthesiology residents assessed attitudes towards abortion. Among the surveyed residents, first-trimester abortion was more acceptable than second-trimester abortion (P < 0.001). Few respondents objected to abortion in cases of fetal anomalies or maternal health indications. Further, 77.3% of surveyed residents reported past participation in abortion procedures, including 77.8% of residents with objections to abortion in some circumstances. Anaesthesiology residents who are female, childless and non-religious were more likely to find first-trimester abortion acceptable.

scholarly journals FREKUENSI PEMERIKSAAN ANC BERHUBUNGAN DENGAN PREEKLAMPSIA

2021 ◽  
Vol 7 (1) ◽  
pp. 14
Author(s):  
Lina fiitriani Lina fiitriani ◽  
Ros Diana
Keyword(s):  
Data Collection ◽  
First Trimester ◽  
Bivariate Analysis ◽  
Second Trimester ◽  
Third Trimester ◽  
Chi Square ◽  
Cross Sectional ◽  
Normal Duration ◽  
The Relationship ◽  
Duration Of Pregnancy

The gestation period starts from conception until the birth of the fetus. The normal duration of pregnancy is 280 days (40 weeks or 9 months and 7 days) counting from the first day of the last menstruation. Pregnancy is divided into 3, the first trimester starts from conception until 3 months, the second trimester starts from the fourth month to 6 months, the third trimester is from the seventh month to 9 months. Preeclampsia is a disease characterized by hypertension, proteinuria and edema that occurs during pregnancy. or up to 48 hours postpartum. This study aims to determine the frequency of ANC examinations with preeclamptic. The research method used was analytic survey research design with a cross sectional approach. Data collection techniques. Data collection in this study used a questionnaire sheet. The technique used in this study was purposive sampling. The data analysis used was univariate and bivariate analysis and the statistical test used was Chi Square. The significance of the relationship between the two variables is p = 0.000, p = 0.002 <α 0.05, this means that Ha is accepted and Ho is rejected, so there is a relationship between the frequency of ANC examinations and preeclamptic

scholarly journals Surgical and medical second trimester abortion in South Africa: A cross-sectional study

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniel Grossman ◽  
Deborah Constant ◽  
Naomi Lince ◽  
Marijke Alblas ◽  
Kelly Blanchard ◽  
...  
Keyword(s):  
South Africa ◽  
Cross Sectional Study ◽  
Second Trimester ◽  
Sectional Study ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Second Trimester Abortion

scholarly journals Induced Second Trimester Abortion and Associated Factors at Debre Markos Referral Hospital: Cross-Sectional Study

2020 ◽  
Vol 16 ◽  
pp. 174550652092954
Author(s):  
Bekele Tesfaye ◽  
Mesenbet Tewabe ◽  
Aster Ferede ◽  
Angela Dawson
Keyword(s):  
Cross Sectional Study ◽  
Referral Hospital ◽  
Second Trimester ◽  
Sectional Study ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Abortion Care ◽  
Care Services ◽  
Second Trimester Abortion ◽  
Debre Markos

Background: Although most induced abortions in Ethiopia are performed in the first trimester, many women will still require second trimester abortions. While access to abortion in Ethiopia is limited, few data are being available concerning the demand for and associated outcomes of second trimester abortions. This knowledge is important for planning the health service response to abortion. Objective: The main objective of this study was to determine the proportion and associated factors of second trimester abortion among women presenting for abortion care services at Debre Markos Referral Hospital, Debre Markos, Northwest Ethiopia. Methods: An institution-based cross-sectional study was conducted at Debre Markos Referral Hospital on a sample of 262 calculated using the single population proportion formula. Women who sought abortion services were interviewed consecutively from 12 February 2017 to 14 March 2017. Data were collected in a face-to-face exit interview and document review and analyzed using SPSS version 24.0 software. Bivariate and multivariable analyses were undertaken to identify factors. Result: Of the women who presented for abortion care services in Debre Markos Referral Hospital, 73 (29.6%) had induced second trimester abortion. Unmarried women (adjusted odds ratio = 4.93, 95% confidence interval = 1.41–17.16) and women employed at private business (adjusted odds ratio = 6.17, 95% confidence interval = 1.16–32.76) were associated with induced second trimester abortion. Conclusion: This study revealed that almost one-third of women who presented for abortion care services at Debre Markos Referral Hospital had induced second trimester abortions. Raising awareness of the health consequence of second trimester abortion at community levels and counseling to avoid further occurrences are helpful to minimize the problem. Furthermore, early management of induced second trimester abortion is very crucial to prevent further complications.

scholarly journals Prevalence and Associated Factors of Pressure Ulcer among Hospitalized Patients at Felegehiwot Referral Hospital, Bahir Dar, Ethiopia

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Haileyesus Gedamu ◽  
Mignote Hailu ◽  
Abdella Amano
Keyword(s):  
Pressure Ulcer ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Referral Hospital ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Prolonged Length

Introduction. Pressure ulcers, also known as decubitus ulcers (bed sores), are localized skin injuries that remain a major health problem affecting approximately 3 million adults. Objective. The aim of this study was to assess the prevalence and associated factors of pressure ulcer among hospitalized patients in Felegehiwot referral hospital. Methods. This cross-sectional study used systematic sampling on a sample of 422 patients. The data was collected by trained data collectors through pretested checklist. Bivariate analysis was used principally and variables were then entered into multiple logistic regressions model for controlling the possible effect of confounders and the variables which have significant association were identified on the basis of OR with 95% CI and P value. Results. The finding of this study revealed that 71 (16.8%) of them had pressure ulcer. Prolonged length of stay in hospital, slight limit of sensory perception, and friction and shearing forces were significantly associated with the presence of pressure ulcer. Conclusions and Recommendations. The prevalence of pressure ulcer was high among hospitalized patients. Researches of prospective (follow-up) study required investigating the incidence and associated factors of pressure ulcer for hospitalized patients.

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