scholarly journals Unwanted pregnancy and induced abortion in Rajasthan, India: A qualitative exploration

2004 ◽  

As part of a Population Council program of research on unwanted pregnancy and induced abortion in Rajasthan, the Council and Ibtada conducted a qualitative exploration of attitudes and behaviors regarding unwanted pregnancy and induced abortion in Alwar district. The study was intended to lay the groundwork for two quantitative studies on abortion undertaken subsequently in six districts of Rajasthan. The qualitative exploration shows that women, particularly those who are poor, turn to largely untrained community-level providers for abortion services. Additionally, women use home remedies in an often unsuccessful attempt to terminate unwanted pregnancies. Women with greater financial means obtain surgical services from a private gynecologist. The remaining women are left with little choice but to avail of services from informal providers that they often recognize to be unsafe and/or to carry unwanted pregnancies to term. This report encourages innovative means to improve access to legal, safe, and effective abortion services at lower levels of the public health system, and suggests that the feasibility of training certain informal providers to offer safe abortion services, particularly at early gestations, should be explored at the policy, program, and research levels.

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Michael Boah ◽  
Stephen Bordotsiah ◽  
Saadogrmeh Kuurdong

Background. Unsafe induced abortion is a major contributor to maternal morbidity and mortality in Ghana. Objective. This study aimed to explore the predictors of unsafe induced abortion among women in Ghana. Methods. The study used data from the 2017 Ghana Maternal Health Survey. The association between women’s sociodemographic, obstetric characteristics, and unsafe induced abortion was explored using logistic regression. The analysis involved a weighted sample of 1880 women aged 15-49 years who induced abortion in the period 2012-2017. Analysis was carried out using STATA/IC version 15.0. Statistical significance was set at p <0.05. Results. Of the 1880 women, 64.1% (CI: 60.97-67.05) had an unsafe induced abortion. At the univariate level, older women (35-49 years) (odds ratio=0.50, 95% CI: 0.28-0.89) and married women (odds ratio=0.61, 95% CI:0.44-0.85) were less likely to have an unsafe induced abortion while women who did not pay for abortion service (odds ratio=4.44, 95% CI: 2.24-8.80), who had no correct knowledge of the fertile period (odds ratio =1.47, 95% CI: 1.10-1.95), who did not know the legal status of abortion in Ghana (odds ratio =2.50, 95% CI: 1.68-3.72) and who had no media exposure (odds ratio =1.34, 95% CI: 1.04-1.73) had increased odds for an unsafe induced abortion. At the multivariable level, woman’s age, payment for abortion services, and knowledge of the legal status of abortion in Ghana were predictors of unsafe induced abortion. Conclusion. Induced abortion is a universal practice among women. However, unsafe abortion rate in Ghana is high and remains an issue of public health concern. We recommend that contraceptives and safe abortion services should be made available and easily accessible to women who need these services to reduce unwanted pregnancies and unsafe abortion rates, respectively, in the context of women’s health. Also, awareness has to be intensified on abortion legislation in Ghana to reduce the stigma associated with abortion care seeking.


Author(s):  
T. Garashchenko

The dynamics of the main indicators of induced abortion associated with unwanted pregnancy are researched. The main tendencies of the level of induced abortion in Ukraine and its regions, as well as their medical and demographic consequences, are determined.


2020 ◽  
Author(s):  
Frank Albert Kimbwereza ◽  
Jesca Sael Nkya ◽  
Andrew Lelo Mboya ◽  
Bernard Njau

Abstract Background:Unsafe abortion is a significant problem for adolescent female students and among a leading cause of maternal mortality globally. In Tanzania, abortion is illegal, unless under medical emergencies, thus putting female students with an unwanted pregnancy at higher risk of unsafe abortion, with severe consequences, including death. The study aimed to determine the level of knowledge, attitude, and practices of induced abortion among adolescent girls in selected secondary schools in Moshi municipality, Kilimanjaro region.Method:A descriptive cross-sectional study was conducted among 342 secondary school girls aged 15–19 years from April-June 2019. Eligible participants were selected by a multistage sampling technique. Semi-structured self-administered questionnaires were used for data collection. Data were entered and analyzed using SPSS software.Results:The mean age of respondents were 16.7(SD 3.7), and 50.6% (n = 173/342; mean knowledge score = 38.9 ± 1.4) had a low level of knowledge on induced abortion. More than half, 55.8% (n = 191/342; mean attitude score = 18.9 ± 1.9) had a negative attitude towards induced abortion. Only, 5.6% (n = 19/342) of respondents had induced abortion from unwanted pregnancy before. The two main reasons of induced abortion were to finish school (26.3%), and fear of parents’ reactions (26.3%).Conclusion:Respondents had poor knowledge of induced abortion and a negative attitude towards induced abortion. Poor knowledge was because of a lack of understanding of the standard definition of induced abortion. Cultural and religious factors mostly influence the negative attitude towards induced abortion. A low proportion of sexually experienced respondents reported unwanted pregnancies and induced abortion. The main reasons for induced abortion are fear of termination from the education system and fear of parents' reactions. Effective adolescent’s reproductive and sexual health intervention is warranted to prevent unwanted pregnancies in this setting.


2020 ◽  
Vol 14 (1) ◽  
pp. 248-253
Author(s):  
Tadesse Nigussie ◽  
Mulugeta Feyisa ◽  
Tewodros Yosef ◽  
Mahilet Berhanu ◽  
Adane Asefa

Background: Globally, approximately 180-200 million pregnancies occur each year, about 75 million are unwanted pregnancies. The majority of unwanted pregnancies end in induced abortions each year. Combating abortion, abortion-related morbidity and mortality by preventing unwanted pregnancy has a great role in decreasing maternal mortality. Induced abortions, specifically unsafe abortion, are an important public health concern in developing countries. Nursing professionals encounter cases in their everyday activities; thus, findings from this study have paramount importance for nurses to be aware of the magnitude problem, which in turn help them to make an informed decision in their activities. Objective: To assess prevalence induced abortion and its associated factors among Health Science Students in South West Ethiopia. Methods: A facility-based cross-sectional study was conducted on female students. A systematic random sampling method was used to select the study participants. Data were collected using a structured self-administered questionnaire. Data were entered into Epidata manager version 3.1, and analyzed using SPSS version 21 statistical software for windows for analysis. Logistic regression was used to identify factors associated with induced abortion. Results: A total of 420 randomly selected female students were involved in the study. The prevalence of induced abortion was 18.8%. The factors associated with induced abortion among college students were urban residents (AOR = 3.91, 95%CI: 1.85-8.27), having poor knowledge of sexually transmitted diseases (AOR = 3.21, 95%CI: 1.62-6.38), and having a father with no formal education (AOR = 4.20, 95%CI: 1.87-9.42). Conclusion: The prevalence of induced abortion among the College of health science female students was found remarkable and we can conclude that induced abortion is one of public health importance among this population. Therefore, Mizan-Tepi University, College of health science, and Town health offices have to collaborate to decrease unwanted pregnancy to prevent induced abortion. Health education regarding contraceptive use, the consequence of induced abortion, and youth friendly services have to be delivered for students.


2017 ◽  
Vol 13 (1) ◽  
pp. 137-144 ◽  
Author(s):  
Efa Nugroho ◽  
Zahroh Shaluhiyah ◽  
Cahya Tri Purnami ◽  
Kristawansari Kristawansari

Teenegers who experience unwanted pregnancies are increasing. The number of client that access the Unwanted Pregnancy counseling services in IPPA Central Java in the year 2006 (94 clients), 2007 (91 clients), 2008 (95 clients), 2009 (68 clients), 2010 (157 clients), 2011 (98 clients), and 2012 (83 clients). Related to that data, 31% of clients were referred Haid Induction (HI), 3% refer shelter, and 66% continue the pregnancy and there were not identified. This research cunducted in 2014 used quantitative-qualitative approach which aimed to develop a model of counseling after mapping the case. Respondents were 5 Unwaned Prenancy counseling clients selected based on the final decision of counseling. From the research developed counseling model for teenage which should have an easy procedure, complete services, opening hours accordingly, no discrimination, respect privacy, provide pro choice, and low prices. Services consists of counseling, contraception, safe abortion, treatment of STIs, information center counseling and HIV testing, gynecological, prenatal and postnatal services, as well as the services of victims of gender based violence and sexual abuse.


2004 ◽  
Author(s):  

In India, abortion has been legal for over 30 years, following the enactment of the Medical Termination of Pregnancy (MTP) Act in 1971. While the MTP Act permits abortion for a broad range of social and medical reasons, it also includes provisions regarding delivery of services that have proved to constrain access to safe and legal abortion for the great majority of women in India. Due in part to these constraints, up to 90 percent of the six million induced abortions estimated to occur annually in India are illegal—provided in uncertified settings and/or by uncertified providers. Many are unsafe and result in significant morbidity and mortality. The situation is particularly poor in the less-developed states of north India, including Rajasthan. Thus, Rajasthan is among the states in India where increased access to safe abortion services is most needed. The Population Council, in partnership with the Centre for Operations Research and Training and Ibtada, undertook a program of research on unwanted pregnancy and induced abortion in six districts of Rajasthan. The program aimed to provide comprehensive data on abortion to guide future programs and policies. Findings from three studies conducted from 2001 to 2002 are detailed in this brief.


2020 ◽  
Vol 3 (1) ◽  
pp. 32-36
Author(s):  
Manisha Sen ◽  
Ram Prasad Neupane ◽  
Tirtha Man Shrestha

Introduction: Youth are more susceptible to unwanted pregnancies; this may be explained by the fact that youths are facing various problems with regards to their reproductive health needs including age at marriage, contraceptive use, social, cultural and economic barriers in accessing the family planning services, their educational level as well as occupational opportunities. The study assessed the determinants of unintended pregnancies and induced abortion among female youths aged 15-25 years in Western Regional Hospital, Pokhara. Methods: A cross sectional hospital-based study was conducted among 125 female youths visiting Western Regional Hospital, Pokhara. Ethical approval was taken before starting data collection. The respondents were interviewed using semi structured questionnaire. All the data collected in the proformas were entered and assimilated using SPSS 21, statistical analysis software. Descriptive statistics including chi square and p-value was applied. Results: Among 125 female respondents, 72.8% of the respondents had unwanted pregnancy and 24% had history of abortion. Out of all the unwanted pregnancies, 86.7% had induced abortion with p-value <0.05, x2 = 67.41. The financial problems of the respondents were found to be the prime determinant ofunwanted pregnancy and induced abortion, proportion being 52.8% and 55.2% respectively, whereas to keep gap between the births (12.8%) was also associated. The association between use of contraceptive methods and unwanted pregnancy was not found to be statistically significant with the p-value of >0.05. Conclusions: The prevalence of unintended pregnancy and induced abortion were high and most of the induced abortion was the result of unwanted pregnancy. The economic problem of the respondents was the prime factor associated with induced abortion.


1996 ◽  
Author(s):  
Friday Okonofua ◽  
Clifford Odimegwu ◽  
Bisi Aina ◽  
Patrick Daru ◽  
Agnes Johnson

2019 ◽  
Vol 2 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Rajendra Kumar Chaudhary ◽  
Nirmal Kumar Jha ◽  
Bijay Manandhar ◽  
Krishna Chaudhary

Introduction: Unsafe abortion is one of the major public health problems in developing countries including Nepal. After integration of comprehensive abortion care in safe motherhood service, there has been improvement in maternal and women health in Nepal. Furthermore, improvements are required in raising awareness and accessibility to safe abortion services to all the women in throughout the country. Methods: This is a retrospective study carried out in Western Regional Hospital after reviewing the data from the hospital records. Demographic details, parity, types of abortion for spontaneous abortion, and methods of induced abortion were noted and analyzed. Results: Maximum number of women belonged to 20-24 years of age and is Brahmin/Chhetri. Multi gravida are more than primi and they underwent induced abortion by medical termination of pregnancy. Similarly, incomplete abortion was in highest number among the spontaneous abortion. Conclusion: Easy availability of the safe abortion services and awareness among the people regarding it would certainly improve the maternal health and quality of life.


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