scholarly journals Determinants of Unintended Pregnancy and Induced Abortion among Female Youths in Western Regional Hospital, Nepal

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.

2013 ◽  
Vol 2013 ◽  
pp. 1-7
Author(s):  
Qiaoqin Ma ◽  
Xiaohong Pan ◽  
Gaofeng Cai ◽  
Jiezhe Yan ◽  
Yun Xu ◽  
...  

This study is to determine the prevalence of unintended pregnancy and its risk factors among the female attendees of sexually transmitted disease (STD) clinics in Zhejiang Province, China. A self-administered questionnaire survey of a cross-sectional design was administered to attendees at four STD clinics in 2007. Of the 313 female STD clinic attendees, 42.5% reported that they had at least one unintended pregnancy; the induced abortion rate was 39.0%. Over their lifetime, 12.1% responded “use condoms always/often” and 5.4% “always/often used oral contraceptives.” The risk factors for the unintended pregnancy identified by the multivariate analysis were as follows: being married, experience of nonconsensual sex, and a history of STD, having two and over two sexual partners. Unintended pregnancies and induced abortion by female STD clinic attendees have reached an alarming prevalence. Doctors at STD clinics should attach importance not only to the STD problem of the female attendees, but also to the unintended pregnancy and the associated factors. Targeted contraceptive counseling and intervention should be promoted at STD clinics as a strategy to improve the efficiency and effectiveness of the reproductive health services in China.


2020 ◽  
Vol 6 (2) ◽  
pp. 35-40
Author(s):  
Arif Hussen Jamie ◽  
Mohammed Zekeria Abdosh

Background: Abortion is a very common experience in every culture and society. Out of the 210 million pregnancies that occur each year globally, an estimated 46 million (22%) end up in induced abortion, in relation to that, 19 million women experience unsafe abortions annually.Objective: The aim of the study is to determine the prevalence and associated factors of induced abortion among women of reproductive age group in public health facilities from March 25– April 25, 2019, in Harari Region.Methods: A cross sectional study design was conducted. The sample size was 620 abortion cases. Structured questionnaire was used for data collection. Data were entered to Epi-Data version 3.5.3 and analyzed using SPSS version 20. Descriptive statistics, binary and multivariate logistic regression and odds ratio with 95% confidence intervals was used to identify the independent factors of induced abortion cases status. P-value 0.05 was considered as statistically significant association.Result: The mean age of the respondents was 29.5 years, with a standard deviation of 6.5. In this study the magnitude of induced abortion was 42.7%. Age 30, single marital status, occupational status students and commercial sex worker were statistically significant associated with induced abortion (p0.05).Conclusion: The study revealed a high level of induced abortion. Unwanted pregnancy is high among abortion patients in the study area. Hence, strict counseling about family planning method reminder, and partner involvement in family planning service should be recommended.


2021 ◽  
Vol 15 (11) ◽  
pp. 3513-3516
Author(s):  
Faiza Nawaz ◽  
Ammara Mansoor ◽  
Arooj Fatima ◽  
Ayesha Ilyas ◽  
Mehwish Hassan ◽  
...  

Background: In our nation, induced abortions are common. Unexpected and unintentional births are serious public health issues in both developed and underdeveloped nations. According to the WHO, abortion complications account for 2–12% of maternal fatalities in Pakistan. The circumstances surrounding these abortions have major ramifications for both females and communities. However, insufficient information about factors leading to septic induced abortions at the country level was the reason to determine the contributing factors among women with abortion. Objective: The objective of our current research is to regulate occurrence of underlying factors contributing in patients presenting with septic induced abortion in a tertiary care setup. Methods: This cross-sectional study was conducted at Department of Obstetrics and Gynecology, Jinnah hospital, Lahore for six months after approval of synopsis. Sample size of 130 cases was included through non-Probability consecutive sampling technique after the approval from hospital ethical committee. Informed consent was taken from each patient before including them in the study. Results: The mean age of the women was noted 26.24±4.93 years of which the minimum age was 18 year and maximum of 40 years. Out of these 130 women 26(20%) had no child, at least one abortion was most common as it was noted in 197(82%) of women. The underlying factors contributing to septic induced abortion it was noted that unwanted pregnancy in 41(31.5%) of cases, failed contraception in 37(28.5%) of cases, divorce in 6(4.6%) of cases, displeased family relation in 27(20.8%) of women and out of wedlock was noted in 19(14.6%) of cases. When data were stratified for effect modifiers statistically significant difference was found between parity and contributing factors for abortions (P-value = 0.000) and insignificant difference was observed with respect to age, educational status and economic status i.e., P-value > 0.05. Conclusion: The most common reason for abortion was unwanted pregnancy among the pregnant women. Keyword: Pregnancy, Abortion, Septic, maternal fatalities in Pakistan, WHO


2018 ◽  
Vol 7 (3) ◽  
pp. 319-323
Author(s):  
Amir Almasi-Hashiani ◽  
Reza Omani-Samani ◽  
Mahdi Sepidarkish ◽  
Farzad Khodamoradi ◽  
Mehdi Ranjbaran

Objectives: Unintended pregnancy, as one of the main issues in reproductive health, is defined as a mistimed or unwanted pregnancy all over the worlds. This study aimed to determine the prevalence and risk factors of unintended pregnancy among Iranian women. Materials and Methods: As part of a survey on twin or multiple pregnancies in Tehran, Iran, this cross-sectional study considered a total of 5152 deliveries in 103 hospitals during 2015. The required data were gathered at the time of delivery or within the next 2-3 days from physically unstable women. The sampling was carried out within two weeks. All women, regardless of method of delivery, being primiparous or multiparous, and pregnancy outcome were included in the study. Results: According to the results, the prevalence of unintended pregnancy in Iran was estimated 19.81%. Based on univariate analysis, the mean age of mothers, the mean age of fathers, number of pregnancies, and number of deliveries in unintended pregnancies were significantly higher than those in intended pregnancies. In addition, the prevalence of unintended pregnancy among housewives, as well as women with low levels of education and income was high. According to multiple logistic regression analysis, economic status and number of deliveries were the main predicting factors of unintended pregnancy. Conclusions: In general, the prevalence of unintended pregnancy in Iran is lower than that in other countries. However, preventive actions and health education programs still should be undertaken for mothers in order to minimize the prevalence of unintended pregnancies, thereby reducing the consequences for mother and baby.


2020 ◽  
Vol 5 (2) ◽  
pp. 240-249
Author(s):  
Satrio Wibowo Rahmatullah ◽  
◽  
Ika Maulida Nurrahma ◽  
Adnan Syahrizal

Compliance to achieve treatment success can be improved by providing drug information services (PIO) and counseling to improve understanding of treatment instructions. The general objective of this study was to determine the effect of drug information service and counseling on the level of medication adherence in patients with diabetes mellitus (DM) with hypertension in the Banjarbaru Regional Hospital. This study uses a quasi experimental method with a cross sectional approach and takes patient data prospectively. The results of this study indicate that the group given PIO and counseling showed a high level of adherence as many as 20 respondents (100%). Whereas in the group that was not given PIO and the counseling level of adherence was low, there were 4 respondents (20%). Based on the mann-whitney analysis p-value = 0,000 (<α = 0.05) so that there are differences in the group with PIO and counseling with groups without PIO and counseling, while the chi square analysis p-value = 0.004 (<α = 0 , 05) so that PIO and counseling have a significant effect on the level of adherence to taking medication in patients with DM with hypertension at the Banjarbaru Regional Hospital.


Author(s):  
Rabi Prasad Regmi ◽  
Shyam Sundar Parajuly ◽  
Dela Singh ◽  
Nabin Shrestha ◽  
Srijana Sharma

Background: Stillbirth (SB) incidents are one of the most common adverse outcomes to occur during pregnancy. Studies indicate that approximately 3.3 million stillbirths are reported annually across the developing world. Institutional registration and under reporting of still birth to an authorized centre is a common problem. Objective: The objective of this study is to find out the incidence of SB after 28 weeks gestation and to find out the associated risk factors at Western Regional Hospital of Nepal. Materials and Methods: This is a cross sectional study carried out at Western Regional Hospital. Stillbirth babies born after 28 weeks of gestation or birth weight ≥ 1 kilogram and their mothers were recruited for the study. Intrapartum stillbirths were included despite of their ages, races or socio-economic status. Descriptive analysis was done on the data. Results: There were 3380 deliveries during the period of study. Among them, 50 cases were stillborn babies with a rate of 14 per thousand deliveries. The major risk factors associated were oligohydramnios, decreased fetal movement, growth restriction, meconium stained liquor and cord prolapse. Conclusion: Oligohydramnios (amniotic fluid index < 5cm) was the most common risk factor for stillbirth. Early identification and appropriate perinatal management could help to promote perinatal health.


2021 ◽  
Vol 29 (01) ◽  
pp. 36-40
Author(s):  
Zainab Maqsood ◽  
Majida Zafar ◽  
Khawar Sultan

Objective: To study the relationship between history of miscarriage (induced or spontaneous) and current use of modern contraceptive method among women in Pakistan. Study Design: Cross Sectional study. Setting: OPD of MCH, PIMS. Period: July 2019 to December 2019. Material & Methods: A total of 80 married women were enrolled, 40 women who had induced miscarriage (group A) and 40 from spontaneous miscarriage (group B). Data is obtained on predesigned questionnaire. Primary outcome was acceptance of contraception (LARC) after induced versus spontaneous miscarriage. Results: About 51% of women were in the age group of 30–35 years and out of total 80 women, 67 (83%) women had parity of three or above (27 % had parity of three). Out of 66 women who used contraception, 35 (53%) had induced miscarriage (group A) and 31 (46%) had spontaneous miscarriage (group B). Women who belonged to induced miscarriage (group A) faced menstrual irregularity, as the reason of leaving contraception, followed by chronic PID and husband opposition. While in the group B, fertility desire was main reason of discontinuation of contraception. In Group A, 20 (50%) women were willing to use LARC (long acting reversible contraception) after induced abortion to reduce the chances of unwanted pregnancy while in other group B, 15 (37.5%) women were wanted to use LARC and 18 (45%) women were not ready to use contraception due to fertility. Conclusion: High rate of induced abortion due to failed contraception and dis-continuation of contraceptives needs to be addressed by encouraging women to manage the side effects to ensure continuity of contraceptives.


2020 ◽  
Vol 1 (6) ◽  
pp. 17-27
Author(s):  
Mutiara Hikmah ◽  
Asriwati Asriwati ◽  
Aida Fitria ◽  
Lucia Lastiur

Caesarean section delivery is a method of delivery in which an incision or incision is made in the abdominal wall and uterine wall to remove the product of conception. This study aims to analyze the factors that influence the increase in the number of Sesarea sections in the H. Sahudin Kutacane Regional Hospital, Southeast Aceh, Aceh Province, Indonesia. This research method is a mixed method with a cross-sectional or explanatory sequential approach. The number of samples used for the quantitative study were 40 women giving birth by cesarean section, and for qualitative research using 4 informants consisting of 2 maternal, 1 obstetrician, and 1 clinic midwife. Data collection techniques in this study used primary, secondary, and tertiary data. The data analysis techniques used in this study were univariate, bivariate, and multivariate. The results of this study indicate that the factors of age (p = 0.221), education (p = 0.000), work (p = 0.733), parity (p = 0.000), medical indications (p = 0.140), JKN KIS (p = 0.000), knowledge (p = 0.007), and attitude (p = 0.000). Of the 5 related variables, there were no variables that directly affected the increase in cesarean section (p value => 0.05). There is a significant relationship between education, parity, national health insurance, knowledge and attitudes towards increasing cesarean section delivery in RSUD. H. Sahudin Kutacane, but of the five variables, none of the variables had an effect on the increase in the cesarean section rate in RSUD.H. Sahudin Kutacane.


2020 ◽  
Vol 11 (2) ◽  
pp. 136-149
Author(s):  
Lia Suryani ◽  
Amrina Rosyada

The coverage of exclusive breastfeeding in Indonesia in 2017 is 35%, far below the recommendations of WHO (World Health Organization) of 50%. This rate is getting lower in unwanted pregnancies. Every year there is13.3% incidence of unwanted pregnancy in women aged 15-44 years. It has an impact on the mental, psychological condition of the mother in the process of child care and nutrition from birth. This study aims to determine the prevalence and relationship of unwanted pregnancy among married women on the duration of breastfeeding in Indonesia. This research wa  a quantitative study using cross -sectional study design, a sample of 5,163 married women, and aged 15-49 years. Data were analyzed using univariate descriptive statistics on complex sample analysis, bivariate analysis using Chi-Square, and multivariate using logistic regression tests of risk factor models. This study showed that 1,267 mothers who breastfed <6 months and there was a relationship between the unwanted pregnancy with the duration of breastfeeding (p-value: 0.007 with PR: 1.349; 95% CI: 1.085-1.676) after been controlled by the use of contraception. The support of husband and health workers during pregnancy, childbirth until child care is needed to support breastfeeding  


2021 ◽  
Vol 10 (1) ◽  
pp. 120
Author(s):  
Yulia M. Nur ◽  
Elnita Rahmi ◽  
Eliza Eliza

Neonatal jaundice is a common problem in the care of normal newborns. West Pasaman Regional Hospital data states that in 2018 there were 41 cases of neonatal jaundice out of 369 deliveries. The research objective was to determine the effect of exclusive breastfeeding and phototherapy on the incidence of neonatal jaundice. The research method is retrospective, namely conducting research on past events. The research was conducted at RSUD Pasaman Barat with a population of 20 people. Sampling was done by total sampling technique, so that the sample size is 20 people. Data collection was carried out by means of observation at the West Pasaman Regional Hospital. The approach used is cross sectional, namely independent and dependent data collection is done at the same time. The data that has been collected is then processed manually and analyzed by computerized univariate and bivariate analysis. This type of research is descriptive with a cross sectional design. The study population was all babies in West Pasaman Regional Hospital with a total of 41 people, the sample size was determined by the total sampling so that the sample was 41 people. The data was collected by means of a documentation study using a checklist. Data processing was carried out by univariate computerization. The results showed that as many as 13 respondents (31.7%) were breast-fed, 63.4% were carried out with phototherapy and 24.4% of respondents had neonatal jaundice. Based on the bivariate analysis obtained p value 0.049 (Breastfeeding) and 0.001 (Phototherapy). The results of the Chi Square test, it can be concluded that there is an effect of breastfeeding and phototherapy on the incidence of neonatal jaundice


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