A systematic review of trend studies of women seeking termination of pregnancy

Abigail, Wendy; Power, Charmaine

doi:10.1111/j.1365-2702.2008.02406.x

Cited by 8 publications

(4 citation statements)

References 19 publications

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“…Socioeconomic factors influence both choice and use of contraception, the rate of unintended pregnancy, and the decision to continue or terminate an unintended pregnancy [ 1 , 7 – 10 ], resulting in a complex relationship between all of these factors and reproductive decision-making. Additionally, different forms of contraception have varying efficacy [ 1 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring the relationship between socioeconomic factors, method of contraception and unintended pregnancy

et al. 2016

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BackgroundIt is estimated that approximately one-third of pregnancies in Canada are unintended, meaning they were either mistimed (the woman wanted to be pregnant at a different point in time) or undesired (the woman did not want to be pregnant). This study aimed to assess the impact of socioeconomic variables and method of contraception on the decision to either terminate or continue and unintended pregnancy.MethodsData were obtained from two contemporaneous studies in Calgary Canada– a cross-sectional study involving women seeking abortion services (n = 577) and a longitudinal cohort study involving women with continuing pregnancies (n = 3552) between 2008 and 2012. Chi square tests and logistic regression were used to examine the association between socioeconomic variables, use of contraception and pregnancy intention.Results96.5 % of women seeking an abortion and 19.6 % of women with ongoing pregnancies reported having an unintended pregnancy. Women with unintended pregnancies were significantly younger (p < 0.001), less educated (p < 0.001), had a lower household income (p < 0.001), were less likely to be in a stable relationship (p < 0.001), and less likely to speak English in the home (p < 0.002). 20.2 % reported not using any form of birth control despite their desire to not get pregnant. Among women with unintended pregnancies, the only significant demographic predictor of not using any form of contraception was low educational attainment (OR = 1.7, 95 % CI: 1.2–2.4).ConclusionsLow educational attainment was associated with not using any form of contraception among women with unintended pregnancies. However, as unintended pregnancy occurs across all socio-demographic groups, care providers are encouraged to have an open discussion regarding fertility goals and contraception with all patients and refer them to appropriate resource materials.

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Section: Introductionmentioning

confidence: 99%

Exploring the relationship between socioeconomic factors, method of contraception and unintended pregnancy

et al. 2016

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“…The following factors are frequently associated with induced abortion among women in general: age [16]–[20], skin color (non-white) [19], [21], higher education levels, unemployment or unstable employment situation, low socioeconomic status [20], [22], having had previous pregnancies and previous children [16], [20], [21], [23], [24], being single [16], [19]–[21], [25]–[29] or in an unstable relationship [20], having a greater number of sexual partners [21] and a history of illicit drug use [30], [31] and being conducive with abortion practices [21].…”

Section: Introductionmentioning

confidence: 99%

Lifetime Induced Abortion: A Comparison between Women Living and Not Living with HIV

et al. 2014

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BackgroundStudies aimed at understanding the association between induced abortion and HIV are scarce and differ on the direction of the association. This paper aims to show the prevalence of induced abortion in a sample of pregnancies of women living and not living with HIV/Aids, determining variables associated with pregnancy termination and linked to the life course of women and to the specific context of the pregnancy.MethodsData came from a cross-sectional study, using interviewer-administered questionnaire, developed with women that attended public health services in Porto Alegre, Brazil. A generalized estimating equation model with logit link measured the association between determinants and abortion.FindingsThe final sample was composed of 684 women living with HIV/Aids (2,039 pregnancies) and 639 women not living with HIV/Aids (1,539 pregnancies). The prevalence of induced abortion among pregnancies in women living with HIV/Aids was 6.5%, while in women not living with HIV/Aids was 2.9%. Among women living with HIV/Aids, the following were associated with induced abortion in the multivariable analysis: being older, having a higher education level, having had more sexual partners (i.e., variables linked to the life course of women), having had children prior to the index pregnancy and living with a sexual partner during pregnancy (i.e., variables linked to the context of each pregnancy). On the other hand, among women not living with HIV/Aids, only having a higher education level and having had more sexual partners (i.e., determinants linked to the life course of women) were associated with voluntary pregnancy termination in multivariable analysis.ConclusionAlthough determinants are similar between women living and not living with HIV/Aids, prevalence of induced abortion is higher among pregnancies in women living with HIV/Aids, pointing to their greater social vulnerability and to the need for public policy to address prevention and treatment of HIV associated with reproductive issues.

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“…Trends in TOP vary and accurate worldwide prevalence is difficult to establish due to differences in laws and reporting mechanisms between and within countries [7]. However, estimates show that 44 million women around the world terminate pregnancies each year (28 per 1000 reproductive aged women) [8].…”

Section: Introductionmentioning

confidence: 99%

Australian Women’s Fertility Experiences prior to a Termination of Pregnancy

Abigail

Lacey

2014

The Scientific World Journal

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Objective. This research aimed to investigate the fertility management of women aged over 30 years prior to a termination of pregnancy (TOP) to inform primary health care service delivery providers and policy makers. Design. An ethically approved, two-phase sequential explanatory mixed methods design was used. This paper reports on part of that study. Setting. The study was conducted in five South Australian TOP clinics. Patients. Women aged over 30 years attending for a TOP in 2009 were invited to participate. Interventions. The Contraception Sexual Attitude Questionnaire (modified version) of women attending termination of pregnancy services was used. Main Outcomes Measures. Quantitative data analysis utilized SPSS V16 where simple descriptive statistics were described. Results. There were 101 questionnaire respondents where 70.5% were Australian women, predominantly married and with children. Women used contraception but experienced method failure, were beginning a new method, or were afraid of side effects. Risk-taking behaviours were reported such as putting the possibility of pregnancy out of their mind, getting carried away and not thinking of pregnancy risk, or frequently having unprotected intercourse. Conclusion. Service delivery needs to include age specific programs, and policy makers need to include policies which are adequately funded and evaluated. Further research is required to provide greater depth of knowledge in this area.

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A systematic review of trend studies of women seeking termination of pregnancy

Cited by 8 publications

References 19 publications

Exploring the relationship between socioeconomic factors, method of contraception and unintended pregnancy

Exploring the relationship between socioeconomic factors, method of contraception and unintended pregnancy

Lifetime Induced Abortion: A Comparison between Women Living and Not Living with HIV

Australian Women’s Fertility Experiences prior to a Termination of Pregnancy

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