Do women presenting for first and second-trimester abortion differ socio-demographically?

Aggarwal, Pakhee; Agarwal, Paras; Zutshi,; Batra, Swaraj

doi:10.4103/2141-9248.113659

Cited by 7 publications

(9 citation statements)

References 14 publications

(14 reference statements)

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“…This study demonstrated that the overall prevalence of induced second trimester abortion was 19.2% which is in line with the prior study in South Africa that was 20% [ 26 ]. However, the finding of this study is greater than the global reported proportion 10–15% [ 10 ], study done in Nigeria 10% [ 8 ] and New Delhi 2% [ 27 ]. The possible explanation might be due to many women presenting to the government hospitals because private health institutions are not equipped to provide abortion care beyond 12 weeks of gestation except in rare occasions like private hospitals staffed by specialists (obstetrician/gynecologist).…”

Section: Discussioncontrasting

confidence: 73%

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

Aweke

Bayu

Mellie

et al. 2015

BioMed Research International

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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 have P value < 0.2 in bivariate analysis, not colinear, were entered into multiple logistic regressions to see the net effect with 95% CI and P value < 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.

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Section: Discussioncontrasting

confidence: 73%

“…A study done in New Delhi showed that factors affecting having second trimester abortion are difficulty in recognition of pregnancy and delay related to logistic problems [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

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

Aweke

Bayu

Mellie

et al. 2015

BioMed Research International

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“…Economic and logistical constraints, lack of information about providers, [ 7 , 8 , 10 , 11 , 21 ], and geographical characteristics [ 8 , 10 ] have been identified as key barriers to seeking first trimester and presenting for second trimester abortion in the US and Colombia. We also identified distance (residing outside Mexico City) as a barrier.…”

Section: Discussionmentioning

confidence: 99%

Who presents past the gestational age limit for first trimester abortion in the public sector in Mexico City?

Saavedra-Avendano

Schiavon²,

Sanhueza

et al. 2018

PLoS ONE

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ObjectiveTo identify socio-demographic factors associated with presenting for abortion services past the gestational age (GA) limit (12 weeks), and thus not receiving services, in Mexico City’s public sector first trimester abortion program.MethodsWe used clinical data from four high volume sites in the Interrupción Legal de Embarazo (ILE) program, 2007–2015. We used descriptive statistics to quantify the proportion of women who did not receive an abortion due to presenting past the gestational age limit. We used multivariable logistic regression to identify associations between women’s characteristics and presenting past the GA limit and calculated predicted probabilities of late presentation for key characteristics.ResultsOur sample included 52,391 women, 8.10% (n = 4,246) of whom did not receive abortion services due to presenting past the GA limit. Adolescents (12–17) made up 8.69% of the total sample and 13.40% of those presenting past the GA limit (p< 0.05). In multivariable analyses, all age groups of adult women had significantly lower odds than adolescents of presenting past the limit (aOR = 0.77, aOR = 0.63, aOR = 0.58 and aOR = 0.37 for 19–24, 25–29, 30–39, and > = 40 years’ old respectively). Women living in Mexico City and with higher levels of education had lower odds of presenting past the GA limit, and there was an educational gradient across all age groups. In the multivariable predicted probability models, adolescents at every level of education have significantly higher probabilities of not receiving an abortion due to presenting past the gestational age limit compared with adults (among women with a primary education: 11.75% adolescents vs. 9.02–4.26% across adult age groups).ConclusionsOur results suggest that continued efforts are needed to educate women, especially younger and less educated women, about early pregnancy recognition. In addition, all women need information about the availability of first trimester legal abortion to ensure timely access to abortion services.

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“…This is in contrast to a study carried out in Delhi where it was observed that second trimester abortions are directly proportional to an increase in parity. 13 This difference could have risen due to the small sample size (n=84) investigated by the researchers compared to ours (n=202). The number of second trimester abortions seen by the researchers was 2% of the total while our findings showed second trimester abortions constituting 25% of the total.…”

Section: Discussionmentioning

confidence: 69%

A hospital based exploratory study to assess the reasons and timings of seeking abortion services in a tertiary care hospital in Mumbai

Ramkrishna

Ghurye

Howal

2019

Int J Community Med Public Health

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Background: The adoption of the Medical Termination of Pregnancy (MTP) Act has allowed for abortion on the grounds of medical and social reasons since 1972.The aim of the present study is to establish the demographic of women seeking abortion care services and to determine the role of different factors in the timing of seeking an abortion.Methods: A retrospective hospital record-based study was carried out among pregnant women seeking an MTP in a tertiary care hospital in Mumbai. The records of women seeking MTP over a 5-year period from January 2012 to December 2016 were accessed and data pertaining to their demographic and obstetric history was recorded. Statistical tests of significance and analysis were done.Results: A total of 803 women underwent an MTP from January 2012 to December 2016. The number of deliveries during the same time period was 13735. The most common age group was 25-30 years. Stratification in terms of the educational backgrounds showed that 45.7% had received only secondary school education while 12.7% had no schooling. Majority of the women (74.8%) availed an MTP in the first trimester, out of which, most of them (36.9%) had 2 previous pregnancies. Most women coming in the second trimester (43.6%) hadn’t conceived before.Conclusions: Education didn’t seem to be a significant factor in determining the timing of seeking an MTP. School education did not necessarily include exposure to sexual education. Experience in terms of parity was more relevant in identifying signs of pregnancy and seeking appropriate services in a timely manner.

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Do women presenting for first and second-trimester abortion differ socio-demographically?

Cited by 7 publications

References 14 publications

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

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

Who presents past the gestational age limit for first trimester abortion in the public sector in Mexico City?

A hospital based exploratory study to assess the reasons and timings of seeking abortion services in a tertiary care hospital in Mumbai

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