Repeat induced abortion and associated factors among women seeking abortion care services at Debre Markos town health institutions, Amhara regional state, Ethiopia, 2017

Abstract

The aim of this study was to assess the proportion and determinants of repeat induced abortion among women seeking abortion care services at Debre Markos town health institutions, Amhara regional state, Ethiopia, 2017. Result: From the total 567-sample size, 547 women were participated in the study making a response rate of 96.5%. In this study 191 women reported that they had at least one previous abortion, making the proportion of repeat induced abortion 34.9%. In multivariable logistic regression analysis; illiteracy (AOR = 8.45, 95% CI 1.85, 36.49), living in an urban area (AOR = 5.14, 95% CI 2.29, 11.53), having multiple sexual partner (AOR = 6.16, 95% CI 3.25, 11.68), consuming alcohol (AOR = 2.77, 95% CI 1.52, 5.05) and having a history of physical violence by a male partner (AOR = 2.68, 95% CI 1.45, 4.94) were significantly associated with repeat induced abortion at p value less than 0.05.

The level and deriving factors of repeat-induced abortion in Ethiopia: A systematic review and meta-analysis

“…The prevalence of repeat-induced abortion was reported to be higher in the study by Waktola et al [ 24 ] (34.92, 95% CI 30.92, 38.91) followed by the study by Alemayehu B. et al [ 26 ] (33.57, 95% CI 29.10, 38.03). Whereas, the prevalence was found to be low in the study by Behulu et al [ 23 ] (20.28, 95%, CI 16.10, 24.46).…”

“…Studies with quality score of ≥7 were considered as low risk for bias based on the NOS quality assessment scores. The included studies were conducted in Amhara Region [ 23 , 24 ], Tigray Region [ 25 ], and Addis Ababa City Administration [ 26 , 27 ] ( Table 2 ).…”

“…Statistically, a significant association was observed between residence and repeat-induced abortion [ 23 , 24 ]. The risk of experiencing repeat-induced abortion was found to be 5.20 times higher among urban residents compared to the rural counterparts (OR = 5.10, 95%, CI 2.51, 10.33) with no heterogeneity between studies (I 2 = 0.0%, p = 0.964).…”

“…The risk of experiencing repeat-induced abortion was found to be 5.20 times higher among urban residents compared to the rural counterparts (OR = 5.10, 95%, CI 2.51, 10.33) with no heterogeneity between studies (I 2 = 0.0%, p = 0.964). Similarly, the education level of the participants was found to be the predictor of repeat-induced abortion [ 24 , 26 , 27 ]. The odds of experiencing repeat-induced abortion were found to be 4.12 times higher among illiterates compared with participants with above secondary level of education (OR = 4.12, 95%, CI 2.40, 7.07) with low heterogeneity between primary studies used (I 2 = 24.2%, p = 0.267) ( Figure 6 ).…”

“…With regards to the number of sexual partners, participants who had multiple sexual partners were found to have increased odds of experiencing repeat-induced abortion compared with those who had a single sexual partner (OR = 6.28, 95% CI 4.28, 9.22) with low heterogeneity between the included studies (I 2 = 3.6%, p = 0.375). Four, studies were used to determine the association between having multiple sexual partners and the risk of experiencing repeat-induced abortion [ 23 , 24 , 25 , 27 ]. However, a statistically significant association was not found between ever use of family planning and repeat-induced abortion by using two primary studies [ 23 , 27 ] (OR = 1.03, 95%, CI 0.09, 11.59) with high heterogeneity between the included studies (I 2 = 93.0%, p < 0.001) ( Figure 6 ).…”