Repeat induced abortions and contraceptive practices among unmarried young women seeking an abortion in China

Chen, Yimin; Gno, X.; Li, Y.; Li, S.; Qu, Aibin; Kang, Byung Soo

doi:10.1016/j.ijgo.2004.06.010

Cited by 51 publications

(52 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Cheng et al's study of 4547 young unmarried women seeking abortion, 47.7% of the current pregnancies were associated with non-use of any contraceptive method and 52.3% were related to contraceptive failure. 2 These findings support the idea that information on methods of contraception is not widely available to the target population.…”

Section: Contraception Availability In Chinasupporting

confidence: 53%

Non-palpable implant removal

Gupta¹,

Kubba²

2009

j fam plann reprod health care

View full text Add to dashboard Cite

The copper-bearing intrauterine device (Cu-IUD) is thought to act immediately by inhibiting sperm and ovum viability or preventing implantation. 2 The LNG-IUS has a different contraceptive mechanism of action that relies on hormonal effects on the endometrium, cervical mucus and uterotubal transport, and thus has a delayed onset. 2,3 This is the rationale for advising additional contraception for 7 days if a LNG-IUS is inserted after Day 7. 3 Although progestogen hormone can delay ovulation, the levels released from the LNG-IUS are insufficient to act in the same way as oral progestogen-only EC.Therefore, as stated in CEU Guidance, we recommend that only copper-bearing devices should be used for EC. 4

show abstract

Section: Contraception Availability In Chinasupporting

confidence: 53%

Non-palpable implant removal

Gupta¹,

Kubba²

2009

j fam plann reprod health care

View full text Add to dashboard Cite

show abstract

“…Thus, a high rate of withdrawal failure occurs. In a previous study of 4,547 women seeking an abortion in China, the contraceptive failure rate was 24.7 and 21.5% among those who used the rhythm method and withdrawal method, respectively [7]. …”

Section: Discussionmentioning

confidence: 99%

Induced Abortion and Relevant Factors among Women Seeking Abortion in Nanjing, China

Tian²,

2010

Gynecol Obstet Invest

View full text Add to dashboard Cite

Aims: This study aimed to determine the sociological characteristics of abortion seekers according to marital status and previous induced abortions in a major regional hospital in Nanjing, China. Methods: A cross-sectional survey was conducted through face-to-face interviews using a structured questionnaire in women seeking abortion at Nanjing Maternal and Child Health Care Hospital in China in 2003. Results: The average age of the participants was 26.0 ± 4.5 years. Of the 462 abortion seekers, 95.9% had one previous induced abortion. The majority (49.6%) of the ever-married women were in the age group of 25–29 while the majority (76.9%) of the unmarried women were aged 20–24 years. Unprotected intercourse (53.6%) and contraception failure (43.9%) were the primary reasons given for the current induced abortion for ever-married women. Unmarried women terminated their current pregnancies mainly because they did not want children (62.1%). Of the 182 unmarried subjects, 86.8% had psychological problems in their premarital pregnancy. Conclusions: Education and communication about sexual morality, contraception and reproductive health, as well as post-abortion counseling and services, especially for young women, are needed to reduce the rate of induced abortions.

show abstract

“…An annual average of 8–13 million induced abortions are carried out in China, in which repeated abortions account for up to 50% [12]–[13]. The majority of those seeking repeated abortion are often young, unmarried, and plan to become pregnant again in the future [14].…”

Section: Introductionmentioning

confidence: 99%

Repeated Abortion Affects Subsequent Pregnancy Outcomes in BALB/c Mice

Xu²,

Zhang³

et al. 2012

PLoS ONE

View full text Add to dashboard Cite

AimIn this study, we aimed to establish a mouse model of repeated medical termination of pregnancy in order to determine subsequent outcomes.MethodsA model of mifepristone (RU 486)-induced medical abortion was established in BALB/c mice to facilitate the investigation of the impact of medical abortion on subsequent pregnancies, including litter sizes and newborn birth weights. Pregnant mice were sacrificed to examine midterm pregnancy status, investigate the frequency of fetal resorption, and measure placental function gene expression by real-time PCR and immunohistochemistry. Offspring liver mRNA was harvested for real-time PCR to determine gene expression and assess the effects of abortion on offspring development.ResultsMice subjected to 2 previous medical abortions experienced spontaneous abortions in subsequent pregnancies. Medical abortion caused reduced reproductive capacity and affected placental dysfunction, with reduced expression of tissue factor (TF) and genes encoding proteins involved in metabolic functions relevant to pregnancy, such as 11β-hydroxysteroid dehydrogenase 1/2 (11β-HSD1/2) and glucocorticoid receptor (GR). Reduced expression was also observed for platelet endothelial cell adhesion molecule-1 (CD31) and vascular endothelial growth factor (VEGF). In offspring from subsequent pregnancies, genes involved in lipid metabolism, which may enhance key lipid transcription factors, such as PPARA and PPARG, as well as GR/11β-HSD1, were downregulated in the liver. In addition, the sperm motility of the F1 males reduced.ConclusionRepeated medical abortion impaired the reproductive function of female mice, significantly affecting the outcomes of subsequent pregnancies. The impact of repeated abortions on the offspring of subsequent pregnancies was also noteworthy and deserves further exploration. Thus, this model provides a useful means to study the mechanisms underlying the above phenomena, which will ultimately benefit the health of women and their children.

show abstract

Repeat induced abortions and contraceptive practices among unmarried young women seeking an abortion in China

Abstract: The rate of unmarried young women seeking repeated abortions was high in China on 2000. The rate of consistent condom use was low, and the rate of contraceptive failure was higher.

Cited by 51 publications

References 6 publications

Non-palpable implant removal

Non-palpable implant removal

Induced Abortion and Relevant Factors among Women Seeking Abortion in Nanjing, China

Repeated Abortion Affects Subsequent Pregnancy Outcomes in BALB/c Mice

Contact Info

Product

Resources

About