Second Trimester Abortions in India

Dalvie, Suchitra

doi:10.1016/s0968-8080(08)31384-6

Cited by 36 publications

(33 citation statements)

References 16 publications

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“…Furthermore, in both states, they had ever impregnated a partner; all of these pregnancies were reported to have been terminated. 4 Few hospital-based studies of unmarried women have been conducted over the last decade, 11,12 but given the small proportion of women who remain unmarried by age 25, it can be assumed that the overwhelming majority of unmarried women are indeed young. Studies from the 1970s and 1980s suggested that unmarried (mostly young) women constituted 20-30% of all clients seeking abortion, [13][14][15][16] a pattern observed in both rural 13 and urban areas.…”

Section: Study Settingmentioning

confidence: 99%

“…19 Several studies have confirmed, moreover, that unmarried adolescents and young women are a highly vulnerable groupfor example, many sought an abortion in their second trimester. [11][12][13][16][17][18][19][20][21] Indeed, in a study that compared married and unmarried abortion seekers, 59% of unmarried adolescents, compared with 26% of their married counterparts, underwent second-trimester abortions. 17 According to another study, the mean gestation at termination was nine weeks for married women and 14 weeks for unmarried women.…”

Section: Study Settingmentioning

confidence: 99%

See 1 more Smart Citation

Abortion Experiences of Unmarried Young Women In India: Evidence from a Facility-Based Study in Bihar and Jharkhand

Kalyanwala¹,

Zavier²,

Jejeebhoy³

et al. 2010

IPSRH

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Section: Study Settingmentioning

confidence: 99%

Section: Study Settingmentioning

confidence: 99%

Abortion Experiences of Unmarried Young Women In India: Evidence from a Facility-Based Study in Bihar and Jharkhand

Kalyanwala¹,

Zavier²,

Jejeebhoy³

et al. 2010

IPSRH

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“…Although second trimester abortions are associated with a disproportionately higher rate of morbidity, especially if unsafe methods of abortion are used, research in India shows that many married women experience abortion in their second trimester of pregnancy (Chhabra et al 1988, Ganatra 2000, Varkey et al 2000, Elul et al 2004a, MOH&FW 2007, Dalvie 2008, Jejeebhoy et al 2010a, 2010b. Leading reasons for second trimester abortion include delays in recognising the unintended pregnancy, limited role in abortion-related decisions, concerns about confidentiality and cost (Ganatra 2000, Comendant and Berer 2008.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with second trimester abortion in rural Maharashtra and Rajasthan, India

Zavier

Jejeebhoy

Kalyanwala

2012

Global Public Health

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Many married women in India experience abortion in their second trimester of pregnancy. While there is an impression that second trimester abortions are now overwhelmingly used for sex selection, little is known about the extent to which second trimester abortions are indeed associated with son preference and sex selection motives, relative to other factors. Using data from a community-based study in rural Maharashtra and Rajasthan, research highlights the role of limited access in explaining second trimester abortion. While women with a single child who was a daughter were indeed more likely than other women to have terminated a pregnancy carrying a female foetus in the second trimester, more strikingly, exclusion from abortion-related decision-making, unsuccessful prior attempts to terminate the pregnancy, and distance from the facility in which their abortion was performed, were significantly associated with second trimester abortion, even after controlling for confounding factors. The study calls for greater efficiency in implementing the PCPNDT Act and addressing deep-rooted son preference. At the same time, findings that poverty and limited access to facilities are as, if not more, important drivers of second trimester abortion, highlight the need to meet commitments to ensure accessible abortion facilities for poor rural women.

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“…18 Studies comparing abortion-seeking experiences of married and unmarried young women are rare; those that are available focused on the timing of abortion and highlighted that unmarried young women were more likely to experience delays into the second trimester than were married ones. 4,5,11,20 Study setting Socioeconomic indicators are similar for both Bihar and Jharkand. Both states lag behind other Indian states on most development indicators, including access to health services.…”

Section: Introductionmentioning

confidence: 99%

Experience seeking abortion among unmarried young women in Bihar and Jharkhand, India: delays and disadvantages

Jejeebhoy¹,

Kalyanwala

Zavier

et al. 2010

Reproductive Health Matters

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Studies suggest that the experiences of unmarried young women seeking abortion in India differ from those of their married counterparts, but the evidence is limited. Research was undertaken among nulliparous young women aged 15-24 who had abortions at the clinics of a leading NGO in Bihar and Jharkhand. Over a 14-month period in 2007-08, 246 married and 549 unmarried young abortion seekers were surveyed and 26 who were unmarried were interviewed in depth. Those who were unmarried were far more likely to report non-consensual sexual relations. As many as 25% of unmarried young women, compared to only 9% of married young women, had had a second trimester abortion. The unmarried were far more likely to report non-consensual sexual relations leading to pregnancy. They were also more likely to report such obstacles to timely abortion as failure to recognise the pregnancy promptly, exclusion from abortion-related decision-making, seeking confidentiality as paramount in selection of abortion facility, unsuccessful previous attempts to terminate the pregnancy, and lack of partner support. After controlling for background factors, findings suggest that unmarried young women who also experienced these obstacles were, compared to married young women, most likely to experience second trimester abortion. Programmes need to take steps to improve access to safe and timely abortion for unmarried young women. ©2010 Reproductive Health Matters. All rights reserved.Keywords: unplanned pregnancy, abortion services, marital status, adolescents and young people, India P RE-MARITAL sexual relations have increasingly been documented in India, 1,2 and studies suggest that few young people are using condoms or any other contraceptive method consistently, risking unintended pregnancy. A recent study among unmarried college students, for example, found that 8-12% of sexually experienced young women or girlfriends of sexually experienced young men had ever had an unintended pregnancy and all of these pregnancies had been terminated. 3 Evidence on the abortion-related experiences of unmarried young women is sparse. 4 Several facility-based studies from India have suggested that young and unmarried women constitute significant minorities of all abortion patients, 4-10 that young abortion seekers are more vulnerable than adult women seeking abortion 4 and that those who are unmarried and young are even more vulnerable than their married counterparts, in that they are more likely to delay seeking an abortion and to go to unqualified providers. 11 163 Few studies, (with one exception 4 ) have explored other aspects of the abortion-seeking experience related to being young and unmarried.We aimed to shed light on the experiences of unmarried young abortion-seekers aged 15-24, compare their experiences with those of their married counterparts, and explore the proximate factors leading to delays in them obtaining abortions into the second trimester. Data were obtained from facilities in two poorly developed neighbouring states in north Ind...

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Second Trimester Abortions in India

Cited by 36 publications

References 16 publications

Abortion Experiences of Unmarried Young Women In India: Evidence from a Facility-Based Study in Bihar and Jharkhand

Abortion Experiences of Unmarried Young Women In India: Evidence from a Facility-Based Study in Bihar and Jharkhand

Factors associated with second trimester abortion in rural Maharashtra and Rajasthan, India

Experience seeking abortion among unmarried young women in Bihar and Jharkhand, India: delays and disadvantages

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