Spontaneous and induced abortion trends and determinants in the Northeast semiarid region of Brazil: a transversal series

Correia, Luciano Lima; Rocha, Hermano Alexandre Lima; Leite, Álvaro Jorge Madeiro; Campos, Jocileide Sales; Silva, Anamaria Cavalcante e; Machado, Márcia Maria Tavares; Rocha, Sabrina Gabriele Maia Oliveira; Gomes, Thales Nogueira; Cunha, Antônio José Lêdo Alves da

doi:10.1590/1806-93042018000100006

Cited by 10 publications

(8 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Goal Three seeks to ensure healthy lives and promote well-being for all at all ages. This goal highlights the need to reduce maternal mortality and to improve reproductive health [ 2 ]. Reproductive health refers to a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity in all matters relating to the reproductive system and to its functions and processes [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

What has women’s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys

et al. 2020

View full text Add to dashboard Cite

Introduction Pregnancy termination is one of the key issues that require urgent attention in achieving the third Sustainable Development Goal (SDG) of ensuring healthy lives and promoting well-being for all at all ages. The reproductive health decision-making (RHDM) capacity of women plays a key role in their reproductive health outcomes, including pregnancy termination. Based on this premise, we examined RHDM capacity and pregnancy termination among women of reproductive age in sub-Saharan Africa (SSA). Materials and methods We pooled data from the women’s files of the most recent Demographic and Health Surveys (DHS) of 27 countries in SSA, which are part of the DHS programme. The total sample was 240,489 women aged 15 to 49. We calculated the overall prevalence of pregnancy termination in the 27 countries as well as the prevalence in each individual country. We also examined the association between RHDM capacity, socio-demographic characteristics and pregnancy termination. RHDM was generated from two variables: decision-making on sexual intercourse and decision-making on condom use. Binary logistic regression analysis was conducted and presented as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR) with their corresponding 95% confidence intervals (CI). Statistical significance was declared p<0.05. Results The prevalence of pregnancy termination ranged from 7.5% in Benin to 39.5% in Gabon with an average of 16.5%. Women who were capable of taking reproductive health decisions had higher odds of terminating a pregnancy than those who were incapable (AOR = 1.20, 95% CI = 1.17–1.24). We also found that women aged 45–49 (AOR = 5.54, 95% CI = 5.11–6.01), women with primary level of education (AOR = 1.14, 95% CI = 1.20–1.17), those cohabiting (AOR = 1.08, 95% CI = 1.04–1.11), those in the richest wealth quintile (AOR = 1.06, 95% CI = 1.02–1.11) and women employed in the services sector (AOR = 1.35, 95% CI = 1.27–1.44) were more likely to terminate pregnancies. Relatedly, women who did not intend to use contraceptive (AOR = 1.47, 95% CI = 1.39–1.56), those who knew only folkloric contraceptive method (AOR = 1.25, 95% CI = 1.18–1.32), women who watched television almost every day (AOR = 1.16, 95% CI = 1.20–1.24) and those who listened to radio almost every day (AOR = 1.11, 95% CI = 1.04–1.18) had higher odds of terminating a pregnancy. However, women with four or more children had the lowest odds (AOR = 0.5, 95% CI = 0.54–0.60) of terminating a pregnancy. Conclusion We found that women who are capable of taking reproductive health decisions are more likely to terminate pregnancies. Our findings also suggest that age, level of education, contraceptive use and intention, place of residence, and parity are associated with pregnancy termination. Our findings call for the implementation of policies or the strengthening of existing ones to empower women about RHDM capacity. Such empowerment could have a positive impac...

show abstract

Section: Introductionmentioning

confidence: 99%

What has women’s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys

et al. 2020

View full text Add to dashboard Cite

show abstract

“…A mortalidade expressiva nessa região também pode ser explicada por se tratar de uma região geográfica de grande contingente populacional, mais desenvolvida economicamente o que acaba influenciando em mais redes de atenção a saúde e consequentemente maior acesso e notificação de óbitos (MS, 2009). As demais regiões federativas apresentam quantitativos redutivos da mortalidade materna por aborto, podendo ser esclarecida através das hipóteses de melhoria do acesso a métodos contraceptivos modernos e eficazes, ou por se tratar de regiões que não contam com hospitais suficientes e/ou infraestrutura adequada para atender a demanda, ou seja, há o problema porém não está havendo a notificação dos dados (CORREIA et al, 2018). Outro ponto de extrema relevância a ser acordado, é a mortalidade materna entre as mulheres adolescentes de 15 a 19 anos de idade o que equivale a 473 (14,4%), isso pode estar associado ao início precoce da vida sexual e também porque geralmente os jovens não utilizam métodos contraceptivos em sua primeira relação, tendo como consequência a gravidez indesejada na adolescência.…”

Section: Resultados E Discussõesunclassified

“…Outro ponto de extrema relevância a ser acordado, é a mortalidade materna entre as mulheres adolescentes de 15 a 19 anos de idade o que equivale a 473 (14,4%), isso pode estar associado ao início precoce da vida sexual e também porque geralmente os jovens não utilizam métodos contraceptivos em sua primeira relação, tendo como consequência a gravidez indesejada na adolescência. Logo, os jovens e adolescentes recorrem ao aborto como uma alternativa de fuga das pressões sociais e econômicas de serem mães solteiras e criarem filhos (CORREIA et al, 2018).…”

Section: Resultados E Discussõesunclassified

Gênero e diversidade: instrumentos de promoção social e atenção a saúde

Santana¹

2021

View full text Add to dashboard Cite

show abstract

“…Correia et al . [23] also affirm that the beginning of sexual activity in young people is associated with not using contraceptive methods in their first sexual intercourse and, as a consequence, a high number of unplanned pregnancies occur in the first year of sexual activity and spontaneous abortion can occur. A number of these women also underwent unsafe abortion practices possibly due to fear and shame, as well as difficulties in accessing health services or lack of financial resources.…”

Section: Discussionmentioning

confidence: 99%

Association of spontaneous abortion and Ureaplasma parvum detected in placental tissue

Oliveira

et al. 2020

Epidemiol. Infect.

View full text Add to dashboard Cite

Abstract Spontaneous abortion is considered a public health problem having several causes, including infections. Among the infectious agents, bacteria of the vaginal microbiota and Ureaplasma parvum have been associated with abortion, but their participation needs to be further elucidated. This study aims to evaluate the influence of Mollicutes on the development of spontaneous abortion. Women who underwent spontaneous abortion and those with normal birth (control) were studied. Samples of cervical mucus (CM) and placental tissue were collected to identify Mollicutes using the quantitative polymerase chain reaction methodology. Eighty-nine women who had a miscarriage and 20 women with normal pregnancies were studied. The presence of Mollicutes in placental tissue increased the chance of developing miscarriage sevenfold. The prevalence of U. parvum in women who experienced spontaneous abortion was 66.3% in placental tissue. A positive association was observed between the detection of U. parvum in samples of placental tissue and abortion. There was a significant increase in microbial load in placental tissue for M. hominis, U. urealyticum and U. parvum compared to the control group. Detection of U. parvum in CM in pregnant women can ascend to the region of the placental tissue and trigger a spontaneous abortion.

show abstract

Spontaneous and induced abortion trends and determinants in the Northeast semiarid region of Brazil: a transversal series

Abstract: Objectives (AOR= 5.21;) and having less than 13years old at first sexual intercourse (AOR= 5.88;). For spontaneous abortion were: having studied less than 8 years, knowledge and use of morning-after pill (AOR= 26.44; and not having any children (AOR= 3.43

Cited by 10 publications

References 17 publications

What has women’s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys

What has women’s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys

Gênero e diversidade: instrumentos de promoção social e atenção a saúde

Association of spontaneous abortion and Ureaplasma parvum detected in placental tissue

Contact Info

Product

Resources

About