A Model for Predicting Unsafe Induced Abortion among Women in India
DOI:
https://doi.org/10.47203/IJCH.2020.v32i03.007Keywords:
Induced abortion, Unsafe abortion; Contraception, Logistic modelsAbstract
Background: Unsafe abortion is one of the major cause of maternal morbidity and mortality. Approximately 15.6 million abortions take place every year in India of which a significant proportion is unsafe. Objective: To explore risk factors associated with unsafe induced abortion. Method: National Family Health Survey-IV data have 82,369 women aged between 15-49 years who responded about their aborted /miscarriage/stillbirth is used. Out of these total women, 8,878 were induced aborted and found eligible. Result: Of the total induced aborted, 30.6% of women are unsafe induced abortion. Women age between 35-49 years are 53% more likely to have unsafe induced abortion than age between 15-19 years. Women living in rural areas have 26% less likely to unsafe abortion than women living in urban areas. Women who have knowledge about the fertile period are 35% less likely to have unsafe abortion than no correct knowledge. Unsafe induced abortion is found increasing as education and wealth index are increasing. Conclusion: Unsafe induced abortion is a large contributor to maternal morbidity and mortality. Awareness of contraceptives use, Medical Termination of Pregnancy (MTP) and Comprehensive Abortion Care (CAC) service should be increased through media exposure
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Gao GP, Zhang RJ, Zhang XJ, Jia XM, Li XD, Li X, Wang CC, Tong F, Sun YH. Prevalence and associated factors of induced abortion among rural married women: a cross-sectional survey in Anhui, China. J Obstet Gynaecol Res. 2015 Mar;41(3):383-91. doi: 10.1111/jog.12547. Epub 2014 Oct 20. PubMed PMID: 25332104.[PubMed].
Bendavid E, Avila P, Miller G. United States aid policy and induced abortion in sub-Saharan Africa. Bull World Health Organ. 2011 Dec 1;89(12):873-880C. doi: 10.2471/BLT.11.091660. Epub 2011 Sep 27. PubMed PMID: 22271944; PubMed Central PMCID: PMC3260902.[PubMed].
World Health Organization. The Prevention and management of unsafe abortion: report of a technical working group, Geneva, 12-15 April 1992. World Health Organization; 1993.
Boah M, Bordotsiah S, Kuurdong S. Predictors of Unsafe Induced Abortion among Women in Ghana. J Pregnancy. 2019;2019:9253650. doi: 10.1155/2019/9253650. eCollection 2019. PubMed PMID: 30854238; PubMed Central PMCID: PMC6378005.[PubMed].
Singh S, Shekhar C, Acharya R, Moore AM, Stillman M, Pradhan MR, Frost JJ, Sahoo H, Alagarajan M, Hussain R, Sundaram A, Vlassoff M, Kalyanwala S, Browne A. The incidence of abortion and unintended pregnancy in India, 2015. Lancet Glob Health. 2018 Jan;6(1):e111-e120. doi: 10.1016/S2214-109X(17)30453-9. PubMed PMID: 29241602; PubMed Central PMCID: PMC5953198.[PubMed].
https://www.guttmacher.org/news-release/2017/national-estimate-abortion-india-released.
Palo LB, Chauhan NS, Parvathi T, Chauhan RC. Awareness regarding abortions and medical termination of pregnancy act among medical students in Puducherry, India. Int J Res Med Sci. 2015 Oct; 3:2729-33.
Singh S, Hussain R, Shekhar C, Acharya R, Moore AM, Stillman M. Abortion and unintended pregnancy in six Indian states. New York: Guttmacher Institute. 2018:32.
Visaria L, Ramachandran V, Ganatra B, Kalyanwala S. Abortion in India: emerging issues from qualitative studies. Economic and Political Weekly. 2004 Nov 20:5044-52.
Uygur D, Erkaya S. Reasons why women have induced abortions in a developing country. Eur J Obstet Gynecol Reprod Biol. 2001 Jun;96(2):211-4. doi: 10.1016/s0301-2115(00)00475-9. PubMed PMID: 11384810.[PubMed].
Tesfaye G, Hambisa MT, Semahegn A. Induced abortion and associated factors in health facilities of Guraghe zone, southern Ethiopia. J Pregnancy. 2014;2014:295732. doi: 10.1155/2014/295732. Epub 2014 Mar 30. PubMed PMID: 24800079; PubMed Central PMCID: PMC3988865.[PubMed].
Pattanaik S, Patnaik L, Subhadarshini A, Sahu T. Socio-clinical profile of married women with history of induced abortion: A community-based cross-sectional study in a rural area. J Family Med Prim Care. 2017 Jan-Mar;6(1):93-96. doi: 10.4103/2249-4863.214967. PubMed PMID: 29026757; PubMed Central PMCID: PMC5629908.[PubMed].
Hoffman DL, De Leeuw J. Interpreting multiple correspondence analysis as a multidimensional scaling method. Marketing letters. 1992 Jul 1;3(3):259-72.
Abdi, H., & Valentin, D. (2007). Multiple correspondence analysis. Encyclopedia of measurement and statistics, 2, 651-66.
Ayele D, Zewotir T, Mwambi H. Multiple correspondence analysis as a tool for analysis of large health surveys in African settings. Afr Health Sci. 2014 Dec;14(4):1036-45. doi: 10.4314/ahs.v14i4.35. PubMed PMID: 25873942; PubMed Central PMCID: PMC4386317.[PubMed].
Van Look PF, Cottingham JC. Unsafe abortion: an avoidable tragedy. Best Pract Res Clin Obstet Gynaecol. 2002 Apr;16(2):205-20. doi: 10.1053/beog.2002.0271. Review. PubMed PMID: 12041963.[PubMed].
Grimes DA. Unsafe abortion: the silent scourge. Br Med Bull. 2003;67:99-113. doi: 10.1093/bmb/ldg002. Review. PubMed PMID: 14711757.[PubMed].
Hussain R, Shekhar C, Moore AM, Sahoo H, Acharya R. Unintended Pregnancy, Abortion and Postabortion Care in Madhya Pradesh, India—2015.
Yogi A, K C P, Neupane S. Prevalence and factors associated with abortion and unsafe abortion in Nepal: a nationwide cross-sectional study. BMC Pregnancy Childbirth. 2018 Sep 17;18(1):376. doi: 10.1186/s12884-018-2011-y. PubMed PMID: 30223798; PubMed Central PMCID: PMC6142400.[PubMed].
Khatri RB, Poudel S, Ghimire PR. Factors associated with unsafe abortion practices in Nepal: Pooled analysis of the 2011 and 2016 Nepal Demographic and Health Surveys. PLoS One. 2019;14(10):e0223385. doi: 10.1371/journal.pone.0223385. eCollection 2019. PubMed PMID: 31596879; PubMed Central PMCID: PMC6785064.[PubMed].
Woldeamanuel BT. Assessment of determinant factors of pregnancy termination among women of reproductive age group in Ethiopia: Evidence from 2016 Ethiopian Demographic and Health Survey. Int J Sex Reprod Health Care. 2019;2(1):010-5.
Pattanaik S, Patnaik L, Subhadarshini A, Sahu T. Socio-clinical profile of married women with history of induced abortion: A community-based cross-sectional study in a rural area. J Family Med Prim Care. 2017 Jan-Mar;6(1):93-96. doi: 10.4103/2249-4863.214967. PubMed PMID: 29026757; PubMed Central PMCID: PMC5629908.[PubMed].
Sundaram A, Juarez F, Bankole A, Singh S. Factors associated with abortion-seeking and obtaining a safe abortion in Ghana. Stud Fam Plann. 2012 Dec;43(4):273-86. doi: 10.1111/j.1728-4465.2012.00326.x. PubMed PMID: 23239247.[PubMed].
Wodajo LT, Mengesha ST, Beyen TK. Unsafe abortion and associated factors among women in reproductive age group in Arsi Zone, Central Ethiopia. International Journal of Nursing and Midwifery. 2017 Oct 31;9(10):121-8.
Rehan N, Inayatullah A, Chaudhary I. Characteristics of Pakistani women seeking abortion and a profile of abortion clinics. J Womens Health Gend Based Med. 2001 Oct;10(8):805-10. doi: 10.1089/15246090152636569. PubMed PMID: 11703893.[PubMed]
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