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Journal articles on the topic 'Abortion and public health'
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Vaidya, Shambhavi, Rashmi Kundapur, Sudhir Prabhu, Harshitha HN, Santosh PV Rai, and Anusha Rashmi. "An Audit of Loss of Pregnancy as an Answer to Differentiated Sex Ratio." Indian Journal of Community Health 32, no. 2 (June 30, 2020): 458–60. http://dx.doi.org/10.47203/ijch.2020.v32i02.029.
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Context: Abortion and unintended pregnancy in India is on the rise, and a large proportion of these unintended pregnancies end up in induced abortion. The soaring rate of abortion among Indian women can be influenced by a plethora of reasons. Aims: 1) To identify the rate of second trimester abortion2) To determine the reasons behind second trimester abortions Settings and design: An audit of all the abortions in a district of South India was conducted. Material and methods: The data was obtained from the records of abortion reported in the year 2018 from the District Health Office and analysed. Statistical analysis used: Descriptive statistics Results: Majority of the pregnant ladies with abortion (55.73%) were aged between 21-30 years and abortions in second trimester were observed to be comparatively higher (50%). Among the myriad of reasons found for second trimester abortions, spontaneous abortions contributed to around 30% while 11.92% had no cause mentioned. Conclusion: A high rate of second trimester abortion throws suspicion towards sex selective abortions.
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Alexander, Lily T., Evelyn Fuentes-Rivera, Biani Saavedra-Avendaño, Raffaela Schiavon, Noe Maldonado Rueda, Bernardo Hernández, Alison L. Drake, and Blair G. Darney. "Utilisation of second-trimester spontaneous and induced abortion services in public hospitals in Mexico, 2007–2015." BMJ Sexual & Reproductive Health 45, no. 4 (August 14, 2019): 283–89. http://dx.doi.org/10.1136/bmjsrh-2018-200300.
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BackgroundData on utilisation of in-facility second-trimester abortion services are sparse. We describe temporal and geographical trends in utilisation of in-facility second-trimester abortion services across Mexico.MethodsWe used 2007–2015 data from Mexico’s Automated Hospital Discharge System (SAEH) to identify second-trimester abortive events (ICD O02-O08) in public hospitals across Mexico’s 32 states. We described utilisation, calculated rates using population data, and used logistic regression to identify woman- and state-level factors (municipality-level marginalisation, state-level abortion law) associated with utilisation of second-trimester versus first-trimester services.ResultsWe identified 145 956 second-trimester abortions, or 13.4% of total documented hospitalizations for abortion between 2007 to 2015. The annual utilisation rate of second-trimester abortion remained constant, between 0.5 to 0.6 per 1000 women aged 15–44 years. Women living in highly marginalised municipalities had 1.43 higher odds of utilising abortions services in their second versus their first trimester, when compared with women in municipalities with low marginalisation (95% CI 1.18 to 1.73). Living in a state with a health or fetal anomaly exception to abortion restrictions was not associated with higher utilisation of second-trimester abortion services.ConclusionsOur results suggest there is a need for all types of second-trimester abortion services in Mexico. To improve health outcomes for Mexican women, especially the most vulnerable, access to safe second-trimester abortion services must be ensured through the implementation of current legal exceptions and renewed attention to the training of healthcare providers.
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Norris, Alison H., Payal Chakraborty, Kaiting Lang, Robert B. Hood, Sarah R. Hayford, Lisa Keder, Danielle Bessett, et al. "Abortion Access in Ohio’s Changing Legislative Context, 2010–2018." American Journal of Public Health 110, no. 8 (August 2020): 1228–34. http://dx.doi.org/10.2105/ajph.2020.305706.
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Objectives. To examine abortion utilization in Ohio from 2010 to 2018, a period when more than 15 abortion-related laws became effective. Methods. We evaluated changes in abortion rates and ratios examining gestation, geographic distribution, and abortion method in Ohio from 2010 to 2018. We used data from Ohio’s Office of Vital Statistics, the Centers for Disease Control and Prevention’s Abortion Surveillance Reports, the American Community Survey, and Ohio’s Public Health Data Warehouse. Results. During 2010 through 2018, abortion rates declined similarly in Ohio, the Midwest, and the United States. In Ohio, the proportion of early first trimester abortions decreased; the proportion of abortions increased in nearly every later gestation category. Abortion ratios decreased sharply in most rural counties. When clinics closed, abortion ratios dropped in nearby counties. Conclusions. More Ohioans had abortions later in the first trimester, compared with national patterns, suggesting delays to care. Steeper decreases in abortion ratios in rural versus urban counties suggest geographic inequity in abortion access. Public Health Implications. Policies restricting abortion access in Ohio co-occur with delays to care and increasing geographic inequities. Restrictive policies do not improve reproductive health.
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Skjeldestad, Finn Egil, and Leiv S. Bakketeig. "Induced Abortion: Trends in the Tendency to Repeat, Norway, 1972–1981." Scandinavian Journal of Social Medicine 14, no. 4 (December 1986): 205–9. http://dx.doi.org/10.1177/140349488601400406.
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Through the 1970s the number of women who experienced an induced abortion increased in Norway. Thus, the population at risk for a repeat abortion has increased. The frequency of repeat abortions has doubled from 1972 to 1981. However, the annual frequency of observed repeat abortion has been below what could be expected according to contraceptive failure rates. There is no evidence that the liberalized abortion legislation has led to the use of induced abortion as a method of birth control. In order to improve fertility surveillance and to elucidate the epidemiology of induced abortion, there is a need for more detailed and individually based national registration of induced abortions as well as spontaneous abortions.
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Josephine, Sahaya. "Abortion: a public health issue." BMJ 324, Suppl S2 (February 1, 2002): 020218. http://dx.doi.org/10.1136/sbmj.020218.
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Creinin, Mitchell D. "Abortion, Pregnancy, and Public Health." Obstetrics & Gynecology 119, no. 2, Part 1 (February 2012): 212–14. http://dx.doi.org/10.1097/aog.0b013e31824472ed.
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Payne, Carolyn. "Abortion, Pregnancy, and Public Health." Obstetrics & Gynecology 119, no. 6 (June 2012): 1272. http://dx.doi.org/10.1097/aog.0b013e318258842d.
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Ebert, Mark O. "Abortion, Pregnancy, and Public Health." Obstetrics & Gynecology 119, no. 6 (June 2012): 1272–73. http://dx.doi.org/10.1097/aog.0b013e3182588512.
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Creinin, Mitchell D. "Abortion, Pregnancy, and Public Health." Obstetrics & Gynecology 119, no. 6 (June 2012): 1273. http://dx.doi.org/10.1097/aog.0b013e3182588527.
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Madeiro, Alberto Pereira, and Debora Diniz. "Induced abortion among Brazilian female sex workers: a qualitative study." Ciência & Saúde Coletiva 20, no. 2 (February 2015): 587–93. http://dx.doi.org/10.1590/1413-81232015202.11202014.
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Prostitutes are vulnerable to unplanned pregnancies and abortions. In Brazil, abortion is a crime and there is no data about unsafe abortions for this population. The study describes how prostitutes perform illegal abortions and the health consequences thereof. Semi-structured interviews with 39 prostitutes from three cities in Brazil with previous induced abortion experience were conducted. Sixty-six abortions, with between one and eight occurrences per woman, were recorded. The majority of the cases resulted from sexual activity with clients. The inconsistent use of condoms with regular clients and the consumption of alcohol during work were indicated as the main causes of unplanned pregnancies. The main method to perform abortion was the intravaginal and oral use of misoprostol, acquired in pharmacies or on the black market. Invasive measures were less frequently reported, however with more serious health complications. The fear of complaint to the police meant that most women do not inform the health team regarding induced abortion. The majority of prostitutes aborted with the use of illegally-acquired misoprostol, ending abortion in a public hospital with infection and hemorrhagic complications. The data indicate the need for a public policy focusing on the reproductive health of prostitutes.
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Perreira, Krista M., Emily M. Johnston, Adele Shartzer, and Sophia Yin. "Perceived Access to Abortion Among Women in the United States in 2018: Variation by State Abortion Policy Context." American Journal of Public Health 110, no. 7 (July 2020): 1039–45. http://dx.doi.org/10.2105/ajph.2020.305659.
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Objectives. To describe perceptions of access to abortion among women of reproductive age and their associations with state abortion policy contexts. Methods. We used data from the 2018 Survey of Family Planning and Women’s Lives, a probability-based sample of 2115 adult women aged 18 to 44 years in US households. Results. We found that 27.6% of women (95% confidence interval [CI] = 23.3%, 32.7%) believed that access to medical abortion was difficult and 30.1% of women (95% CI = 25.6%, 35.1%) believed that access to surgical abortion was difficult. Adjusted for covariates, women were significantly more likely to perceive access to both surgical and medical abortions as difficult when they lived in states with 4 or more restrictive abortion policies compared with states with fewer restrictions (surgical adjusted odds ratio [AORsurgical] = 1.60, 95% CI = 1.15, 2.21; AORmedical = 1.65, 95% CI = 1.04, 1.95). Specific restrictive abortion policies (e.g., public funding restrictions, mandatory counseling or waiting periods, and targeted regulation of abortion providers) were also associated with greater perceived difficulty accessing both surgical and medical abortions. Conclusions. State policies restricting abortion access are associated with perceptions of reduced access to both medical and surgical abortions among women of reproductive age.
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Todorovic, Miodrag, and Olica Radovanovic. "Abortion: A significant problem of public health and a determinant of biological reproduction." Zbornik Matice srpske za drustvene nauke, no. 121 (2006): 207–16. http://dx.doi.org/10.2298/zmsdn0621207t.
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Artificial abortion is a very important social-medical, economic and demographic problem. It is not only a problem of public health (disease disability, sterility) and social economy (to lose income and compensation because of absenteeism, increase of expense in health care sector for the treatment of direct, early and late consequences and sterility). It is a very important demographic problem because of the increase in "unrealized fertilities" and lost of descendents. According to the registered abortions in 2004, an enormous number of abortions was done in Timocka Krajina in relation to the number of live-births (1241:1931); more precisely, for 150 live-births, there were 100 arteficial abortion. The greatest number of abortions was done in 30-34 year old women, most in Zajecar municipality with 1/3 of the total number of artificial abortions. All the women who aborted in 2004 had already had - on the average - 2,55 abortions and 1,6 live-births before. In the conclusion, the central problem is the prevention and protection of unwanted pregnancy, and unsatisfactory activities in the field of women health protection, reproductive health and family planning.
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Heino, Anna E., Mika Gissler, Maili Malin, and Heini VÄisÄnen. "Induced abortions by woman’s country of origin in Finland 2001–2014." Scandinavian Journal of Public Health 48, no. 1 (November 29, 2018): 88–95. http://dx.doi.org/10.1177/1403494818812640.
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Aims: Understanding the differences in reproductive-health behaviours between native and migrant populations helps provide good reproductive-health services. We investigate the differences in induced abortion rates, pregnancy histories and use of contraceptives between native and migrant populations in Finland. Methods: The Finnish Register on Induced Abortions was linked with Population Register data from years 2001–2014 to identify first- and second-generation immigrants. The data included 142,708 induced abortions. Results: Abortion and contraceptive use varied between women of Finnish and foreign origins. Native women had a lower abortion rate than women born abroad. Women born in Somalia and India had the highest likelihood for having an abortion shortly after birth. The highest risk for having an abortion soon after previous induced abortion was among women born in Iran, Iraq, Somalia and former Yugoslavia. The risk for having more than two induced abortions was the highest for women born in Russia/the former Soviet Union and Estonia. Second-generation immigrants had a lower abortion rate than first-generation immigrants. Lack of contraceptive use prior to abortion was more common among women born abroad. Conclusion: There were differences in pregnancy histories and in the use of reliable contraceptive methods before an induced abortion by country of birth. The higher likelihood for abortion after a recent birth among first-generation immigrants highlights the need for more targeted counselling immediately after childbirth. Although the abortion rate is lower among second-generation immigrants, the neglect of contraceptive use calls for additional education in sexual and reproductive health.
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Tang, Longmei, Shangchun Wu, Dianwu Liu, Marleen Temmerman, and Wei-Hong Zhang. "Repeat Induced Abortion among Chinese Women Seeking Abortion: Two Cross Sectional Studies." International Journal of Environmental Research and Public Health 18, no. 9 (April 22, 2021): 4446. http://dx.doi.org/10.3390/ijerph18094446.
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Background: In China, there were about 9.76 million induced abortions in 2019, 50% of which were repeat abortions. Understanding the tendency of repeat induced abortion and identifying its related factors is needed to develop prevention strategies. Methods: Two hospital-based cross-sectional surveys were conducted from 2005–2007 and 2013–2016 in 24 and 90 hospitals, respectively. The survey included women who sought an induced abortion within 12 weeks of pregnancy. The proportion of repeat induced abortions by adjusting the covariates through propensity score matching was compared between the two surveys, and the zero-inflated negative binomial regression model was established to identify independent factors of repeat induced abortion. Results: Adjusting the age, occupation, education, marital status and number of children, the proportion of repeat induced abortions in the second survey was found to be low (60.28% vs. 11.11%), however the unadjusted proportion was high in the second survey (44.97% vs. 51.54%). The risk of repeat induced abortion was higher among married women and women with children [ORadj and 95% CI: 0.31 (0.20, 0.49) and 0.08 (0.05, 0.13)]; the risk among service industry staff was higher when compared with unemployed women [ORadj and 95% CI: 0.19 (0.07, 0.54)]; women with a lower education level were at a higher risk of a repeat induced abortion (ORadj < 1). Compared with women under the age of 20, women in other higher age groups had a higher frequency of repeat induced abortions (IRadj: 1.78, 2.55, 3.27, 4.01, and 3.93, separately); the frequency of women with lower education levels was higher than those with a university or higher education level (IRadj > 1); the repeat induced abortion frequency of married women was 0.93 (0.90, 0.98) when compared to the frequency of unmarried women, while the frequency of women with children was 1.17 (1.10, 1.25) of childless women; the induced abortion frequency of working women was about 60–95% with that of unemployed women. Conclusions: The repeat induced abortion proportion was lower than 10 years ago. Induced abortion seekers who were married, aged 20 to 30 years and with a lower education level were more likely to repeat induced abortions.
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Löwy, Ilana, and Marilena Cordeiro Dias Villela Corrêa. "The “Abortion Pill” Misoprostol in Brazil: Women’s Empowerment in a Conservative and Repressive Political Environment." American Journal of Public Health 110, no. 5 (May 2020): 677–84. http://dx.doi.org/10.2105/ajph.2019.305562.
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In the aftermath of the introduction of severe restrictions on abortion in several US states, some activists have argued that providing widespread access to an abortive drug, misoprostol, will transform an induced abortion into a fully private act and therefore will empower women. In Brazil, where abortion is criminalized, the majority of women who wish to terminate an unwanted pregnancy already use the illegal, but easily accessible, misoprostol. We examine the history of misoprostol as an abortifacient in Brazil from the late 1980s until today and the professional debates on the teratogenicity of this drug. The effects of a given pharmaceutical compound, we argue, are always articulated, elicited, and informed within dense networks of sociocultural, economic, legal, and political settings. In a conservative and repressive environment, the use of misoprostol for self-induced abortions, even when supported by formal or informal solidarity networks, is far from being a satisfactory solution to the curbing of women’s reproductive rights.
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Mullen, Michelle A., and Frederick H. Lowy. "Physician Attitudes toward the Regulation of Fetal Tissue Therapies: Empirical Findings and Implications for Public Policy." Journal of Law, Medicine & Ethics 21, no. 2 (1993): 241–49. http://dx.doi.org/10.1111/j.1748-720x.1993.tb01247.x.
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The use of aborted fetal tissues in research and therapy (FTT) has raised exciting possibilities and a host of social, legal and ethical issues. Perhaps the most difficult issue is whether the use of materials from elective abortion can be viewed and weighed separately from the abortion itself, or if in using these tissues there is inherent complicity with the abortion act. Those who oppose FTT claim that there is complicity with the abortion act and liken the use of fetal tissue from abortions to the use of data from the Nazi experiments. Within this lobby are those who claim that the option to donate fetal tissues will make abortion a more attractive alternative for pregnant women, and that there are doctors who will offer fetal tissue donation as a positive incentive to abortion-with the net effect that more abortions will take place.
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Fathalla, Mahmoud F. "Safe abortion: The public health rationale." Best Practice & Research Clinical Obstetrics & Gynaecology 63 (February 2020): 2–12. http://dx.doi.org/10.1016/j.bpobgyn.2019.03.010.
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Kimport, Katrina, Tracy A. Weitz, and Lori Freedman. "The Stratified Legitimacy of Abortions." Journal of Health and Social Behavior 57, no. 4 (November 18, 2016): 503–16. http://dx.doi.org/10.1177/0022146516669970.
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Roe v. Wade was heralded as an end to unequal access to abortion care in the United States. However, today, despite being common and safe, abortion is performed only selectively in hospitals and private practices. Drawing on 61 interviews with obstetrician-gynecologists in these settings, we examine how they determine which abortions to perform. We find that they distinguish between more and less legitimate abortions, producing a narrative of stratified legitimacy that privileges abortions for intended pregnancies, when the fetus is unhealthy, and when women perform normative gendered sexuality, including distress about the abortion, guilt about failure to contracept, and desire for motherhood. This stratified legitimacy can perpetuate socially-inflected inequality of access and normative gendered sexuality. Additionally, we argue that the practice by physicians of distinguishing among abortions can legitimate legislative practices that regulate and restrict some kinds of abortion, further constraining abortion access.
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WANG, DUOLAO, HONG YAN, and ZHONGHUI FENG. "ABORTION AS A BACKUP METHOD FOR CONTRACEPTIVE FAILURE IN CHINA." Journal of Biosocial Science 36, no. 3 (April 21, 2004): 279–87. http://dx.doi.org/10.1017/s0021932003006217.
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Contraceptive failure rates for modern methods including sterilization are reported to be high in China, but little is known about the consequence of contraceptive failure and characteristics of women who decide to have an abortion if a contraceptive failure occurs. Using 6225 contraceptive failures from the 1988 Chinese Two-per-Thousand Fertility Survey, this study examines the resolution of contraceptive failure and assesses the impact of some women’s sociodemographic characteristics on the decision to terminate contraceptive failure in abortion. This study has three important findings: (1) The abortion rate was 50·1%, 75·3% and 80·2% for IUD, condom and pill failures, respectively; (2) The abortion rates differed by contraceptive method and women’s social and demographic characteristics. In particular, a woman with just one child was most likely to have the contraceptive failure aborted; (3) Some women experienced repeated abortions because of contraceptive failure. The results suggest that abortion was a backup method if contraception failed in China and the correlates of aborting an unwanted pregnancy reflect the strong impact of the Chinese family planning programme.
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Roberts, Sarah C. M., Nancy F. Berglas, Rosalyn Schroeder, Mary Lingwall, Daniel Grossman, and Kari White. "Disruptions to Abortion Care in Louisiana During Early Months of the COVID-19 Pandemic." American Journal of Public Health 111, no. 8 (August 2021): 1504–12. http://dx.doi.org/10.2105/ajph.2021.306284.
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Objectives. To examine changes in abortions in Louisiana before and after the COVID-19 pandemic onset and assess whether variations in abortion service availability during this time might explain observed changes. Methods. We collected monthly service data from abortion clinics in Louisiana and neighboring states among Louisiana residents (January 2018‒May 2020) and assessed changes in abortions following pandemic onset. We conducted mystery client calls to 30 abortion clinics in Louisiana and neighboring states (April‒July 2020) and examined the percentage of open and scheduling clinics and median waits. Results. The number of abortions per month among Louisiana residents in Louisiana clinics decreased 31% (incidence rate ratio = 0.69; 95% confidence interval [CI] = 0.59, 0.79) from before to after pandemic onset, while the odds of having a second-trimester abortion increased (adjusted odds ratio [AOR] = 1.91; 95% CI = 1.10, 3.33). The decrease was not offset by an increase in out-of-state abortions. In Louisiana, only 1 or 2 (of 3) clinics were open (with a median wait > 2 weeks) through early May. Conclusions. The COVID-19 pandemic onset was associated with a significant decrease in the number of abortions and increase in the proportion of abortions provided in the second trimester among Louisiana residents. These changes followed service disruptions.
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Snook, Simon, and Martha Silva. "Abortion services in a high-needs district: a community-based model of care." Journal of Primary Health Care 5, no. 2 (2013): 151. http://dx.doi.org/10.1071/hc13151.
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INTRODUCTION: In 2009, a high-deprivation district health board in New Zealand set up a community-based abortion clinic in order to provide a local service and to avoid out-of-region referrals. The service offers medical abortions for women with pregnancies of up to 63 days gestation, and surgical abortion with local anaesthetic for women with pregnancies of up to 14 weeks gestation. AIM: To describe the services developed and assess safety and timeliness for the first year of community-based services. METHODS: An audit of clinical records for patients seen in 2010 was performed in order to obtain data on location of services, timeliness, safety and complications. RESULTS: Eighty-two percent of locally provided abortions in 2010 were medical abortions, completed on average less than two days after referral to the service. One percent of patients experienced haemorrhaging post abortion, and 4% had retained products. These rates are within accepted standards for an abortion service. DISCUSSION: This report illustrates that a community-based model of care can be both clinically and culturally safe, while providing a much-needed service to a high-needs population. KEYWORDS: Abortion, induced; community health services; delivery of health care; New Zealand
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Nigussie, Tadesse, Mulugeta Feyisa, Tewodros Yosef, Mahilet Berhanu, and Adane Asefa. "Prevalence of Induced Abortion and its Associated Factors among Female Students of Health Science in South West Ethiopia." Open Nursing Journal 14, no. 1 (November 26, 2020): 248–53. http://dx.doi.org/10.2174/1874434602014010248.
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Background: Globally, approximately 180-200 million pregnancies occur each year, about 75 million are unwanted pregnancies. The majority of unwanted pregnancies end in induced abortions each year. Combating abortion, abortion-related morbidity and mortality by preventing unwanted pregnancy has a great role in decreasing maternal mortality. Induced abortions, specifically unsafe abortion, are an important public health concern in developing countries. Nursing professionals encounter cases in their everyday activities; thus, findings from this study have paramount importance for nurses to be aware of the magnitude problem, which in turn help them to make an informed decision in their activities. Objective: To assess prevalence induced abortion and its associated factors among Health Science Students in South West Ethiopia. Methods: A facility-based cross-sectional study was conducted on female students. A systematic random sampling method was used to select the study participants. Data were collected using a structured self-administered questionnaire. Data were entered into Epidata manager version 3.1, and analyzed using SPSS version 21 statistical software for windows for analysis. Logistic regression was used to identify factors associated with induced abortion. Results: A total of 420 randomly selected female students were involved in the study. The prevalence of induced abortion was 18.8%. The factors associated with induced abortion among college students were urban residents (AOR = 3.91, 95%CI: 1.85-8.27), having poor knowledge of sexually transmitted diseases (AOR = 3.21, 95%CI: 1.62-6.38), and having a father with no formal education (AOR = 4.20, 95%CI: 1.87-9.42). Conclusion: The prevalence of induced abortion among the College of health science female students was found remarkable and we can conclude that induced abortion is one of public health importance among this population. Therefore, Mizan-Tepi University, College of health science, and Town health offices have to collaborate to decrease unwanted pregnancy to prevent induced abortion. Health education regarding contraceptive use, the consequence of induced abortion, and youth friendly services have to be delivered for students.
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HARRIES, J., N. LINCE, D. CONSTANT, A. HARGEY, and D. GROSSMAN. "THE CHALLENGES OF OFFERING PUBLIC SECOND TRIMESTER ABORTION SERVICES IN SOUTH AFRICA: HEALTH CARE PROVIDERS' PERSPECTIVES." Journal of Biosocial Science 44, no. 2 (November 17, 2011): 197–208. http://dx.doi.org/10.1017/s0021932011000678.
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SummaryAround 25% of abortions in South Africa are performed in the second trimester. This study aimed to better understand what doctors, nurses and hospital managers involved in second trimester abortion care thought about these services and how they could be improved. Nineteen in-depth interviews with abortion-related service providers and managers in the Western Cape Province, South Africa, were undertaken. Data were analysed using a thematic analysis approach. Participants expressed resistance to the dilation and evacuation (D&E) procedure, as this required more active provider involvement. Medical abortion was preferred as it required less provider involvement in the abortion process. A shortage of providers willing to perform D&E resulted in most public sector services being outsourced to private sector doctors. Respondents noted an increased demand for services and a concomitant lack of infrastructure, physical space and personnel to respond to these demands, sometimes resulting in fragmented or poor quality care. At medical induction sites, most thought introducing the combined mifepristone–misoprostol regimen would improve service capacity, although they were concerned about cost. Improving contraceptive services was also seen as a much-needed intervention to improve care and prevent abortion. Ongoing training, including values clarification, as well as emotional support and team-building for providers are needed to ensure sustainable, high-quality second trimester abortion services.
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Saraç, Melike, and İsmet Koç. "Increasing misreporting levels of induced abortion in Turkey: is this due to social desirability bias?" Journal of Biosocial Science 52, no. 2 (June 17, 2019): 213–29. http://dx.doi.org/10.1017/s0021932019000397.
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AbstractWomen tend to under-report or misreport their abortion experiences, mainly because abortion is considered a sensitive issue for cultural, religious, political or other reasons in many countries across the world. Turkey, where induced abortion is an increasingly sensitive issue due to intense statements against induced abortion on religious grounds by influential politicians, and a hidden agenda to prohibit the practice, especially in public health facilities, in recent years, is no exception. This study focused on the increase in level of misreporting of induced abortion in Turkey and its link to social desirability bias using pooled data from 1993 and 2013 Turkish Demographic and Health Surveys. A probabilistic classification model was used to classify women’s reported abortions. The findings confirmed that the level of misreporting of induced abortions has increased from 18% to 53% among all terminated pregnancies over the period 1993–2013 in Turkey. This marked increase, especially among women in the lower socioeconomic sections of society, may be largely associated with the prevailing political environment, and increase in social stigmatization against induced abortion in Turkey over recent decades.
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Reardon, David C. "The Embrace of the Proabortion Turnaway Study." Linacre Quarterly 85, no. 3 (June 20, 2018): 204–12. http://dx.doi.org/10.1177/0024363918782156.
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The abortion advocacy group Advancing New Standards in Reproductive Health (ANSIRH) has published over twenty papers based on a case series of women taking part in their Turnaway Study. Following the lead of ANSIRH news releases, major media outlets have described these results as proof that (a) most women who have abortions are glad they did, (b) there is no evidence of negative mental health effects following abortion, and (c) the only women really suffering are those who are being denied late-term abortions due to legal restrictions based on gestational age. Buried in ANSIRH’s papers are the facts that over 68 percent of the women they sought to interview refused, their own evidence confirms that the remnant who did participate were atypical, there are no known benefits from abortion, their methods are misleadingly described, and their results are selectively reported. Summary: Widely publicized claims regarding the benefits of abortion for women have been discredited. The Turnaway Study, conducted by abortion advocates at thirty abortion clinics, reportedly proves that 95 percent of women have no regrets about their abortions and that abortion causes no mental health problems. But a new exposé reveals that the authors have misled the public, using an unrepresentative, highly biased sample and misleading questions. In fact, over two-thirds of the women approached at the abortion clinics refused to be interviewed, and half of those who agreed dropped out. Refusers and dropouts are known to have more postabortion problems.
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BANKOLE, AKINRINOLA, GILDA SEDGH, BONIFACE A. OYE-ADENIRAN, ISAAC F. ADEWOLE, RUBINA HUSSAIN, and SUSHEELA SINGH. "ABORTION-SEEKING BEHAVIOUR AMONG NIGERIAN WOMEN." Journal of Biosocial Science 40, no. 2 (March 2008): 247–68. http://dx.doi.org/10.1017/s0021932007002283.
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SummaryThis study used data from a community-based survey to examine women’s experiences of abortion in Nigeria. Fourteen per cent of respondents reported that they had ever tried to terminate a pregnancy, and 10% had obtained an abortion. The majority of women who sought an abortion did so early in the pregnancy. Forty-two per cent of women who obtained an abortion used the services of a non-professional provider, a quarter experienced complications and 9% sought treatment for complications from their abortions. Roughly half of the women who obtained an abortion used a method other than D&C or MVA. The abortion prevalence and conditions under which women sought abortions varied by women’s socio-demographic characteristics. Because abortion is illegal in Nigeria except to save the woman’s life, many women take significant risks to terminate unwanted pregnancies. Reducing the incidence of unwanted pregnancy and unsafe abortion can significantly impact the reproductive health of women in Nigeria.
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Martins-Melo, Francisco Rogerlândio, Mauricélia da Silveira Lima, Carlos Henrique Alencar, Alberto Novaes Ramos Jr, Francisco Herlânio Costa Carvalho, Márcia Maria Tavares Machado, and Jorg Heukelbach. "Temporal trends and spatial distribution of unsafe abortion in Brazil, 1996-2012." Revista de Saúde Pública 48, no. 3 (June 2014): 508–20. http://dx.doi.org/10.1590/s0034-8910.2014048004878.
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OBJECTIVE To analyze temporal trends and distribution patterns of unsafe abortion in Brazil. METHODS Ecological study based on records of hospital admissions of women due to abortion in Brazil between 1996 and 2012, obtained from the Hospital Information System of the Ministry of Health. We estimated the number of unsafe abortions stratified by place of residence, using indirect estimate techniques. The following indicators were calculated: ratio of unsafe abortions/100 live births and rate of unsafe abortion/1,000 women of childbearing age. We analyzed temporal trends through polynomial regression and spatial distribution using municipalities as the unit of analysis. RESULTS In the study period, a total of 4,007,327 hospital admissions due to abortions were recorded in Brazil. We estimated a total of 16,905,911 unsafe abortions in the country, with an annual mean of 994,465 abortions (mean unsafe abortion rate: 17.0 abortions/1,000 women of childbearing age; ratio of unsafe abortions: 33.2/100 live births). Unsafe abortion presented a declining trend at national level (R2: 94.0%, p < 0.001), with unequal patterns between regions. There was a significant reduction of unsafe abortion in the Northeast (R2: 93.0%, p < 0.001), Southeast (R2: 92.0%, p < 0.001) and Central-West regions (R2: 64.0%, p < 0.001), whereas the North (R2: 39.0%, p = 0.030) presented an increase, and the South (R2: 22.0%, p = 0.340) remained stable. Spatial analysis identified the presence of clusters of municipalities with high values for unsafe abortion, located mainly in states of the North, Northeast and Southeast Regions. CONCLUSIONS Unsafe abortion remains a public health problem in Brazil, with marked regional differences, mainly concentrated in the socioeconomically disadvantaged regions of the country. Qualification of attention to women’s health, especially to reproductive aspects and attention to pre- and post-abortion processes, are necessary and urgent strategies to be implemented in the country.
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Wang, Yan, Stan Becker, LP Chow, and Shao-xian Wang. "Induced Abortion in Eight Provinces of China." Asia Pacific Journal of Public Health 5, no. 1 (January 1991): 32–40. http://dx.doi.org/10.1177/101053959100500109.
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A survey of 12, 000 women in eight provinces of China was carried out in 1988. One urban and one rural area were selected purposively in each province; data on lifetime and recent pregnancies were collected from married women aged 20-44. Data on abortions included reasons, gestational age, and complications. During the five years before the survey, the number of abortions per 100 live births was 102 in urban areas and 62 in rural areas. For those with one or more previous live births in urban areas, nearly all subsequent pregnancies ended in abortion. Also in urban areas, 31% of women with a recent abortion reported the reason was contraceptive failure. Over 80% of women are contraceptive users; the high abortion rates then reflect relatively low use-effectiveness of contraception and that most unplanned pregnancies are aborted.
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Russell, D. B., H. McNamee, C. Lim, J. Leamy, and C. de Costa. "32. EXPERIENCE OF EARLY MEDICAL ABORTION IN A REGIONAL CENTRE." Sexual Health 4, no. 4 (2007): 297. http://dx.doi.org/10.1071/shv4n4ab32.
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Access to abortion services is often severely limited in parts of regional Australia, including north Queensland. In December 2005 one of the authors made a joint application to the Therapeutic Goods Administration (TGA) for approval to prescribe and supply the drug mifepristone (RU486) for the purpose of induced abortion. This was successful, and to date 10 medical abortions using a combination of mifepristone and misoprostol have been carried out. Clinicians at the Cairns Sexual Health Service have been unable to prescribe mifepristone, but since April 2006 have been using a combination of methotrexate and misoprostol to perform medical abortions up to 9 weeks' gestation. To date 16 have been performed. The mean age of patients undergoing the procedure was 25 (range 17-36) with the indications being for mental health and/or psychosocial reasons. The gestational age at abortion ranged from 4-8 weeks. One woman required a surgical abortion for an unsuccessful medical abortion. The procedure, whether using mifepristone of methotrexate, is generally well-tolerated and has been shown to be safe. The clinical outcomes will be presented in detail.
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Väisänen, Heini. "EDUCATIONAL INEQUALITIES IN REPEAT ABORTION: A LONGITUDINAL REGISTER STUDY IN FINLAND 1975–2010." Journal of Biosocial Science 48, no. 6 (April 29, 2016): 820–32. http://dx.doi.org/10.1017/s002193201600016x.
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SummaryThe proportion of repeat abortions among all abortions has increased over the last decades in Finland. This study examined the association of education with the likelihood of repeat abortion, and the change in this association over time using reliable longitudinal data. A unique set of register data from three birth cohorts were followed from age 20 to 45, including about 22,000 cases of repeat abortion, and analysed using discrete-time event-history models. Low education was found to be associated with a higher likelihood of repeat abortion. Women with low education had abortions sooner after the preceding abortion, and were more often single, younger and had larger families at the time of abortion than more highly educated women. The educational differences were more significant for later than earlier cohorts. The results show a lack of appropriate contraceptive use, possibly due to lack of knowledge of, or access to, services. There is a need to improve access to family planning services, and contraceptives should be provided free of charge. Register data overcome the common problems of under-reporting of abortion and attrition ensuring the results are reliable, unique and of interest internationally.
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Lowe, Pam. "(Re)imagining the ‘Backstreet’: Anti-abortion Campaigning against Decriminalisation in the UK." Sociological Research Online 24, no. 2 (November 28, 2018): 203–18. http://dx.doi.org/10.1177/1360780418811973.
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The risk of death or serious injury from ‘backstreet abortions’ was an important narrative in the 20th century campaign to liberalise abortion in the UK. Since then, clinical developments have reduced the overall health risks of abortion, and international health organisations have been set up to provide cross-border, medically safe abortions to places where it is unlawful, offering advice and, where possible, supplying abortion pills. These changes mean that pro-choice campaigns in Europe have often moved away from the risks of ‘backstreet abortions’ as a central narrative when campaigning for abortion liberalisation. In contrast, in the UK, anti-abortion activists are increasingly using ideas about ‘backstreet abortions’ to resist further liberalisation. These claims can be seen to fit within a broader shift from morals to risk within moral regulation campaigns and build on anti-abortion messages framed as being ‘pro-women’, with anti-abortion activists claiming to be the ‘savers’ of women. Using a parliamentary debate as a case study, this article will illustrate these trends and show how the ‘backstreet’ metaphor within anti-abortion campaigns builds on three interconnected themes of ‘abortion-as-harmful’, ‘abortion industry’, and ‘abortion culture’. This article will argue that the anti-abortion movement’s adoption of risk-based narratives contains unresolved contradictions due to the underlying moral basis of their position. These are exacerbated by the need, in this case, to defend legislation that they fundamentally disagree with. Moreover, their attempts to construct identifiable ‘harms’ and vulnerable ‘victims’, which are components of moral regulation campaigns, are unlikely to be convincing in the context of widespread public support for abortion.
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Ba-Thike, Katherine. "Abortion: A public health problem in Myanmar." Reproductive Health Matters 5, no. 9 (January 1997): 94–100. http://dx.doi.org/10.1016/s0968-8080(97)90010-0.
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Kunins, Hillary, and Allan Rosenfield. "Abortion: A Legal and Public Health Perspective." Annual Review of Public Health 12, no. 1 (May 1991): 361–82. http://dx.doi.org/10.1146/annurev.pu.12.050191.002045.
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Grimes, David A. "Medical abortion: Public health and private lives." American Journal of Obstetrics and Gynecology 183, no. 2 (August 2000): S1—S2. http://dx.doi.org/10.1067/mob.2000.106047.
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Küng, Stephanie Andrea, Beatriz Ochoa, Guillermo Antonio Ortiz Avendano, Claudia Martínez López, Mara Zaragoza, and Karen Padilla Zuniga. "Factors affecting the persistent use of sharp curettage for abortion in public hospitals in Mexico." Women's Health 17 (January 2021): 174550652110297. http://dx.doi.org/10.1177/17455065211029763.
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Objectives: Dilation and curettage is an outdated abortion procedure no longer recommended by the World Health Organization. However, use of dilation and curettage remains high in some countries, including Mexico. We aim to understand the factors that contribute to persistent use of dilation and curettage in Mexico. Methods: We conducted a mixed-methods study in two phases: (1) secondary quantitative data analysis from 40 Ipas-supported public hospitals in Mexico and (2) 28 in-depth interviews in 9 Ipas-affiliated hospitals with doctors, nurses, and hospital administrators. Results: Among our sample, 41% of abortions less than 13 weeks performed in 2019 were treated with dilation and curettage, while this increased to 67% of abortions at or above 13 weeks. Only 18% of induced abortions were performed with dilation and curettage compared to 44% of post-abortion care procedures. The main factor identified as determining use of dilation and curettage in in-depth interviews was availability of abortion supplies, both in terms of cleaning, storage, and maintenance of supplies and in the budgeting and procurement of supplies. Other factors included confidence in the efficacy of other methods, attitudes toward different methods, skill and training, and perceived benefits to patients. Conclusion: Ensuring supplies for recommended abortion methods are available is a key lever for any intervention aimed at reducing dilation and curettage use. However, as the doctor performing the abortion decides which method to use, individual factors such as lack of skill and mistrust in other procedures can become a particularly obstinate barrier to recommended method use. Localizing decision-making power in the hands of doctors is problematic in that it places the doctor’s preference above that of the person receiving the abortion. It is important to look deeply at the power structures that contribute to doctor-oriented models of abortion care.
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Kumar, Anup, and Jai Kishun. "A Model for Predicting Unsafe Induced Abortion among Women in India." Indian Journal of Community Health 32, no. 3 (September 30, 2020): 499–505. http://dx.doi.org/10.47203/ijch.2020.v32i03.007.
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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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Sharma, Palak, and Manas Ranjan Pradhan. "Abortion care seeking in India: patterns and predictors." Journal of Biosocial Science 52, no. 3 (September 10, 2019): 353–65. http://dx.doi.org/10.1017/s002193201900049x.
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AbstractUnsafe abortions remain a considerable public health problem and continue to be a leading cause of maternal morbidity and mortality throughout the world. This study assessed whether women’s choice of type of health care facility for abortion in India varied by their socio-demographic and economic characteristics, and aimed to determine the significant predictors of choice of health care facility. Data were taken from the 2015–16 Indian National Family and Health Survey (NFHS-4). The study sample included women aged 15–49 years, irrespective of their marital status, who had terminated their last pregnancy by induced abortion in the five years before the survey (N = 6876). A bivariate analysis was carried out to assess the pattern in the choice of health care facility type for an abortion, and a multinomial logistic regression model was fitted to assess the predictors affecting the choice of health care facility type for an abortion. The results showed that, at the time of the 2015–16 survey, women in India went to private facilities more than public facilities for abortion care, irrespective of their age, distance to facility and financial constraints. The probability of visiting a private facility increased with women’s age, gestational age and the wealth quintile. A wide variation in choice of health facility for abortion care by socioeconomic characteristics was observed.
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Maestri, William F. "Abortion in America: Public Faith, Public Policy." Linacre Quarterly 56, no. 4 (November 1989): 50–60. http://dx.doi.org/10.1080/00243639.1989.11878032.
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Desai, Sheila, Mary Huynh, and Heidi E. Jones. "Differences in Abortion Rates between Asian Populations by Country of Origin and Nativity Status in New York City, 2011–2015." International Journal of Environmental Research and Public Health 18, no. 12 (June 8, 2021): 6182. http://dx.doi.org/10.3390/ijerph18126182.
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Despite the size of the Asian population in New York City (NYC) and the city’s robust abortion surveillance system, abortion-related estimates for this population have not been calculated previously. This study examined the use of abortion services among specific Asian groups in NYC from 2011–2015. Using NYC surveillance data, we estimated abortion rates for Asians, disaggregated by five country of origin groups and nativity status, and for other major racial/ethnic groups. We compared rates between groups and over time. From 2014–2015, the abortion rate for Asian women in NYC was 12.6 abortions per 1000 women aged 15–44 years, lower than the rates for other major racial/ethnic groups. Among country of origin groups, Indian women had the highest rate (30.5 abortions per 1000 women), followed by Japanese women (17.0), Vietnamese women (13.0), Chinese women (8.8), and Korean women (5.1). Rates were higher for U.S.-born Asian groups compared to foreign-born groups, although the differential varied by country of origin. The abortion rate declined or remained steady for nearly all Asian groups from 2011–2015. These findings reinforce the importance of disaggregating data on this population at multiple levels and begin to provide much-needed evidence on the use of abortion services among Asian groups.
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de Costa, Caroline M., Darren B. Russell, Naomi R. de Costa, Michael Carrette, and Heather M. McNamee. "Introducing early medical abortion in Australia: there is a need to update abortion laws." Sexual Health 4, no. 4 (2007): 223. http://dx.doi.org/10.1071/sh07035.
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Recent changes to Federal Therapeutic Goods Administration legislation have seen the limited introduction of the drug mifepristone to Australia for the purpose of early medical abortion. At the same time it has become evident that both methotrexate and misoprostol, licenced and available for other indications, are being used safely and appropriately for early abortion by Australian medical practitioners. Early medical abortion is widely practiced overseas where its safety and effectiveness are well supported by current evidence. However, abortion law in many states is still contained within the Criminal Codes and does not reflect current evidence-based abortion practice. In other states and territories restrictions on where abortions may be performed pose potential barriers to the introduction of mifepristone for medical abortion. There is an urgent need for abortion law to be clarified and made uniform across the country so that the best possible services can be provided to Australian women.
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Olaide, Gbadamosi, Gbadamosi Olaide, and Titilayo O. Aderibigbe. "Justification of Women’s Right of Access to Safe and Legal Abortion in Nigeria." African Journal of Legal Studies 7, no. 2 (July 30, 2014): 177–202. http://dx.doi.org/10.1163/17087384-12342025.
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Abortion remains one of the most controversial, emotional and burning political issues of our time. Unsafe abortion is a serious public health problem and human rights issue. The pervasive criminalization of abortion in Nigeria is a serious obstacle to improving access to safe and legal abortion. Women’s lack of access to safe legal abortion is a major cause of high rates of maternal mortality. The Nigerian government’s failure to fulfill its human rights obligations under national, regional and international law is largely responsible for this situation. Overcoming these considerable barriers requires governments to sustain a firm commitment to women’s human rights and to ensure access to safe and legal abortion services. Women’s restrictive legal access to safe abortion services violates their human rights and is perhaps one of the pervasive manifestations of unjustified discrimination against women. This article attempts a justification of women’s right of access to safe and legal abortions within national, regional and international laws to which Nigeria is a signatory. Criminalization of abortion leads women to obtain unsafe abortions which threaten their lives and health. The denial of free access to abortion service is a denial of their fundamental human right. Using an analysis of legislations and case laws, we posit that advancing access to safe abortion by the Nigerian government is a necessary requirement to save women’s lives, protect their rights to health, equality and human dignity as specified under the Constitution.
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Adanu, R. M. K., M. N. Ntumy, and E. Tweneboah. "Profile of women with abortion complications in Ghana." Tropical Doctor 35, no. 3 (July 1, 2005): 139–42. http://dx.doi.org/10.1258/0049475054620725.
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A cross-sectional study of 150 women was performed at the gynaecology department of the Korle-BuTeaching Hospital to describe the characteristics of patients with complications of induced or spontaneous abortions, and to find out the reasons behind induced abortions. In all, 31% of the study sample presented with complications of induced abortions. This group was younger, of lower parity, more educated, with lower economic potential, in less stable relationships and with a higher knowledge of modern contraceptive methods than the group with spontaneous abortions. The chief reason for procuring an induced abortion was the presence of relationship problems with the subject's partner. We conclude that measures to prevent induced abortions and their subsequent problems will yield major results if directed at women in their early 20s with at least primary education, no children, low economic potential, not in a stable relationship and who have had a previous induced abortion.
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Gbagbo, Fred Yao. "Post Abortion Contraception Model: A Comprehensive Package for Improving Safe Abortion Care in Developing Countries." Journal of Family Medicine 1, no. 1 (May 11, 2018): 12–21. http://dx.doi.org/10.14302/issn.2640-690x.jfm-18-2088.
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Background: Despite liberal abortion laws and wide availability of contraceptives in Ghana, declining Post Abortion Contraception remains a public health challenge due to early unplanned pregnancies and recurrent abortions. The development of this model was therefore to address challenges of low contraception following induced abortion in health facilities within the capital city of Ghana. Method: The development of this model was an outcome of a nested study title: ‘decision making for induced abortion in Accra metropolis, Ghana’ in 2014. This model was piloted for four years using Marie Stopes, Ipas and Ghana Health Service trained abortion providers with family planning skills in one hundred purposively selected health facilities comprising 90 private and 10 Non-Governmental Organization mandated by law to provide safe abortion care services in the capital city of Ghana. The model mainly focused on contraceptive products, pricing, placement, promotion and people. Results: There was an increase (90% average) in Post Abortion Contraception across the selected facilities following the intervention using the model. Conclusion: The study concludes that an integration of products, pricing, placement, promotion and people with options counselling prior to an induced abortion are key considerations for an improved post abortion contraception uptake in developing countries.
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Studnicki, James, John W. Fisher, Tessa Longbons, David C. Reardon, Christopher Craver, and Donna J. Harrison. "Estimating the Period Prevalence of Publicly Funded Abortion to Space Live Births, 1999 to 2014." Journal of Primary Care & Community Health 12 (January 2021): 215013272110121. http://dx.doi.org/10.1177/21501327211012182.
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Introduction/Objectives: Although a majority of women who have an abortion report having 1 or more children, there is no published research on the number of abortions which occur between live births, after a first child but before the last. The objectives of this research, therefore, were to estimate the period prevalence of an induced abortion separating live births in a population of Medicaid eligible enrollees and to identify the characteristics of enrollees significantly associated with the use of abortion to enable child spacing. Methods: A retrospective, cross-sectional, longitudinal analysis of the pregnancy outcome sequences of eligible enrollees over age 13 from the 17 states where Medicaid included coverage of all abortions, with at least one identifiable pregnancy outcome between 1999 and 2014. Eligibles with a defined sequence of birth-abortion-birth within up to 5 consecutive pregnancies were identified to estimate the number of eligibles who could have practiced birth spacing by abortion. Logistic regression was applied to identify the significant predictor variables of the birth-abortion-birth sequence. Results: There were 50 012 (1.02%) of 4 875 511 Medicaid eligible enrollees exhibited a birth-abortion-birth sequence. Eligibles with the birth-abortion-birth sequence are more likely to be Black than White (OR 2.641, CL 2.581-2.702), less likely to be Hispanic than White (OR 0.667, CL 0.648-0.687), and more likely to have received contraceptive counseling (OR 1.14, CL 1.118-1.163). Increases in months of Medicaid eligibility (OR 1.004, CL 1.003-1.004) and months from first pregnancy to second live birth (OR 1.015, CL 1.015-1.016) are associated with the likelihood of undergoing live births separated by one or more induced abortions. Increases in the age at first pregnancy are associated with a decreased likelihood of the birth-abortion-birth sequence (OR 0.962, CL 0.959-0.964). Conclusion: Birth spacing via abortion is uncommon among a low-income population for whom the financial barriers to abortion are somewhat alleviated.
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Desai, Sheila, Laura D. Lindberg, Isaac Maddow-Zimet, and Kathryn Kost. "The Impact of Abortion Underreporting on Pregnancy Data and Related Research." Maternal and Child Health Journal 25, no. 8 (April 30, 2021): 1187–92. http://dx.doi.org/10.1007/s10995-021-03157-9.
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Abstract Introduction The impact on research findings that use pregnancy data from surveys with underreported abortions is not well-established. We estimate the percent of all pregnancies missing from women’s self-reported pregnancy histories because of abortion underreporting. Methods We obtained abortion and fetal loss data from the 2006–2015 National Survey of Family Growth (NSFG), annual counts of births from US vital statistics, and external abortion counts from the Guttmacher Institute. We estimated the completeness of abortion reporting in the NSFG as compared to the external counts, the proportion of pregnancies resolving in abortion, and the proportion of pregnancies missing in the NSFG due to missing abortions. Each measure was examined overall and by age, race/ethnicity, union status, and survey period. Results Fewer than half of abortions (40%, 95% CI 36–44) that occurred in the five calendar years preceding respondents’ interviews were reported in the NSFG. In 2006–2015, 18% of pregnancies resolved in abortion, with significant variation across demographic groups. Nearly 11% of pregnancies (95% CI 10–11) were missing from the 2006–2015 NSFG due to abortion underreporting. The extent of missing pregnancies varied across demographic groups and was highest among Black women and unmarried women (18% each); differences reflect both the patterns of abortion underreporting and the share of pregnancies ending in abortion. Discussion Incomplete reporting of pregnancy remains a fundamental shortcoming to the study of US fertility-related experiences. Efforts to improve abortion reporting are needed to strengthen the quality of pregnancy data to support maternal, child, and reproductive health research.
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Yusuf, Farhat, and Dora Briggs. "Abortion in South Australia, 1971–86: an update." Journal of Biosocial Science 23, no. 3 (July 1991): 285–96. http://dx.doi.org/10.1017/s0021932000019350.
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SummaryOfficial statistics on abortion in South Australia for the period 1971–86 are analysed in terms of incidence, age of patients and nuptiality, reasons for abortion, method of termination, period of gestation, previous abortions and concurrent sterilisation. Demographic implications are discussed and recommendations are made for more education and counselling, especially for younger and unmarried women for whom the incidence of abortion seems to be rising.
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Telli, Pınar, Tomris Cesuroğlu, and Feride Aksu Tanık. "How Do Pronatalist Policies Impact Women’s Access to Safe Abortion Services in Turkey?" International Journal of Health Services 49, no. 4 (July 1, 2019): 799–816. http://dx.doi.org/10.1177/0020731419855877.
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A pronatalist discourse and anti-abortion rhetoric used by prominent politicians in Turkey, prior to and following the proposed ban of abortion in 2012, have resulted in reports of women facing difficulty accessing safe abortion services (SAS), risking the resurgence of unsafe abortions. We conducted a qualitative study to identify the impact of the ongoing pronatalist discourse on women’s access to SAS, using semi-structured interviews with 19 experts (16 female, 3 male) in reproductive health, including academics, doctors, midwives, and health authorities. Participants from 4 cities (Ankara, Istanbul, Izmir, and Manisa) were identified through a combined snowball and purposive sampling technique. The findings show that the pronatalist discourse has directly and indirectly inhibited access to SAS. Women’s and health professionals’ perception of abortion services has been tainted by rhetoric; provision of SAS in the public sector is slowly ceasing; and health reform-related organizational changes have diminished access to family planning services and contraceptive methods. Provision of SAS in the private sector continues but is only accessible for women with sufficient financial means. Preventing women’s access to SAS risks a rise in unwanted pregnancies and—consequently—in the number of women who may seek dangerous alternatives, including unsafe, life-threatening abortions.
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SHEKHAR, CHANDER, T. V. SEKHER, and ALINA SULAIMANOVA. "ROLE OF INDUCED ABORTION IN ATTAINING REPRODUCTIVE GOALS IN KYRGYZSTAN: A STUDY BASED ON KRDHS-1997." Journal of Biosocial Science 42, no. 4 (March 30, 2010): 477–92. http://dx.doi.org/10.1017/s002193201000009x.
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SummaryEstimates indicate that about 42 million pregnancies are voluntarily terminated every year at the global level, of which more than 80% occur in developing countries. Abortion has been one of the major reproductive health concerns in post-Soviet nations, especially when it is commonly used as a means of fertility regulation. On average, every woman has had around 1.6 abortions in Kyrgyzstan. This paper attempts to measure the role of abortion in fertility regulation using data from the Kyrgyz Republic Demographic and Health Survey (KRDHS), 1997. The analysis reveals that Kyrgyzstan can attain replacement level fertility in the absence of induced abortion by raising the contraceptive prevalence to 70% at the current level of effectiveness. The study also shows that women's attitude towards becoming pregnant and their partner's perception about abortion are significantly associated with the propensity to opt for an induced abortion. Reproductive health programmes need to address these issues, including the enhancement of male involvement in family planning.
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Zavier, A. J. Francis, K. G. Santhya, and Shireen J. Jejeebhoy. "Abortion among married young women: findings from a community-based study in Rajasthan and Uttar Pradesh, India." Journal of Biosocial Science 52, no. 5 (November 14, 2019): 650–63. http://dx.doi.org/10.1017/s0021932019000701.
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AbstractAbortion service provision has changed noticeably in the recent past and medication abortion currently accounts for four-fifths of all induced abortions taking place in India. How these changes have modified abortion experiences among young women – a group known to be more disadvantaged than adult women – remains unanswered. This paper fills this gap and examines the experiences of married young abortion seekers, including pre-abortion decision-making, abortion seeking and experiences of the procedure, and post-abortion complications. Data were drawn from a community-based survey of 4952 married young women aged 15–24 years conducted in Uttar Pradesh and Rajasthan in 2015. The study focused on 166 young women who had an induced abortion in the two years before the survey, and used descriptive statistics to describe their abortion experiences. Seventy-four per cent of abortion seekers had relied on medication abortion and 47% had obtained it over the counter without a physician’s prescription. Moreover, 90% accessed abortion services from private facilities, including drug sellers. A small proportion (4%) had undergone abortion in the second trimester of pregnancy. At the same time, 13% reported multiple abortion attempts; 17% underwent dilation and curettage; and 52% experienced self-reported complications, including 5% who experienced moderate to severe complications. The findings call for greater attention to providing contraceptive counselling and services to married young women, ensuring abortion services in public health facilities and exploring mechanisms to improve drug sellers’ knowledge and practices in providing medication abortion.
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Yusuf, Farhat, and Dora Briggs. "Trends in legalized abortion in South Australia: 1970–81." Journal of Biosocial Science 17, no. 2 (April 1985): 215–21. http://dx.doi.org/10.1017/s0021932000015674.
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SummaryOfficial abortion statistics for South Australia for the years 1977–81 were examined and compared with those for 1970–76 reported earlier. The period 1970–81 represents the first 12 years' experience of legalized abortion in South Australia. A consistent increase in the incidence of abortion was noted, both in absolute numbers and in proportion to the number of live births. South Australia continued to experience lower fertility than other Australian states, although this would have been higher than in other states had it not been for the legalization of abortion. More of the younger and the unmarried women were obtaining abortions, indicating that they were increasingly using abortion as a form of birth control.