15-49 Yaş Kadınlarda Kendiliğinden ve İsteyerek Düşükler ve Belirleyicileri

Abstract

Aim: Abortions, which are among the causes of maternal mortality in the world, continue to be important not only for women's health, but also because they have devastating physiological, psychological, and economic effects on the family and society. The present study aimed to determine the prevalence of total, induced, and spontaneous abortion in women aged 15-49 in a Family Health Center (FHC) region, and the factors affecting the abortion prevalence. Methods: This cross-sectional study was conducted with 311 women aged 15-49 registered between February and December 2017 at the FHC region in Northwest Thrace in Turkey. Results: The unintended pregnancy prevalence of the participants was 14.8%, and abortion prevalence was 22.2%. Spontaneous and induced abortions prevalence was 12.2% and 10.9%, respectively. According to the multivariate logistic regression analysis, the likelihood of abortion was significantly higher than the reference category in those who perceived their income at a bad level, current smokers, and those who considered abortion as a family planning method used to avoid unwanted pregnancies (p <0.05). The likelihood of induced abortion was significantly higher in women who perceived their income at a bad level, those with spouses aged 35 and older, and those whose spouses had primary school and lower levels of education (p<0.05). The likelihood of spontaneous abortion in women was higher in each one-unit increase in the total number of pregnancies, compared to those with high-school education, and those who perceived their income at a bad level (p<0.05). Conclusion: Nearly one out of every five women had undesired pregnancy experience, and one out of every four women had abortion experience. Spontaneous abortion prevalence was higher than that of induced abortion. Some sociodemographic and/ or obstetric characteristics are determinants of total abortion, induced abortion, and spontaneous abortion.

Induced abortion in Africa: A systematic review and meta-analysis

“…According to this study, women who used drugs or alcohol were more likely to have an induced abortion than those who did not. This result is consistent with a study conducted in Turkey [ 73 ]. This suggests that the association between drug and alcohol use and induced abortion is not specific to a particular region or country.…”

“…Our study found a strong association between unintended at the time of pregnancy and induced abortion, with women who had unintended at the time of pregnancy being nearly ten times more likely to undergo induced abortion compared to those with intended at the time of pregnancy. This finding is consistent with previous studies from around the world, including Turkey, Iran, and India [ 6 , 73 , 80 , 81 ], which have also demonstrated a significant relationship between unintended at the time of pregnancy and induced abortion. These results highlight the importance of addressing unintended at the time of pregnancy through effective family planning programs and education to reduce the incidence of induced abortion and improve women’s reproductive health.…”

Women's experience of terminating unwanted pregnancies in other than official health facility: A qualitative study

“…8 Çetinkaya ve Mercan çalışmalarında her 5 kadından birinin istenmeyen gebelik yaşadığını, 10 kadından birinin isteyerek düşük yaptığını ve kadınların %54'ünün Türkiye'de isteyerek düşük/kürtajın yasal olduğunu bilmediklerini belirlemiştir. 12 Bu çalışmada da kadınların çoğu daha önce düşük/kürtajın yapılabileceği yasal süreyi bilmediklerini veya bu süreçte öğrendiklerini belirtmiştir. Ayrıca kadınlar düşük/kürtaj sonrası önemli sağlık problemleri yaşamışlar ve bu süreçte sağlık hizmeti talep etmemişlerdir.…”

“…8 Gelir düzeyi düşük kadınlar özellikle risk altındadırlar. 12 Bu çalışmada görüldüğü gibi düşük/kürtaj ihtiyacı ortaya çıktığında kadınlar güvenli ve ücretsiz olan kamu hizmetlerine kolayca erişemedikleri zaman, mahremiyetlerinin korunacağı düşüncesiyle özel hekimleri ve klinikleri tercih etmektedirler. Özellikle genç ve bekâr kadınlar, damgalanma korkusuyla ücretsiz ve daha güvenli olan kamu hizmetlerini tercih etmek yerine maliyeti daha yüksek olan ve kimi zaman güvenli olmayan koşullarda verilen "özel" hizmetleri tercih edebilmekte veya kendi yöntemleriyle düşük yapabilmektedirler.…”