A population-based study on correlates of abortion in India (1990-2006)

Yadav, J S Smitha; Sharma, Garima; Singh, Jiten Kumar

doi:10.18203/2320-1770.ijrcog20161659

Cited by 2 publications

(3 citation statements)

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“…Evidence from elsewhere suggests that women whose youngest living child is female are more likely to seek an induced abortion, thus linking induced abortion service with sex selection [27, 28]. Although 6.5% of respondents interviewed in the Nepal 2016 Demographic Health Survey reported sex of the child as their reason for an induced abortion [10], no statistical association was observed between induced abortion in the last 5 years and those who don’t have a living boy child.…”

Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Factors associated with induced abortion in Nepal: data from a nationally representative population-based cross-sectional survey

Mehata¹,

Menzel²,

Bhattarai³

et al. 2019

Reprod Health

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Background Despite the legalization of abortion services in 2002, unsafe abortion (abortion services conducted by persons lacking necessary skill or in substandard settings or both) continues to be a public health concern in Nepal. There is a lack of national research exploring the characteristics of women who choose to have an abortion. This study assessed abortion in Nepal and its correlates using data from a nationally representative population-based cross-sectional survey. Methods We employed data from the Nepal Demographic and Health Survey 2016. Sample selection was based on stratified two-stage cluster sampling in rural areas and three-stage sampling in urban areas. The primary outcome is report of induced abortion in the 5 years preceding the survey, as recorded in the pregnancy history. All values were weighted by sample weights to provide population-level estimates. Bivariate and multivariate logistic regressions were performed using STATA 14 considering cluster sampling design. Results A total of 12,862 women of reproductive age (15–49 years) were interviewed. Overall, 4% (95% CI: 3.41–4.29) reported an abortion within the last 5 years (and less than 1% had had more than one abortion during that time). A higher proportion of women aged 20–34 years (5.7%), women with primary education (5.1%), women aware of abortion legalization (5.5%), and women in the richest wealth quintile (5.4%) had an abortion in the past 5 years. Compared to women aged < 20 years, women aged 20–34 years had higher odds (AOR: 5.54; 95% CI: 2.87–10.72) of having had an abortion in the past 5 years. Women with three or more living children had greater odds (AOR: 2.24; 95% CI: 1.51–3.31) of having had an abortion than women with no living children. The odds of having an abortion in the past 5 years increased with each wealth quintile, with the richest wealth quintile having almost three-fold greater odds of having had an abortion. No significant association was observed between having an abortion and the ecological zone and place of residence. Conclusion This nationally representative study shows that abortion is associated with women’s age, knowledge of abortion legality, wealth status, number of living children, and caste/ethnicity. Targeted interventions to young women, those in the poorest wealth quintile, women from Terai caste groups, and those who reside in Province 2 would be instrumental to address disproportional access to abortion services. Overall, strengthening contraceptive provision and abortion education programs would be cornerstone to improving the health of women and girls in Nepal.

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Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Factors associated with induced abortion in Nepal: data from a nationally representative population-based cross-sectional survey

Mehata¹,

Menzel²,

Bhattarai³

et al. 2019

Reprod Health

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“…These trials included 40 women in each of the gestational age ranges of less than or equal to 49 days, 50 to 56 days, and 57 to 63 days using 200 mg of mifepristone followed 6 to 8 hours later by 800ug of misoprostol administered vaginally. Abortion rates at 24 hours were 88% to 92% [2] . On the basis of the results of these pilot studies, we performed this trial to compare the efficacy and safety of misoprostol after 6 hours of Mifepristone in Medical abortions upto 7 weeks vs 24 hours.…”

Section: Introductionmentioning

confidence: 95%

“…There is a need for evolving a safe and effective method for terminating pregnancy most recently due to the increase in the use of antenatal diagnostic procedures like amniocentesis, USG and cordocentesis [1] . In India, 6.7 million induced abortions are performed a year, with a ratio of 452 abortions per 1000 live births or induced abortions per 1000 women of child bearing age [2] . Although abortion was legalized in India in 1972, illegal abortion is still (urban) five (rural) times more common than legal abortion [3] .…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of misoprostol after 6 hours of mifepristone in medical abortions up to 7 weeks v/s 24 hours: A comparative study

Nagaich¹,

Maheswari²

2020

Int. J. Clin. Obstet. Gynaecol.

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Background/purpose: The aim of the study was to compare the Efficacy and Safety of Misoprostol after 6 Hours of Mifepristone in Medical Abortions up to 7 weeks v/s 24 Hours. Material and method: The present randomized clinical trial was undertaken in the department of Obstetrics and Gynaecology at Muzaffarnagar medical college and hospital among 60 women seeking abortion up to 7 weeks (49 days). The subjects were divided into two groups i.e. group A (tablet Mifepristone 200mg orally on empty stomach and after 24hrs, 400 microgram Tablet Misoprostol given orally), group B (tablet Mifepristone 200 microgram followed by misoprostol 400 microgram after 6hours). Success was defined as complete expulsion of products of conception within 24 hours of misoprostol Failure was defined as incomplete expulsion of products of conception within 24 hrs of misoprostol. Results: Mean age of the study subjects was 24.17±5.11 years and 23.93±4.08 years in group A and group B respectively. In group A and B, mean gestation age (in weeks) was 6.37±0.77 and 6.57±0.57 respectively. Success was reported among 96.67% and 90% of the subjects in group A and B respectively with statistically insignificant difference. Conclusion:Based on the results of the present study, it can be concluded that women can use regimens with vaginal misoprostol without any time delay between medications with efficacy that is similar to those with a delay.

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A population-based study on correlates of abortion in India (1990-2006)

Cited by 2 publications

References 10 publications

RETRACTED ARTICLE: Factors associated with induced abortion in Nepal: data from a nationally representative population-based cross-sectional survey

RETRACTED ARTICLE: Factors associated with induced abortion in Nepal: data from a nationally representative population-based cross-sectional survey

Efficacy and safety of misoprostol after 6 hours of mifepristone in medical abortions up to 7 weeks v/s 24 hours: A comparative study

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