An Assessment of Fetal Loss Among Currently Married Women in India

Rajaram, S; Zottarelli, Lisa K.; Sunil, Thankam

doi:10.1017/s0021932008003222

Cited by 7 publications

(6 citation statements)

References 16 publications

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“…In contrast, fever and vomiting have been more pronounced among women experiencing complications due to induced abortion. Typically, women with spontaneous abortion have fewer and less severe symptoms than women with induced abortion, especially for unsafe induced abortion [2,[8][9][10]. It is not clear why symptoms were found to be similar between the two groups of women in this study.…”

Section: Discussionmentioning

confidence: 74%

“…Of 6.4 million induced abortions performed in India, 3.6 million (56%) are unsafe [1]. Complications of spontaneous abortion also contribute to maternal morbidity; an estimated 5% of pregnancies in India end in spontaneous abortion [2]. In all, there are approximately 10 000 to 12 000 deaths in India each year due to abortion-related complications [3].…”

Section: Introductionmentioning

confidence: 99%

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Pathways and consequences of unsafe abortion: A comparison among women with complications after induced and spontaneous abortions in Madhya Pradesh, India

Andersen¹,

Warvadekar²

2012

Intl J Gynecology & Obste

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This study aimed to understand women's pathways of seeking care for postabortion complications in Madhya Pradesh, India. The study recruited 786 women between July and November 2007. Data were collected on service provision, abortion-related complications, care-seeking behavior, knowledge about abortion legality and availability, methods used, symptoms, referral source, and out-of-pocket costs. Women seeking care for complications from induced abortion followed more complex pathways to treatment than women with complications of spontaneous abortion. More complex pathways were associated with higher out-of-pocket costs. Improving community awareness on legal aspects, safe abortion methods, and trained providers are necessary to reduce morbidity associated with unsafe abortion.

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Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Pathways and consequences of unsafe abortion: A comparison among women with complications after induced and spontaneous abortions in Madhya Pradesh, India

Andersen¹,

Warvadekar²

2012

Intl J Gynecology & Obste

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“…An Indian study by Rajaram et al [21] showed that the risk of stillbirth was twice among those who used tobacco or alcohol as compared to non-users but since it did not provide separate estimates for tobacco chewers and it could not be included in this review. A study among women in Cambodia reported that tobacco chewing was associated with increased odds (OR 1.5: 1.1-2.1) of infant mortality as compared to non-users [22].…”

Section: Discussionmentioning

confidence: 99%

The Human Cost of Tobacco Chewing Among Pregnant Women in India: A Systematic Review and Meta-analysis

Suliankatchi

Sinha

2016

J Obstet Gynecol India

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123 adjusted for smoking with or without adjustment for other factors and duplicate data. Qualitative synthesis was followed by meta-analysis. Attributable burden was estimated using the population attributable fraction method. Main Results Pooled odds ratio was significant for all three outcomes: low birth weight (1.88, 95 % CI 1.38, 2.54), preterm birth (1.39: 1.01, 1.91) and stillbirth (2.85: 1.62, 5.01). We found that 0.87 million low birth weight babies, 0.19 million preterm births and 0.12 million stillbirths occurring annually in India could be attributed to maternal SLT use. Conclusion There was a suggestive evidence of SLT use associated with adverse pregnancy outcomes among women in India. Further studies in this field are required to generate more conclusive evidence.

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“…In the north zone, father’s education was significantly associated with the likelihood of abortion. Previous studies have reported an increased likelihood of the educated parents to have information about and access to abortion services as compared with the non-educated parents [ 30 - 33 ]. These data point to the need to target men as well to improve maternal health.…”

Section: Discussionmentioning

confidence: 99%

Population-based estimates of still birth, induced abortion and miscarriage in the Indian state of Bihar

Kochar

Dandona

Kumar

et al. 2014

BMC Pregnancy Childbirth

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BackgroundWe report population-based data on still birth, induced abortion and miscarriage from the Indian state of Bihar to assess the magnitude of the problem and to inform corrective action.MethodsA representative sample of women from all districts of Bihar with a pregnancy outcome in the last 12 months was obtained through multistage sampling in early 2012. Still birth rate was calculated as fetuses born with no sign of life at 7 or more months of gestation per 1,000 births. Induced abortion and miscarriage rates were defined as expulsion of dead fetuses at less than 7 months of gestation induced by any means or without inducement, respectively, per 1000 pregnancies that had an outcome. Multiple regression models were used to explore possible associations with stillbirths, induced abortions and miscarriages. Multi-level models were developed for the relatively less developed north zone and for the south zone of Bihar to examine contextual factors associated with still births, induced abortions and miscarriages.ResultsStill birth rate was estimated as 20 per 1,000 births (95% CI 15.6-24.5), and induced abortion and miscarriage rates as 8.6 (6.6-10.6), and 46 (40.8-51.3) per 1,000 pregnancies with outcome, respectively. The odds of induced abortion and miscarriage were significantly higher in the south zone (odds ratio 2.53 [95% CI 1.79-3.57] and 1.27 [95% CI 1.10-1.47], respectively). In the multi-level model for the north zone, the odds of induced abortion were higher for women with husband’s having mean years of education higher than the state mean (2.62; 95% CI 1.47-4.69). Among the nine divisions of Bihar, comprising of groups of districts, higher induced abortion rate was associated with lower neonatal mortality rate (R2 = 0.68, p = 0.01).ConclusionsThese population-based data show a significant burden of still births in Bihar, suggesting that addressing these must become an important part of maternal and child health initiatives. The higher induced abortion in the more developed districts, and the inverse trend between induced abortion and neonatal mortality rates, have programmatic implications.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-014-0413-z) contains supplementary material, which is available to authorized users.

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An Assessment of Fetal Loss Among Currently Married Women in India

Cited by 7 publications

References 16 publications

Pathways and consequences of unsafe abortion: A comparison among women with complications after induced and spontaneous abortions in Madhya Pradesh, India

Pathways and consequences of unsafe abortion: A comparison among women with complications after induced and spontaneous abortions in Madhya Pradesh, India

The Human Cost of Tobacco Chewing Among Pregnant Women in India: A Systematic Review and Meta-analysis

Population-based estimates of still birth, induced abortion and miscarriage in the Indian state of Bihar

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