Current Status, and Correlates of Abortion among Rural Women of Gonji Kollela District, Northwest Ethiopia

Abstract

Background: Evidences indicate that unsafe abortion is one of the most important causes of maternal mortality in Ethiopia. Ethiopia strives to curb maternal mortality. Hence, current data on abortion, and its correlates are required. Objective: To assess the prevalence and associated factors of abortion among women of reproductive age (15-49 years) in rural kebeles of Gonji Kolela District. Methods: A community based cross-sectional study was conducted among randomly selected 611 women in six rural kebeles of Gonji Kolela District, Northwest Ethiopia. A structured pre-tested questionnaire was used to collect data on socio-demographic and obstetric histories. The data were checked for completeness and cross-checked for accuracy and consistency. Result: The overall prevalence of abortion was 12% (10.9% spontaneous and 1.1% induced). Of these, 12.3% of them had experienced abortion more than once. Most of abortion took place at home, no medical care. The most important predictor of abortion was educational status. Those women whose educational attainment was primary and above were 2.4 times more likely to experience abortion than those who were not able to read and write (AOR [95%CI] = 2.4 [1.13-5.10]). Most women attributed abortion to work overload. Conclusion: Abortion is high among rural women. Recommendation: Mechanism should be devised to educate the community about care to pregnant women. Why abortion is high among women who have visited school warrants further research.

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

“…Women with primary and secondary education had a considerably higher risk of having an induced abortion, according to the results of a pooled meta-regression analysis of eight studies [ 23 , 28 , 31 , 32 , 36 , 44 – 46 ] (AOR = 2.63, 95% CI: 1.7–4.06) ( Fig 8 ). There was some moderate heterogeneity across the included studies.…”

“…Whereas, the largest sample size was 146,713, according to a study from the African nation of Congo [ 21 ]. Different authors conducted induced abortion studies in Ethiopia in different years, with the highest prevalence (68.7%) and the lowest prevalence (1.1%) [ 22 , 23 ]. The Newcastle-Ottawa Scale quality assessment criteria for each primary study’s quality score indicated no appreciable risk; hence, all the studies were considered in this systematic review and meta-analysis.…”

Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis

“…This review included 33 studies conducted in various regions of Ethiopia. Of all the studies, 8 (24.24%) were from the Amhara Region,11 12 15 16 23–26 South Nations and Nationalities Peoples accounted for 9 (27.27%) of the total,13 27–34 1 was from Oromia,35 5 (15.15%) from Addis Ababa city administration,10 14 36–38 3 (9.09%) were from Harari region,39–41 3 (9.09%) were from Tigray region,42–44 1 (3.03%) was from Afar region and45 3 (9.09) were from National data 46–48. 28 (84.85%) of the included articles were cross-sectional studies,10–13 15 23–31 33–35 37–42 44–48 and remains 5 (15.15%) were case–control studies 14 16 32 36 43…”

“…As well, 27 of the studies were institution based,10–16 24 27–33 35–46 while 6 were community-based studies 23 25 26 34 47 48. The sample size of the included studies ranged from a minimum of 124 in a study conducted in southwest Ethiopia34 and to a maximum of 12 378 in a study conducted using Demographic Health Survay (DHS) data 48.…”

“…14 16 32 36 43 As well, 27 of the studies were institution based, 10-16 24 27-33 35-46 while 6 were community-based studies. 23 25 26 34 47 48 The sample size of the included studies ranged from a minimum of 124 in a study conducted in southwest Ethiopia 34 and to a maximum of 12 378 in a study conducted using Demographic Health Survay (DHS) data. 48 Overall, a total of 40 116 study participants were included in this review and the details are available in online supplemental table 1.…”