Induced Abortions Among Adolescent Women in Rural Maharashtra, India

Ganatra, Bela; Hirve, Siddhi

doi:10.1016/s0968-8080(02)00016-2

Cited by 103 publications

(133 citation statements)

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“…We therefore recommend a more conducive environment for empowerment of young women through the effective dissemination of knowledge through sex education and social life skills, which has also been identified as critical in other Asian countries such as India. 12,13 Despite a successful family planning programme for married women in Thailand, unmarried women and adolescents are far from adequately covered. Social attitudes are the key barrier.…”

Section: Discussion: Which Reasons For Abortion Should Be Made Legalmentioning

confidence: 99%

Induced Abortion in Thailand: Current Situation in Public Hospitals and Legal Perspectives

Warakamin

Boonthai

Tangcharoensathien³

2004

Reproductive Health Matters

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Section: Discussion: Which Reasons For Abortion Should Be Made Legalmentioning

confidence: 99%

Induced Abortion in Thailand: Current Situation in Public Hospitals and Legal Perspectives

Warakamin

Boonthai

Tangcharoensathien³

2004

Reproductive Health Matters

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“…Findings from facility-based studies suggest that 27-30% of all abortion seekers were aged under 25, 5,6 while in a community-based study in rural Maharashtra, over half of all abortion-seekers were under 25. 12 At the same time, several facility-based studies have noted that a significant proportion of all young abortion seekers were unmarried; 4,9,11,18,19 one study in Manipur reported that three-quarters of all nulliparous abortion seekers were unmarried. 18 Studies comparing abortion-seeking experiences of married and unmarried young women are rare; those that are available focused on the timing of abortion and highlighted that unmarried young women were more likely to experience delays into the second trimester than were married ones.…”

Section: Introductionmentioning

confidence: 99%

“…The factors causing delays that we studied -drawn from studies conducted largely among married women -included recognition of pregnancy, decision-making on when and where to seek termination, multiple (unsuccessful) attempts to terminate the pregnancy, fear of disclosure and consequent prioritisation of confidential rather than skilled services, and lack of partner support. 4,[12][13][14][15] While these do not necessarily suggest that these abortions will have been unsafe, the risks of unsafe abortion and abortion-related complications would clearly be heightened. …”

mentioning

confidence: 99%

Experience seeking abortion among unmarried young women in Bihar and Jharkhand, India: delays and disadvantages

Jejeebhoy¹,

Kalyanwala

Zavier

et al. 2010

Reproductive Health Matters

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Studies suggest that the experiences of unmarried young women seeking abortion in India differ from those of their married counterparts, but the evidence is limited. Research was undertaken among nulliparous young women aged 15-24 who had abortions at the clinics of a leading NGO in Bihar and Jharkhand. Over a 14-month period in 2007-08, 246 married and 549 unmarried young abortion seekers were surveyed and 26 who were unmarried were interviewed in depth. Those who were unmarried were far more likely to report non-consensual sexual relations. As many as 25% of unmarried young women, compared to only 9% of married young women, had had a second trimester abortion. The unmarried were far more likely to report non-consensual sexual relations leading to pregnancy. They were also more likely to report such obstacles to timely abortion as failure to recognise the pregnancy promptly, exclusion from abortion-related decision-making, seeking confidentiality as paramount in selection of abortion facility, unsuccessful previous attempts to terminate the pregnancy, and lack of partner support. After controlling for background factors, findings suggest that unmarried young women who also experienced these obstacles were, compared to married young women, most likely to experience second trimester abortion. Programmes need to take steps to improve access to safe and timely abortion for unmarried young women. ©2010 Reproductive Health Matters. All rights reserved.Keywords: unplanned pregnancy, abortion services, marital status, adolescents and young people, India P RE-MARITAL sexual relations have increasingly been documented in India, 1,2 and studies suggest that few young people are using condoms or any other contraceptive method consistently, risking unintended pregnancy. A recent study among unmarried college students, for example, found that 8-12% of sexually experienced young women or girlfriends of sexually experienced young men had ever had an unintended pregnancy and all of these pregnancies had been terminated. 3 Evidence on the abortion-related experiences of unmarried young women is sparse. 4 Several facility-based studies from India have suggested that young and unmarried women constitute significant minorities of all abortion patients, 4-10 that young abortion seekers are more vulnerable than adult women seeking abortion 4 and that those who are unmarried and young are even more vulnerable than their married counterparts, in that they are more likely to delay seeking an abortion and to go to unqualified providers. 11 163 Few studies, (with one exception 4 ) have explored other aspects of the abortion-seeking experience related to being young and unmarried.We aimed to shed light on the experiences of unmarried young abortion-seekers aged 15-24, compare their experiences with those of their married counterparts, and explore the proximate factors leading to delays in them obtaining abortions into the second trimester. Data were obtained from facilities in two poorly developed neighbouring states in north Ind...

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“…Young girls are also vulnerable to coerced sex and sexual violence, especially in difficult circumstances, such as in poverty, refugee camps and in conflict and crisis situations (Women's Commission for Refugee Women and Children, 2006). Unwanted pregnancies and unsafe abortions are some of the most obvious outcomes of coercive sex (Gonatra and Hirve, 2002) as found in a study in rural India. Other outcomes of coercive sex are increased risk of exposure to STIs including HIV (Koeing and others, 2005) and damage to mental health (Patel and Andrew, 2005).…”

Section: Consequences Of Early Sex and Early Marriage For Adolescentsmentioning

confidence: 88%

Reproductive health, including adolescent reproductive health: Progress and challenges in Asia and the Pacific

Karim¹

2009

Asia-Pacific Population Journal

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Induced Abortions Among Adolescent Women in Rural Maharashtra, India

Cited by 103 publications

References 10 publications

Induced Abortion in Thailand: Current Situation in Public Hospitals and Legal Perspectives

Induced Abortion in Thailand: Current Situation in Public Hospitals and Legal Perspectives

Experience seeking abortion among unmarried young women in Bihar and Jharkhand, India: delays and disadvantages

Reproductive health, including adolescent reproductive health: Progress and challenges in Asia and the Pacific

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