Induced Second Trimester Abortion and Associated Factors in Amhara Region Referral Hospitals

Abstract

Background. Although the vast majority of abortions are performed in the first trimester, still 10–15% of terminations of pregnancies have taken place in the second trimester period globally. As compared to first trimester, second trimester abortions are disproportionately contribute for maternal morbidity and mortality especially in low-resource countries where access to safe second trimester abortion is limited. The main aim of this study was to assess the prevalence and associated factors of induced second trimester abortion in Amhara region referral hospitals, northwest Ethiopia. Methods. Institution based cross-sectional study was conducted in Amhara region referral hospitals among 416 women who sought abortion services. Participants were selected using systematic sampling technique. Data were collected using pretested structured questionnaire through interviewing. After the data were entered and analyzed; variables which have P value < 0.2 in bivariate analysis, not colinear, were entered into multiple logistic regressions to see the net effect with 95% CI and P value < 0.05. Results. The prevalence of induced second trimester abortion was 19.2%. Being rural (AOR = 1.86 [95% CI = 1.11–3.14]), having irregular menstrual cycle (AOR = 1.76 [95% CI = 1.03–2.98]), not recognizing their pregnancy at early time (AOR = 2.05 [95% CI = 1.21–3.48]), and having logistics related problems (AOR = 2.37 [95% CI = 1.02–5.53]) were found to have statistically significant association with induced second trimester abortion. Conclusion. Induced second trimester abortion is high despite the availability of first trimester abortion services. Therefore, increase accessibility and availability of safe second trimester abortion services below referral level, counseling and logistical support are helpful to minimize late abortions.

Knowledge of Safe Abortion and Associated Factors among Female Students in Debre Markos University, Amhara Regional State, Northwest Ethiopia, 2016: A Cross Sectional Study

“…In addition this study revealed females whose families live in rural were more likely to be knowledgeable than those whose families live in urban. This finding is opposite with findings from Amhara region referral hospitals in which place of residence affects the respondent's knowledge about safe abortion [20]. This may live from urban area [AOR = 1.56, 95% of CI: (1.03, 2.39)].…”

An Overview of Comprehensive Abortion Care at Tertiary care Teaching Hospital

“…During the study period, total of 171 clients underwent CAC service, out of which 79% received first trimester abortion service and 21% received second trimester abortion service. The incidence of induced second trimester abortion in our study is higher than the global incidence which constitutes only 10-15% 5 but is in line with study in Northwest Ethiopia that was 19.2% 6 and lower than that of India which was 25-30 percent. 7 Among the CAC clients, 33% were of age group 20-25 years and 28.65% were 26-30yrs which is explained by women's most fecund years while 5.84% were adolescence pregnancy which is similar to the study done in Tribhuvan University Teaching Hospital (TUTH), Nepal.…”

Negotiating the social and medical dangers of abortion in Addis Ababa: An exploration of young, unmarried women's abortion-seeking journeys

“…The experiences of women in Ethiopia who have undergone unsafe abortion remain largely under-researched. This is particularly the case for young, unmarried women, who constitute a significant proportion of the women who undergo unsafe abortion (Bonnen, Tuijje, & Rasch, 2014;Geleto & Markos, 2015;Mulat, Bayu, Mellie, & Alemu, 2015) and whose experiences are at the centre of the present discussion. Considering the high number of unmarried, young women who undergo unsafe abortion procedures, and as argued by Coast and Murray, it is of vital importance to investigate women's routes to clandestine and medically unsafe abortion more closely (Coast & Murray, 2016).…”