Prevalence and determinants associated with second trimester termination of pregnancy in Harari city, Ethiopia; Cross sectional study.

Abstract

Background: Abortion is a termination of pregnancy before the fetus has become viable, i.e., capable of independent existence once delivered by the mother. The purpose of this study was to assess the prevalence and determinants associated with second trimester termination of pregnancy among the women in the reproductive age. Methods: Cross sectional study, design was conducted from September 1-30, 2020. Eight hundreds thirty-five sample of women with induced abortion complication were used. The data were entered into statistical package and service solutions (SPSS) version 23.0 for cleaning and data analysis. Chi-square test of association was used to test the association between the response variable. Binary logistic regression was employed for variables one by one in bivariate logistic regression to determine the significant association between response variables and predictors at p-value 0.15. A 95% confidence interval (CI) and level of significance less than 0.05 were used to determine statistical significance. Results: The prevalence of second trimester termination of pregnancy in the reproductive Age (15-49 years) was found to be 18.2%. As a result multivariable logistic regression model, women with age category 20-24 years [Adjusted odds ratio(AOR)=2.055, 95% CI=1.102-3.831], age category 30-34 years [AOR=3.084, 95%CI=1.348-7.056] , age category greater than or equal to 35 had adjusted odds ratio(AOR=3.021, 95% CI=1.199-7.610), having safe abortion care (AOR=0.294, 95%CI=0.132-0.656), taking treatment in health care/hospital (AOR=2.385, 95% CI=1.057-5.382) and repeatedly acceptor of post-abortion contraception (AOR=0.533, 95%CI=0.291-0.979) were potential determinants associated with women’s in the reproductive age with second trimester termination of pregnancy. Conclusions: Second trimester termination of pregnancy is strongly affected by age of mother, abortion care, place of managed abortion and post-abortion contraception. Strategies on Antenatal care and task-oriented services should be given to community level about the second trimester medical termination of pregnancy to decrease further complications and maternal mortality.

Magnitude of second-trimester-induced abortion and associated factors among women who received abortion service at public hospitals of Arba Minch and Wolayita Sodo towns, southern Ethiopia: A cross-sectional study

“…In this study, the magnitude of the second-trimesterinduced abortion was 23% (95%CI: 18.5%, 27.4%). This finding was in line with studies done in the Amhara region, Ethiopia (19.2%) (2) and Harar, Ethiopia (18.2%) (26). The prevalence of induced second-trimester abortion in this study was lower compared with studies done in Debre Markos, Ethiopia (29.6%) (16), Kenya (39%) (27), and Chicago (32%) (28).…”

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.…”