Prevalence of Pregnancy Termination and Its Associated Factors Among Women of Reproductive Age Group in Ethiopia Using 2011 Ethiopian Demography and Health Survey, 2016

Abstract

Background: Worldwide 20 million unsafe abortions took place each year as a result of unintended pregnancies, with 95% of these performed in developing countries. Ethiopia ranks fifth in the number of maternal deaths in the world and about two third of these deaths are due to unsafe abortions. The aim of this study was to determine the prevalence of pregnancy termination and associated factors among women of reproductive age group in Ethiopia using 2011 Ethiopian Demography and Health Survey. Methods:A secondary data was used to determine the prevalence of pregnancy termination and associated factors among women of reproductive age group in Ethiopia. Women in the age group of 15-49 years who had terminated pregnancy five years preceding the survey were included. The data were cleaned, coded and analyzed using Stata version 12. Multiple logistic regressions were used to identify factors associated with termination of pregnancy. Presence of confounders and interaction effects was investigated by computing relative changes on ß coefficients at a cutoff point 15%.Results: The prevalence of termination of pregnancy was 9% among reproductive age group women in Ethiopia. Maternal media exposure (AOR=1.24, 95% CI: 1.06, 1.43), age of women (AOR=3.05, 95% CI: 2.36, 4.05), contraceptive non-user (AOR=1.43, 95% CI: 1.22, 1.67) and occupational status of the husband (AOR=1.77, 95% CI: 1.29, 2.42) were positively associated factors with termination of pregnancy. Conclusion:Considerable proportion of women practiced termination of pregnancy. Maternal mass media exposure, contraceptive use, women occupation, marital status, age of women and husband occupation were the main factors for pregnancy termination. Emphasis needs to be given on access to family planning, mass media exposure, health education on consequences of early marriage and creating job opportunities.particularly in settings where there is poor access to hospital and medical care. When infection spreads upwards through the genital tract, causing damage to the fallopian tubes and pelvic inflammatory disease may develop. This condition causes pain and discomfort and if left untreated, can result in chronic pelvic pain and secondary infertility [5].Reports from other areas revealed that women over the world are highly to have a pregnancy termination when faced with an unplanned pregnancy [6]. Abortion laws vary significantly across the world in different countries, with some countries prohibition abortion entirely, some allowing abortion only to save the life of the mother and others allowing abortion with no restrictions related to reason [7].Worldwide, 60% of women of reproductive age group (15-44) live in countries where abortion is broadly legal [8]. In many developing

Intimate Partner Violence and Pregnancy Termination in Armenia: Evidence from Nationally-Representative Survey Data

“…Age group (15-24, 25-34, ≥35), residence (urban, rural), education level (primary or less, secondary, higher), wealth index (poorest, poorer, middle, richer, richest), contraception use (yes, no), employment status (employed, unemployed), reads newspaper or magazine (yes, no), and number of living children (none, one, two, three or more) were the confounding variables selected for this study from previous studies [10,15,18].…”

Prevalence of pregnancy termination and associated factors among married women in Papua New Guinea: a nationally representative cross-sectional survey

“…The independent variables were selected based on their availability in the dataset, practical significance, and theoretical relevance reported in the literature about pregnancy termination [14,38,39]. Variables were categorized into maternal, household, and maternal health-related characteristics.…”

“…Nearly half (45.2%) of all pregnancy terminations occurred in the Highlands region. Women aged [35][36][37][38][39][40][41][42][43][44], not working (aOR = 6.17; 95% CI: 2.26-16.85), owned a mobile phone (aOR = 3.77; 95% CI: 1.60-8.84), and lived in urban areas (aOR = 5.66; 95% CI: 1.91-16.81) were more likely to terminate a pregnancy. Women who experienced intimate partner violence (IPV) were 2.27 times (aOR = 2.27; 95% CI: 1.17-4.41) more likely to terminate a pregnancy compared to those who did not experience IPV.…”