WITHDRAWN: Survival Analysis of Time to First Trimester induced Abortion of women in Harar Regional State, Ethiopia

Abstract

Background: Abortion is the expulsion of a fetus from the uterus before it has reached the stage of viability. Abortion among adolescents and youth is a major public health issue, especially in developing countries like Ethiopia. Therefore, the present study was headings to the survival time of first trimester women abortion and associated factors among women whose age group in 15-49 years admitted to Jugel Hospital in Harar city, Ethiopia.Method: A hospital record pregnant women were reviewed and retrospective study design was conducted at Jugel Hospital in Harar regional state from January 2018 to December 2020.The study was conducted among nine hundred and ninety seven sampled women with abortion.The data was entered into Stata version-14 for cleaning and data analysis. Cox proportional hazard and multivariate accelerated failure time regression with log-logistic distribution were carried out to determine significant association between response variable and covariates at 5% level statistical significance was ascertained at 5% level of significance.Result: The result from log-rank estimation revealed that the survival of a woman significantly associated with age of mother, gravidity, parity, abortion care, place of managed and type of uterine evacuation procedure of mother. Based on AIC and BIC criteria and.The log-logistic of acceleration failure time model has small AIC and BIC among compared models. The multivariate log-logistic acceleration failure time model result indicated that age of mother being 30-34years (Φ=1.1116, 95%CI=(1.0144 ,1.2181)), being in age group >=35 years (Φ=1.1607,95% CI=(1.0388, 1.2969)) having gravida 3-4(Φ=0.9442, 95%CI=(0.8960,0.9951)),safe abortion care(Φ=0.7805,95%CI=(0.7156, 0.8513)), in-patient place of managed (Φ=1.1582,95%CI=(1.0628,1.2621))and type of uterine evacuation of MVA(Φ=1.0636, 95% CI=(1.0125,1.1174)) was covariates significantly associated to survival time women abortion in first trimester stage.Conclusions: The findings of this study showed that age of mother, gravidity, abortion care, place of managed and type of uterine evacuation for abortion were potential covariates associated to survival time of women abortion. It is recommended that women should be aware on the burden of those risk factors and health workers should be give due attention to this proximate determinants on abortion case.