OBJECTIVE: To examine the incidence of and risk factors for repeat abortion in Nepal. METHODS: Data were analyzed from a survey of 1172 women who had surgical abortions between December 2009 and March 2010 in 2 clinics in Kathmandu, Nepal. Bivariate and multivariate logistic regressions were performed to estimate odds ratios for the risk factors. RESULTS: Among the respondents, 32.3% (95% confidence interval, 29.6-34.9) had repeat abortions. This incidence rose sharply with age and parity, and was higher among those with no intention of having a future child, those attaining primary or secondary level education, and those attending the non-governmental sector clinic. Women with repeat abortion were similar to those with 1 abortion in terms of contraceptive practice. Among women not using contraceptives at the time of the unintended pregnancy, the 3 most commonly cited reasons were ill health, non-compliance with the method intended for use, and dislike of the method. Women with repeat abortion showed a pattern of contraceptive acceptance immediately after the procedure similar to that of women who had 1 abortion. CONCLUSION: Repeat abortion is emerging as a major public health issue in Nepal, with implications for counseling and provision of abortion, and for family planning services.
OBJECTIVE: To examine the incidence of and risk factors for repeat abortion in Nepal. METHODS: Data were analyzed from a survey of 1172 women who had surgical abortions between December 2009 and March 2010 in 2 clinics in Kathmandu, Nepal. Bivariate and multivariate logistic regressions were performed to estimate odds ratios for the risk factors. RESULTS: Among the respondents, 32.3% (95% confidence interval, 29.6-34.9) had repeat abortions. This incidence rose sharply with age and parity, and was higher among those with no intention of having a future child, those attaining primary or secondary level education, and those attending the non-governmental sector clinic. Women with repeat abortion were similar to those with 1 abortion in terms of contraceptive practice. Among women not using contraceptives at the time of the unintended pregnancy, the 3 most commonly cited reasons were ill health, non-compliance with the method intended for use, and dislike of the method. Women with repeat abortion showed a pattern of contraceptive acceptance immediately after the procedure similar to that of women who had 1 abortion. CONCLUSION:Repeat abortion is emerging as a major public health issue in Nepal, with implications for counseling and provision of abortion, and for family planning services.
Authors: Longmei Tang; Shangchun Wu; Dianwu Liu; Marleen Temmerman; Wei-Hong Zhang Journal: Int J Environ Res Public Health Date: 2021-04-22 Impact factor: 3.390
Authors: Jinlin Liu; Shangchun Wu; Jialin Xu; Marleen Temmerman; Wei-Hong Zhang Journal: Int J Environ Res Public Health Date: 2019-03-05 Impact factor: 3.390
Authors: Caroline W Kabiru; Boniface A Ushie; Michael M Mutua; Chimaraoke O Izugbara Journal: BMC Pregnancy Childbirth Date: 2016-05-14 Impact factor: 3.007