Abstract
Objective
To examine the multi-faceted characteristics of women with repeat induced abortions
and assess post-abortion family planning service provision in Georgia.
Study design
We performed secondary analysis of the data from the Georgian Reproductive Health
Survey 2010. A logistic regression model was used to assess the socio-demographic
and behavioral factors, contraceptive practices in relation to repeat induced abortions
for 2203 women of reproductive age with at least one induced abortion. The Chi-Square
test was used to evaluate provision of post-abortion family planning services.
Results
Among the targeted women, 70% (n = 1539) had repeat induced abortions. The odds of terminating pregnancy raised exponentially
with age (OR 3.12, 95% CI: 2.11–4.61), number of complete pregnancies (3 vs. 0–1 complete
pregnancies: OR 3.25, 95% CI: 2.36–4.48) and lower education (OR 1.38, 95% CI: 1.10–1.73).
The current use of contraception had a protective effect on the occurrence of repeat
induced abortions (OR 0.69, 95% CI: 0.53–0.89 for modern and OR 0.68, 95% CI: 0.50–0.92
for traditional methods).
The contraceptive counseling and family planning method was provided only to 32% and
6% of post-abortion women, respectively before discharge from the clinic. Repeat induced
abortions were found to be significantly more common (P < 0.05) among women who did not receive any post-abortion contraceptive at the site
of care (n = 1627/1929) compared to those who left the abortion facility with family planning method
(n = 94/125).
Conclusion
Low education, higher age, high parity and non-usage of contraceptives carry an increased
risk of repeat induced abortions. Post-abortion family planning service delivery is
limited in Georgia. Mandating provision of universal post-abortion contraception at
the sites of care has a potential to reduce repeat induced abortions and should become
a standard of practice for all clinics providing abortion services in Georgia.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to European Journal of Obstetrics and Gynecology and Reproductive BiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The history of abortion statistics in Russia and the USSR from 1900 to 1991.Population: Engl. Sel. 1995; 7: 39-66
- Womens Reproductive Health Survey Georgia 1999–2000.2000 (Final report)
- Reproductive Health Survey Georgia.2010 (Final report)
- Previous abortion and the risk of low birth weight and preterm births.J Epidemiol Community Health. 2008; 62: 16
- Induced abortion as a risk factor for subsequent fetal loss.Epidemiology. 1996; 7: 540
- Induced abortions and risk of ectopic pregnancy.Hum Reprod. 1995; 10: 1841-1844
- Repeat abortion in the United States. Occasional Report No. 29.2006
- Characteristics of women undergoing repeat induced abortion.CMAJ. 2005; 172: 637
- Can we identify women at risk of more than one termination of pregnancy.Contraception. 2005; 71: 31
- Age, parity, history of abortion and contraceptive choices affect the risk of repeat abortion.Contraception. 2008; 78: 149
- Risk factors for repeat elective abortion.Am J Obstet Gynecol. 2007; 197 (e1–e6): 575
- Repeat induced abortion—a matter of individual behaviour or societal factors? A cross-sectional study among Swedish women.Eur J Contracept Reprod Health Care. 2011; 16: 369-377
- Intimate partner violence and repeat induced abortion in Italy: a cross sectional study.Eur J Contracept Reprod Health Care. 2015; 20: 344-349
- Repeat abortion and use of primary care health services.Fam Plan Perspect. 1995; 27: 162
- Characteristics of women who have repeat abortions in the Netherlands.Eur J Contracept Reprod Health Care. 2013; 18: 327-334
- Women’s risk of repeat abortions is strongly associated with slcohol consumption: a longitudinal analysis of a Russian National Panel Study, 1994–2009.PLoS One. 2014; 9: e90356
- Repeat abortions in Canada, 1975–1993.Fam Plan Perspect. 1997; 29: 20-24
- Predictive model of repeat induced abortion in Hungary.Cent Eur J Med. 2011; 6: 701
- Risk factors for repeat abortion in Nepal.Int J Gynaecol Obstet. 2013; 120: 32
- Obstetric and psychological characteristics of women seeking multiple abortions in the region of Monastir (Tunisia): results of a cross-sectional design.BMC Womens Health. 2015; 15: 40
- Increase of repeat abortion in France: from contraceptive issues to postponement of childbearing age.Rev Epidemiol Sante Publique. 2013; 61: 291-298
- Who has a repeat abortion? Identifying women at risk of repeated terminations of pregnancy: analysis of routinely collected health care data.J Fam Plan Reprod Health Care. 2016; 42: 133-142
- The impact of post-abortion care family planning counselling and services in low-income countries: a systematic review of the evidence.University Of London, Institute of Education, Social Science Research Unit, EPPI Report, 2011
- Impact of post-abortion family planning services on contraceptive use and abortion rate among young women in China: a cluster randomized trial.Eur J Contracept Reprod Health Care. 2009; 14: 46-54
Article info
Publication history
Published online: August 09, 2016
Accepted:
August 1,
2016
Received in revised form:
July 18,
2016
Received:
May 2,
2016
Identification
Copyright
© 2016 Elsevier Ireland Ltd. All rights reserved.
