scholarly journals Second Trimester Abortion practices in Eastern Hilly District of Nepal: A Cross-Sectional Study

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Prabhu Sah ◽  
Sangita Mishra ◽  
Binod Singh ◽  
Anju Deo ◽  
Rinku Shah
Keyword(s):  
Cross Sectional Study ◽  
Termination Of Pregnancy ◽  
Fiscal Year ◽  
Health Management Information System ◽  
Second Trimester ◽  
Sectional Study ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Safe Abortion ◽  
Second Trimester Abortion

Introduction: Second-trimester abortion comprises 10-15% of total cases worldwide because of maternal disease, fetal anomalies, and delay in obtaining first trimester services during unintended pregnancies. The availability of legal safe abortion services with skilled hands is limited in rural hilly areas of Nepal. Unsafe and delays in seeking abortion services in resources poor countries like Nepal are contributing to maternal mortality and morbidity. This study aims to describe the demographic profile of patients, indications, and methods of second-trimester abortion with possible complications and family planning acceptance in the rural hilly areas of Nepal. Methods: A retrospective cross-sectional study was conducted at Ilam District Hospital in Province 1 of Nepal. The study sample comprises 75 patients who were admitted for abortion services in 1 fiscal year period from 16th July 2017 to 15th July 2018. Data for all the patients who received second-trimester abortion services were retrieved from Health Management Information System (HMIS) logbook maintained by the Hospital. Descriptive analysis was performed. Ethical approval for this study was obtained from the Nepal Health Research Council (Ref. No- 1921). Results: Most common age group seeking second-trimester abortion were 20-24 years(26.66%)  and the majority of women who participated in this study were literate up to secondary level education(58.66%). Most participants belonged to janajati/adibasi caste(73.33%) and were from Ilam districts(72%).Most of the cases were in the early second trimester (62.66%) and were multiparous (60%). Common indications for termination of pregnancy were mental/maternal cause(82.66%) and medical induction was most (69.33%) common method.  No major complications were found following abortion. The majority of participants chose short-term contraception (36%) following the termination of pregnancy. Conclusions: Awareness and availability of legal safe abortion services at local health facilities can reduce delays in seeking abortion services, prevent unsafe abortion practices, and reduce maternal morbidity and mortality.

scholarly journals Surgical and medical second trimester abortion in South Africa: A cross-sectional study

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniel Grossman ◽  
Deborah Constant ◽  
Naomi Lince ◽  
Marijke Alblas ◽  
Kelly Blanchard ◽  
...  
Keyword(s):  
South Africa ◽  
Cross Sectional Study ◽  
Second Trimester ◽  
Sectional Study ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Second Trimester Abortion

scholarly journals Induced Second Trimester Abortion and Associated Factors at Debre Markos Referral Hospital: Cross-Sectional Study

2020 ◽  
Vol 16 ◽  
pp. 174550652092954
Author(s):  
Bekele Tesfaye ◽  
Mesenbet Tewabe ◽  
Aster Ferede ◽  
Angela Dawson
Keyword(s):  
Cross Sectional Study ◽  
Referral Hospital ◽  
Second Trimester ◽  
Sectional Study ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Abortion Care ◽  
Care Services ◽  
Second Trimester Abortion ◽  
Debre Markos

Background: Although most induced abortions in Ethiopia are performed in the first trimester, many women will still require second trimester abortions. While access to abortion in Ethiopia is limited, few data are being available concerning the demand for and associated outcomes of second trimester abortions. This knowledge is important for planning the health service response to abortion. Objective: The main objective of this study was to determine the proportion and associated factors of second trimester abortion among women presenting for abortion care services at Debre Markos Referral Hospital, Debre Markos, Northwest Ethiopia. Methods: An institution-based cross-sectional study was conducted at Debre Markos Referral Hospital on a sample of 262 calculated using the single population proportion formula. Women who sought abortion services were interviewed consecutively from 12 February 2017 to 14 March 2017. Data were collected in a face-to-face exit interview and document review and analyzed using SPSS version 24.0 software. Bivariate and multivariable analyses were undertaken to identify factors. Result: Of the women who presented for abortion care services in Debre Markos Referral Hospital, 73 (29.6%) had induced second trimester abortion. Unmarried women (adjusted odds ratio = 4.93, 95% confidence interval = 1.41–17.16) and women employed at private business (adjusted odds ratio = 6.17, 95% confidence interval = 1.16–32.76) were associated with induced second trimester abortion. Conclusion: This study revealed that almost one-third of women who presented for abortion care services at Debre Markos Referral Hospital had induced second trimester abortions. Raising awareness of the health consequence of second trimester abortion at community levels and counseling to avoid further occurrences are helpful to minimize the problem. Furthermore, early management of induced second trimester abortion is very crucial to prevent further complications.

scholarly journals Medical Induction for Mid trimester Abortion: A Hospital-based Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (230) ◽  
Author(s):  
Jyotshna Sharma ◽  
Sanjeeb Tiwari ◽  
Manoj Pokhrel ◽  
Lhakpa Lama
Keyword(s):  
Pregnant Women ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Termination Of Pregnancy ◽  
Second Trimester ◽  
Sectional Study ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Medical College ◽  
Medical Induction

Introduction: Second trimester abortion is known as termination of pregnancy from 13- 28 weeks of gestation which can be further divided into early second trimester as 13-22 weeks and late as 23-28 weeks. In our study we have limited up to early second trimester. We intend to see the success rate of combination of mifepristone and misoprostol for medical induction, median time required for expulsion, complication and need of dilation and evacuation in some cases. This study also aims to give a review of current literature in mid trimester abortion with respect to efficacy, complication and also to provide evidencebase recommendation for safe regimens for mid trimester pregnancy termination. Methods: This was hospital-based descriptive cross-sectional study conducted among 40 pregnant women at second trimester admitted for termination of pregnancy in Kathmandu medical collage teaching hospital for the period of six month. Ethical approval was taken from the Institutional Review Committee of Kathmandu Medical College (Ref: 2207202002). Convenient sampling was done. All the pregnant women who need to terminate their pregnancy at second trimester (13-22 weeks) were admitted at Kathmandu Medical College Teaching hospital for termination of pregnancy were included in the study. Results: Among the 40 women, who had termination of pregnancy at second trimester 37 (92.5%) had successful medical termination whereas 3 (7.5%) needed dilatation and evacuation. Conclusions: The combination of Mifepristone and Misoprostol have excellent result for termination of pregnancy if appropriately used after evaluating the patient with minimal complications.

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

2021 ◽  
Author(s):  
Murad Mohammed ◽  
Million Wesenu
Keyword(s):  
Logistic Regression ◽  
Cross Sectional Study ◽  
Termination Of Pregnancy ◽  
Reproductive Age ◽  
Second Trimester ◽  
Sectional Study ◽  
Cross Sectional ◽  
Abortion Care ◽  
Post Abortion ◽  
Age Category

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.

scholarly journals Data of the COVID-19 mRNA-Vaccine V-Safe Surveillance System and Pregnancy Registry Reveals Poor Embryonic and Second Trimester Fetal Survival Rate. Comment on Stuckelberger et al. SARS-CoV-2 Vaccine Willingness among Pregnant and Breastfeeding Women during the First Pandemic Wave: A Cross-Sectional Study in Switzerland. Viruses 2021, 13, 1199

Viruses ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1545 ◽  
Author(s):  
Serge Stroobandt ◽  
Roland Stroobandt
Keyword(s):  
Survival Rate ◽  
Surveillance System ◽  
Cross Sectional Study ◽  
Second Trimester ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fetal Survival ◽  
Pregnancy Registry ◽  
Pandemic Wave

Dr. Sarah Stuckelberger and her colleagues should be commended for their cross-sectional study assessing the willingness of Swiss pregnant and breastfeeding women to be vaccinated against SARS-CoV-2 [...]

scholarly journals Knowledge, Attitude and Associated Factors towards Safe Abortion among Private College Female Students of Gondar town, northwest Ethiopia: A cross sectional study

2019 ◽  
Author(s):  
Birye Dessalegn Mekonnen ◽  
Chalachew Adugna Wubneh
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Private College ◽  
Female Students ◽  
Sectional Study ◽  
Cross Sectional ◽  
Safe Abortion ◽  
College Female ◽  
Gondar Town ◽  
Unfavorable Attitude

Abstract Background: Unwanted pregnancies in youths and complications of induced abortions are an important health problem. Inadequate knowledge, unfavorable attitude towards safe abortion results in unsafe abortion. Most women die because of complications arising from unsafe abortion in developing countries are likely to have had little knowledge. Studies on knowledge, attitude and associated factors towards safe abortion among private college students are limited. Therefore, the aim of this study was to assess knowledge, attitude and associated factors towards safe abortion among private college female students in Gondar town, northwest EthiopiaMethods: An institution based cross-sectional study was conducted from April 30, 2019 to May 30, 2019 among private college students in Gondar town. Data were collected from 633female students using self-administered questionnaires by simple random sampling technique. Bivariable and multivariable logistic regression analysis was performed to identify association of dependent and independent variables using SPSS version 20.Result: A total of 633 respondents participated in this study with the response rate of 97.7%. Regarding the overall knowledge, 433(68.4%) of students had good knowledge towards safe abortion. Age (AOR= 2.81, 95% CI: 1.13, 7.47), residence (AOR=2.33, 95% CI: 1.22, 4.46), family education (AOR=3.29, 95% CI: 1.22, 6.46) and ever heard about safe abortion, (AOR=4.31, 95% CI: 1.79, 10.33) were factors associated with knowledge of students on safe abortion. Regarding attitude, 361 (57%) of students had favorable attitude towards safe abortion. Age (AOR=2.62, 95% CI: 1.70, 4.04) and residents (AOR=1.50, 95% CI: 1.04, 2.17) were factors significantly associated with attitude towards safe abortion.Conclusion: More than half of the participants have good knowledge and attitude towards safe abortion but still significant proportion of students have poor knowledge and unfavorable attitude. Information, Education and Communications programs on youth reproductive health should be provided to address topics on safe abortion for students. Forums and panel discussions on safe abortion need to be undertaken especially, among youths and students who came from rural area.

scholarly journals Visual Acuity Changes during Pregnancy and Postpartum: A Cross-Sectional Study in Iran

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Khashayar Mehdizadehkashi ◽  
Shahla Chaichian ◽  
Abolfazl Mehdizadehkashi ◽  
Ebrahim Jafarzadepour ◽  
Zeinab Tamannaie ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Refractive Error ◽  
Postpartum Period ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Second Trimester ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pregnancy And Postpartum ◽  
Myopic Shift

In this research, we represent the changes in visual acuity during pregnancy and after delivery. Changes as myopic shift start during second trimester and will be stopped after delivery; however it is obtained that women will have the same refractive error as what they had in the first trimester, after postpartum. So, any change in their spectacle prescription during this period is forbidden. As a result, not only changing in hormones can cause myopic shift in vision, but also overweight has its retributive role. What we are trying to do is to notify gynecologists and optometrists to be aware of these changes, so as to leave spectacle prescription writing to the session after postpartum period.

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