scholarly journals Why do married women procure abortion? Experiences from Ile-Ife, south western Nigeria

2021 ◽  
Vol 21 (1) ◽  
pp. 327-37
Author(s):  
Ibitola Eunice Ojo ◽  
Temitope Olumuyiwa Ojo ◽  
Ernest Okechukwu Orji

Background: In Nigeria, about 1.25million induced abortions occur annually and the country accounts for one-fifth of abor- tion-related deaths globally. Objectives: The study aimed to assess the determinants of induced abortion among married women. Methods: A mixed methods study was conducted in Ile-Ife, Nigeria. The quantitative component employed a cross-sectional study design while the qualitative aspect comprised focus group discussions. Information on contraceptives use, unintended pregnancy and induced abortion were obtained from 402 married women (with at least one child) aged 18-49 years using a semi-structured questionnaire. Four focus group discussion sessions were conducted among women of reproductive age. Results: Majority (67.2%) of respondents had ever used a contraceptive method. However, 34.3% of the women have had un- intended pregnancies and 14.2% had induced abortion. FGD findings revealed that non-use of contraceptives and contraceptive failure were major reasons for unintended pregnancies and induced abortion. The significant predictors of induced abortion were non-use of contraceptives, age≥ 40 years and multiparity. Conclusion: Induced abortion still occur among married women particularly those not using contraceptives, aged ≥40 years and those with high parity. More emphasis should be placed on making contraceptives more accessible to married women. Keywords: Induced abortion; unwanted pregancies; married women; Nigeria.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Evans Kofi Agbeno ◽  
Fred Yao Gbagbo ◽  
E. S. K. Morhe ◽  
Soale Issah Maltima ◽  
Kwadwo Sarbeng

Abstract Background Pregnancy crisis mismanagement has contributed to maternal deaths and illnesses globally and in Ghana due to absence/inadequate pregnancy options counselling for clients to make informed decisions. This study examines options counselling for abortion seekers in health facilities in Ghana. Methods Analytical cross-sectional study design was done in selected specialised public and NGO health facilities within Kumasi Metropolis of Ghana, using self-administered structured questionnaires for data collection from 1st January to 30th April, 2014. Participants were 442 women with unintended pregnancies seeking abortion services. Data was analysed using Epi-Info (7.1.1.14) and STATA 12 to generate descriptive statistics, Pearson chi-square and multivariable logistic regressions. The Kwame Nkrumah University of Science and Technology approved the study. Results Respondents had divergent reproductive and socio-demographic profiles. Majority (about 58%) of them had been pregnant more than twice, but about 53% of this population had no biological children. (Although about 90% of respondents held perceptions that the index and previous pregnancies were mistimed/unintended, the majority (72%) had no induced abortion history. Induced abortion (208, 49%) and parenting (216, 51%) were mentioned as the only available options to unintended pregnancy in hospitals. Exposure to options counselling was observed to be significantly associated with parity (P = < 0.001), gestational age (P = < 0.001), previous induced abortions (P = < 0.001), perception of pregnancy at conception (P = < 0.001) and level of education (P = 0.002). The logistic regression analysis also shows that higher education has statistically significant effect on being exposed to options counselling (P = < 0.001). Majority of respondents (95%) were not aware that giving a child up for adoption is an option to abortion in Ghana. Conclusions Pregnancy options counselling remains a major challenge in comprehensive abortion care in Ghana. Although higher educational attainments significantly exposes women to options counselling for informed decisions, the less educated are disadvantaged in this regard. Further research on type and depth of counselling services provided to pregnant women in health facilities is required to inform health policy and program decisions.


Author(s):  
Longmei Tang ◽  
Shangchun Wu ◽  
Dianwu Liu ◽  
Marleen Temmerman ◽  
Wei-Hong Zhang

Background: In China, there were about 9.76 million induced abortions in 2019, 50% of which were repeat abortions. Understanding the tendency of repeat induced abortion and identifying its related factors is needed to develop prevention strategies. Methods: Two hospital-based cross-sectional surveys were conducted from 2005–2007 and 2013–2016 in 24 and 90 hospitals, respectively. The survey included women who sought an induced abortion within 12 weeks of pregnancy. The proportion of repeat induced abortions by adjusting the covariates through propensity score matching was compared between the two surveys, and the zero-inflated negative binomial regression model was established to identify independent factors of repeat induced abortion. Results: Adjusting the age, occupation, education, marital status and number of children, the proportion of repeat induced abortions in the second survey was found to be low (60.28% vs. 11.11%), however the unadjusted proportion was high in the second survey (44.97% vs. 51.54%). The risk of repeat induced abortion was higher among married women and women with children [ORadj and 95% CI: 0.31 (0.20, 0.49) and 0.08 (0.05, 0.13)]; the risk among service industry staff was higher when compared with unemployed women [ORadj and 95% CI: 0.19 (0.07, 0.54)]; women with a lower education level were at a higher risk of a repeat induced abortion (ORadj < 1). Compared with women under the age of 20, women in other higher age groups had a higher frequency of repeat induced abortions (IRadj: 1.78, 2.55, 3.27, 4.01, and 3.93, separately); the frequency of women with lower education levels was higher than those with a university or higher education level (IRadj > 1); the repeat induced abortion frequency of married women was 0.93 (0.90, 0.98) when compared to the frequency of unmarried women, while the frequency of women with children was 1.17 (1.10, 1.25) of childless women; the induced abortion frequency of working women was about 60–95% with that of unemployed women. Conclusions: The repeat induced abortion proportion was lower than 10 years ago. Induced abortion seekers who were married, aged 20 to 30 years and with a lower education level were more likely to repeat induced abortions.


2019 ◽  
Vol 5 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Rajesh Kumar Yadav ◽  
Nand Ram Gahatraj ◽  
Dipendra Kumar Yadav ◽  
Sujan Babu Marahatta

Reproductive health rights ensure that people are able to have satisfying and safe sex life and that they have the capacity to reproduce with freedom to decide, when and how often to do so. This study aimed to assess the knowledge and practices on reproductive health rights among madhesi married women. A descriptive cross-sectional study was conducted among 384 madhesi married women of reproductive age in Sarlahi district conducted from July 2014 to December 2014. Data were entry in Epidata software and analyzed by SPSS 20 version. Of the total 384 respondents most of them (39.3%) were of age group 25-35 years from different ethnic groups. Most were simple illiterate (65.6%) and housewife (60.9%) very few of respondents were knowledge about reproductive health rights (37%) and not statistical significant relationship with level of knowledge and level of practice (χ 1 2 =2.036, p=0.154). Level of knowledge was statistically significant relationship with educational level (χ 4 2 = 43.983 p<0.001). Use of FP services have statistically significant relationship with Age group (p<0.001). The level of knowledge and level of practice on RHRs is still very low in Madhesi women. Keywords: Reproductive health rights; Madhesi women; practice


Author(s):  
Shireen Bhatti ◽  
Muhammad Asif Shaikh

The goal of this study was to evaluate the competition anxiety and self-esteem among male volleyball players. Cross sectional study design, followed by qualitative investigation, was used in the current study. The participants in this study were 20 male volleyball players from the urban areas of the Province of Sindh Public Boys College. Both volleyball players at college and provincial level participated in the volleyball game. The player was between 16 and 20 years of age. Two questionnaires were used in the current study: (1) the Sports Performance Anxiety Test was used to consider performance anxiety and (2) the self-esteem of Rosenberg was used to describe self-esteem and (3) the focus group discussion. The results of the current study showed fluctuation in self-esteem level and anxiety level among players of different age groups regarding participation in volleyball competition. In Focus group discussion, regarding low self-esteem and higher competition anxiety, participants are of the view that low self-esteem and increase in anxiety undoubtedly have a greater negative effect on the team's psychology. Negative attitudes towards oneself, people's evaluation or opinion, fear of failure, risk of competitive climate, fear of adversary, low level of efforts, nervousness, negative feedback, rejection, criticism, nervousness, coach, team mates and high expectations of the audience are the factors that can contribute to low self-esteem and high anxiety. The study proposed some recommendations for future researchers.


2012 ◽  
Vol 4 (2) ◽  
pp. 106-109
Author(s):  
Sulbha Joshi ◽  
Varsha Kose

ABSTRACT Objective To assess the awareness and level of knowledge toward emergency contraception among married women in the reproductive age group. Methods A prospective cross-sectional study was conducted employing prestructured questionnaire, which included information about age, occupation, income, education, obstetric profile, knowledge and use of emergency contraception. Results The average age of women included in the study was 24.6 years. About 33% of women knew about emergency contraception. They mainly belonged to educated category, working class and with income group more than 5000 per month. There are about 5% of women who know about emergency contraception and have used it in the past. Conclusion There is a need to popularize emergency contraception in India for its better usages among women to avoid unwanted pregnancies and abortions. How to cite this article Kose V, Joshi S. Knowledge of Emergency Contraception among Married Women of Reproductive Age in a Rural-based Teaching Hospital of Nagpur, Maharashtra, India. J South Asian Feder Obst Gynae 2012;4(2):106-109.


2021 ◽  
Vol 5 (2) ◽  
pp. 641-652
Author(s):  
Febie Karmani Putra ◽  
Robiana Modjo ◽  
Fatma Lestari

CoronaVirus Disease 19 (COVID-19) berdampak luas pada semua industri. Penerbangan menjadi industri yang paling berdampak. PT X sebagai Perusahaan Sertifikat Operator Udara tertua di Indonesia harus menjalankan usahanya di masa pandemi ini. Perusahaan ini berupaya menerapkan Pencegahan dan Pengendalian COVID-19 untuk tetap bertahan. Kajian ini memberikan gambaran implementasi dan rekomendasi, strategi manajemen pencegahan dan pengendalian COVID-19 yang efektif. Desain penelitian adalah cross sectional study dengan menggunakan wawancara secara daring dan Focus Group Discussion (FGD). Penelitian dilakukan di Jakarta dengan menggunakan aplikasi online meeting pada bulan Februari 2021. Data akan dianalisis menggunakan metode Mix Ground Theory dan Analisis SWOT. Faktor Penghalang dan Tantangan seperti menjaga protokol kesehatan di daerah lokasi kerja, potensi risiko di daerah yang terbesar, sumber daya yang terbatas, terbatasnya operasionalnya penerbangan, kemudian Faktor Pendorong seperti adanya komitmen keselamatan dan kesehatan kerja serta keberlangsungan bisnis. Untuk Dampak yang dihasilkan, seperti rendahnya permintaan akan kebutuhan industri penerbangan, perubahan lingkungan kerja secara daring ­dan adanya tambahan biaya (additional cost) untuk tes COVID-19 didalam operasional penerbangan. Implementasi protokol kesehatan COVID-19 pada PT X secara umum sudah baik. PT X mengalami dampak yang cukup signifikan di operasional seperti pada umumnya perusahaan penerbangan lainnya.


1970 ◽  
Vol 9 (3) ◽  
pp. 148-151 ◽  
Author(s):  
IS Paudel ◽  
SS Budhathoki

Introduction: The unmet need for family planning is a very useful tool in measuring and predicting the contraceptive needs of a population. Seventeen percent of all married women would prefer to avoid pregnancy but are not using any form of family planning. In less developed countries, about one forth of pregnancies is unintended. Objective: To determine the level of unmet need for family planning and evaluate the factors that influences the unmet needs in Married Women of Reproductive Age (MRWA). Methods: A cross-sectional study of 410 women attending the immunization clinic of B.P.Koirala Institute of Health Sciences, a teaching hospital in Dharan was carried out over 3 months. Results: MRWA had 22%, 15% and 8% unmet needs for family planning, spacing and limiting births respectively. Health concerns and side effects (30.5%), husband and family opposition (14%), uncertainty about child bearing (12.2%) and inconvenience (10%) were among the major constraints to the use of contraception. Unmet need has significant association between parity & education. Age and family type had no significant effect on unmet needs. Conclusion: In spite of high level of awareness about family planning method, a significant level of unmet need exists among women of reproductive age. Keywords: unmet needs; family planning; married women of reproductive age; MRWA DOI: http://dx.doi.org/10.3126/hren.v9i3.5581   HR 2011; 9(3): 148-151


Author(s):  
Aparajita Dasgupta ◽  
Nivedita Roychoudhury ◽  
Dipak Pal ◽  
Lina Bandyopadhyay ◽  
Sweta Suman ◽  
...  

Background: Emergency Contraception (EC) is an important option for women exposed to unprotected sex to prevent unintended pregnancy and induced abortion. EC has a potential to offer women an important option for fertility control. The objective of the study was to assess knowledge about Emergency Contraception among currently married women of reproductive age in a rural area of West Bengal.Methods: A community based cross sectional study was conducted on 608 currently married women of reproductive age for 1 year from May 2017 to April 2018. Questionnaire was administered to women on knowledge of emergency contraception (EC). Data was analyzed in SPSS version 16.Results: Among the study participants 66% had knowledge of emergency contraception. A small number (8.9%) of the total participants ever used EC to prevent pregnancy. Only 65.3% of them had correct knowledge regarding timing of EC. Effectiveness of post-coital pill was known to them while none of these women were aware of the existence of Intra Uterine Contraceptive Device (IUCD) insertion as an option for EC.Conclusions: Marked lacunae were observed regarding knowledge and practice of emergency contraceptives among the WRA. Proper and correct knowledge on Emergency Contraception is of urgent need among all sexually active women especially in this country for population stabilization.


2016 ◽  
Vol 9 (1) ◽  
pp. 118-118
Author(s):  
Z. Ghorashi ◽  
◽  
E. Merghati Khoe ◽  

Objective: In Iran, sexual understandings are strongly determined by religious teaching among women in particular. The aim of this study was to determine the role of religion on Iranian women’s sexual practice evolution. our purpose was to detect women’s individual conceptualization of Islamic Shiite principles and their practice upon these conceptualizations. Design and Method: In this qualitative study, 52 married women in their reproductive age were interviewed (n=4) and participated in eight focus group discussions. They were selected from public health centers in Rafsanjan. Emerged data from the interviews and focus group discussions were analyzed using content analysis. Results: Findings are categorized in three major themes: “unconditional obedience”, ”inconsistency between obedience and virtue”, “misunderstandings”. Conclusions: Religious teaching has a basic and comprehensive role in sexual behavior construction and sexual health of women. However, occasional inconsistency between believes, learning and sexual expectations, practices and situations would lead to jeopardize the psychological and somatic health of women. Misunderstandings have essential role in making such problems.


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