Unintended Pregnancy And Induced Abortion In Mexico: Causes and Consequences

Examining the hidden and stigmatized practice of induced abortion is very hard to do. Throughout the Mexican Republic's 31 states, induced abortion is highly restricted. (The exception is the capital, the Federal District, which decriminalized first-trimester abortions in 2007.) This report presents estimates of induced abortion for 2009, by the country's 32 entidades federativas (or federative entities) and by the woman's age. The report also examines what causes women to resort to abortion in the first place -- unintended pregnancy

Abortion history and its association with current use of modern contraceptive methods in Luanda, Angola.

BackgroundWomen in sub-Saharan Africa often use abortion as a method of limiting their fertility and spacing births. However, it is not well understood whether having an abortion influences contraceptive behavior. The goal of this study was to examine associations between abortion history and use of a modern contraceptive method among women in Luanda, Angola.Materials and methodsWe analyzed data on 1,176 women aged 15-49 years from a 2012 cross-sectional study conducted in Luanda, Angola, which aimed to obtain general information on sexual and reproductive health indicators. The outcome and exposure were based on participant reports of past induced abortions and current use of a modern method. We used a modified Poisson regression with robust standard errors to estimate the relative risks of using a modern contraceptive method, given history of induced abortion.ResultsAmong all respondents, 736 (62.6%) reported using a modern contraceptive method. The clear majority of the respondents (73.21%), regardless of abortion history, were using either no method, a traditional method, or condoms. Long-acting reversible contraceptive use was very low across all respondents (2.73%). The most common family planning method reported by women with a history of abortion was condoms (32.76%). Regression analysis demonstrated that women who had a history of abortion were 1.23 times more likely to use a modern contraceptive method as compared to those who never had an abortion (relative risk: 1.23; 95% CI: 1.10-1.36), after adjusting for potential confounders. Postregression estimations of predicted probabilities demonstrated that women with a history of abortion had an 80% probability of using a modern method (95% CI: 0.76-0.84), while those who never had an abortion had a 60% probability of using a modern method (95% CI: 0.59-0.61).ConclusionHistory of induced abortion was associated with use of a modern contraceptive method in our study population. The most common contraceptive used by women with a history of induced abortion was condoms, indicating that despite adoption of a modern method, many women are still at risk for an unintended pregnancy. Further research is needed to understand the causal factors underlying women's postabortion contraceptive choices

Use of routinely collected national data sets for reporting on induced abortion in Australia

Foreword The lack of national data on induced abortion in Australia represents a gap in health statistics. The AIHW’s Reproductive Health Indicators in Australia 2002 report included an indicator on induced abortions in Australia, but national data were not reported for it because data on induced abortion were not available on a routine basis Australia-wide. This report comprehensively assesses the extent to which different forms of routinely collected data can be used to quantify the incidence of induced abortion in Australia. The innovative use of data combined from hospital and non-hospital sources helps to provide a more complete picture of reproductive health in Australia, as well as providing a basis for regular reporting in the future. The compilation of the data contained in this document represents the best effort to date to provide a factual database on the incidence of induced abortion. The report does not include any analysis of the legal, social or moral issues often raised in discussion of abortion

Induced abortion potential among Indian women

Information on abortion is limited and inaccurate especially in the developing world, which has led to several speculations on the prevalence of abortion in this region. A rise in prevalence of abortion is mostly accounted for in terms of increase in the prevalence of induced abortions, which reflects on the reproductive health of women. With the growing concern for reproductive health of women, the study of abortion phenomenon has drawn serious attention of researchers world wide. In such circumstances, this is an attempt to assess the induced abortion potential among Indian women by utilising information on proportion of unwanted and ill-timed pregnancies obtained through National Family Health Survey, India.

Effects of post-abortion family planning services on contraceptive practices in China : protocol for a clustered randomized controlled trial

Study objectives: To determine whether integrating post-abortion services in hospital settings in China will increase the contraceptive use and decrease repeat abortion rates. Study design: Three-arms cluster randomised controlled trial in which the unit of randomisation is hospital. Participants: Women seeking induced abortion within 12 weeks of gestation age. Sites: Ninety hospitals from 30 provinces in China will be randomised to the three arms of the study stratified by province. In each province, eligible hospitals will be matched on the characteristics of abortion departments, especially the volume of abortions in the 2 months in the situation survey. Length of follow up: Six months. Intervention: Multiple interventions that aim to increase the use of more effective contraceptive methods, improve user adherence to reduce the unintended pregnancies and repeat induced abortions. Data collection: Data will be collected at four time points, one at baseline(month 0 at the time of enrolment) and twice during intervention (1st 3rd and 6th month after enrolment, respectively). Primary outcome: Unintended pregnancies or repeated induced abortions; immediate contraceptive uptake and the use of modern effective contraceptive methods

Uterine Perforation With Subtotal Small Bowel Prolapse – A Rare Complication of Dilatation and Curettage

Uterine perforation is the well known complication of induced abortion. We report a rare case of uterine perforation with subtotal prolapse of small bowel following first trimester abortion by an unqualified physician. Early surgical exploration with resection and anastomosis of bowel performed. Patient discharged uneventfully after postoperative recovery

Association between perceived social support and induced abortion: A study in maternal health centers in Lima, Peru.

OBJECTIVES: This study aimed to assess the association between perceived social support and induced abortion among young women in Lima, Peru. In addition, prevalence and incidence of induced abortion was estimated. METHODS/PRINCIPAL FINDINGS: A cross-sectional study enrolling women aged 18-25 years from maternal health centers in Southern Lima, Peru, was conducted. Induced abortion was defined as the difference between the total number of pregnancies ended in abortion and the number of spontaneous abortions; whereas perceived social support was assessed using the DUKE-UNC scale. Prevalence and incidence of induced abortion (per 100 person-years risk) was estimated, and the association of interest was evaluated using Poisson regression models with robust variance. A total of 298 women were enrolled, mean age 21.7 (± 2.2) years. Low levels of social support were found in 43.6% (95%CI 38.0%-49.3%), and 17.4% (95%CI: 13.1%- 21.8%) women reported at least one induced abortion. The incidence of induced abortion was 2.37 (95%CI: 1.81-3.11) per 100 person-years risk. The multivariable model showed evidence of the association between low perceived social support and induced abortion (RR = 1.94; 95%CI: 1.14-3.30) after controlling for confounders. CONCLUSIONS: There was evidence of an association between low perceived social support and induced abortion among women aged 18 to 25 years. Incidence of induced abortion was similar or even greater than rates of countries where abortion is legal. Strategies to increase social support and reduce induced abortion rates are needed

Brucella abortus Infection of Placental Trophoblasts Triggers Endoplasmic Reticulum Stress-Mediated Cell Death and Fetal Loss via Type IV Secretion System-Dependent Activation of CHOP.

Subversion of endoplasmic reticulum (ER) function is a feature shared by multiple intracellular bacteria and viruses, and in many cases this disruption of cellular function activates pathways of the unfolded protein response (UPR). In the case of infection with Brucella abortus, the etiologic agent of brucellosis, the unfolded protein response in the infected placenta contributes to placentitis and abortion, leading to pathogen transmission. Here we show that B. abortus infection of pregnant mice led to death of infected placental trophoblasts in a manner that depended on the VirB type IV secretion system (T4SS) and its effector VceC. The trophoblast death program required the ER stress-induced transcription factor CHOP. While NOD1/NOD2 expression in macrophages contributed to ER stress-induced inflammation, these receptors did not play a role in trophoblast death. Both placentitis and abortion were independent of apoptosis-associated Speck-like protein containing a caspase activation and recruitment domain (ASC). These studies show that B. abortus uses its T4SS to induce cell-type-specific responses to ER stress in trophoblasts that trigger placental inflammation and abortion. Our results suggest further that in B. abortus the T4SS and its effectors are under selection as bacterial transmission factors.IMPORTANCE Brucella abortus infects the placenta of pregnant cows, where it replicates to high levels and triggers abortion of the calf. The aborted material is highly infectious and transmits infection to both cows and humans, but very little is known about how B. abortus causes abortion. By studying this infection in pregnant mice, we discovered that B. abortus kills trophoblasts, which are important cells for maintaining pregnancy. This killing required an injected bacterial protein (VceC) that triggered an endoplasmic reticulum (ER) stress response in the trophoblast. By inhibiting ER stress or infecting mice that lack CHOP, a protein induced by ER stress, we could prevent death of trophoblasts, reduce inflammation, and increase the viability of the pups. Our results suggest that B. abortus injects VceC into placental trophoblasts to promote its transmission by abortion

Trends in the Pattern of Induced Abortions in Ilorin

Context: Induced abortion remains a major cause of maternal mortality in developing countries. Reports from Nigeria put it's contribution to maternal death at between 15-40%. Prevention of maternal mortality project (Which trys to eliminate hospital delay in the treatment of complication of inducedabortion) was introduced in Ilorin over a decade ago. There is need to review it's impact on mortality from induced abortion.Objectives: To determines Social-demographic factors associated with induced abortion complications. To determines mortality patern from induced abortion in Ilorin.Study Design: A descriptive retrospective study. Date was generated from case notes of patients treated for complications from induced abortion in a teaching hospital in Nigeria, to identify socialdemographic factors associated with induced abortion.Outcome measure: Maternal death, specific complications. Prevalence of induced abortion.Results: Induced abortion accounted for 3.28 percent of gynecological admission. Case fatality rate is 61.0 per 1000. Multiple complications is common, Age group 24 years and below accounted for 73.05%. Causes of death are hemorrhage and septicemia.Conclusion: Mortality from induced abortion has not changed significantly despite the implementation of prevention of maternal mortality project in Ilorin. There is need to redefine intervention strategy. Effort to increase contraceptive use especially by single women will reduced unwanted pregnancy and by extension induced abortion with its attendant complications.Key words: Induced Abortion, Maternal Mortality, Trend

Prevalence of Induced Abortion and Associated Factors among Wachamo University Regular Female Students, Southern Ethiopia, 2015.

Background: All over the world, women experience unwanted pregnancy and some of them seek to terminate the pregnancy and undergo induced abortion. In Ethiopia, abortion is still common and it is one of the contributing factors for maternal death. In 2008 it was estimated that, there were 382,000 induced abortions in Ethiopia and 52,600 women were treated for complications of abortion. Most of these women who tend to experience induced abortion are adolescents and youth with age below 25 years. The aim of this study was, to assess the magnitude of induced abortion and associated factors among Wachamo University regular female students. Methods: A cross sectional study design was used. Data were collected from 461 randomly selected female students of Wachamo University by using pre-tested structured questionnaire from January to March, 2015. The collected data were entered using EPI info Version 3.5.1 and analyzed by SPSS version 16. Descriptive statistics was computed and odds ratio along with the 95% confidence interval was estimated to identify factors associated with induced abortion using multivariate logistic regression. Level of statistical significance was declared at P- value less or equal to 0.05. Results: In this study the prevalence of induced abortion was 5.9% (95% CI 3.8-8.0%), from which 9(33.3%) were conducted in an unsafe conditions. A total of 180(39 %) female students had sex and 58 (12.58%) of them get pregnant. Out of the total pregnancies, 53(91.4%) were unwanted. Based on the results from multivariate logistic regression, living out of campus [AOR= 6.78, 95% CI: (1.44, 31.97)], Substance use [AOR= 4.75, 95% CI: (1.12, 20.16)], and earning enough pocket money [AOR= 6.91, 95% CI: (1.62, 29.50)] were significantly associated factors with induced abortion. Conclusion and Recommendation: A significant proportion of pregnancies among students in higher educational institution are terminated with induced abortion. Living out of campus, substance use and pocket money have significant association with induced abortion. The university and local health bodies should work together to address for prevention of unintended pregnancy and induced abortion. Keywords: Induced abortion, Abortion, Adolescent and yout