Determinants of repeated induced abortion in Bahir Dar city, North West, Ethiopia: A case control study
Keywords:
Case control study, Induced Abortion, EthiopiaAbstract
Background: According to the World Health Organization (WHO) estimate, one-third of pregnancies end in miscarriage, stillbirth, or induced abortion in the world. There are various reasons for a woman to seek induced abortion. However, limited information is available so far in the country and particularly in the study area.
Objective: To identify determinants of repeated induced abortion among reproductive age women attending health facility in Bahir Dar city, Amhara Region, North West Ethiopia, 2018.
Methods: A Facility based unmatched case control study was conducted in Bahir Dar October 24, 2017 - March 30, 2018. Total sample size of 106 cases and 212 controls were used. Each study participants were selected using systematic sampling technique. Data were entered into Epi Data 3.1and Analyzed using SPSS version 21 for analysis. Binary and multivariable logistic regression analyses were computed.
The p-value, adjusted odds ratio and its 95% confidence interval were used to show presence and strength of association between different predictor variables and repeated induced abortion.
Results: - All sampled cases and controls were actually interviewed. The mean age of case was 23.3 years (± 3.5) and 22 (±3.1) of control. The age greater than fifteen years of women of first menses seen (AOR=2.58,95% CI :1.4, 4.75), age of before eighteen years the first sexual intercourse (AOR=3.66, 95% CI: 1.85, 7.22), multiple sexual partners in the last twelve months (AOR=3. 84, 95% CI:2.11, 6.97), use emergency contraceptive (AOR=2.31, 95% CI :1.27,4.23), substances use (AOR =2.91, 95% CI:1.42, 5.96) were statistically significant predictors for repeated induced abortion.
Conclusions: In this study, age at first sexual intercourse before eighteen years, multiple sexual partners in the past twelve months, age of at first menses seen after fifteen years, use emergency contraceptives and substance use were statistically significant determinants for repeated abortion.
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