Document Detail

"Having another child would be a life or death situation for her": understanding pregnancy termination among couples in rural Bangladesh.
MedLine Citation:
PMID:  18703439     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We conducted a mixed-method study in rural southwestern Bangladesh, a country in which an estimated 730,000 elective pregnancy terminations occur each year, to explore women's and couples' motivations to terminate pregnancies.
METHODS: Quantitative data derived from a 1998 cross-sectional survey and a longitudinal demographic surveillance system (1998-2003) were combined with qualitative data gathered through 84 in-depth interviews conducted with 19 couples during 2004-2005.
RESULTS: Quantitative results indicated that 11% of couples reported a pregnancy termination in the study period; the rate was highest among couples who reported in 1998 that they wanted no more children (29%). Both wives' and husbands' fertility preferences independently and significantly predicted pregnancy termination. Qualitative findings showed that more than half of the participants had attempted to terminate a pregnancy at least once in their lifetime.
CONCLUSIONS: Our results highlight the importance of collecting data from both partners and the influence of husbands' fertility preferences on reproductive decisionmaking. The prevalence of reported pregnancy terminations in our population, along with the use of informal methods in termination attempts, highlights the need for continued provision of contraceptives and access to safe and affordable pregnancy termination services in this setting.
Jessica D Gipson; Michelle J Hindin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-08-13
Journal Detail:
Title:  American journal of public health     Volume:  98     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-11     Completed Date:  2008-09-26     Revised Date:  2013-06-05    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1827-32     Citation Subset:  AIM; IM    
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Room E4008, Baltimore, MD 21205, USA.
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MeSH Terms
Abortion, Criminal / psychology,  statistics & numerical data
Abortion, Induced / legislation & jurisprudence,  psychology*,  statistics & numerical data
Bangladesh / epidemiology
Choice Behavior*
Contraception Behavior / psychology,  statistics & numerical data
Cross-Sectional Studies
Family Characteristics
Health Care Surveys
Islam / psychology
Logistic Models
Longitudinal Studies
Multivariate Analysis
Parents / psychology*
Patient Acceptance of Health Care / psychology*,  statistics & numerical data
Pregnancy Outcome / epidemiology,  psychology
Pregnancy, Unwanted / psychology
Qualitative Research
Rural Health / statistics & numerical data*
Socioeconomic Factors
Comment In:
Am J Public Health. 2009 May;99(5):774-5; author reply 775   [PMID:  19299665 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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