Document Detail


A comparison of women with induced abortion, spontaneous abortion and ectopic pregnancy in Ghana.
MedLine Citation:
PMID:  21664516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Despite having one of the most liberal abortion laws in sub-Saharan Africa, complications from induced abortion are the second leading cause of maternal mortality in Ghana.
STUDY DESIGN: The sample is composed of patients with pregnancy termination complications in Ghana between June and July 2008. The majority of patients report having had a spontaneous abortion (75%; n=439), while 17% (n=100) and 8% (n=46) report having had an induced abortion or an ectopic pregnancy, respectively. Factors associated with women in each of the three groups were explored using multinomial logistic regression.
RESULTS: When compared to women with spontaneous abortions, women with induced abortions were younger, poorer, more likely to report no religious affiliation, less likely to be married, more likely to report making the household decisions and more likely to fail to disclose this pregnancy to their partners. Within the induced abortion subsample, failure to disclose the most recent pregnancy was associated with already having children and autonomous household decision making.
CONCLUSION: Identifying the individual and relationship characteristics of induced abortion patients is the first step toward targeted policies and programs aimed at reducing unsafe abortion in Ghana.
Authors:
Hilary M Schwandt; Andreea A Creanga; Kwabena A Danso; Richard M K Adanu; Tsiri Agbenyega; Michelle J Hindin
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-12-03
Journal Detail:
Title:  Contraception     Volume:  84     ISSN:  1879-0518     ISO Abbreviation:  Contraception     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-06-13     Completed Date:  2011-10-24     Revised Date:  2012-06-12    
Medline Journal Info:
Nlm Unique ID:  0234361     Medline TA:  Contraception     Country:  United States    
Other Details:
Languages:  eng     Pagination:  87-93     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. hschwand@jhsph.edu
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / adverse effects*,  psychology,  statistics & numerical data
Abortion, Spontaneous / epidemiology*
Adolescent
Adult
Decision Making*
Family Characteristics
Female
Ghana / epidemiology
Hospitals, Teaching
Humans
Logistic Models
Middle Aged
Pregnancy
Pregnancy, Ectopic / epidemiology*
Young Adult
Grant Support
ID/Acronym/Agency:
R24 HD042854-09/HD/NICHD NIH HHS

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


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