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PubMed1995

A review of 1993.

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Abortion, Induced↗
PubMedDate not supplied

The impact of recent policy changes on fertility, abortion, and contraceptive use in Romania.

A national household survey of 4,861 women aged 15-44 on reproductive health issues was conducted in Romania in 1993. The survey provided the opportunity to study the impact of policy changes by comparing selected aspects of fertility, abortion, and contraceptive use before and after the December 1989 revolution, when the laws restricting abortion and contraceptive use were abolished. After abortion became legal, the total fertility rate dropped to below replacement level, while the induced abortion rate doubled. Contraceptive prevalence increased 20 percent, but augmentation of the use of traditional methods, rather than the change in legislation, accounted for 70 percent of the increase. Limited sex education and contraceptive information, mistrust and misinformation about modern methods, a lack of adequately trained providers, and a shortage or uneven distribution of contraceptive supplies are major reasons for the continued high rates of unintended pregnancy.

Abortion, Induced↗
PubMedDate not supplied

Abortion in Vietnam: measurements, puzzles, and concerns.

This report summarizes current knowledge about abortion in Vietnam, drawing upon government statistics, survey data, and fieldwork undertaken by the author in Vietnam throughout 1993 and part of 1994. The official total abortion rate in Vietnam in 1992 was about 2.5 per woman, the highest in Asia and worrisome for a country with a still-high total fertility rate of 3.7 children per woman. Vietnamese provinces exhibited substantial variation in both the rate of abortion and the type of procedures performed. Among the hypotheses explored to explain Vietnam's high rate of abortion are the borrowing of family planning strategies from other poor socialist states where abortion is common; current antinatal population policies that interact with a lack of contraceptive alternatives; and a rise in pregnancies among young and unmarried women in the wake of recent free-market reforms. Because family-size preferences are still declining, abortion rates may continue to increase unless the incidence of unwanted pregnancy can be reduced, a goal that Vietnamese population specialists are seeking to achieve.

Abortion, Legal↗
PubMed1994

Sexual behaviour, reproductive health and contraceptive use among adolescents and young adults in Mbale District, Uganda.

Results from a survey of adolescents and young adults in Mbale District in Uganda are presented. First sexual experience among female and male respondents occurs at quite an early age, 15 years for males and 16 years for females. Most respondents claimed to have received information on reproductive health. The accuracy of these self-assessments was rather poor as a relatively small proportion of the respondents could identify the safe period in a woman's menstrual cycle. The incidence of adolescent pregnancy is generally high and slightly higher in rural than in urban areas. A relatively large proportion of pregnancies occur out of wedlock. The respondents' contraceptive knowledge was quite good but many still engaged in unprotected sexual relations. The most commonly used methods were the condom and the pill. The main reasons given for non-use were lack of knowledge about contraceptives, beliefs that they were not safe, and their non-availability. This calls for improvements in family planning education and in accessibility of contraceptives.

Adolescent↗
PubMed1993

Profile of women undergoing medical termination of pregnancy in hospital.

The present study was undertaken to find out the profile of women undergoing medical termination of pregnancy (MTP) in Hospital, 1000 consecutive cases undergoing MTP at RG Kar Medical College and Hospital were studied. 95.6% cases were married and 4.4% cases were unmarried. In the whole series, 7.6% cases were teenagers though in unmarried group 90.9% cases were teenagers. In 56% of married group the monthly family income was more than Rs 500/- whereas majority in unmarried group had family income less than Rs 500/- per month. In the whole series, 44.4% cases were illiterate, 48.2% cases were educated up to primary school and only 7.3% cases up to high school and above. In the married group, 204 cases undergoing MTP with one living issue, 388 cases with 2 living issues and 396 cases with 3 living issues. In the whole series, 88% cases were 1st trimester MTP and 12% were 2nd trimester MTP cases, whereas in the unmarried group 72.7% cases were in the 2nd trimester, and 5.7% cases had history of previous MTP. Effective contraception was only 6% before MTP whereas it increased to 90.6% after MTP.

Abortion, Induced↗
PubMed1977

A study of abortion in countries where abortions are legally restricted.

In countries where induced abortion is permitted, national family planning programs are able to combine pre- and postconceptive fertility control methods to maximize success in achieving personally desired fertility levels and nationally desired growth levels. The proscription against induced abortion tends to produce criminal abortions and consequent morbidity and mortality which, in some countries, are often recognized as a national health problem. The International Fertility Research Program has undertaken this study of incomplete, inevitable, threatened and septic abortion cases, using a standard data collection instrument, to facilitate comparisons across institutions and countries. The data gather since 1971 in nine Asian, African and Middle Eastern hospitals includes 7,331 cases. Policies of the participating institutions with respect to what constitutes a therapeutic abortion affected the proportions of spontaneous abortions and of abortions induced outside the hospital and inside the hospital. Women treated for induced abortion tended to be of higher parity and more likely to have attained their desired family size than patients treated for spontaneous abortions. Morbidity rates were quite low for patients treated in centers where vacuum aspiration was mainly used, particularly in contrast to the morbidity rates for patients treated in centers where dilatation and curettage was used exclusively. High mortality rates in patients admitted with sepsis confirm the need not only for improvement of clinical procedures but also for reconsideration of the legal issues since many patients admitted with sepsis can be assumed to have had abortions induced.

Abortion, Illegal↗
PubMed1995

Meeting the needs of young adults.

As they mature and become sexually active, more young people face serious health risks. Most face these risks with too little factual information, too little guidance about sexual responsibility, and too little access to health care. Meeting young adults' diverse needs challenges parents, communities, health care providers, and educators. Despite urgent needs, program efforts have been slight and slowed by controversy.

Adolescent↗
PubMed1996

Subnational variations in conceptions.

Conception statistics are derived from information collected at the registration of live births, still births, and legal abortions. This article looks at how conception rates vary across England and Wales using the 1991 ONS area classification of DHAs (Population Trends 79). A comparison is made between age-specific conception rates for different area classification groups in 1993, and changes between 1983 and 1993 are examined. Correlations between certain social and economic factors and conception rates are also analysed.

Abortion, Induced↗
PubMedDate not supplied

The effects of economic conditions and access to reproductive health services on state abortion rates and birthrates.

The effects that such factors as wages, welfare policies and access to physicians, family planning clinics and abortion providers have on abortion rates and birthrates are examined in analyses based on 1978-1988 state-level data and longitudinal regression techniques. The incidence of abortion is found to be lower in states where access to providers is reduced and state policies are restrictive. Calculations indicate that decreased access may have accounted for about one-quarter of the 5% decline in abortion rates between 1988 and 1992. In addition, birthrates are elevated where the costs of contraception are higher because access to obstetrician-gynecologists and family planning services is reduced. Economic resources such as higher wages for men and women and generous welfare benefits are significantly and consistently related to increased birthrates; however, even a 10% cut in public assistance benefits would result in only one birth fewer for every 212 women on welfare. Economic factors showed no consistent relationship with abortion rates.

Abortion, Legal↗
PubMed1997

Pain during early abortion.

OBJECTIVE: To determine which factors predict pain perception in women undergoing first-trimester abortion under local anesthesia. STUDY DESIGN: Women undergoing first-trimester abortion with local anesthesia were asked about their perception of pain during the procedure and at the time of discharge from the recovery room. They were also asked to compare the amount of pain experienced to their expected amount of pain. Additional data were abstracted from the patient record. RESULTS: During the study period, 1,055 women had abortions and had records suitable for analysis. Factors that were not found to be related to pain were the operating physician, maximal amount of cervical dilatation, size of the suction cannula, prior abortion and prior pelvic examination. Gestational age did not show a consistent relationship to pain, although there was a suggestion that pain perception increases at the highest gestational ages. Longer procedures and procedures following the use of osmotic dilators tended to have higher pain scores. Prior abdominal delivery did not have a significant relationship to pain score, but prior vaginal delivery correlated with decreased pain by any method of analysis. The difference in pain perception between women with and those without prior vaginal birth was most striking at the earliest gestational ages. CONCLUSION: Prior vaginal delivery was the most consistent predictor of decreased pain perception during first-trimester abortion. Future studies on discomfort during abortion should include gestational age, patient age and the route of prior deliveries.

Abortion, Induced↗
PubMedDate not supplied

Teenage abortion and pregnancy statistics by state, 1992.

In 1992, 112 pregnancies occurred per 1,000 U.S. women aged 15-19; of these, 61 ended in births, 36 in abortions and 15 in miscarriages. Black teenagers' rates of pregnancies, births and abortions were 2-3 times those of whites; Hispanic teenagers had rates of births and abortions between those of blacks and whites. While similar proportions of pregnant black and non-Hispanic white teenagers had abortions (40% and 38%, respectively), the proportion was lower among Hispanics (29%). Among all women 15-19, the birthrate rose 12 points between 1987 and 1991; one-third of the rise (four points) may be attributable to a fall in the abortion rate. Between 1991 and 1995, the birth rate of black teenagers fell from 116 to 96 per 1,000, a level well below that of Hispanics (106 per 1,000). Among the states, pregnancy rates per 1,000 teenagers in 1992 ranged from 159 (in California) to 59 (in North Dakota), birth rates per 1,000 varied from 84 (Mississippi) to 31 (New Hampshire) and abortion rates per 1,000 ranged from 67 (Hawaii) to nine (Utah). The pregnancy rates of white and black teenagers are negatively correlated.

Abortion, Induced↗