Unintended Pregnancies, Their Outcome and Prior Usage of Contraception in Georgia
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Abstract
Background: Unintended pregnancy (UPr) with high rates of subsequent abortions remains an important problem around the world. Our aim was to determine the prevalence of UPrs in Georgia, their outcomes, and use of modern and traditional methods of contraception in women who terminated their UPrs by induced abortion (IAb) and identify potentially associated factors.
Methods: A Cross-sectional study, using stratified multistage sampling design, was conducted from Oct 2010 through Feb 2011. By secondary data analysis in selected group of women (n=2692) association of predictor variables: area of residence, age, level of education, economic status of woman, ethnicity, and religion with independent variables: UPr, termination of UPr by IAb and prior usage of modern and traditional methods of contraception were examined. Descriptive statistics methods and multivariable logistic regression analysis were used.
Results: In Georgia, from the 2692 interviewed women who had a pregnancy, 1068(39.7%) had a UPr in 2005-2010; the majority (n=913; 85.5%) of these UPr ended in an IAb. 31.4% (n=287) of those women used any method of contraception, with the majority (n=213; 74.2%) using a traditional method. With UPr were associated area of residence, level of education and age (P>0.05); with termination of UPr by IAb-ethnic origin (P<0.05); with use of contraception –area of residence, age, level of education, ethnicity and religion and with use of modern methods of contraception – age (P<0.05).
Conclusion: Low rates of modern contraception use prior UPrs, terminated by IAb demands attention by healthcare providers. Factors associated with these outcomes shall be used to identify target group of women.
Sedgh G, Singh S, Hussain R (2014). Intended and unintended pregnancies Worldwide in 2012 and recent trends. Stud Fam Plann, 45(3): 301-14.
Singh S, Sedgh G, Hussain R (2010).Unintended pregnancy: worldwide levels, trends, and outcomes. Stud FamPlann, 41(4):241-50.
Sedgh G, Singh S, Shah IH, Ahman E, HenshawSK, Bankole A (2012). Induced abortion: incidence and trends worldwide from 1995 to 2008. Lancet, 379 (9816): 625‐32.
Abbasi-Shavazi MJ, Hosseini-Chavoshi M, Delavar B (2004). "Unwanted" pregnan-cies and its determinants in Iran. J Repro-dInfertil, 5(1):62-76.
Barber JS, Axinn WG, Thornton A (1999).Unwanted childbearing, health, and mother-child relationships. J Health Soc Behav, 40(3):231-57.
Division of Reproductive Health, Centers for Disease Control and Prevention (CDC), Georgia Ministry of Labor, Health and Social Affairs, National Cen-ter for Disease Control and Public Health (Georgia), National Statistics Office of Georgia. (2012). Reproductive Health Survey Georgia 2010. Final Report.
Serbanescu F, Morris L, Nutsubidze N, Imnadze P, Shaknazarova M (2001). Re-productive Health Survey, Georgia,1999–2000. Final Report. Atlanta, GA (USA): Georgian National Center for Disease Control and Centers for Disease Control and Prevention. Atlanta, GA, USA.
Serbanescu F, Imnadze P, BokhuaZ,Nutsubidze N, JacksonDB, MorrisL (2007). Reproductive Health Survey Georgia 2005.Final Re-port.Georgian National Center for Dis-ease Controland Centers for Disease Control and Prevention. Atlanta, GA, USA.
https://www.usaid.gov/where-we-work/europe-and-eurasia/Georgia
Stloukal L (1999). Understanding the “abor-tion culture” in Central and Eastern Eu-rope. From abortion to Contraception: A Resource to Public Policies and Repro-ductive Behavior in Central and Eastern Europe from 1917 to the Present. West-port Connecticut: Greenwood Press: 23-37.
Law of Georgia on Health Care. Art. 139. https://matsne.gov.ge/ka/document/view/29980?impose=parallelEn.
Serbanescu F, Stupp P, Westoff C (2010). Contraception matters: two approaches to analyzing evidence of the abortion decline in Georgia. Int Perspect Sex Reprod Health, 36(2): 99-110.
Yousef RM, Moubarak II, Gaffar YA and Atta HY (2002). Correlates of Unintended Pregnancy in Beheira Governorate, Egypt. East Mediterr Health J,8(4-5): 521-36.
Yago Simón T, Tomás Aznar C (2014). Sociodemographic and clinical data predicting unintended pregnancyin young 13 to 24 years, Spain. Rev Esp Salud Publica, 88(3):395-406.
Font-Ribera L, Pérez G, Salvador J, Borrell C (2008). Socioeconomic inequalities in unintended pregnancy and abortion decision.J Urban Health, 85(1):125-35.
Nur N (2012).Socioeconomic disparities among ever-married Turkish women who had unintended pregnancies and abortions in a middle Anatolian city.Women Health, 52(7):716-29.
Exavery A, Malick A, Njoz KM, Tani K, Doctor HV, Hingora A, Phillips JF (2014). Predictors of mistimed and un-wanted pregnancies among women of childbearing age in Rufiji, Kilombero and Ulanga districts of Tanzania.Reprod Health, 11:63.
Olds S, Westoff CF (2004). Abortion and contraception in Georgia and Kazakhstan. Public health program. Report. https://www.opensocietyfoundations.org/reports/abortion-and-contraception-georgia-and-kazakhstan.
Eggleston E (1999). Determinants of Unintended Pregnancy Among Women in Ecuador. Int Fam Plan Perspect. 25 (1): 27-33.
Westoff, Charles F (2005). Recent Trends in Abortion and Contraception in 12 Countries. DHS Analytical Studies No. 8. Calveton, Maryland: ORC Macro.
Najafi-Sharjabad F, Zainiyah Syed Yahya S, Abdul Rahman H, Hanafiah Juni M, Abdul Manaf R (2013). Barriers of modern contraceptive practices among Asian women: a mini literature review. Glob J Health Sci, 5(5):181-92.
Finer LB, Zolna MR (2011). Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception, 84(5):478-85.
Lola V Adekunle, Isaac O Olaseha, Joshua D Adeniyi (2004). Potential Impact of the Mass Media on Family Planning in an Urban Community in South Western Nigeria. Trop J ObstetGynaecol,21(2):88-90.
Ketting E, Visser AP (1994). Contraception in The Netherlands: the low abortion rate explained.Patient Educ Couns, 23(3):161-71.
| Files | ||
| Issue | Vol 46 No 2 (2017) | |
| Section | Original Article(s) | |
| Keywords | ||
| Unintended pregnancy Abortion Contraception Georgia | ||
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