Why are abortions the answer? Prevalence, knowledge and attitude towards induced abortions among women attending a secondary level health care facility in Tamil Nadu, Southern India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20170286Keywords:
Abortions, Contraception, Secondary level hospitalAbstract
Background: In India, from 2010 to 2011, government statistics on family welfare recorded 620,472 abortions in government-approved institutions. On the downside, a study conducted by the Indian Council of Medical Research (ICMR) in rural areas, found that abortions by uncertified health care personnel/in unapproved institutions were twice as many as in the approved ones (13.5 v 6.1 per 1000 pregnancies).This could be attributed to low levels of modern contraceptive use, being only 48% in 2007-08 (DLHS-3). The aim was to assess prevalence, knowledge and attitude towards induced abortions among women who attend a secondary health center, in Tamil Nadu, India
Methods: The study was a hospital-based cross-sectional study, done in the Out-patient department of a secondary level health care facility in Vellore, in September 2015. The women attending the secondary level health care facility; who were then pregnant or just post-delivery and those who had greater than two years of inter-pregnancy interval; were eligible to be enrolled in the study.
Results: Only 27 out of the 175 women (15.4%) used any form of contraception. We found a rate of 72.69 abortions per 1000 married woman years in our study. Out of the 175 women, 29 (16.5%), 95% CI (10.9%, 22.1%), reported to have had at least one induced abortion; the main reason was unwanted pregnancy 22 (75.86%). Most women 116 (66.3%) had poor knowledge and attitude on induced abortions.
Conclusions: We conclude that contraceptive use should be strongly advocated to women for birth planning and prevention of unwanted pregnancy and subsequent induced abortions.References
Duggal R, Ramachandran V. The Abortion Assessment Project–India: Key Findings and Recommendations. Reprod Health Matters. 2004;12(24):122-9.
RGI-CGHR-Maternal-Mortality-in-India-1997–2003.pdf [Internet]. [cited 2016 Jun 23]. Available from: http://www.cghr.org/wordpress/wp-content/uploads/RGI-CGHR-Maternal-Mortality-in-India-1997%E2%80%932003.pdf.
Final.indd - article_unsafe_abortion.pdf [Internet]. [cited 2016 Jun 21]. Available from: http://www.who.int/reproductivehealth/topics/unsafe_abortion/article_unsafe_abortion.pdf
Dhillon BS, Chandhiok N, Kambo I, Saxena NC. Induced abortion and concurrent adoption of contraception in the rural areas of India (an ICMR task force study). Indian J Med Sci. 2004;58(11):478-84.
Sarkar A, Chandra-Mouli V, Jain K, Behera J, Mishra SK, Mehra S. Community based reproductive health interventions for young married couples in resource-constrained settings: a systematic review. BMC Public Health. 2015;15:1037.
Unmet Need for Contraception in Developing Countries - or37.pdf [Internet]. [cited 2016 Jun 23]. Available from: https://www.guttmacher.org/ sites/default/files/pdfs/pubs/2007/07/09/or37.pdf
Microsoft Word - inside_cover_citation_authors_6sep07.doc - India_volume_I_corrected_17oct08.pdf [Internet]. [cited 2016 Jun 23]. Available from: http://rchiips.org/nfhs/NFHS-3%20Data/VOL-1/India_volume_I_corrected_17oct08.pdf
AbortionI-CRP-2003.qxd - Gender Gaps in Research on Abortion in India CRP by Sundari R.pdf [Internet]. [cited 2016 Jun 23]. Available from: http://www.commonhealth.in/ Gender%20Gaps%20in%20Research%20on%20Abortion%20in%20India%20CRP%20by%20Sundari%20R.pdf
Varkey P, Balakrishna PP, Prasad JH, Abraham S, Joseph A. The reality of unsafe abortion in a rural community in South India. Reprod Health Matters. 2000;8(16):83-91.
Chandhick N, Dhillon BS, Kambo I, Saxena NC. Contraceptive knowledge, practices and utilization of services in the rural areas of India (an ICMR task force study). Indian J Med Sci. 2003;57(7):303-10.
Behera D, Bharat S, Gawde CN. Induced Abortion Practices in an Urban Indian Slum: Exploring Reasons, Pathways and Experiences. J Fam Reprod Health. 2015;9(3):129-35.
Zavier AJF, Padmadas SS. Postabortion contraceptive use and method continuation in India. Int J Gynaecol Obstet Off Organ. Int Fed Gynaecol Obstet. 2012;118(1):65-70.
Sri BS, Ravindran TKS. Medical abortion: understanding perspectives of rural and marginalized women from rural South India. Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet. 2012;118 Suppl 1:S33-9.
