Multiple induced abortions - implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden

被引:3
|
作者
Obern, Cerisa [1 ]
Ekstrand Ragnar, Maria [1 ,2 ]
Tyden, Tanja [1 ]
Larsson, Margareta [1 ]
Hultstrand, Jenny Niemeyer [1 ]
Gemzell-Danielsson, Kristina [3 ,4 ]
Sundstrom-Poromaa, Inger [1 ]
Makenzius, Marlene [3 ,5 ,6 ]
机构
[1] Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden
[2] Lund Univ, Dept Hlth Sci, Lund, Sweden
[3] Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden
[4] Karolinska Univ Hosp, WHO Ctr, Stockholm, Sweden
[5] Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden
[6] Mid Sweden Univ, Dept Hlth Sci, Ostersund, Sweden
来源
EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE | 2023年 / 28卷 / 02期
关键词
Comprehensive abortion care; multiple abortion; repeat abortion; PREGNANCY TERMINATION; SWEDISH WOMEN; RISK-FACTORS; HEALTH; EXPERIENCES; REQUESTS; HISTORY; TIME;
D O I
10.1080/13625187.2023.2178257
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
SHORT CONDENSATIONSeeking multiple abortions is common in Sweden, and is associated with parity, low education, tobacco use, and exposure to violence. Although Sweden provides high quality and accessible comprehensive abortion care, counselling must be adaptable and address specific needs in vulnerable groups. ObjectivesTo investigate factors associated with multiple induced abortions.Materials and methodsA multi-centre cross-sectional survey among abortion-seeking women (n = 623;14-47y) in Sweden, 2021. 'Multiple abortions' was defined as having had >= 2 induced abortions. This group was compared to women with a previous experience of 0-1 induced abortion. Regression analysis was conducted to determine independent factors associated with multiple abortions.Results67.4% (n = 420) reported previous experience of 0-1 abortion, and 25.8% (n = 161) >= 2 abortions (42 women chose to not respond). Several factors were associated with multiple abortions, but when adjusted in the regression model, the following factors remained; parity >= 1 (OR = 2.96, 95%CI [1.63, 5.39]), low education (OR = 2.40, 95%CI [1.40, 4.09]), tobacco use (OR = 2.50, 95%CI [1.54, 4.07]) and exposure to violence over the last year (OR = 2.37, 95%CI [1.06, 5.29]). More women in the group who had 0-1 abortion (n = 109/420) believed they could not become pregnant at the time of conception, compared to women who had >= 2 abortions (n = 27/161), p=.038. Mood swings, as a contraceptive side-effect, were more often reported among women with >= 2 abortions (n = 65/161), compared to those with 0-1 abortion (n = 131/420), p=.034.ConclusionMultiple abortions is associated with vulnerability. Sweden provides high quality and accessible comprehensive abortion care; however, counselling must be improved both to achieve contraceptive adherence and identify and address domestic violence.
引用
收藏
页码:119 / 124
页数:6
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