[Home ] [Archive]   [ فارسی ]  
:: Main In Press Current Issue All Issues Search register ::
Main Menu
Home::
Journal Information::
Editorial Board::
Articles archive::
For Authors::
For Reviewers::
Editorial Policy::
Registration::
Contact us::
::
..
Indexing

 

 

 

 

 
..
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Creative commons

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

..
:: Volume 24, Issue 3 (Autumn 2024) ::
J Ardabil Univ Med Sci 2024, 24(3): 295-307 Back to browse issues page
Study of the Frequency, Causes and Methods of Elective Abortion and Demographic Characteristics of Women Referring to Alavi Educational and Medical Center, Ardabil 2022-2023
Narges Karimi , Shahla Farzipour , Fatemeh Mirershadi , Samira Shahbazzadegan *
Department of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran , : s.shahbazzadegan@arums.ac.ir
Abstract:   (301 Views)
Background: Elective abortion is one of the factors affecting the decline in population growth and fertility rates and is a complex issue in the field of reproductive health. Given that elective abortion is prohibited in Iran, there are no accurate statistics on it. This study aimed to investigate the frequency, causes and methods of elective abortion and demographic characteristics of related women referring to Alavi Educational and Medical Center in Ardabil city from 2022 to 2023.
Methods: This descriptive, cross-sectional study was conducted on women referred to Alavi Hospital in Ardabil for elective abortion from November 2022 to March 2023. Data were collected through referrals to women's records, interviews, and questionnaires. Data analysis was carried out using SPSS-16 and descriptive statistics.
Results: 116 women were referred to Alavi Hospital in Ardabil for elective abortion. The largest number of women (50.9%) was in the age group of 25-34 years and most of them (79.3%) lived in urban areas. The gestational age of 78.4% of them was less than 12 weeks. In terms of education, 41.4% of women had an intermediate level of education. 62.9% of women used natural contraception and 87.1% used the misoprostol method for abortion. Desire to Limit childbearing (20.7%) was the main reason for abortion. 54.3% of women had no history of previous abortion.
Conclusion: Considering that the desire to limit childbearing was the main reason for abortion, and that the most studied people had no history of abortion and had average to low income and job satisfaction, it can be concluded that cultural, economic, and social issues are involved in abortion.
Keywords: Abortion, Frequency, Induced Abortion
Full-Text [PDF 384 kb]   (111 Downloads)    
Type of Study: article | Subject: General
Received: 2024/12/8 | Accepted: 2025/01/22 | Published: 2025/03/2
References
1. Salimi M, Bahrami Kotnaei L, Abdi Hosseinabadi V. Abortion. 2016. Available from: https://sid.ir/paper/830433/fa
2. Karamouzian M, Sharifi H, Haghdoost AA. Iran's shift in family planning policies: concerns and challenges. Int J Health Policy Manag. 2014;3:231. [DOI:10.15171/ijhpm.2014.81] [PMID] []
3. Zendehdel M, Jahanfar S, Hamzehgardeshi Z. Frequency of self reported abortion and associated factors in Iran. J Family Med Prim Care. 2024;13(6):2432-2439. [DOI:10.4103/jfmpc.jfmpc_1213_23] [PMID] []
4. Rashidpouraie R, Sharifi MN, Rashidpouraei M. Abortion laws and regulations in Iran and European Countries during the COVID-19 Pandemic. J Arak Univ Med Sci. 2020;23(5):686-97. [Full text in Persian] [DOI:10.32598/JAMS.23.COV.6394.1]
5. Bearak J, Popinchalk A, Ganatra B, Moller AB, Tunçalp Ö, Beavin C, et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990-2019. Lancet Glob Health. 2020;8(9):e1152-61. [DOI:10.1016/S2214-109X(20)30315-6] [PMID]
6. Shirdel E, Asadisarvestani K, Kargar FH. The abortion trend after the pronatalist turn of population policies in Iran: a systematic review from 2005 to 2022. BMC Public Health., 2024; 24: 1885. [DOI:10.1186/s12889-024-19249-4] [PMID] []
7. Motavalli R, Alizadeh L, Namadi vosoughi M, Shahbazzadegan S. Evaluation of the prevalence, reasons and consequences of induced abortion in women of Ardabil in 2011. J Ardabil Univ Med Sci. 2012;12(4):384-391.[Full text in Persian]
8. Ganatra B, Gerdts C, Rossier C, Johnson BR, Tunçalp Ö, Assifi A, et al. Global, regional, and subregional classification of abortions by safety, 2010-14: estimates from a Bayesian hierarchical model. Lancet. 2017;390(10110):2372-81. [DOI:10.1016/S0140-6736(17)31794-4] [PMID]
9. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller A-B, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet global health. 2014;2(6):e323-e33. [DOI:10.1016/S2214-109X(14)70227-X] [PMID]
10. Singh S, Maddow‐Zimet I. Facility‐based treatment for medical complications resulting from unsafe pregnancy termination in the developing world, 2012: a review of evidence from 26 countries. BJOG. 2016;123(9):1489-98. [DOI:10.1111/1471-0528.13552] [PMID] []
11. Shahbazzadegan S. A study on the sex ratio in Ardabil, Iran during the last decade. J Midwifery Reproduct Health, 2023;11(1):3638-3643.
12. Wang H, Zou Y, Liu H, Chen X. Analysis of unintended pregnancy and influencing factors among married women in China. China Popul Dev Stud. 2023;7(1):15-36. [DOI:10.1007/s42379-023-00126-3]
13. Löwy I, Dias Villela Corrêa MC. The "abortion pill" misoprostol in Brazil: women's empowerment in a conservative and repressive political environment. Am J Public Health. 2020;110(5):677-84. [DOI:10.2105/AJPH.2019.305562] [PMID] []
14. Drabo S. A pill in the lifeworld of women in Burkina Faso: Can misoprostol reframe the meaning of abortion. Int J Environ Res Public Health. 2019;16(22):4425. [DOI:10.3390/ijerph16224425] [PMID] []
15. Väisänen H, Moore AM, Owolabi O, Stillman M, Fatusi A, Akinyemi A. Sexual and reproductive health literacy, misoprostol knowledge and use of medication abortion in Lagos State, Nigeria: a mixed methods study. Stud Fam Plann. 2021;52(2):217-37. [DOI:10.1111/sifp.12156] [PMID] []
16. Niemeyer Hultstrand J, Törnroos E, Tydén T, Larsson M, Makenzius M, Gemzell‐Danielsson K, et al. Contraceptive use among women seeking an early induced abortion in Sweden. Acta Obstet Gynecol Scand. 2023;102(11):1496-504. [DOI:10.1111/aogs.14630] [PMID] []
17. Ho AL, Hernandez A, Robb JM, Zeszutek S, Luong S, Okada E, et al. Spontaneous miscarriage management experience: a systematic review. Cureus. 2022;14(4):e24269. [DOI:10.7759/cureus.24269]
18. Huss B. Well-being before and after pregnancy termination: the consequences of abortion and miscarriage on satisfaction with various domains of life. J Happiness Stud. 2021;22(6):2803-28. [DOI:10.1007/s10902-020-00350-5]
19. Studnicki J, Fisher JW, Longbons T, Reardon DC, Craver C, Harrison DJ. Estimating the period prevalence of publicly funded abortion to space live births, 1999 to 2014. J Prim Care Community Health. 2021;12:21501327211012182. [DOI:10.1177/21501327211012182] [PMID] []
20. Baruwa OJ, Amoateng AY, Biney E. Induced abortion in Ghana: prevalence and associated factors. J Biosoc Sci. 2022;54(2):257-68. [DOI:10.1017/S0021932020000772] [PMID]
21. Kang L, Liu J, Ma Q, Jing W, Wu Y, Zhang S, et al. Prevalence of induced abortion among Chinese women aged 18-49 years: Findings from three cross-sectional studies. Front Public Health. 2022;10:926246. [DOI:10.3389/fpubh.2022.926246] [PMID] []
22. Obern C, Ekstrand Ragnar M, Tydén T, Larsson M, Niemeyer Hultstrand J, Gemzell-Danielsson K, et al. Multiple induced abortions-implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden. Eur J Contracept Reprod Health Care. 2023;28(2):119-24. [DOI:10.1080/13625187.2023.2178257] [PMID]
23. Tang M. Induced abortion among unmarried women in China. China Popul Dev Stud. 2022;6(1):78-94. [DOI:10.1007/s42379-022-00105-0]
24. Mwebesa E, Nakafeero M, Guwatudde D, Tumwesigye NM. Application of a modified Poisson model in identifying factors associated with prevalence of pregnancy termination among women aged 15-49 years in Uganda. Afr Health Sci. 2022;22(3):100-7. [DOI:10.4314/ahs.v22i3.12] [PMID] []
25. Ahmed S, Vereen RJ, Aden JK, Dillon CA, Shapiro JB. Maternal and neonatal outcomes of adolescent pregnancies in the military health system. Mil Med. 2024;189(3-4):e854-e63. [DOI:10.1093/milmed/usad397] [PMID]
26. Saavedra-Avendano B, Schiavon R, Sanhueza P, Rios-Polanco R, Garcia-Martinez L, Darney BG. Early termination of pregnancy: differences in gestational age estimation using last menstrual period and ultrasound in Mexico. Reprod Health. 2020;17:1-8. [DOI:10.1186/s12978-020-00914-x] [PMID] []
27. Hall KS, Redd S, Narasimhan S, Mosley EA, Hartwig SA, Lemon E, et al. Abortion trends in Georgia following enactment of the 22-week gestational age limit, 2007-2017. Am J Public Health. 2020;110(7):1034-8. [DOI:10.2105/AJPH.2020.305653] [PMID] []
28. Kc S, Gissler M, Klemetti R. The duration of gestation at previous induced abortion and its impacts on subsequent births: a nationwide registry‐based study. Acta Obstet Gynecol Scand. 2020;99(5):651-9. [DOI:10.1111/aogs.13788] [PMID]
29. Sheehy G, Dozier JL, Mickler AK, Yihdego M, Karp C, Zimmerman LA. Regional and residential disparities in knowledge of abortion legality and availability of facility-based abortion services in Ethiopia. Contracept X. 2021;3:100066. [DOI:10.1016/j.conx.2021.100066] [PMID] []
30. Wei Z, Yu D, Liu H. Induced abortion among married women in China: a study based on the 1997-2017 China Fertility Surveys. China Popul Dev Stud. 2021;5(1):83-99. [DOI:10.1007/s42379-021-00079-5]
31. Dongarwar D, Salihu HM. Place of residence and inequities in adverse pregnancy and birth outcomes in India. Int J MCH AIDS. 2019;9(1):53-63. [DOI:10.21106/ijma.291] [PMID] []
32. Saeed S, Jain S, Emma N, Afzali H, Razaqi N, Ahmadi M, et al. Knowledge and attitude towards abortion among women in Afghanistan. Razi Int Med J. 2022;2(2):52-62. [DOI:10.56101/rimj.v2i2.58]
33. Geda YF, Tirfe WA, Gessese MM. Induced abortion and its predictors among Hawassa University female students. Int J Immunol. 2020;8(3):53-60. [DOI:10.11648/j.iji.20200803.13]
34. Gashaye KT, Taddese AA, Birhan TY. Prevalence and determinants of women's satisfaction on the quality of safe abortion service in Northwest Ethiopia. Arch Public Health. 2022;80(1):146. [DOI:10.1186/s13690-022-00897-0] [PMID] []
35. Zong Z, Sun X, Mao J, Shu X, Hearst N. Contraception and abortion among migrant women in Changzhou, China. Eur J Contracept Reprod Health Care. 2021;26(1):36-41. [DOI:10.1080/13625187.2020.1820979] [PMID]
36. Testoni I, Finco N, Keisari S, Orkibi H, Azoulay B. Conflicts between women's religiosity and sense of free will in the context of elective abortion: A qualitative study in the worst period of Italy's COVID-19 crisis. Front Psychiatry. 2021;12:619684. [DOI:10.3389/fpsyt.2021.619684] [PMID] []
37. Smorti M, Ponti L, Bonassi L, Cattaneo E, Ionio C. Centrality of pregnancy and prenatal attachment in pregnant nulliparous after recent elective or therapeutic abortion. Front psychology. 2020;11:607879. [DOI:10.3389/fpsyg.2020.607879] [PMID] []
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA

Ethics code: IR.ARDABIL.REC.1403.119



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Karimi N, Farzipour S, Mirershadi F, Shahbazzadegan S. Study of the Frequency, Causes and Methods of Elective Abortion and Demographic Characteristics of Women Referring to Alavi Educational and Medical Center, Ardabil 2022-2023. J Ardabil Univ Med Sci 2024; 24 (3) :295-307
URL: http://jarums.arums.ac.ir/article-1-2453-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 24, Issue 3 (Autumn 2024) Back to browse issues page
مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
Persian site map - English site map - Created in 0.13 seconds with 40 queries by YEKTAWEB 4623