Abortion in the developing world

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_version_ 1819731399084605440
adam_text Contents List of Tables 10 List of Figures 15 Foreword by Mahmoud F. Fathalla 17 Preface 19 Acknowledgements 21 Chapter 1 Introduction 23 Cynthia Indriso and Axel I. Mundigo PART I: The Relationship between Abortion and Contraception Chapter 2 Prevention of Pregnancy in High Risk Women: Community Intervention in Chile 57 Ramiro Molina, Cristian Pereda, Francisco Cumsille, Luis Martinez Oliva, Eduardo Miranda and Temistocles Molina Chapter 3 Factors Affecting Induced Abortion Behaviour among Married Women in Shanghai, China 78 Gui Shi xun Chapter 4 First Trimester Induced Abortion: A Study of Sichuan Province, China 98 Luo Lin, Wu Shi zhong, Chen Xiao qing and Li Min xiang Chapter 5 Abortion Practice in a Municipality of Havana, Cuba 117 Luisa Alvarez Vasquez, Caridad Teresa Garcia, Sonia Catasus, Maria Elena Benitez and Maria Teresa Martinez Chapter 6 Social Determinants of Induced Abortion in the Dominican Republic 131 Denise Paiewonsky Chapter 7 The Use of Induced Abortion in Mauritius: An Alternative to Fertility Regulation or an Emergency Procedure? 151 Geeta Oodit and Uma Bhowon Chapter 8 Determinants of Induced Abortion and Subsequent Reproductive Behaviour Among Women in Three Urban Districts of Nepal 167 A.K. Tamang, Neera Shrestha and Kabila Sharma 8 f Contents Chapter 9 Cultural and Psychosocial Factors Affecting Contraceptive Use and Abortion in Two Provinces of Turkey 191 AyseAkin PART II: Quality of Abortion Care Section A: Women s Perspectives Chapter 10 Determinants and Medical Characteristics of Induced Abortion Among Poor Urban Women in North East Brazil 217 Chizuru Misago and Walter Fonseca Chapter 11 Induced Abortion and the Outcome of Subsequent Pregnancy in China: Client and Provider Perspectives 228 Zhou Wei jin, Gao Er sheng, Yang Yao ying, Qin Fei and Tang Wei Chapter 12 Between Political Debate and Women s Suffering: Abortion in Mexico 245 Maria del Carmen Elu Chapter 13 Abortion Services in Two Public Sector Hospitals in Istanbul, Turkey: How Well Do They Meet Women s Needs? 259 Aysen Bulut and Nahid Toubia Section B: Provider Perspectives Chapter 14 The Attitudes of Health Care Providers Towards Abortion in Indonesia 281 E. Djohan, R. Indrawasih, M. Adenan, H. Yudomustopo and MG. Tan Chapter 15 Pharmacists and Market Herb Vendors: Abortifacient Providers in Mexico City 293 Susan Pick, Martha Givaudan, Suzanne Cohen, Marsela Alvarez and Maria Elena Collado Chapter 16 Induced Abortion in a Province in the Philippines: The Opinion, Role and Experience of Traditional Birth Attendants and Government Midwives 311 Fred V. Cadelina Chapter 17 Induced Abortion in Sri Lanka: Opinions of Reproductive Health Care Providers 321 P. Hewage PART III: Adolescent Sexuality and Abortion Chapter 18 Induced Abortion Among Unmarried Women in Sichuan Province, China: A Survey 337 Luo Lin, Wu Shi zhong, Chen Xiao qing and Li Min xiang Chapter 19 Sexuality, Contraception and Abortion Among Unmarried Adolescents and Young Adults: The Case of Korea 346 Kwon Tai hwan, Jun Kwang Hee and Cho Sung nam Contents t 9 Chapter 20 Female Adolescents at the Crossroads: Sexuality, Contraception and Abortion in Mexico 368 N. Ehrenfeld Chapter 21 Induced Abortion in Dar es Salaam, Tanzania: The Plight of Adolescents 387 G.S. Mpangile,M.T. Leshabari andDJ. Kihwele PART IV: Research and its Implications for Policy: Conclusions Chapter 22 The Incidence and Social and Demographic Characteristics of Abortion in Colombia 407 Lucero Zamudio, Norma Rubiano and Lucy Wartenberg Chapter 23 Abortion in Ljubljana, Slovenia: A Method of Contraception or an Emergency Procedure? 447 Dunja Obersnel Kveder Chapter 24 Research Methodology: Lessons Learnt 465 Axel I. Mundigo Chapter 25 Policy Impact of Abortion Research 477 Axel I. Mundigo and IqbalH. Shah The Contributors 489 Index 494 About the Editors 499 t List of Tables 2.1 Sample Characteristics for Each Community 63 2.2 Abortion Risk Factors 65 2.3 Actual and Predicted Abortion Values 66 2.4 Abortion Risk Factors: Women Included in the Second Survey Compared with Women Excluded from the Analysis 68 2.5 Changes in Contraceptive Use and Pregnancy Status between the First and Second Surveys, by Community 70 2.6 Abortion Rates: All Women and High Risk Women, Before and After the Intervention 71 2.7 Abortion Ratios: All Women and High Risk Women, Before and After the Intervention 71 2.8 Abortion Rates among High Risk Women, by Contraceptive Status: Before and After the Intervention 73 2.9 Abortion Ratios among High Risk Women, by Contraceptive Status: Before and After the Intervention 73 3.1 Married Women by Age, Shanghai, 1991 80 3.2 Married Women by Education, Shanghai, 1991 81 3.3 Married Women by Occupation, Shanghai, 1991 81 3.4 Reasons for Pregnancy Termination in the Past (%) 83 3.5 Main Reasons for Pregnancy Termination, by Age (%) 84 3.6 Main Reasons for Pregnancy Termination, by Education (%) 84 3.7 Main Reasons for Pregnancy Termination, by Occupation (%) 86 3.8 Current Pregnancy Causes, by Type of Working Unit (%) 87 3.9 Main Reasons for Pregnancy Termination, by Couples Leisure Time (%) 88 3.10 The 10 Major Reasons for Not Using Contraception at the Time of the Current Pregnancy 90 3.11 The 10 Major Reasons for Contraceptive Failure for the Current Pregnancy 93 4.1 Population of the Six Counties, 1991 101 4.2 Age Distribution of a Study Sample 104 4.3 Reasons to Request Induced Abortion 105 4.4 Women Who Experienced Contraceptive Failure, by Method 106 4.5 Blood Loss During Operation 107 4.6 State of Bleeding 15 Days Post Operation 108 List of Tables t 11 4.7 Short Term Fever 15 Days After Abortion 108 4.8 Total Score by CES D at Admission and at Time Intervals After Abortion 109 4.9 Percentages of Depression Before and After Induced Abortion 109 4.10 Factor Scale Obtained Two Days Before Abortion 110 4.11 Factor Scale Obtained 180 Days After Abortion 110 5.1 Summary of the Main Characteristics of the Population Studied 119 5.2 Age Specific Fertility and Abortion Rates 121 5.3 Age Standardized Fertility and Abortion Rates by Education, Occu¬ pation, Marital Status and Origin of the Partner 122 5.4 Contraceptive Knowledge 126 5.5 Contraceptive Use by Abortion Practice 127 5.6 Abortion Experience by Contraceptive Use Status 128 6.1 Characteristics of the Study Population 135 6.2 Percentage Distribution of the Study Sample by Work Status, Type of Work and Contraceptive Experience 137 6.3 Percentage Distribution of the Sample According to Selected Indica¬ tors of Contraceptive Use 139 6.4 Age Specific Percentage Distribution of Women Who Had Used Methods, by Total Time Use and Methods Used 141 6.5 Percentages of Ever Users of Contraceptives by First Method Used, Second Method Used and Method Used at the Time of Last Preg¬ nancy, by Specific Methods 142 6.6 Percentage Distribution of Women Who Have Used More Than One Method, According to Reasons for Discontinuation of Both First and Second Methods Used 143 6.7 Percentage Distribution of the Sample s Desire to Have More Children, According to Use of Contraception at the Time of Last Pregnancy and Intention to Use Contraception 144 8.1 Study Population, by Type of Abortion and Place of Recruitment 169 8.2 Pregnancy Status, by Type of Abortion 174 8.3 Women Who Had Induced Abortion, by Number of Living Sons and Type of Provider 175 8.4 Women Who Had Induced Abortion: Socioeconomic Characteristics and Type of Provider 177 8.5 Women s Contraceptive Intentions, by Type of Abortion 179 8.6 Contraceptive Choices among Women Planning to Contracept,. by Abortion Status 179 8.7 Prior Abortion Experience, by Current Abortion Status 180 8.8 Induced Abortion Cases: Post Abortion Health Status at the Time of Second Follow up 181 8.9 Induced Abortion Cases: Post Abortion Ever Use of Contraception, by Method 182 8.10 Induced Abortion Cases: Current Use of Contraception at the Time of Second Follow up 183 8.11 Induced Abortion Cases: Reasons for Non Use of Post Abortion Contraception 183 12 t List of Tables 8.12 Spontaneous Abortion Cases: Post Abortion Health Status at the Time of Second Follow up 185 8.13 Spontaneous Abortion Cases: Post Abortion Ever Use of Contracep¬ tion, by Method 186 8.14 Spontaneous Abortion Cases: Current Use of Contraception at the Time of Second Follow up 186 8.15 Spontaneous Abortion Cases: Reasons for Non Use of Post Abortion Contraception 187 9.1 Some Sociodemographic Characteristics of Women in Ankara and Van Provinces (in percentage) 195 9.2 Contraceptive Knowledge by Province and Gender 198 9.3 Contraceptive Use Among Women in Ankara and Van Provinces (in percentage) 199 9.4 Education of Men and Women and Contraceptive Practice, Ankara and Van (in percentage) 201 9.5 Women s Work Status by Contraceptive Use and Abortion, Ankara and Van 202 9.6 Women s Self Esteem by Contraceptive Use and Abortion, Ankara and Van 204 10.1 Sociodemographic Characteristics of Women Admitted for Induced Abortion Complications 221 10.2 Prior Pregnancy Outcomes of Women Admitted for Induced Abor¬ tion Complications 222 10.3 Distribution of Women Admitted for Induced Abortion Complica¬ tions, by Medical Characteristics 223 10.4 Distribution of 2,083 Induced Abortion Cases, by Contraceptive Method Use at Month of Conception 224 10.5 Distribution of 2,074 Induced Abortion Cases, by Women s Own Statement of Method 224 13.1 Percentage Distribution of Currently Married Women by Contracep¬ tive Methods Currently Used, Turkey, 1988 and 1993 260 13.2 Summary of the Main Characteristics of the Women in Our Study 265 13.3 Contraceptive Knowledge and Use Among the Women Attending Both Hospitals 267 13.4 Use of Contraception Before Last Pregnancy 267 13.5 Method in Use When the Last Pregnancy Occurred Among Users 268 13.6 Quality of Care 269 13.7 Factors Relating to Satisfaction (Logistic Regression Analysis) 274 13.8 Total Cost Distribution of Pregnancy Termination Services in Both Hospitals 275 14.1 Type and Distribution of Respondents 285 15.1 Summary Characteristics of the Study Group 296 15.2 Substances Recommended as Abortifacients in Role Playing Visits 299 15.3 Medications Recommended as Abortifacients in Role Playing Visits 299 16.1 Profile of the Birth Attendants in Our Study 313 16.2 Knowledge of Induced Abortion Methods and Methods Known ( % ) 315 16.3 Opinion on Induced Abortion and Reasons (%) 316 16.4 Opinion on When Induced Abortion May Be Allowed (%) 316 Ust of Tables t 13 16.5 Response of Birth Attendants to Women Asking for Assistance to Terminate an Unwanted Pregnancy (%) 317 16.6 The Experience of Abortion Among the Birth Attendants Themselves 318 16.7 Knowledge of Abortion Providers by Birth Attendants 319 17.1 Study Sample by Age and Profession 325 17.2 Provider Perceptions of Why Women Seek Abortion 326 17.3 Provider Perceptions of the Increase in Abortion Practice 327 17.4 Provider Perceptions of the Prevalence of Legal, Self Induced, Unsafe, Safe and Late Abortions 327 17.5 Provider Perceptions of How People Feel About Available Contra¬ ceptives 329 17.6 Provider Opinions on Strategies to Reduce Unsafe Abortion 330 17.7 Provider Opinions on Best Abortion Law for Sri Lanka 332 18.1 Percentage Distribution of Sample by Age, Gestation Period, Educa¬ tion, Occupation, Income and Residency 340 18.2 Percentage Distribution of Sample by Contraceptive Use 341 18.3 Percentage Distribution of Sample by Number of Previous Preg¬ nancies and Abortions 341 18.4 Percentage Distribution of Sample by Training and Experience of the Operator 342 18.5 Blood Loss During Operation 343 18.6 Physical Examination 15 Days Post Operation 343 19.1 Sociodemographic Profile of the Women in Our Study 351 19.2 First Sexual Experience 354 19.3 Contraceptive Knowledge and Use at First Intercourse 356 19.4 Past and Current Contraception Use, by Method 357 19.5 Contraceptive Failure 357 19.6 Pregnancy History and Contraceptive Use Among the Sexually Active Women 358 19.7 First Abortion Experience 359 19.8 Logistic Regression of All Abortion Experiences 360 19.9 Logistic Regression of Post Abortion Complications 362 19.10 Approval of Abortion (Full Study Sample) 363 20.1 Summary Characteristics of the Study Group 373 21.1 Demographic Characteristics of the Women (%) 390 21.2 Contraceptive Knowledge and Use, by Method (%) 393 21.3 Marital Status of the Women and Type of Relationship (%) 393 21.4 Reaction/Advice of First Confidant (%) 395 21.5 Where and By Whom Abortions Are Done (%) 397 21.6 Advice/Treatment by the Abortionist (%) 397 22.1 Women, Aged 15 55 with Abortion Experience, as a Proportion of All Women Pregnant at Least Once, by Order of Abortion 419 22.2 Average Number of Pregnancies and Abortions for Women with Abortion Experience and Abortion Ratios, by Main Differentials, Urban Colombia, 1992 431 22.3 Annual Abortion Rates per 100 Women: Total and by Order of Abortion 443 14 tUst of Tables 23.1 Characteristics of the Women in the Study Sample Compared to Women Having Abortion at the UDGO in Ljubljana and in Slovenia, 1988 452 23.2 Contraceptive Use Before the Conception, by Education, Number of Children, Perception of the Method Used and Abortion Experience 453 23.3 Multiple Regression of Contraceptive Use Before Conception 455 23.4 Contraceptive Use Before Conception and at Conception, by Type of Contraception 456 23.5 Multiple Regression of Contraceptive Use at the Time of Conception 457 23.6 Discriminant Analysis of Individual Variables in the Three Groups of Contraceptive Users 459 23.7 Discriminant Analysis of Attitudes Towards Abortion in the Three Groups of Contraceptive Users 461 t List of Figures 4.1 Mean Level of SCL 90 Symptomatic Profile 113 22.1 Proportion of Women, 15 55 Years, With Abortion Experience, by Region, Urban Colombia, 1992 414 22.2 Proportion of Women, 15 55 Years, With Abortion Experience, by Education, Urban Colombia, 1992 416 22.3 Women, 15 55 Years, With Abortion Experience, by Age, Urban Colombia, 1992 417 22.4 Women, 15 55 Years, With Abortion Experience, by Number of Children, Urban Colombia, 1992 418 22.5 Women, 15 55 Years, Proportions Ever Pregnant and Who Aborted, Urban Colombia, 1992 422 22.6 Proportion of Women, 15 55 Years, With Abortion Experience, by Social Class, Urban Colombia, 1992 423 22.7 Women, 15 55 Years, With Abortion Experience, by Number of Preg¬ nancies, Urban Colombia, 1992 424 22.8 Women, 15 55 Years, With Abortion Experience, by Number of Preg¬ nancies and Region, Urban Colombia, 1992 426 22.9 Women, 15 55 Years, With Abortion Experience, by Number of Preg¬ nancies and Social Class, Urban Colombia, 1992 427 22.10 Women, 15 55 Years, With Abortion Experience, by Number of Preg¬ nancies and Education, Urban Colombia, 1992 428 22.11 Women, 15 55 Years, With Abortion Experience, by Number of Preg¬ nancies and Work Status, Urban Colombia, 1992 430 22.12 Women, 15 55 Years, With Abortion Experience, by Number of Preg¬ nancies and Abortions, Urban Colombia, 1992 434 22.13 Women, 15 55 Years, With Abortion Experience, by Number of Abortions and Children Ever Born, Urban Colombia, 1992 435 22.14 Women, 15 55 Years, With Abortion Experience, by Number of Abortions and Education, Urban Colombia, 1992 436 22.15 Women, 15 55 Years, With Abortion Experience, by Number of Abortions and Age, Urban Colombia, 1992 437 22.16 Women, 15 55 Years, With Abortion Experience and Three or More Pregnancies, According to the Risk of Moving From One Abortion Level to the Next, Urban Colombia, 1992 438 16 + List of Figures 22.17 Age Specific Abortion Rates, by Year of Abortion 440 22.18 Age Specific Fertility and Abortion Rates, Urban Colombia, 1992 441 22.19 Age Specific Abortion Rates by Regions, Urban Colombia, 1992 442 t
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spellingShingle Abortion in the developing world
Avortement - Pays en voie de développement
Entwicklungsländer
Abortion Developing countries
Abortion, Induced
Developing Countries
Schwangerschaftsabbruch (DE-588)4053732-8 gnd
subject_GND (DE-588)4053732-8
(DE-588)4014954-7
title Abortion in the developing world
title_auth Abortion in the developing world
title_exact_search Abortion in the developing world
title_full Abortion in the developing world ed.: Axel I. Mundigo ...
title_fullStr Abortion in the developing world ed.: Axel I. Mundigo ...
title_full_unstemmed Abortion in the developing world ed.: Axel I. Mundigo ...
title_short Abortion in the developing world
title_sort abortion in the developing world
topic Avortement - Pays en voie de développement
Entwicklungsländer
Abortion Developing countries
Abortion, Induced
Developing Countries
Schwangerschaftsabbruch (DE-588)4053732-8 gnd
topic_facet Avortement - Pays en voie de développement
Entwicklungsländer
Abortion Developing countries
Abortion, Induced
Developing Countries
Schwangerschaftsabbruch
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