Profiles of women presenting for abortions in Singapore at the National University Hospital: focus on married women

Introduction: In this study, we aimed to identify the differences in sociodemographic variables and reasons for termination of pregnancy (TOP) between married women and single/divorced women. We hope that this study can guide future policies and interventions to reduce the incidence of unsupported p...

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Main Authors: Xiang Wen Gregory Pek, Wei Shan Teoh, Duoduo Wu, Kuldip Singh
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2023-05-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.11622/smedj.2022072
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author Xiang Wen Gregory Pek
Wei Shan Teoh
Duoduo Wu
Kuldip Singh
author_facet Xiang Wen Gregory Pek
Wei Shan Teoh
Duoduo Wu
Kuldip Singh
author_sort Xiang Wen Gregory Pek
collection DOAJ
description Introduction: In this study, we aimed to identify the differences in sociodemographic variables and reasons for termination of pregnancy (TOP) between married women and single/divorced women. We hope that this study can guide future policies and interventions to reduce the incidence of unsupported pregnancies in this profile group of women. Methods: We retrospectively evaluated the sociodemographic data of 802 women who underwent an abortion for social reasons at our institution in Singapore from January 2016 to September 2018. We compared the sociodemographic variables, reasons for and methods of TOP between married and single/divorced women. Results: We analysed data from 524 married women (65.3%) and 278 single/divorced women (34.7%). Married women were more likely to be of older age (29.5 years vs. 24.5 years, P < 0.001), had more living children and higher educational qualifications. The top two cited reason for abortions among married women were having enough children (42.0%) and the inability to afford another child (18.7%). Multivariate analysis showed that women aged >19 years and having more living children were independently associated with recurrent TOPs. Having a tertiary education was noted to be associated with less recurrent TOPs. Conclusion: The most common reasons married women cited for having TOP include having enough children and the lack of financial capacity to afford another child. Recommendations to support women ought to be personalised and comprehensive in addressing their needs rather than offering a standardised support method. Greater emphasis should be placed on post-TOP family planning counselling to reduce repeated TOP.
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institution Kabale University
issn 0037-5675
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publisher Wolters Kluwer – Medknow Publications
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spelling doaj-art-868da47442cc450485bc617ed9f65f4d2025-02-09T13:47:18ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352023-05-0164530230610.11622/smedj.2022072Profiles of women presenting for abortions in Singapore at the National University Hospital: focus on married womenXiang Wen Gregory PekWei Shan TeohDuoduo WuKuldip SinghIntroduction: In this study, we aimed to identify the differences in sociodemographic variables and reasons for termination of pregnancy (TOP) between married women and single/divorced women. We hope that this study can guide future policies and interventions to reduce the incidence of unsupported pregnancies in this profile group of women. Methods: We retrospectively evaluated the sociodemographic data of 802 women who underwent an abortion for social reasons at our institution in Singapore from January 2016 to September 2018. We compared the sociodemographic variables, reasons for and methods of TOP between married and single/divorced women. Results: We analysed data from 524 married women (65.3%) and 278 single/divorced women (34.7%). Married women were more likely to be of older age (29.5 years vs. 24.5 years, P < 0.001), had more living children and higher educational qualifications. The top two cited reason for abortions among married women were having enough children (42.0%) and the inability to afford another child (18.7%). Multivariate analysis showed that women aged >19 years and having more living children were independently associated with recurrent TOPs. Having a tertiary education was noted to be associated with less recurrent TOPs. Conclusion: The most common reasons married women cited for having TOP include having enough children and the lack of financial capacity to afford another child. Recommendations to support women ought to be personalised and comprehensive in addressing their needs rather than offering a standardised support method. Greater emphasis should be placed on post-TOP family planning counselling to reduce repeated TOP.https://journals.lww.com/10.11622/smedj.2022072inducedpregnancyunwanted abortion
spellingShingle Xiang Wen Gregory Pek
Wei Shan Teoh
Duoduo Wu
Kuldip Singh
Profiles of women presenting for abortions in Singapore at the National University Hospital: focus on married women
Singapore Medical Journal
induced
pregnancy
unwanted abortion
title Profiles of women presenting for abortions in Singapore at the National University Hospital: focus on married women
title_full Profiles of women presenting for abortions in Singapore at the National University Hospital: focus on married women
title_fullStr Profiles of women presenting for abortions in Singapore at the National University Hospital: focus on married women
title_full_unstemmed Profiles of women presenting for abortions in Singapore at the National University Hospital: focus on married women
title_short Profiles of women presenting for abortions in Singapore at the National University Hospital: focus on married women
title_sort profiles of women presenting for abortions in singapore at the national university hospital focus on married women
topic induced
pregnancy
unwanted abortion
url https://journals.lww.com/10.11622/smedj.2022072
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AT duoduowu profilesofwomenpresentingforabortionsinsingaporeatthenationaluniversityhospitalfocusonmarriedwomen
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