Induced second trimester abortion and its determinants in East Gojjam public hospitals
Abstract Induced second-trimester abortions are increasing globally, particularly in developing countries such as Ethiopia. Previous studies have primarily focused on the prevalence of first-trimester abortions. However, reducing abortion-related maternal morbidity and mortality is difficult without...
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Nature Portfolio
2025-07-01
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| author | Endinew Beka Mehiretie Worku Taye Getahun Mamaru Getie Fetene Addisu Andualem Ferede |
| author_facet | Endinew Beka Mehiretie Worku Taye Getahun Mamaru Getie Fetene Addisu Andualem Ferede |
| author_sort | Endinew Beka Mehiretie |
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| description | Abstract Induced second-trimester abortions are increasing globally, particularly in developing countries such as Ethiopia. Previous studies have primarily focused on the prevalence of first-trimester abortions. However, reducing abortion-related maternal morbidity and mortality is difficult without decreasing second-trimester abortions. To assess the proportion of induced second-trimester abortions and associated factors among women seeking abortion care services at public hospitals of East Gojjam Zone, Ethiopia, 2024. An institution-based cross-sectional study was conducted at public hospitals of the East Gojjam Zone from January 15 to February 15, 2024, involving 257 women seeking abortion care services. A systematic sampling technique was used. Data were collected through face-to-face interviews and chart reviews. The data were entered using EPI Info version 7 and analyzed using SPSS version 25. Bivariate and multivariable logistic regressions were performed. An odds ratio with a 95% confidence interval and p-value ≤ 0.05 was considered statistically significant. The proportion of induced second-trimester abortion was 64 (24.9%). The main reasons reported by women for seeking abortion were incest-related pregnancy 88 (34.2%), fear of school dropout 52 (20.2%), financial problems 49 (19%), and rape 46 (17.9%). Rural resident (AOR = 3.00, 95% CI 2.02, 8.81), woman who had a history of the irregular menstrual cycle (AOR = 3.53, 95% CI 1.28, 9.77), delay to suspect pregnancy (AOR = 3.77, 95% CI 2.31, 11.87), and afraid to have an abortion (AOR = 6.77, 95% CI 3.23, 20.02) were significantly associated with the proportion of second trimester induced abortion. The findings of this study showed that the proportion of induced second-trimester abortion was high. Strengthening health services that provide women with information, build confidence, and support early decision-making, which is essential. Special attention should be given to pregnant women from rural areas. |
| format | Article |
| id | doaj-art-db04807965814581a7c6b5ce8e4468cf |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-db04807965814581a7c6b5ce8e4468cf2025-08-20T03:45:52ZengNature PortfolioScientific Reports2045-23222025-07-011511810.1038/s41598-025-09099-4Induced second trimester abortion and its determinants in East Gojjam public hospitalsEndinew Beka Mehiretie0Worku Taye Getahun1Mamaru Getie Fetene2Addisu Andualem Ferede3Department of Midwifery, College of Medicine and Health sciences, Debre Markos UniversityDepartment of Obstetrics and Gynecology, Debre Markos Comprehensive Specialized HospitalDepartment of Midwifery, College of Medicine and Health sciences, Debre Markos UniversityDepartment of Midwifery, College of Medicine and Health sciences, Debre Markos UniversityAbstract Induced second-trimester abortions are increasing globally, particularly in developing countries such as Ethiopia. Previous studies have primarily focused on the prevalence of first-trimester abortions. However, reducing abortion-related maternal morbidity and mortality is difficult without decreasing second-trimester abortions. To assess the proportion of induced second-trimester abortions and associated factors among women seeking abortion care services at public hospitals of East Gojjam Zone, Ethiopia, 2024. An institution-based cross-sectional study was conducted at public hospitals of the East Gojjam Zone from January 15 to February 15, 2024, involving 257 women seeking abortion care services. A systematic sampling technique was used. Data were collected through face-to-face interviews and chart reviews. The data were entered using EPI Info version 7 and analyzed using SPSS version 25. Bivariate and multivariable logistic regressions were performed. An odds ratio with a 95% confidence interval and p-value ≤ 0.05 was considered statistically significant. The proportion of induced second-trimester abortion was 64 (24.9%). The main reasons reported by women for seeking abortion were incest-related pregnancy 88 (34.2%), fear of school dropout 52 (20.2%), financial problems 49 (19%), and rape 46 (17.9%). Rural resident (AOR = 3.00, 95% CI 2.02, 8.81), woman who had a history of the irregular menstrual cycle (AOR = 3.53, 95% CI 1.28, 9.77), delay to suspect pregnancy (AOR = 3.77, 95% CI 2.31, 11.87), and afraid to have an abortion (AOR = 6.77, 95% CI 3.23, 20.02) were significantly associated with the proportion of second trimester induced abortion. The findings of this study showed that the proportion of induced second-trimester abortion was high. Strengthening health services that provide women with information, build confidence, and support early decision-making, which is essential. Special attention should be given to pregnant women from rural areas.https://doi.org/10.1038/s41598-025-09099-4Facility basedInduced abortionProportionSecond trimesterEthiopia |
| spellingShingle | Endinew Beka Mehiretie Worku Taye Getahun Mamaru Getie Fetene Addisu Andualem Ferede Induced second trimester abortion and its determinants in East Gojjam public hospitals Scientific Reports Facility based Induced abortion Proportion Second trimester Ethiopia |
| title | Induced second trimester abortion and its determinants in East Gojjam public hospitals |
| title_full | Induced second trimester abortion and its determinants in East Gojjam public hospitals |
| title_fullStr | Induced second trimester abortion and its determinants in East Gojjam public hospitals |
| title_full_unstemmed | Induced second trimester abortion and its determinants in East Gojjam public hospitals |
| title_short | Induced second trimester abortion and its determinants in East Gojjam public hospitals |
| title_sort | induced second trimester abortion and its determinants in east gojjam public hospitals |
| topic | Facility based Induced abortion Proportion Second trimester Ethiopia |
| url | https://doi.org/10.1038/s41598-025-09099-4 |
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