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  • Title: Demographic characteristics, socioeconomic profile and contraceptive behaviour in patients with abortion at Jimma Hospital, Ethiopia.
    Author: Abdella A.
    Journal: East Afr Med J; 1996 Oct; 73(10):660-4. PubMed ID: 8997846.
    Abstract:
    This is a descriptive prospective study on abortion patients admitted to Jimma Hospital, south west Ethiopia from September 1992 to August 1993. Forty four Percent (N = 285) of the patients admitted were interviewed using a questionnaire. Fifty three percent (N = 151) had induced while the remaining had spontaneous abortion. Patients with induced abortion were younger (P = 0.0000) and had smaller family size (P = 0.06283) than patients with spontaneous abortion. Induced abortion was more common among students (30.9%) and those with secondary education (71.8%) whereas spontaneous abortion was most common among housewives (64.4%). Almost 50% of the patients with induced abortion were married. Eighty two percent of all interviewed had unwanted pregnancies. The contraceptive methods most commonly used were the pill and abstinence. Fifty patients got pregnant while on the pill. The most common reason for not using contraceptives or discontinuation was the side effects associated with the pill. A descriptive prospective study of 285 abortion patients admitted to Ethiopia's Jimma Hospital during 1992-93 reveals significant demographic differences between women with induced abortion (n = 151) and those with spontaneous abortion (n = 134). This sample represented 44.1% of the total number of abortion patients admitted to this facility during the 12-month study period; the remainder refused to be interviewed. 81.7% of abortion patients were under 30 years old and 68.9% were married; however, the mean age of induced abortion patients (22.6 years) was significantly younger than that of spontaneous abortion patients (26.2 years), and women with induced abortion were significantly more likely to be single (48.6%) than those with spontaneous abortion (11.4%). Induced abortion patients also were significantly more likely to be nulliparous, students, and determined to use contraception in the future than their counterparts in the spontaneous abortion group. Overall, 234 (82%) of respondents stated their pregnancy was unwanted; 62% of women with unwanted pregnancies had used a contraceptive method at some point in the past 12 months, primarily the pill (66.9%) and abstinence (29.7%). There were 50 pregnancies among the 97 pill users. The most frequently cited reasons for nonuse of contraception were health-related concerns (33.9%), failure to anticipate sexual intercourse (39.9%), and a negative attitude toward or lack of knowledge about contraception (32.2%).
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