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Determinants of safe termination of second trimester pregnancy in public health facilities in Amhara, northwest Ethiopia: a mismatched case-control study

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Document pages: 7 pages

Abstract: Background mid term drug abortion refers to the termination of pregnancy between 13 and 28 weeks of gestational age. Although most abortions are performed in the first three months of pregnancy, 10-15 of pregnancy terminations worldwide occur in the second three months of pregnancy. Objective to determine the determinants of safe termination of second trimester pregnancy in public health facilities in Amhara, northwest Ethiopia. method. Institution based unmatched retrospective case-control study conducted from October 1, 2019 to February 30, 2020. 119 cases and 238 controls were selected by systematic random sampling. The data were collected by interviewer managed questionnaire. Binary logistic regression model was used to determine the determinants. Te odds ratio with 95 CI was computed to assess the strength and significance of the association between dependent and independent variables. Result. Rural resident (adjusted odds ratio (AOR) = 1.9; 95 CI 1.07–3.25), irregular menses (AOR = 1.8; 1.06–3.13), had no known symptoms of pregnancy (AOR = 1.9; (95 CI 1.06–3.46)), not knowing the abortion law (AOR = 3.0; (95 CI 1.63–5.60)), low level of education (1st–8th grade) (AOR = 2.7; (95 CI 1.06–6.60), opposition against abortion care (AOR = 2.6; (1.22–5.42)), delayed referral (AOR = 10.1 (95 CI 4.02–29.18)), and not undertaking pregnancy test (AOR = 2.2; (95 CI (1.21–4.04)) were determinants of second-trimester safe termination of pregnancy. Conclusion. Women being rural residents, irregular menses, not undertaking pregnancy test, not knowing the abortion law, low-level educational status, delayed referral, no knowledge about signs and symptoms of pregnancy, and opposition of safe abortion were determinants of second-trimester safe termination. The Regional Health Bureau and Health Facilities should give emphasis to women living in rural areas, and they should increase awareness towards abortion law and sign and symptoms of pregnancy and encourage female education.

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