Multiple induced abortions–implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden
(2023) In European Journal of Contraception and Reproductive Health Care 28(2). p.119-124- Abstract
Objectives: To investigate factors associated with multiple induced abortions. Materials and methods: A multi-centre cross-sectional survey among abortion-seeking women (n = 623;14-47y) in Sweden, 2021. ‘Multiple abortions’ was defined as having had ≥2 induced abortions. This group was compared to women with a previous experience of 0-1 induced abortion. Regression analysis was conducted to determine independent factors associated with multiple abortions. Results: 67.4% (n = 420) reported previous experience of 0-1 abortion, and 25.8% (n = 161) ≥2 abortions (42 women chose to not respond). Several factors were associated with multiple abortions, but when adjusted in the regression model, the following factors remained; parity ≥1 (OR =... (More)
Objectives: To investigate factors associated with multiple induced abortions. Materials and methods: A multi-centre cross-sectional survey among abortion-seeking women (n = 623;14-47y) in Sweden, 2021. ‘Multiple abortions’ was defined as having had ≥2 induced abortions. This group was compared to women with a previous experience of 0-1 induced abortion. Regression analysis was conducted to determine independent factors associated with multiple abortions. Results: 67.4% (n = 420) reported previous experience of 0-1 abortion, and 25.8% (n = 161) ≥2 abortions (42 women chose to not respond). Several factors were associated with multiple abortions, but when adjusted in the regression model, the following factors remained; parity ≥1 (OR = 2.96, 95%CI [1.63, 5.39]), low education (OR = 2.40, 95%CI [1.40, 4.09]), tobacco use (OR = 2.50, 95%CI [1.54, 4.07]) and exposure to violence over the last year (OR = 2.37, 95%CI [1.06, 5.29]). More women in the group who had 0-1 abortion (n = 109/420) believed they could not become pregnant at the time of conception, compared to women who had ≥2 abortions (n = 27/161), p=.038. Mood swings, as a contraceptive side-effect, were more often reported among women with ≥2 abortions (n = 65/161), compared to those with 0-1 abortion (n = 131/420), p=.034. Conclusion: Multiple abortions is associated with vulnerability. Sweden provides high quality and accessible comprehensive abortion care; however, counselling must be improved both to achieve contraceptive adherence and identify and address domestic violence.
(Less)
- author
- Obern, Cerisa ; Ekstrand Ragnar, Maria LU ; Tydén, Tanja ; Larsson, Margareta ; Niemeyer Hultstrand, Jenny ; Gemzell-Danielsson, Kristina ; Sundström-Poromaa, Inger and Makenzius, Marlene
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Comprehensive abortion care, multiple abortion, repeat abortion
- in
- European Journal of Contraception and Reproductive Health Care
- volume
- 28
- issue
- 2
- pages
- 119 - 124
- publisher
- Informa Healthcare
- external identifiers
-
- pmid:36803482
- scopus:85148613837
- ISSN
- 1362-5187
- DOI
- 10.1080/13625187.2023.2178257
- language
- English
- LU publication?
- yes
- id
- 3473f9b1-3dd7-47a6-99c8-0d2d6f3a2762
- date added to LUP
- 2023-03-13 14:25:46
- date last changed
- 2025-04-06 09:53:58
@article{3473f9b1-3dd7-47a6-99c8-0d2d6f3a2762,
abstract = {{<p>Objectives: To investigate factors associated with multiple induced abortions. Materials and methods: A multi-centre cross-sectional survey among abortion-seeking women (n = 623;14-47y) in Sweden, 2021. ‘Multiple abortions’ was defined as having had ≥2 induced abortions. This group was compared to women with a previous experience of 0-1 induced abortion. Regression analysis was conducted to determine independent factors associated with multiple abortions. Results: 67.4% (n = 420) reported previous experience of 0-1 abortion, and 25.8% (n = 161) ≥2 abortions (42 women chose to not respond). Several factors were associated with multiple abortions, but when adjusted in the regression model, the following factors remained; parity ≥1 (OR = 2.96, 95%CI [1.63, 5.39]), low education (OR = 2.40, 95%CI [1.40, 4.09]), tobacco use (OR = 2.50, 95%CI [1.54, 4.07]) and exposure to violence over the last year (OR = 2.37, 95%CI [1.06, 5.29]). More women in the group who had 0-1 abortion (n = 109/420) believed they could not become pregnant at the time of conception, compared to women who had ≥2 abortions (n = 27/161), p=.038. Mood swings, as a contraceptive side-effect, were more often reported among women with ≥2 abortions (n = 65/161), compared to those with 0-1 abortion (n = 131/420), p=.034. Conclusion: Multiple abortions is associated with vulnerability. Sweden provides high quality and accessible comprehensive abortion care; however, counselling must be improved both to achieve contraceptive adherence and identify and address domestic violence.</p>}},
author = {{Obern, Cerisa and Ekstrand Ragnar, Maria and Tydén, Tanja and Larsson, Margareta and Niemeyer Hultstrand, Jenny and Gemzell-Danielsson, Kristina and Sundström-Poromaa, Inger and Makenzius, Marlene}},
issn = {{1362-5187}},
keywords = {{Comprehensive abortion care; multiple abortion; repeat abortion}},
language = {{eng}},
number = {{2}},
pages = {{119--124}},
publisher = {{Informa Healthcare}},
series = {{European Journal of Contraception and Reproductive Health Care}},
title = {{Multiple induced abortions–implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden}},
url = {{http://dx.doi.org/10.1080/13625187.2023.2178257}},
doi = {{10.1080/13625187.2023.2178257}},
volume = {{28}},
year = {{2023}},
}