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Unintended pregnancy resolution among parous women in twelve low- And middle-income countries

Unintended pregnancy resolution among parous women in twelve low- And middle-income countries
Unintended pregnancy resolution among parous women in twelve low- And middle-income countries
Around 40% of pregnancies worldwide are unintended and a half of those terminated. Yet, few international comparisons of unintended pregnancy resolution (choosing birth or abortion) exist. The study analysed how parous women’s pregnancy intentions and abortion decisions are associated with their reproductive histories and country contexts using 12 Demographic and Health Surveys representing four context groups: Post-Soviet/communist and Asian countries with liberal abortion legislation, and Asian and Latin American countries with restrictive abortion legislation. Similarities were found across contexts: preference to have children of both sexes, space births, stop childbearing after reaching desired family size, and an increased likelihood of unintended pregnancy when using less effective contraceptive methods versus none. Contextual factors associated with reports of unintended pregnancy resolution most clearly were type of abortion legislation and living in post-Soviet/communist contexts. Women’s propensity to report abortions and unintended pregnancy varied by context and the decision-making processes for pregnancy versus fertility management were different.
Induced abortion, LMICs, Unintended pregnancy
0021-9320
Vaisanen, Heini
ee5b9497-7825-4fd8-8b7e-3d5d2b164766
Batyra, Ewa
baee66d6-c8fe-41de-bddb-ae7fcf325233
Vaisanen, Heini
ee5b9497-7825-4fd8-8b7e-3d5d2b164766
Batyra, Ewa
baee66d6-c8fe-41de-bddb-ae7fcf325233

Vaisanen, Heini and Batyra, Ewa (2021) Unintended pregnancy resolution among parous women in twelve low- And middle-income countries. Journal of Biosocial Science, 54 (4). (doi:10.1017/S0021932021000225).

Record type: Article

Abstract

Around 40% of pregnancies worldwide are unintended and a half of those terminated. Yet, few international comparisons of unintended pregnancy resolution (choosing birth or abortion) exist. The study analysed how parous women’s pregnancy intentions and abortion decisions are associated with their reproductive histories and country contexts using 12 Demographic and Health Surveys representing four context groups: Post-Soviet/communist and Asian countries with liberal abortion legislation, and Asian and Latin American countries with restrictive abortion legislation. Similarities were found across contexts: preference to have children of both sexes, space births, stop childbearing after reaching desired family size, and an increased likelihood of unintended pregnancy when using less effective contraceptive methods versus none. Contextual factors associated with reports of unintended pregnancy resolution most clearly were type of abortion legislation and living in post-Soviet/communist contexts. Women’s propensity to report abortions and unintended pregnancy varied by context and the decision-making processes for pregnancy versus fertility management were different.

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More information

Accepted/In Press date: 6 April 2021
e-pub ahead of print date: 24 May 2021
Published date: 24 May 2021
Additional Information: Publisher Copyright: © The Author(s) 2021. Published by Cambridge University Press.
Keywords: Induced abortion, LMICs, Unintended pregnancy

Identifiers

Local EPrints ID: 448733
URI: http://eprints.soton.ac.uk/id/eprint/448733
ISSN: 0021-9320
PURE UUID: 296099b4-7f98-4c58-bdea-0ae16c13dcdd
ORCID for Heini Vaisanen: ORCID iD orcid.org/0000-0002-5494-0415

Catalogue record

Date deposited: 04 May 2021 16:38
Last modified: 06 Jun 2024 01:54

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Contributors

Author: Heini Vaisanen ORCID iD
Author: Ewa Batyra

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