Risk of unsafe abortion associated with long-term contraception behaviour: a case control study from Sri Lanka.

Abstract:

BACKGROUND:When faced with an unintended pregnancy, some women choose to undergo an unsafe abortion, while others do not. This choice may depend on long-term contraception that shapes the fertility goals of women, along with many other risk factors. We assessed the risk for unsafe abortion associated with contraceptive practices based on women's long-term behaviour, and its likely modification by the use of different types of contraceptives among women in Sri Lanka. METHODS:An unmatched case-control study was conducted in nine hospitals among 171 women admitted for care following an unsafe abortion (Cases) and 600 women admitted to same hospitals for delivery of an unintended term pregnancy (Controls). Interviewer-administered-questionnaires assessed their socio-economic, reproductive and fertility (decisions on family size, family completion) characteristics, contraceptive method last used (traditional, modern), reasons for discontinuation/never-use, and contraceptive practices assessed at different time points. Using several regression models, the risk of abortion was assessed for 'non-use' of contraception against 'ineffective use' at conception; for non-use further categorised as 'never-use', 'early-discontinuation' (discontinued before last birth interval) and 'late-discontinuation' (discontinued during last birth interval); and for any interaction between the contraceptive practice and contraceptive method last used among the ever-users of contraception. RESULTS:At conception, 'non-use' of contraception imparted a two-fold risk for abortion against ineffective use (adjusted-OR = 2.0; 95% CI: 1.2-3.2). The abortion risk on 'non-use' varied further according to 'early' (adjusted-OR = 1.7; 95% CI: 1.1-3.1) and 'late' (adjusted-OR = 2.3; 95% CI: 1.5-3.6) discontinuation of contraception, but not with 'never-use' (crude-OR = 1.1; 95% CI: 0.6-2.3). Among the ever-users, the risk of abortion varied within each contraceptive practice by their last used contraceptive method and reasons for discontinuation. A significant interaction between modern contraceptives and early discontinuation (adjusted-OR = 1.4; 95% CI = 1.1-3.1) demonstrated a seven-fold abortion risk for early discontinuation of modern methods against its ineffective use. In particular, hormonal methods seemed to be responsible for this risk (51.1% cases versus 42.5% controls). CONCLUSIONS:Long-term contraceptive practices showed varying risk for abortion, and was further modified by early discontinuation of modern contraceptives. This knowledge should be applied during postnatal visits by public-health staff.

authors

Arambepola C,Rajapaksa LC

doi

10.1186/s12884-017-1376-7

subject

Has Abstract

pub_date

2017-06-29 00:00:00

pages

205

issue

1

issn

1471-2393

pii

10.1186/s12884-017-1376-7

journal_volume

17

pub_type

杂志文章
  • The effect of maternal alcohol and drug abuse on first trimester screening analytes: a retrospective cohort study.

    abstract:BACKGROUND:The purpose of this study was to determine whether first trimester trisomy screening (FTS) parameters are affected by alcohol and drug use. METHODS:A routine combined FTS including measurements of maternal serum levels of free β-human chorionic gonadotropin subunit (free β-hCG) and pregnancy-associated plas...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03171-9

    authors: Lehikoinen A,Voutilainen R,Romppanen J,Heinonen S

    更新日期:2020-09-25 00:00:00

  • Planned home compared with planned hospital births: mode of delivery and Perinatal mortality rates, an observational study.

    abstract:BACKGROUND:To compare the mode of delivery between planned home versus planned hospital births and to determine if differences in intervention rates could be interpreted as over- or undertreatment. METHODS:Intervention and perinatal mortality rates were obtained for 679,952 low-risk women from the Dutch Perinatal Regi...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1348-y

    authors: van der Kooy J,Birnie E,Denktas S,Steegers EAP,Bonsel GJ

    更新日期:2017-06-08 00:00:00

  • Predictors of mothers' postpartum body dissatisfaction based on demographic and fertility factors.

    abstract:BACKGROUND:There are fundamental and rapid changes in body shape during pregnancy, some of which persist for an extended time after delivery and may cause dissatisfaction with body shape. Therefore, we conducted this study to determine predictors of body dissatisfaction at six months postpartum based on demographic and...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03501-x

    authors: Tavakoli M,Hasanpoor-Azghady SB,Farahani LA

    更新日期:2021-01-05 00:00:00

  • Antenatal health promotion via short message service at a Midwife Obstetrics Unit in South Africa: a mixed methods study.

    abstract:BACKGROUND:Adequate antenatal care is important to both the health of a pregnant woman and her unborn baby. Given South Africa's high rate of cellphone penetration, mobile health interventions have been touted as a potentially powerful means to disseminate health information. This study aimed to increase antenatal heal...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-284

    authors: Lau YK,Cassidy T,Hacking D,Brittain K,Haricharan HJ,Heap M

    更新日期:2014-08-21 00:00:00

  • Factors associated with childbirth self-efficacy in Australian childbearing women.

    abstract:BACKGROUND:Childbirth confidence is an important marker of women's coping abilities during labour and birth. This study investigated socio-demographic, obstetric and psychological factors affecting self-efficacy in childbearing women. METHOD:This paper presents a secondary analysis of data collected as part of the BEL...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0465-8

    authors: Schwartz L,Toohill J,Creedy DK,Baird K,Gamble J,Fenwick J

    更新日期:2015-02-13 00:00:00

  • Normal fetal cardiac deformation values in pregnancy; a prospective cohort study protocol.

    abstract:BACKGROUND:Myocardial deformation imaging offers the potential to measure myocardial function. Remodelling, the change in size, shape and function, appears as a result of pressure or volume changes and is thought to be the first sign of fetal adaptation to placental dysfunction. Deformation can be measured using speckl...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2662-3

    authors: van Oostrum NHM,Oei SG,van Laar JOEH

    更新日期:2019-12-27 00:00:00

  • Obstetric analgesia for vaginal birth in contemporary obstetrics: a survey of the practice of obstetricians in Nigeria.

    abstract:BACKGROUND:Contemporary obstetrics in sub-Saharan Africa is yet to meet the analgesic needs of most women during child birth for a satisfactory birth experience and expectedly, obstetricians have a major role to play in achieving this. METHODS:This was a questionnaire-based, cross-sectional study of 151 obstetricians ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-140

    authors: Lawani LO,Eze JN,Anozie OB,Iyoke CA,Ekem NN

    更新日期:2014-04-12 00:00:00

  • Utilization of maternal health services among young women in Kenya: insights from the Kenya Demographic and Health Survey, 2003.

    abstract:BACKGROUND:Use of maternal health services is an effective means for reducing the risk of maternal morbidity and mortality, especially in places where the general health status of women is poor. This study was guided by the following objectives: 1) To determine the relationship between timing of first antenatal care (A...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-11-1

    authors: Ochako R,Fotso JC,Ikamari L,Khasakhala A

    更新日期:2011-01-10 00:00:00

  • The status of maternal and newborn health care services in Zanzibar.

    abstract:BACKGROUND:It is estimated that 287,000 women worldwide die annually from pregnancy and childbirth-related conditions, and 6.9 million under-five children die each year, of which about 3 million are newborns. Most of these deaths occur in sub-Saharan Africa. The maternal health situation in Tanzania mainland and Zanzib...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0928-6

    authors: Fakih B,Nofly AAS,Ali AO,Mkopi A,Hassan A,Ali AM,Ramsey K,Kabuteni TJ,Mbaruku G,Mrisho M

    更新日期:2016-06-03 00:00:00

  • Health workers' perceptions of facilitators of and barriers to institutional delivery in Tigray, Northern Ethiopia.

    abstract:BACKGROUND:Evidence shows that the three delays, delay in 1) deciding to seek medical care, 2) reaching health facilities and 3) receiving adequate obstetric care, are still contributing to maternal deaths in low-income countries. Ethiopia is a major contributor to the worldwide death toll of mothers with a maternal mo...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2393-14-137

    authors: Gebrehiwot T,San Sebastian M,Edin K,Goicolea I

    更新日期:2014-04-10 00:00:00

  • Assessing the quality of record keeping for cesarean deliveries: results from a multicenter retrospective record review in five low-income countries.

    abstract:BACKGROUND:Reliable, timely information is the foundation of decision making for functioning health systems; the quality of decision making rests on quality data. Routine monitoring, reporting, and review of cesarean section (CS) indications, decision-to-delivery intervals, and partograph use are important elements of ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2393-14-139

    authors: Landry E,Pett C,Fiorentino R,Ruminjo J,Mattison C

    更新日期:2014-04-12 00:00:00

  • Increasing uptake of influenza vaccine by pregnant women post H1N1 pandemic: a longitudinal study in Melbourne, Australia, 2010 to 2014.

    abstract:BACKGROUND:A Melbourne (Australia) university affiliated, tertiary obstetric hospital provides lay and professional education about influenza vaccine in pregnancy annually each March, early in the local influenza season. Responding to a 2011 survey of new mothers' opinions, the hospital made influenza vaccine freely av...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0486-3

    authors: McCarthy EA,Pollock WE,Tapper L,Sommerville M,McDonald S

    更新日期:2015-03-05 00:00:00

  • Retrospective analysis of the diagnostic yield of newborn drug testing.

    abstract:BACKGROUND:The objective of this study was to identify high-yield screening risk factors for detecting maternal non-medical drug use during pregnancy. METHODS:A four year retrospective analysis was conducted at an academic medical center. Detailed chart review of both the newborn and mother's medical record was perfor...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-250

    authors: Wood KE,Sinclair LL,Rysgaard CD,Strathmann FG,McMillin GA,Krasowski MD

    更新日期:2014-07-29 00:00:00

  • Fertility preservation with successful pregnancy outcome in a patient with transplanted heart and non-Hodgkin's lymphoma - a case report.

    abstract:BACKGROUND:Fertility preservation must be discussed with reproductive age women before cancer treatment. Heart transplantation raises complex issues in pregnancy. Pregnancy in a heart transplant woman after pelvic irradiation involves close multidisciplinary follow-up to avoid complications in the mother and the foetus...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2587-x

    authors: Pais AS,Guerra N,Couto D,Sousa AP,Almeida-Santos T

    更新日期:2019-11-19 00:00:00

  • A pragmatic cluster randomized clinical trial of diabetes prevention strategies for women with gestational diabetes: design and rationale of the Gestational Diabetes' Effects on Moms (GEM) study.

    abstract:BACKGROUND:Women with gestational diabetes (GDM) are at high risk of developing diabetes later in life. After a GDM diagnosis, women receive prenatal care to control their blood glucose levels via diet, physical activity and medications. Continuing such lifestyle skills into early motherhood may reduce the risk of diab...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1471-2393-14-21

    authors: Ferrara A,Hedderson MM,Albright CL,Brown SD,Ehrlich SF,Caan BJ,Sternfeld B,Gordon NP,Schmittdiel JA,Gunderson EP,Mevi AA,Tsai AL,Ching J,Crites Y,Quesenberry CP Jr

    更新日期:2014-01-15 00:00:00

  • "Midwives do not appreciate pregnant women who come to the maternity with torn and dirty clothing": institutional delivery and postnatal care in Torit County, South Sudan: a mixed method study.

    abstract:BACKGROUND:South Sudan has one of the highest maternal mortality ratios in the world, at 789 deaths per 100,000 live births. The majority of these deaths are due to complications during labor and delivery. Institutional delivery under the care of skilled attendants is a proven, effective intervention to avert some deat...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-02910-2

    authors: Bayo P,Belaid L,Tahir EO,Ochola E,Dimiti A,Greco D,Zarowsky C

    更新日期:2020-04-28 00:00:00

  • Normal fertilisation rates and serum 25-OHD levels among couples undergoing in-vitro fertilisation: a prospective cohort study.

    abstract:BACKGROUND:The aim of this study was to explore the correlation between serum vitamin D levels in couples undergoing in-vitro fertilisation (IVF) and normal fertilisation process. METHODS:Between March 2016 and March 2017, we performed a prospective cohort study at an academic reproductive medicine centre to measure s...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-02959-z

    authors: Jiang L,Yang J,Song J,Hu Y,Qian K

    更新日期:2020-06-05 00:00:00

  • Prenatal diagnosis of Wolf-Hirschhorn syndrome (4p-) in association with congenital hypospadias and foot deformity.

    abstract::BACKGROUND: Wolf-Hirschhorn syndrome is caused by distal deletion of the short arm of chromosome 4 (4p-). We report a case in which intrauterine growth restriction, hypospadias and foot deformity were detected by prenatal ultrasound examination at 29 weeks of gestation. CASE PRESENTATION: A 31-year-old gravida 2 partu...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-3-1

    authors: Aslan H,Karaca N,Basaran S,Ermis H,Ceylan Y

    更新日期:2003-01-24 00:00:00

  • Concurrent analysis of choice and control in childbirth.

    abstract:BACKGROUND:This paper reports original research on choice and control in childbirth. Eight women were interviewed as part of a wider investigation into locus of control in women with pre-labour rupture of membranes at term (PROM). METHODS:The following study uses concurrent analysis to sample and analyse narrative asp...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-11-40

    authors: Snowden A,Martin C,Jomeen J,Hollins Martin C

    更新日期:2011-06-01 00:00:00

  • Maternal characteristics and outcomes affected by hypothyroidism during pregnancy (maternal hypothyroidism on pregnancy outcomes, MHPO-1).

    abstract:BACKGROUND:Hypothyroidism in pregnancy is an arena of ongoing research, with international conflicts regarding screening, management, and outcomes. Various studies have described the outcomes depending on geographical and international diagnostic criteria. No study has been conducted in this regard from the region of P...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2596-9

    authors: Kiran Z,Sheikh A,Malik S,Meraj A,Masood M,Ismail S,Rashid MO,Shaikh Q,Majeed N,Sheikh L,Islam N

    更新日期:2019-12-05 00:00:00

  • Women's perspectives of the fetal fibronectin testing process: a qualitative descriptive study.

    abstract:BACKGROUND:In 2009 the Ontario Ministry of Health and Long Term Care funded the implementation of province-wide fetal fibronectin testing in Ontario hospitals. This paper reports results from the provincial evaluation that sought to describe the experience of fetal fibronectin testing from the perspective of women with...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-190

    authors: Peterson WE,Sprague AE,Reszel J,Walker M,Fell DB,Perkins SL,Dunn SI,Johnson M

    更新日期:2014-06-04 00:00:00

  • Assisted reproductive technology and the risk of preeclampsia: an updated systematic review and meta-analysis.

    abstract:BACKGROUND:The objective of this systematic review and meta-analyses was to assess the risk of preeclampsia among women who conceived with assisted reproductive technology (ART). METHODS:We searched the ISI Web of Knowledge, Medline/PubMed, Scopus, and Embase (from inception to May 2017) for English language articles ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,meta分析

    doi:10.1186/s12884-019-2291-x

    authors: Almasi-Hashiani A,Omani-Samani R,Mohammadi M,Amini P,Navid B,Alizadeh A,Khedmati Morasae E,Maroufizadeh S

    更新日期:2019-05-02 00:00:00

  • Vasoactive agents for the prediction of early- and late-onset preeclampsia in a high-risk cohort.

    abstract:BACKGROUND:To evaluate the soluble fms-like tyrosine kinase-1 (sFlt-1), placental growth factor (PlGF), and sFlt-1/PlGF ratio for the prediction of early- and late-onset preeclampsia in a high-risk cohort. METHODS:We studied serial serum samples collected prospectively at 12+0-14+0, 18+0-20+0, and 26+0-28+0 weeks+days...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-110

    authors: Villa PM,Hämäläinen E,Mäki A,Räikkönen K,Pesonen AK,Taipale P,Kajantie E,Laivuori H

    更新日期:2013-05-12 00:00:00

  • Birth outcomes in a Swedish population of women reporting a history of violence including domestic violence during pregnancy: a longitudinal cohort study.

    abstract:BACKGROUND:Victimisation of women is encountered in all countries across the world, it damages the mental and physical health of women. During pregnancy and the postpartum period, women are at a greater risk of experiencing violence from an intimate partner. The aim of this study was to explore childbirth outcomes in a...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-02864-5

    authors: Finnbogadóttir H,Baird K,Thies-Lagergren L

    更新日期:2020-03-26 00:00:00

  • Why do patients decline amniocentesis? Analysis of factors influencing the decision to refuse invasive prenatal testing.

    abstract:BACKGROUND:In recent years, determination of personalized risk for fetal chromosomal anomalies emerged as an important component of prenatal genetic counseling. Women in whom fetal risk for chromosomal aberrations is elevated are offered further testing. The aim of this study was to identify factors that may influence ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-1812-3

    authors: Sadlecki P,Grabiec M,Walentowicz P,Walentowicz-Sadlecka M

    更新日期:2018-05-16 00:00:00

  • Effects of high volume saline enemas vs no enema during labour--The N-Ma Randomised Controlled Trial [ISRCTN43153145].

    abstract:BACKGROUND:Enemas are used during labour in obstetric settings with the belief that they reduce puerperal and neonatal infections, shorten labour duration, and make delivery cleaner for attending personnel. However, a systematic review of the literature found insufficient evidence to support the use of enemas. The obje...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-6-8

    authors: Cuervo LG,Bernal Mdel P,Mendoza N

    更新日期:2006-03-19 00:00:00

  • Understanding the implementation of maternity waiting homes in low- and middle-income countries: a qualitative thematic synthesis.

    abstract:BACKGROUND:Maternity waiting homes (MWHs) are accommodations located near a health facility where women can stay towards the end of pregnancy and/or after birth to enable timely access to essential childbirth care or care for complications. Although MWHs have been implemented for over four decades, different operationa...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1444-z

    authors: Penn-Kekana L,Pereira S,Hussein J,Bontogon H,Chersich M,Munjanja S,Portela A

    更新日期:2017-08-31 00:00:00

  • Working for patient safety: a qualitative study of women's help-seeking during acute perinatal events.

    abstract:BACKGROUND:Women and their relatives can play an important role in early detection and help seeking for acute perinatal events. Recent UK reports indicate that patient-professional partnership in 'working for safety' can be difficult to achieve in practice, sometimes with catastrophic consequences. This research explor...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1401-x

    authors: Mackintosh N,Rance S,Carter W,Sandall J

    更新日期:2017-07-17 00:00:00

  • Is minimally invasive parathyroid surgery an option for patients with gestational primary hyperparathyroidism?

    abstract:BACKGROUND:Gestational primary hyperparathyroidism is associated with serious maternal and neonatal complications, which require prompt surgical treatment. Minimally invasive parathyroidectomy reduces pain, improves cosmesis and may achieve cure rates comparable to traditional open bilateral neck exploration. We report...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-130

    authors: Bendinelli C,Nebauer S,Quach T,Mcgrath S,Acharya S

    更新日期:2013-06-11 00:00:00

  • Predictors of uterine rupture in a large sample of women in Senegal and Mali: cross-sectional analysis of QUARITE trial data.

    abstract:BACKGROUND:The purpose of this study was to investigate predictors of uterine rupture in a large sample of sub-Saharan African women. Uterine rupture is rare in high-income countries, but it is more common in low-income settings where health systems are often under-resourced. However, understanding of risk factors cont...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12884-018-2064-y

    authors: Delafield R,Pirkle CM,Dumont A

    更新日期:2018-11-01 00:00:00