Multiple induced abortions - implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-04-01 DOI:10.1080/13625187.2023.2178257

Cerisa Obern, Maria Ekstrand Ragnar, Tanja Tydén, Margareta Larsson, Jenny Niemeyer Hultstrand, Kristina Gemzell-Danielsson, Inger Sundström-Poromaa, Marlene Makenzius

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引用次数: 2

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 = 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.

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多次人工流产——瑞典多中心横断面研究对咨询和避孕服务的影响。

目的:探讨多次人工流产的相关因素。材料和方法:2021年在瑞典对寻求堕胎的妇女(n = 623;14-47岁)进行多中心横断面调查。“多次流产”定义为两次以上人工流产。将这组妇女与有0-1次人工流产经验的妇女进行比较。进行回归分析以确定与多次流产相关的独立因素。结果:67.4% (n = 420)报告有0-1次流产的经历，25.8% (n = 161)报告有≥2次流产的经历(42名妇女选择不回应)。多个因素与多次流产相关，但在回归模型中调整后，以下因素仍然存在;产次≥1 (OR = 2.96, 95%CI[1.63, 5.39])、受教育程度低(OR = 2.40, 95%CI[1.40, 4.09])、吸烟(OR = 2.50, 95%CI[1.54, 4.07])和去年遭受暴力(OR = 2.37, 95%CI[1.06, 5.29])。与流产次数≥2次的妇女(n = 27/161)相比，流产次数为0-1次的妇女(n = 109/420)认为自己在受孕时无法怀孕的人数更多，p= 0.038。与0-1次流产的妇女(n = 131/420)相比，作为避孕副作用的情绪波动在流产2次以上的妇女(n = 65/161)中更为常见，p= 0.034。结论:多次流产与易损性有关。瑞典提供高质量和可获得的全面堕胎护理;但是，必须改进咨询，以实现遵守避孕措施，并查明和处理家庭暴力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.