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Multiple induced abortions–implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden
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2023 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 28, no 2, p. 119-124Article in journal (Refereed) Published
Abstract [en]

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. 

Place, publisher, year, edition, pages
2023. Vol. 28, no 2, p. 119-124
Keywords [en]
Comprehensive abortion care, multiple abortion, repeat abortion
National Category
Gynaecology, Obstetrics and Reproductive Medicine
Identifiers
URN: urn:nbn:se:miun:diva-47786DOI: 10.1080/13625187.2023.2178257ISI: 000934310900001PubMedID: 36803482Scopus ID: 2-s2.0-85148613837OAI: oai:DiVA.org:miun-47786DiVA, id: diva2:1742927
Available from: 2023-03-13 Created: 2023-03-13 Last updated: 2025-09-25Bibliographically approved

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Makenzius, Marlene

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