Who are the minors seeking an abortion for an unplanned pregnancy? A French observational study

J Gynecol Obstet Hum Reprod. 2019 Oct;48(8):643-647. doi: 10.1016/j.jogoh.2019.04.005. Epub 2019 Apr 20.

Abstract

Aim: To investigate the demographic, social, familial environmental and medical characteristics of women under 18 years having recourse to elective abortion (EA).

Methods: cross-sectional observational study from 01/02/2015 to 01/02/2016.

Results: 2626 EA were performed during study period and 210 (8%) minor women were identified. 90 (43%) were included. Mean patient age was 16 (15.5;17.0) years. Among them, 58 (65%) had been in a relationship >6 months. Parents of minor was separated in 48% of cases. Gestational age mean at pre-abortion consultation was 48.0(+/-8.4) and 45 (50%) had no contraception before EA. It was her own choice for 85 (93%) minors and main motivation for asking EA was "young age" or "studies". Minors was accompanied by mother in 47% of cases.

Conclusion: Women under 18 with unplanned pregnancies are more likely to come from single-parent families, have a shorter schooling, and a worse relationship with their parents. Although the decision was often taken on their own, the role of the accompanying adult seems to be crucial for teenagers. Their partner is also a source of support. Sexual education is still important to enhance knowledge about the law and the accessibility to EA.

Keywords: Elective abortion; Induced abortion; Minor; Teenager; Unplanned pregnancy.

Publication types

  • Observational Study

MeSH terms

  • Abortion, Induced / psychology
  • Abortion, Induced / statistics & numerical data*
  • Adolescent
  • Adolescent Behavior / physiology
  • Cross-Sectional Studies
  • Decision Making
  • Female
  • France / epidemiology
  • Humans
  • Minors / psychology
  • Minors / statistics & numerical data*
  • Motivation
  • Parent-Child Relations
  • Parental Notification
  • Parents
  • Pregnancy
  • Pregnancy in Adolescence / psychology
  • Pregnancy in Adolescence / statistics & numerical data*
  • Pregnancy, Unplanned*
  • Sexual Behavior / physiology