Prevalence and determinants of repeat induced abortion in Ethiopia: A systematic review and meta-analysis

Kenbon Seyoum; Sheleme Mengistu

doi:10.1016/j.heliyon.2023.e20277

Prevalence and determinants of repeat induced abortion in Ethiopia: A systematic review and meta-analysis

Heliyon. 2023 Sep 22;9(10):e20277. doi: 10.1016/j.heliyon.2023.e20277. eCollection 2023 Oct.

Authors

Kenbon Seyoum¹, Sheleme Mengistu¹

Affiliation

¹ Department of Midwifery, Goba General Hospital, School of Health Science, Madda Walabu University, P.O.box: 247, Bale Robe, Goba, Ethiopia.

Abstract

Introduction: Repeat-induced abortion is the termination of pregnancy for more than one time using drugs or surgical intervention before the fetus reaches the age of viability. This study aimed to estimate the pooled prevalence of repeat-induced abortion and its determinants among women in Ethiopia.

Materials and methods: PubMed, HINARI and Google Scholar were systematically searched for eligible studies. A random effect model was used to estimate the pooled prevalence. The Cochrane Q-statistics and I² tests were used to assess heterogeneity between included studies.

Results: The estimated pooled prevalence of repeat-induced abortion was 30.89% (95% CI: 28.88-32.91). Alcohol consumption (POR = 3.60, 95%CI: 2.26-5.74), assuming the procedure painless (POR = 2.79, 95%CI: 1.77-4.39), no fertility awareness (POR = 3.45, 95% CI: 1.05-11.36), and women with multiple sexual partners (POR = 4.31, 95% CI: 3.36-5.53) were significantly associated with repeat-induced abortion.

Conclusion: The study revealed that about one in ten women who had a history of abortion experienced repeat-induced abortion. Alcohol consumption, no fertility awareness, assuming the procedure is painless, and having multiple sexual partners were significantly associated with repeat-induced abortion.

Keywords: Ethiopia; Induced abortion; Meta-analysis; Prevalence; Repeat; Systematic-review.