title: Repeat induced abortions in Georgia, characteristics of women with multiple pregnancy terminations: secondary analysis of the Reproductive Health Survey 2010.
abstract: OBJECTIVE
  To examine the multi-faceted characteristics of women with repeat induced abortions and assess post-abortion family planning service provision in Georgia.
  
  
  METHODS
  We performed secondary analysis of the data from the Georgian Reproductive Health Survey 2010. A logistic regression model was used to assess the socio-demographic and behavioral factors, contraceptive practices in relation to repeat induced abortions for 2203 women of reproductive age with at least one induced abortion. The Chi-Square test was used to evaluate provision of post-abortion family planning services.
  
  
  RESULTS
  Among the targeted women, 70% (n=1539) had repeat induced abortions. The odds of terminating pregnancy raised exponentially with age (OR 3.12, 95% CI: 2.11-4.61), number of complete pregnancies (3 vs. 0-1 complete pregnancies: OR 3.25, 95% CI: 2.36-4.48) and lower education (OR 1.38, 95% CI: 1.10-1.73). The current use of contraception had a protective effect on the occurrence of repeat induced abortions (OR 0.69, 95% CI: 0.53-0.89 for modern and OR 0.68, 95% CI: 0.50-0.92 for traditional methods). The contraceptive counseling and family planning method was provided only to 32% and 6% of post-abortion women, respectively before discharge from the clinic. Repeat induced abortions were found to be significantly more common (P<0.05) among women who did not receive any post-abortion contraceptive at the site of care (n=1627/1929) compared to those who left the abortion facility with family planning method (n=94/125).
  
  
  CONCLUSIONS
  Low education, higher age, high parity and non-usage of contraceptives carry an increased risk of repeat induced abortions. Post-abortion family planning service delivery is limited in Georgia. Mandating provision of universal post-abortion contraception at the sites of care has a potential to reduce repeat induced abortions and should become a standard of practice for all clinics providing abortion services in Georgia.
authors: Institute of Clinical Medicine, Rikshospitalet, Division of Women and Children, University of Oslo, Sognsvannsveien 20, 0372 Oslo, Norway. Electronic address: ekapestvenidze@gmail.com.
authors: Ekaterine
authors: E
authors: Pestvenidze
authors: Institute of Clinical Medicine, Rikshospitalet, Division of Women and Children, University of Oslo, Sognsvannsveien 20, 0372 Oslo, Norway.
authors: Nino
authors: N
authors: Berdzuli
authors: Institute of Clinical Medicine, Rikshospitalet, Division of Women and Children, University of Oslo, Sognsvannsveien 20, 0372 Oslo, Norway.
authors: Nino
authors: N
authors: Lomia
authors: David Tvildiani Medical University, Department of Obstetrics and Gynecology, 2/6 Liubliana Str., 0159 Tbilisi, Georgia.
authors: Tinatin
authors: T
authors: Gagua
authors: The Michener Institute for Applied Health Sciences, University Health Network, 222 St. Patrick St., Toronto, ON M5T 1V4, Canada.
authors: Lia
authors: L
authors: Umikashvili
authors: Institute of Clinical Medicine, Rikshospitalet, Division of Women and Children, University of Oslo, Sognsvannsveien 20, 0372 Oslo, Norway.
authors: Babill
authors: B
authors: Stray-Pedersen
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003267:Contraception / Q000379:methods*; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D004522:Educational Status; D005193:Family Planning Services; D005260:Female; D005846:Georgia (Republic); D006306:Health Surveys; D006801:Humans; D010298:Parity; D011247:Pregnancy; D060728:Reproductive Health; D012736:Sex Education; D055815:Young Adult
keywords: Post-abortion family planning; Repeat induced abortion