PMID- 24726618 OWN - NLM STAT- MEDLINE DCOM- 20150112 LR - 20181202 IS - 1879-3479 (Electronic) IS - 0020-7292 (Linking) VI - 125 IP - 3 DP - 2014 Jun TI - Risk factors for repeat abortion and implications for addressing unintended pregnancy in Vietnam. PG - 241-6 LID - S0020-7292(14)00109-X [pii] LID - 10.1016/j.ijgo.2013.11.014 [doi] AB - OBJECTIVE: To determine predictors of repeat abortion in 3 provinces in Vietnam. METHODS: In a cross-sectional study between August and December 2011, women who underwent abortion were interviewed after the procedure in 62 public health facilities in Hanoi, Khanh Hoa, and Ho Chi Minh City (HCMC). Information on sociodemographic factors, contraceptive and reproductive history and intentions, and opinions and experience of abortion services was collected. The primary outcome was repeat (>/=2) abortions. RESULTS: Overall, 1224 women were interviewed: 534 from Hanoi, 163 from Khanh Hoa, and 527 from HCMC. The mean age and parity of the respondents were 29 years and 1.8, respectively, and 79.6% were married. Approximately half of the respondents were not using contraception before pregnancy. The prevalence of repeat abortion was 31.7%. In multivariate models, significant predictors of repeat abortion included living in Hanoi, higher parity, age 35 years or older, and having 2 or more daughters (versus 1) or no sons (versus 1) after controlling for parity (all P < 0.05). CONCLUSION: Repeat abortion remains high in Vietnam, fueled partly by inadequate contraceptive use. Son preference seems to be an important predictor of repeat abortion. Strengthening post-abortion contraceptive counseling and promoting long-acting contraceptive methods are essential to reduce repeat abortion. CI - Copyright (c) 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. FAU - Ngo, Thoai D AU - Ngo TD AD - Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK; Research, Monitoring and Evaluation Team, Health System Department, Marie Stopes International, London, UK. Electronic address: thoai.ngo@mariestopes.org. FAU - Keogh, Sarah AU - Keogh S AD - Research, Monitoring and Evaluation Team, Health System Department, Marie Stopes International, London, UK. FAU - Nguyen, Thang H AU - Nguyen TH AD - Research and Metrics Team, Marie Stopes International Vietnam, Hanoi, Vietnam. FAU - Le, Hoan T AU - Le HT AD - Department of Environmental Health, Hanoi Medical University, Hanoi, Vietnam. FAU - Pham, Kiet H T AU - Pham KH AD - Department of Health Economics, Hanoi Medical University, Hanoi, Vietnam. FAU - Nguyen, Yen B T AU - Nguyen YB AD - Department of Health Economics, Hanoi Medical University, Hanoi, Vietnam. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140305 PL - United States TA - Int J Gynaecol Obstet JT - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JID - 0210174 SB - IM MH - Abortion, Induced/*statistics & numerical data MH - Adolescent MH - Adult MH - Age Factors MH - Contraception/*statistics & numerical data MH - Counseling MH - Cross-Sectional Studies MH - Data Collection MH - Family Planning Services/methods MH - Female MH - Humans MH - Multivariate Analysis MH - Parity MH - Pregnancy MH - *Pregnancy, Unplanned MH - Prevalence MH - Risk Factors MH - Vietnam MH - Young Adult OTO - NOTNLM OT - Post-abortion family planning OT - Repeat abortion OT - Reproductive health OT - Sex imbalance OT - Unmet need OT - Vietnam EDAT- 2014/04/15 06:00 MHDA- 2015/01/13 06:00 CRDT- 2014/04/15 06:00 PHST- 2013/07/19 00:00 [received] PHST- 2013/11/01 00:00 [revised] PHST- 2014/02/25 00:00 [accepted] PHST- 2014/04/15 06:00 [entrez] PHST- 2014/04/15 06:00 [pubmed] PHST- 2015/01/13 06:00 [medline] AID - S0020-7292(14)00109-X [pii] AID - 10.1016/j.ijgo.2013.11.014 [doi] PST - ppublish SO - Int J Gynaecol Obstet. 2014 Jun;125(3):241-6. doi: 10.1016/j.ijgo.2013.11.014. Epub 2014 Mar 5.