摘要
Purpose:Aim of the survey was to analyze the prevalence of unintended pregnancies,induced abortions and their association with determinants e.g.contraception,emer-gency contraception(EC),and socio -demographic data in Germanwomen.Material and Method s:A German ver-sion of a modified questionnaire on c ontraception designed by the European Group of Contracepti on was applied.Anonymized data sheets encompassin g 1217women aged15-45years recruited from gynaecological services in D¨usseldorf and Regensburg were analy zed usingχ2-test and age -adjusted logistic regression a nalysis.Results:51%of first pregnancies were unplanned and 37%of all preg-nancies were unwanted.Induced abortion of this subgroup was observed in 35%and 55%,resp.Overall,7.9%of all participants reported at least o ne abortion resulting in193abortions per 1000births.There was a clear age -dependent correlation with 1.4%abortions among women aged 15-19and 21.1%among those aged40-45years.This corresponds to 0.5and 1.0abortion per 100fertile years,resp.EC was applied at least o nce by 19%of all participants.EC was significantly more frequently used by women with unintended pregnancies(26%)or abortions(28%)as compared to the other participant s(14%and19%,resp.;p <0.01).The amount of contraceptive means ever used could be identified a s an important indi-cator for a history of induced aborti on and EC,resp.(oddsratio95%confidence interval:3.51.8-6.9and10.46.5-16.,resp.).Occupation,marital status,level of urbanisation and religious affiliation were identified as further determinants.Conclusio n:Women with in-creased risk for abortions and EC can be more selectively identified by their lifetime pattern of contraception and so-ciodemographic data.Medical atten dance and devices for women of increased risk should in particular focus on the necessity to use an effective contra ceptive and the im-provement of patients’compliance.
Purpose:Aim of the survey was to analyze the prevalence of unintended pregnancies,induced abortions and their association with determinants e.g.contraception,emer-gency contraception(EC),and socio -demographic data in Germanwomen.Material and Method s:A German ver-sion of a modified questionnaire on c ontraception designed by the European Group of Contracepti on was applied.Anonymized data sheets encompassin g 1217women aged15-45years recruited from gynaecological services in D¨usseldorf and Regensburg were analy zed usingχ2-test and age -adjusted logistic regression a nalysis.Results:51%of first pregnancies were unplanned and 37%of all preg-nancies were unwanted.Induced abortion of this subgroup was observed in 35%and 55%,resp.Overall,7.9%of all participants reported at least o ne abortion resulting in193abortions per 1000births.There was a clear age -dependent correlation with 1.4%abortions among women aged 15-19and 21.1%among those aged40-45years.This corresponds to 0.5and 1.0abortion per 100fertile years,resp.EC was applied at least o nce by 19%of all participants.EC was significantly more frequently used by women with unintended pregnancies(26%)or abortions(28%)as compared to the other participant s(14%and19%,resp.;p <0.01).The amount of contraceptive means ever used could be identified a s an important indi-cator for a history of induced aborti on and EC,resp.(oddsratio95%confidence interval:3.51.8-6.9and10.46.5-16.,resp.).Occupation,marital status,level of urbanisation and religious affiliation were identified as further determinants.Conclusio n:Women with in-creased risk for abortions and EC can be more selectively identified by their lifetime pattern of contraception and so-ciodemographic data.Medical atten dance and devices for women of increased risk should in particular focus on the necessity to use an effective contra ceptive and the im-provement of patients'compliance.
