What is it about?

Pregnancy termination is considered to have adverse effects on women’s health and to have created financial, economic, and social problems in their lives. This study aimed to identify factors associated with pregnancy termination in Sri Lanka. The study used 2016 Sri Lanka Demographic and Health Survey (DHS) data of 16,323 ever-married women aged 15–49. A binary logistic random intercept multilevel model was fitted to find the association between pregnancy termination and the predictor variables in this study.

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Why is it important?

The study found that around 16% of Sri Lankan women undergo a pregnancy termination. Certain factors were linked to higher chances of pregnancy termination: as women got older, the likelihood increased. Overweight or obese women were more likely to undergo a pregnancy termination compared to those with a normal weight. However, as the number of children a woman had increased, the likelihood of termination decreased. Women who used contraceptives had a higher chance of pregnancy termination compared to those who didn't. Cohabiting and working women also had higher odds of termination. Women who experienced domestic violence were more likely to have terminated pregnancies. Interestingly, women from certain provinces and urban areas were less likely to have terminated pregnancies compared to others. Additionally, women living in households where indoor smoking was allowed were more likely to undergo a terminated pregnancy compared to those in non-smoking households.

Perspectives

These results underscore the complexity of the issue and highlight the need for multifaceted interventions addressing not only healthcare access but also broader social determinants of health. By emphasizing the importance of education, family planning services, and policies addressing domestic violence, our study aimed to contribute to the development of evidence-based strategies aimed at reducing pregnancy termination rates and promoting women's reproductive health and rights in Sri Lanka.

Anupama Thabrew
Sri Lanka Technological Campus

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This page is a summary of: Factors associated with terminated pregnancies in Sri Lanka: A case study of the Sri Lankan Demographic and health survey (DHS) 2016, PLoS ONE, February 2024, PLOS,
DOI: 10.1371/journal.pone.0298639.
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