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Reported patterns of pregnancy termination from Demographic and Health Surveys

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  • David A Sánchez-Páez
  • José Antonio Ortega

Abstract

Introduction: Demographic and Health Surveys, widely used for estimation of fertility and reproductive health indicators in developing countries, remain underutilized for the study of pregnancy termination. This is partly due to most surveys not reporting the type of pregnancy termination, whether spontaneous or induced. Reproductive calendar data makes it possible to examine termination patterns according to contraceptive use at the time of pregnancy. Contraceptive failure is expected to increase the likelihood of induced abortion helping in the interpretation of reported termination patterns. Materials and methods: We use individual-level calendar data regarding 623,966 pregnancies to analyze levels and differentials in reported patterns of pregnancy termination by age, union status, and contraceptive use in 107 DHS surveys from 50 countries. From the estimates of the probability of pregnancy termination, we compute derived reproductive health indicators providing an assessment of what is driving the differences by comparison to the few surveys reporting the type of pregnancy termination. Results: From our estimates, 10.9% of pregnancies do not end in live-birth and 63.7% of them are spontaneous terminations. Reported pregnancy termination is higher among women using contraceptives, consistent with expectations. Very low levels of reported PT in some countries, particularly in sub-Saharan Africa, suggests possible underreporting. Differential patterns emerging from cluster analysis and regional rates indicate high rates of pregnancy termination driven by induced abortion in countries from the Former Soviet Union and Asian countries with liberal laws. Most countries with restrictive abortion laws have low levels of reported termination. While the probabilities of pregnancy termination are higher at older ages, termination rates generally peak at younger ages due to higher conception rates. Discussion: This is the first large comparative study of the patterns of reported pregnancy termination in DHS surveys. While we have explored the extent to which differences arise from spontaneous terminations or induced abortion, more research is needed regarding the determinants of reported pregnancy termination.

Suggested Citation

  • David A Sánchez-Páez & José Antonio Ortega, 2019. "Reported patterns of pregnancy termination from Demographic and Health Surveys," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-25, August.
    • Handle: RePEc:plo:pone00:0221178
    DOI: 10.1371/journal.pone.0221178
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    1. Yong Cai & Wang Feng, 2005. "Famine, social disruption, and involuntary fetal loss: Evidence from chinese survey data," Demography, Springer;Population Association of America (PAA), vol. 42(2), pages 301-322, May.
    2. Lê, Sébastien & Josse, Julie & Husson, François, 2008. "FactoMineR: An R Package for Multivariate Analysis," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 25(i01).
    3. Grant Miller & Christine Valente, 2016. "Population Policy: Abortion and Modern Contraception Are Substitutes," Demography, Springer;Population Association of America (PAA), vol. 53(4), pages 979-1009, August.
    4. R. Potter & K. Ford & B. Moots, 1975. "Competition between spontaneous and induced abortion," Demography, Springer;Population Association of America (PAA), vol. 12(1), pages 129-141, February.
    5. John Bongaarts & John B. Casterline, 2018. "From Fertility Preferences to Reproductive Outcomes in the Developing World," Population and Development Review, The Population Council, Inc., vol. 44(4), pages 793-809, December.
    6. John Bongaarts, 2015. "Modeling the fertility impact of the proximate determinants: Time for a tune-up," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 33(19), pages 535-560.
    7. repec:cai:poeine:pope_403_0439 is not listed on IDEAS
    8. Grant Miller and Christine Valente, 2016. "Population Policy: Abortion and Modern Contraception are Substitutes - Working Paper 426," Working Papers 426, Center for Global Development.
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