Introduction: Repeat induced abortions constitute 31.3% of all induced abortions. Three in ten induced abortions are carried out on students. The aim of this study was to identify the factors associated with repeat induced abortions among students at two public universities in Cameroon. Methods: A case-control study was conducted. The cases involved students who had undergone two or more induced abortions, while the controls comprised students with one induced abortion. These data were analysed using SPSS software version 23.0. Bivariate analysis was followed by multivariate logistic regression analysis. Results: We identified a total of 60 cases and matched them with 60 controls. The significant factors influencing the repetition of induced abortions were: recourse to the previous abortion ≥ 3 years (P = 0.0001; OR 12.65 [5.24 - 30.5]); pressure from the environment (P = 0.032; OR 3.30 [1.11 - 9.99]); unstable situation of the couple (P = 0.012; OR 4.20 [1.37 - 12.91]); and the absence of psychological support after the previous abortion (P = 0.033; OR 3.28 [0.01 - 9.78]). Conclusion: A delay of three years or more between two abortions, coupled with a lack of psychological and family support, increases the risk of repeat induced abortion.
References
[1]
Binayew, M., Sisay W/Tsadik, D., Tesfaye, T., Endashaw Hareru, H., Ali Ewune, H., Assefa, G., et al. (2022) Determinants of Repeated Induced Abortion among Reproductive Age Group Women Visiting Health Facilities of Sidama Regional State, Ethiopia, 2020: Facility Based Unmatched Case-Control Study. ClinicalEpidemiologyandGlobalHealth, 16, Article 101079. https://doi.org/10.1016/j.cegh.2022.101079
[2]
Haile, T.G., Abraha, T.H., Gebremeskel, G.G., Zereabruk, K., Welu, T.H., Grum, T., et al. (2024) Induced Abortion in Africa: A Systematic Review and Meta-Analysis. PLOS ONE, 19, e0302824. https://doi.org/10.1371/journal.pone.0302824
[3]
Bongfen, M.C. and Bessem Abanem, E.E. (2019) Abortion Practices among Women in Buéa: A Socio-Legal Investigation. Pan African Medical Journal, 32, Article 146. https://doi.org/10.11604/pamj.2019.32.146.17732
[4]
World Health Organization (2011) Unsafe Abortion: Global and Regional Estimates of Incidence of Unsafe Abortion and Associated Mortality in 2008. https://iris.who.int/handle/10665/44529
[5]
World Health Organization (WHO) (2022) Abortion Care Guideline: Summary of Guidance [Abortion Care Guideline: Executive Summary]. World Health Organization.
[6]
Waktola, M.I., Mekonen, D.G., Nigussie, T.S., Cherkose, E.A. and Abate, A.T. (2020) Repeat Induced Abortion and Associated Factors among Women Seeking Abortion Care Services at Debre Markos Town Health Institutions, Amhara Regional State, Ethiopia, 2017. BMCResearchNotes, 13, Article No. 44. https://doi.org/10.1186/s13104-020-4904-x
[7]
Kamga, D.V.T., Nana, P.N., Fouelifack, F.Y. and Fouedjio, J.H. (2017) Contribution of Abortions and Ectopic Pregnancies to Maternal Mortality in Three University Hospitals in Yaoundé. The Pan African Medical Journal, 27, Article 248. https://www.panafrican-med-journal.com//content/article/27/248/full
[8]
Ngo Mayack, J. (2022) Women’s Views on Abortion Legislation in the City of Yaoundé. The Pan African Medical Journal, 43, Article 88. https://www.panafrican-med-journal.com/content/article/43/88/full.
[9]
National Institute of Statistics (INS) and ICF (2020) Cameroon Demographic and Health Survey 2018. INS and ICF.
[10]
Nkwabong, E., Bechem, E. and Fomulu, J.N. Outcome of clandestine abortions in two University Teaching Hospitals in Yaoundé, Cameroon. Health Sciences and Disease, 15, 1-4. https://www.hsd-fmsb.org/index.php/hsd/article/view/286
[11]
Tchoffo, F.M.B., Konlack Mekontso, J.G., Bena Nnang, J.Y., et al. (2024) A Multicentric Cross-Sectional Study Investigating the Profile and Motivations of Women Seeking Unsafe Abortions in Yaoundé, Cameroon. Cureus, 16, e74732.
[12]
Seyoum, K. and Mengistu, S. (2023) Prevalence and Determinants of Repeat Induced Abortion in Ethiopia: A Systematic Review and Meta-Analysis. Heliyon, 9, e20277. https://doi.org/10.1016/j.heliyon.2023.e20277
[13]
Li, C., Gao, J. and Liu, J. (2021) Repeat Abortion and Associated Factors among Women Seeking Abortion Services in Northwestern China: A Cross-Sectional Study. BMCPublicHealth, 21, Article No. 1626. https://doi.org/10.1186/s12889-021-11653-4
[14]
Sahile, A.T. and Beyene, M.S. (2020) Magnitude of Induced Abortion and Associated Factors among Female Students of Hawassa University, Southern Region, Ethiopia, 2019. Journal of Pregnancy, 2020, 1-6. https://doi.org/10.1155/2020/2856502
[15]
Kayi, E.A., Biney, A.A.E., Dodoo, N.D., Ofori, C.A.E. and Dodoo, F.N. (2021) Women’s Post-Abortion Contraceptive Use: Are Predictors the Same for Immediate and Future Uptake of Contraception? Evidence from Ghana. PLOS ONE, 16, e0261005. https://doi.org/10.1371/journal.pone.0261005
[16]
Kabiru, C.W., Ushie, B.A., Mutua, M.M. and Izugbara, C.O. (2016) Previous Induced Abortion among Young Women Seeking Abortion-Related Care in Kenya: A Cross-Sectional Analysis. BMCPregnancyandChildbirth, 16, Article No. 104. https://doi.org/10.1186/s12884-016-0894-z
[17]
Zia, Y., Mugo, N., Ngure, K., Odoyo, J., Casmir, E., Ayiera, E., et al. (2021) Psychosocial Experiences of Adolescent Girls and Young Women Subsequent to an Abortion in Sub-Saharan Africa and Globally: A Systematic Review. FrontiersinReproductiveHealth, 3, Article 638013. https://doi.org/10.3389/frph.2021.638013
[18]
Fenta, S.M., Fenta, H.M., Yilema, S.A., Mekie, M., Belay, D.B., Mekonin, A.W., et al. (2025) Pooled Prevalence of Induced Abortion and Associated Factors among Reproductive Age Women in Sub-Saharan Africa: A Bayesian Multilevel Approach. ArchivesofPublicHealth, 83, Article No. 159. https://doi.org/10.1186/s13690-025-01656-7
[19]
Abate, E., Smith, Y.R., Kindie, W., Girma, A. and Girma, Y. (2020) Prevalence and Determinants of Post-Abortion Family Planning Utilization in a Tertiary Hospital of Northwest Ethiopia: A Cross-Sectional Study. ContraceptionandReproductiveMedicine, 5, Article No. 39. https://doi.org/10.1186/s40834-020-00143-4
[20]
Ngowa, J.D.K., Neng, H.T., Domgue, J.F., Nsahlai, C.J. and Kasia, J.M. (2015) Voluntary Induced Abortion in Cameroon: Prevalence, Reasons, and Complications. OpenJournalofObstetricsandGynecology, 5, 475-480. https://doi.org/10.4236/ojog.2015.59069
[21]
Okyere, J., Kyei-Arthur, F., Agyekum, M.W., Agbadi, P. and Yeboah, I. (2024) Induced Abortion among Adolescent Girls and Young Women: Should Geography Matter in Ghana? Humanities and Social Sciences Communications, 11, Article No. 729. https://doi.org/10.1057/s41599-024-03252-6
[22]
Rodrigues-Martins, D., Lebre, A., Santos, J. and Braga, J. (2020) Association between Contraceptive Method Chosen after Induced Abortion and Incidence of Repeat Abortion in Northern Portugal. The European Journal of Contraception & Reproductive Health Care, 25, 259-263. https://doi.org/10.1080/13625187.2020.1764527
