Predictive model of repeat induced abortion in Hungary

BACKGROUND: Contraceptive and sociodemographic risks of repeat induced abortion have not yet been interpreted in Central Eastern Europe. METHODS: A consecutive series of women requesting initial (n=647) or repeat (n=553) artifi cial abortion were surveyed by means of a questionnaire at a Hungarian university teaching hospital in Szeged, in 2005 and 2006. Self-reported demographic characteristics, attitudes and habits regarding contraceptives were assessed as potential correlates of repeat induced abortion in multivariate logistic regression. RESULTS: Reliable contraceptive methods were applied slightly less frequently in case of repeat versus fi rst abortion seekers (21.0% vs. 20.1%, P=0.72, [odds ratio (OR) = 1.06, 95% confi dence interval (CI): 0.80-1.40]). Adjusted odds ratios (AORs) for undergoing repeat versus fi rst abortion increased signifi cantly with age (1.10, 95% confi dence interval [CI] 1.07-1.14), more children (AOR: 2.66, 95% CI: 1.57-4.50), secondary education compared to the tertiary level (AOR: 1.15, 95% CI: 1.08-1.30). A better knowledge of the fertile period of the menstrual cycle was present among women who had had previous abortion (AOR=2.05, 95% CI 1.37-3.05). CONCLUSIONS: Attitude improvement towards modern contraception and promotion of knowledge of correct use of contraceptives among women with reproductive ages may lead to the prevention of recurrent abortion more effectively. EC: emergency contraceptive pill; NS: not signifi cant © Versita Sp. z o.o.