Abstract:
Introduction:- Repeat induced abortion accounts for a significant proportion of all induced abortion in many countries, with reports ranging from 16% to 71%. Repeated terminations of pregnancy have been associated with numerous adverse sequelae. Post Abortion Care consumes a large portion of the total expenses in reproductive health in Ethiopia. Despite the efforts done to improve Family Planning access and Post Abortion Care, the higher magnitude of repeat abortion in Ethiopia is worrisome and it was not clearly explained. Objective:-To find out the magnitude and determinants of repeat induced abortion among reproductive age women seeking abortion care services at Health Institutions in Debre Markos town, Amhara Regional State, Ethiopia, 2017. Method:- This institutional based cross-sectional study investigates a sample of 567 reproductive age group women who received induced abortion service at heath institutions in Debre Markos town. Multi stage sampling technique was used to select the sampling population. Data was collected using a pre-tested, interviewer administered, structured questionnaire. Data was entered and cleaned using Epi info statistical software version 7 and then exported into SPSS statistical software version 20 for analysis. Binary and Multivariable Logistic regression model was used to determine the association of independent variables with the outcome variable and odds ratios with 95% confidence interval were used to estimate the strength of the association. Result:- The magnitude of repeat induced abortion was found to be 34.9%. Those who have No education (AOR=8.45, 95%CI; 1.85, 36.49), Primary educational level (AOR=5.46, 95%CI; 2.06, 14.47), secondary educational level (AOR=12.96, 95%CI; 6.16, 27.29), Urban residents (AOR=5.14, 95%CI; 2.29, 11.53); students(AOR=2.62, 95%CI; 1.06, 6.45); those who had multiple sexual partners (AOR=6.16, 95%CI; 3.25, 11.68); those who use alcohol (AOR=2.77, 95%CI; 1.52, 5.05) and those who had a history of physical violence by a male partner (AOR=2.68, 95%CI; 1.45, 4.94) and those who cited incest as a reason for having induced abortion (AOR=0.10, 95%CI; 0.01, 0.55) were significantly associated with the risk of repeat induced abortion. Conclusion and Recommendation:- According to this study, magnitude of repeat abortion in Debre Markos town health institution was similar to the previous studies done in this country. But this figure is still high. Less educated, students, urban residents, those who had a multiple sexual partner, reason for abortion, alcohol use, and victims of physical violence were significantly associated with repeat induced abortion. Special attention should be given to women at higher risk for repeat abortion including those who are living in urban areas, less educated, and students by different stakeholders
