Research Article

Determinants of Second-Trimester Safe Termination of Pregnancy in Public Health Facilities of Amhara Region, Northwest Ethiopia: An Unmatched Case-Control Study

Table 3

Factors associated with delayed safe termination of pregnancy of mothers who came to Amhara region referral hospitals, northwest Ethiopia, 2020 (N = 347).

Study variablesSafe termination of pregnancy
CasesControlCOR (95% CI)AOR (95% CI)

Residence
 Urban44 (40%)161 (67.9%)1
 Rural66 (46.5%)76 (53.5%)3.18 (1.988–5.079)1.87 (1.072–3.247)

Educational status
 Primary school (1st–8th grade)56 (50.9%)73 (30.8%)4.86 (2.217–10.646)2.65 (1.062–6.601)
 Secondary school (9th–12th grade)45 (40.9%)107 (45.1%)2.66 (1.215–5.837)1.72 (0.701–4.221)
 Diploma and above9 (19.0%)57 (24.1%)1

Nature of menses
 Regular50 (45.5%)151 (63.7%)1
 Irregular60 (54.5%)86 (36.3%)2.11 (1.331–3.335)1.82 (1.06–3.125)

Family planning ever used
 Yes69 (62.7%)179 (75.5%)1
 No41 (37.3%)58 (24.5%)1.834 (1.127–2.984)0.93 (0.508–1.699)

Know about symptoms of pregnancy?
 Yes32 (29.1%)106 (44.7%)1
 No78 (70.9%)131 (55.3%)1.97 (1.215–3.202)1.91 (1.056–3.459)

Know about abortion law
 Yes25 (22.7%)116 (48.9%)1
 No85 (77.3%)121 (51.1%)3.26 (1.950–5.447)3.02 (1.631–5.595)

Delay referral
 Yes27 (24.5%)7 (3.0%)10.67 (4.49–25.47)10.03 (4.021–29.181)
 No83 (75.5%)230 (97%)1

Facing opposition to abortion care
 Yes25 (52.1%)23 (9.7%)2.74 (1.473–5.085)2.57 (1.216–5.416)
 No85 (77.5%)214 (90.3%)1

A pregnancy test is done
 Yes70 (27.5%)185 (72.5%)1
 No40 (43.5%)52 (56.5%)2.03 (1.239–3.337)2.20 (1.216–4.036)

Note: AOR: adjusted odds ratio, COR: crude odds ratio.