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Factors associated with second trimester abortion in rural Maharashtra and Rajasthan, India

机译：印度马哈拉施特拉邦和拉贾斯坦邦中期中期流产的相关因素

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Many married women in India experience abortion in their second trimester of pregnancy. While there is an impression that second trimester abortions are now overwhelmingly used for sex selection, little is known about the extent to which second trimester abortions are indeed associated with son preference and sex selection motives, relative to other factors. Using data from a community-based study in rural Maharashtra and Rajasthan, research highlights the role of limited access in explaining second trimester abortion. While women with a single child who was a daughter were indeed more likely than other women to have terminated a pregnancy carrying a female foetus in the second trimester, more strikingly, exclusion from abortion-related decision-making, unsuccessful prior attempts to terminate the pregnancy, and distance from the facility in which their abortion was performed, were significantly associated with second trimester abortion, even after controlling for confounding factors. The study calls for greater efficiency in implementing the PCPNDT Act and addressing deep-rooted son preference. At the same time, findings that poverty and limited access to facilities are as, if not more, important drivers of second trimester abortion, highlight the need to meet commitments to ensure accessible abortion facilities for poor rural women.
机译：印度的许多已婚妇女在怀孕中期会流产。尽管有一种印象认为，现在中期妊娠流产绝大多数用于性别选择，但相对于其他因素，人们对于中期妊娠流产与儿子偏爱和性别选择动机的关联程度了解甚少。利用来自马哈拉施特拉邦和拉贾斯坦邦农村的一项基于社区的研究数据，研究强调了有限的获取途径在解释妊娠中期流产中的作用。虽然只有一个孩子的妇女是女儿，确实比其他妇女在孕中期终止了怀有女性胎儿的妊娠的可能性更大，但更令人惊讶的是，与堕胎相关的决策被排除在外，而先前尝试终止妊娠的尝试均未成功即使在控制了混杂因素之后，与流产地点的距离也与中期妊娠流产显着相关。该研究呼吁在执行《 PCPNDT法》和解决根深蒂固的儿子偏爱方面提高效率。同时，发现贫困和获得设施有限是中晚期流产的重要推动因素，这表明必须履行承诺，确保为贫困农村妇女提供可利用的流产设施。

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