Contraceptive Discontinuation and Failure and Subsequent Abortion in Romania: 1994–99

doi:10.1111/j.1728-4465.2007.00113.x

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Wiley InterScience

Studies in Family Planning

Volume 38 Issue 1, Pages 23 - 34

Published Online: 7 Mar 2007

Published on behalf of the Population Council

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Contraceptive Discontinuation and Failure and Subsequent Abortion in Romania: 1994–99

Dr. Andreea A. Creanga ¹ , Dr. Rajib Acharya ² , Professor Saifuddin Ahmed ³ , and Professor Amy O. Tsui ⁴

¹ Dept of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 614 North Wolfe Street, Baltimore, MD 21205-2179. E-mail: acreanga@jhsph.edu. ² Population Council, Zone 5A, Ground Floor, India Habitat Centre, Lodi Road, New Delhi 110 003, India ³ Dept of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 614 North Wolfe Street, Baltimore, MD 21205-2179 ⁴ Inst for Population and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 614 North Wolfe Street, Baltimore, MD 21205-2179

ABSTRACT

This study examines the levels and correlates of contraceptive failure and discontinuation in Romania, together with the consequences of contraceptive method failure in terms of induced abortion. Of special interest are women who rely on the traditional method of withdrawal and the proportion of withdrawal failures resulting in abortion. Our analysis is based on multiyear calendar data concerning women's contraceptive use and monthly reproductive behaviors collected in the 1999 Romanian Reproductive Health Survey. Weibull regression models are estimated to analyze the determinants of discontinuation and failure for all methods combined and for withdrawal. Overall, 19 and 28 percent of women became pregnant within the first year of using any contraceptive method and of practicing withdrawal, respectively. About 57 and 59 percent of failures from use of all methods and from withdrawal ended in abortion, accounting for 30 percent and 22 percent, respectively, of all abortions reported between 1994 and 1999. These findings suggest that high rates of contraceptive discontinuation and failure contributed significantly to the widespread reliance on induced abortion among Romanian women during this period.

DIGITAL OBJECT IDENTIFIER (DOI)

10.1111/j.1728-4465.2007.00113.x About DOI