PPost abortion contraceptive behavior among Indian women


  • Nutan Kumari Department of Fertility Studies, International Institute for Population Sciences, Mumbai, Maharashtra, India
  • Mili Dutta Department of Fertility Studies, International Institute for Population Sciences, Mumbai, Maharashtra, India
  • Chander Shekhar Department of Fertility Studies, International Institute for Population Sciences, Mumbai, Maharashtra, India




Contraceptive behavior, Currently married, India, Induced abortion


Background: Unsafe induced abortion contributes significantly to maternal morbidity and mortality. Irrespective of availability of contraceptive services women still seek for repeated induced abortion. This study examined the contraceptive behavior of currently married women who had induced abortion.

Methods: Third round of District Level Household and Facility Survey (DLHS-3, 2007-2008) data is used for the study. Bivariate analysis and multivariate logistic regression method were used to examine the contraceptive behavior of women.

Results: Contraceptive use is 4.6 percent among women who had at least one induced abortion. Attitude toward the use of contraceptive was found significant among women aged 25-34, who had one and two or more children, urban women, non-poor, couple both literate and women exposed to mass media.

Conclusions: This study suggests the need for proper post-abortion contraception counseling and availability of multiple choices of modern methods of contraceptive among women.


World Health Organization. Unsafe Abortion: Global and Regional Estimates of the Incidence and Mortality in 2008. 6th ed. Geneva, Switzerland: Department of Reproductive Health and Research, World Health Organization; 2011. [Accessed June 18, 2014]. Available from: http://www.who.int/reproductivehealth/publications/unsafe_abortion.

Mundigo, AI. ‘Mortality and morbidity due to induced abortion’, paper presented at the seminar on Measurement of Maternal and Child Mortality, Morbidity and Health Care: Interdisciplinary Approaches, International Union for the Scientific Study in Population, Cairo. 1991;47.

Rahman A, Katzive L, Henshaw SK. A global review of laws on induced abortion, 1985-1997. Int Fam Plann Persp. 1998;24(2):56-64.

Ministry of Health and Family Welfare, Government of India. Family Welfare Programme in India year book. New Delhi: Department of Family Welfare. 2001. Available from: http://s3.amazonaws.com/zanran_storage/mohfw.nic.in/ContentPages/1380486224.pdf

Duggal R, Ramachandran V. The abortion assessment project–India: key findings and recommendations. Reprod Health Matters. 2004;12(24):122-9.

Banerjee SK, Andersen KL, Warvadekar J. Pathways and consequences of unsafe abortion: A comparison among women with complications after induced and spontaneous abortions in Madhya Pradesh, India. Int J Gynecol Obstet. 2012;118:S113-20.

Banerjee SK, Manning V. Post-abortion contraception: A neglected public health domain. In Asian Population Association Conference, New Delhi, India 2010 Nov.

Visaria L, Ramachandran V, Ganatra B, Kalyanwala S. Abortion in India: emerging issues from qualitative studies. Econo Politic Weekly. 2004;20:5044-52.

Stillman M, Frost JJ, Singh S, Moore AM, Kalyanwala S. Abortion in India: a literature review. New York: Guttmacher Institute. 2014:12-4.

Rasch V, Yambesi F, Massawe S. Medium and long-term adherence to postabortion contraception among women having experienced unsafe abortion in Dar es Salaam, Tanzania. BMC Pregnancy and Childbirth. 2008;8(1):32.

McDougall J, Fetters T, Clark KA, Rathavy T. Determinants of contraceptive acceptance among Cambodian abortion patients. Studies Fam Plann. 2009;40(2):123-32.

Cohen SA. Facts and consequences: legality, incidence and safety of abortion worldwide. Guttmacher Policy Rev. 2009;12(4):2-6.

Melkamu Y, Enquselassie F, Ali A, Gebresilassie H, Yusuf L. Assessment of quality of post abortion care in government hospitals in Addis Ababa, Ethiopia. Ethiop Med J. 2005;43(3):137-49.

Aquino EM, Menezes G, Barreto-de-Araújo TV, Alves MT, Alves SV, Almeida MD et al. Quality of abortion care in the Unified Health System of Northeastern Brazil: what do women say?. Ciencia Saude Coletiva. 2012;17(7):1765-76.

Sheelamoni A, Nair MK, Remadevi S. Contraceptive behaviour of abortion seekers-a case control study. J Obstet Gynecol India. 2007;57(5):0-266.

Benson J, Andersen K, Brahmi D, Healy J, Mark A, Ajode A et al. What contraception do women use after abortion? An analysis of 319,385 cases from eight countries. Global Public Health. 2016;19:1-6.






Original Research Articles