Prevalence and determinants of repeat induced abortion in Ethiopia: A systematic review and meta-analysis

INTRODUCTION: Repeat-induced abortion is the termination of pregnancy for more than one time using drugs or surgical intervention before the fetus reaches the age of viability. This study aimed to estimate the pooled prevalence of repeat-induced abortion and its determinants among women in Ethiopia. MATERIALS AND METHODS: PubMed, HINARI and Google Scholar were systematically searched for eligible studies. A random effect model was used to estimate the pooled prevalence. The Cochrane Q-statistics and I(2) tests were used to assess heterogeneity between included studies. RESULTS: The estimated pooled prevalence of repeat-induced abortion was 30.89% (95% CI: 28.88–32.91). Alcohol consumption (POR = 3.60, 95%CI: 2.26–5.74), assuming the procedure painless (POR = 2.79, 95%CI: 1.77–4.39), no fertility awareness (POR = 3.45, 95% CI: 1.05–11.36), and women with multiple sexual partners (POR = 4.31, 95% CI: 3.36–5.53) were significantly associated with repeat-induced abortion. CONCLUSION: The study revealed that about one in ten women who had a history of abortion experienced repeat-induced abortion. Alcohol consumption, no fertility awareness, assuming the procedure is painless, and having multiple sexual partners were significantly associated with repeat-induced abortion.