ABORTION AS A CAUSATIVE FACTOR TO THE INCREASE IN MORTALITY RATE AMONG ADOLESCENT AT AGES 13 to 20
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ABSTRACT
This study is on abortion as a causative factor to the increase in mortality rate among adolescent in Plateau State of Nigeria. Four research questions were stated to guide the study, with specific objectives which include: to explain the manifestations of mortality; to determine the extent to which socio-cultural factors are responsible for high-risk abortions and to investigate respondents knowledge of maternal mortality in relationship to their indulgence in abortions. Relevant literatures were reviewed. Both primary and secondary data were explored for the study and quantitative and qualitative techniques of data collection were triangulated for analysis. Using the Yamane’s sample size determination technique, 400 respondents were selected for the study. Questionnaires were administered on 300 respondents who were women within reproductive ages (15-49); in-depth interviews were conducted on 16 key informants drawn from medical personnel’s and women within reproductive ages in the study area. In addition, 7 focus group discussions (FGDs) consisting of 84 participants (12 in each group) were carried out. Data were analyzed and findings revealed that abortions were major contributory factors to the high-rate of mortality among adolescents in Plateau state. Every abortion was found to be associated with high-risk due to obstetric factors, medical conditions and unpredicted outcomes. Findings on the first objective indicated that abortions are practiced in Plateau state, but early pregnancies were more common as compared to order forms. This suggests that most girls are sexually active early and give birth before age 25. Findings on the second objective indicated that mortality as a result of abortions is still a social problem in Plateau state. Findings on the third objective indicated that social factorslike non-attendance of antenatal clinics, son preference, poverty and caesarean section (CS) predispose respondents to having abortions. This implies that socio- cultural factors are capable of causing abortions and maternal mortality. Findings on the fourth objective indicate that respondents still indulge in abortions but early pregnancies were commonly practiced and most respondents have knowledge of maternal mortality. Based on these findings, the study recommends among others areas that Social Workers and Sociologists as well as Medical Personnel should educate women on the need to prevent unwanted and early pregnancies and to engage in family planning, as well as regular attendance of ante- natal clinics. In addition, women should be educated on the risk involved in continuous child bearing after having a large number of children and also on the risk of poor birth spacing.
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