An Analysis of Trend, Pattern, and Determinants of Abortion, Miscarriage, and Stillbirths in Odisha, India

Abstract

The study aimed at examining the prevalence of pregnancy terminationbyAbortion, Miscarriage,and Stillbirths (AMS) and its determinants in the state of Odisha, India. The NFHS-IV data have been used for this analysis. GIS mapping has been used forthe spatial distribution of outcome variables at the district level. Univariate analysis (chi-square)and a multivariable logistic model havebeen used to identifythe potential factors associated with AMS. Out of 8,484 pregnancy cases registered, 969 (11.4%) caseshadmet with pregnancy termination byAMS. Jagatsinghpur, Jajapur, Subarnapur, Kendrapara, Nayagarh,and Puri have been identified as high prevalent districts. The age group of 30-34 yearsismore likely of pregnancy termination thanthe age group 15-19 years (OR=1.254). Women who have completed secondary education have 1.568 times higher oddsof pregnancy termination byAMSthan those whoareilliterate. Pregnancy complicationsshow significantly higher odds (OR=1.091) of pregnancy termination.Among the trio of reasons for pregnancy termination, miscarriage cases are the mostprevalent,followed by abortion and stillbirths. Potential factors like age, education, wealth index, place of delivery, and anemiaare significant for AMS(pvalue<0.05).Hence, a robust program must be developed to reduce adverse pregnancy outcomes.