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Metrics details. The study aimed to describe the overall and age-specific trends of induced abortions from to with an emphasis on socio-demographic characteristics and contraceptive use of women having had repeat abortions in Estonia. Total induced abortion numbers, rates, ratios and age-specific rates are presented for — The percentage change in the number of repeat abortions within selected socio-demographic subgroups, contraception use and distribution of induced abortions among Estonians and non-Estonians for the first, second, third, fourth and subsequent abortions were calculated for the periods — and — Observed trends over the year study period indicated a considerable decline in induced abortions with a reduction in abortion rate of The percentage of women undergoing repeat abortions fell steadily from The percentage of women undergoing repeat abortions significantly decreased over the 16 years within all selected socio-demographic subgroups except among women with low educational attainment and students.
Within each time period, a greater percentage of non-Estonians than Estonians underwent repeat abortions and obtained third and subsequent abortions. Most women did not use any contraceptive method prior to their first or subsequent abortion. A high percentage of women obtaining repeat abortions reflects a high historical abortion rate. If current trends continue, a rapid decline in repeat abortions may be predicted.
To decrease the burden of sexual ill health, routine contraceptive counselling, as standard care in the abortion process, should be seriously addressed with an emphasis on those groups - non-Estonians, women with lower educational attainment, students and women with children - vulnerable with respect to repeat abortion. Peer Review reports. In Estonia, abortion has been legal and accessible during a long period of time. Since , women have been legally allowed to request an abortion up until the 12th week of pregnancy.
Termination on medical grounds, including termination in females under 15 years and over 45 years of age, is allowed until the 22nd week of pregnancy. Since , parental consent for minors under 18 years has been required. All abortions are either performed in public hospitals or within the private sector via health insurance schemes for which some of the costs are met by the patient.