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APHA Scientific Session and Event Listing

Mariella C. Tefft, RN, MS, Healthy Women in Georgia Program, JSI R&T Inc., 1 Nutsubidze Street, Tbilisi, 0177, Georgia, 995-32-506000, tefftjm1971@yahoo.com

In 1999, the National CDC in Tbilisi, Georgia, with technical assistance from DRH/CDC in Atlanta, conducted the first population-based reproductive health survey (99GERHS) in Georgia. The purpose of the survey was to evaluate the reproductive health status of women eight years after independence from the former Soviet Union. The survey interviewed a sample of 7798 women 15-44 years old. This baseline assessment of pregnancy outcomes utilizes the survey data from the Imereti and Kakheti regions, and will be used for monitoring and evaluating current reproductive health programs (funded by UNFPA and USAID) there. Of 2072 women interviewed in Imereti (1590) and Kakheti (482), the median age was 29.7 years, 91% were married, 55% had one or two living children, 88% completed secondary education or higher, 94% spoke Georgian, 46% lived in rural areas, 79% were unemployed, 49% had low SES, 58% never used birth control, and 70% (1454) had at least one pregnancy outcome. These 1454 women had a total of 7467 pregnancy outcomes, of which 40% were live outcomes and 55% were abortions. The mean for pregnancy outcomes was 5.14, for live outcomes 2.07, and for abortions 2.83. The mean ratio of abortions-to-live outcomes was 1.39. Only categories of age, marital status, number of living children, birth control use, and language were significant in a regression model of the ratio of abortions-to-live outcomes. Of 664 women who had abortions and answered the “intention” question about their pregnancies, 74% reported “not wanted” and 25% reported “mistimed”.

Learning Objectives: At the conclusion of this session, the participant will be able to

• Describe the sample of women interviewed in terms of five socio-economic characteristics.
• List three dependent variables used to assess the pregnancy outcomes of the women who had at least one pregnancy outcome.
• Identify four characteristics of the women who had at least one live pregnancy outcome that significantly affect the ratio of abortions-to-live outcomes.
• Describe the women who had at least one abortion in terms of two intentions toward their pregnancies.

Keywords: Pregnancy Outcomes, International Reproductive Health

Presenting author's disclosure statement:

Not Answered