Evidence map›Paper›PMID 41174553›Full record

ArticleBMC public health2025

Abortion safety in Ghana: does motivation matter?

Jalang Conteh, Maureen Lahiff, Kim Harley, Karen Weidert, Ndola Prata

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jalang ContehSchool of Public Health, University of California, Berkeley, 2121 Berkeley Way West, Berkeley, CA, 94704, United States.
Maureen LahiffSchool of Public Health, University of California, Berkeley, 2121 Berkeley Way West, Berkeley, CA, 94704, United States.
Kim HarleySchool of Public Health, University of California, Berkeley, 2121 Berkeley Way West, Berkeley, CA, 94704, United States.
Karen WeidertSchool of Public Health, University of California, Berkeley, 2121 Berkeley Way West, Berkeley, CA, 94704, United States.
Ndola PrataSchool of Public Health, University of California, Berkeley, 2121 Berkeley Way West, Berkeley, CA, 94704, United States. ndola@berkeley.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn Ghana, abortion is restricted except on a few legal grounds. About 11% of maternal deaths in Ghana are due to unsafe abortion. This study investigated the association between abortion motivation (the primary reason women sought abortion) and abortion safety.

methodsWe analyzed a sample of 1,425 women using the 2017 Ghana Maternal Health Survey. Abortion safety was defined using WHO three-level categorization (safe, less safe, least safe) operationalized to the Ghanaian context. We examined the relationship between abortion motivation and abortion safety using multinomial logistic regression analysis.

resultsLegal grounds for abortion accounted for 9% of all abortions. Compared to women who had a legal reason for seeking an abortion, women with non-legal reasons had significantly higher risk of a least safe abortion: women citing education/career advancements had 6.5 times higher odds (95% CI:2.37 - 17.87, p- value: <0.0005); women seeking to delay/limit birth had 4.8 times higher odds (95% CI:1.84-12.56, p-value: 0.001); women citing lack of social support had 4.6 times higher odds (95% CI:1.77-12.07 p-value 0.002); and women who reported financial constraints had 4.8 times higher odds (95% CI:1.85-12.67, p-value: 0.001).

conclusionWomen in Ghana who seek abortion for reasons not deemed legal are at a significantly higher risk of obtaining less safe and least safe abortions. Ghana's abortion law should be expanded to include these additional abortion motivations to ensure that women can obtain legal and safe abortions on broader grounds.

Indexed as

Abortion, InducedMotivationPatient SafetyAdolescentAdultFemaleGhanaHealth SurveysHumansMiddle AgedPregnancyYoung AdultAbortionGhanaLegalityMotivationsSafety

Identifiers

PMID41174553
PMCPMC12577305

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.