Illegal abortion: an attempt to assess its cost to the health services and its incidence in the community.

This article describes a study designed to test a method for assessing the cost to the health services of illegally induced abortion and the feasibility of estimating the incidence of induced abortion by a field interviewing approach. The participating centers included three hospitals in Ankara, Turkey; three hospitals in Ibadan, Nigeria; one hospital in Caracas and one in Valencia, Venezuela; and two hospitals in Kuala Lumpur, Malaysia. Hospitalized abortion cases were classified as induced or spontaneous or as "probably induced," "possibly induced," or "unknown" according to a classification scheme comprising certain medical criteria. The sociodemographic characteristics of induced and spontaneous abortion cases were subjected to discriminant function analysis and the discriminating variables best characterizing the induced versus the spontaneous abortion groups were identified for each center. On the basis of this analysis, the "probably" and "possibly" induced and "unknown" categories were further classified as induced or spontaneous abortion, with stated probabilities. Thus an overall estimate is made of the proportion of all hospitalized abortions that can be considered illegally induced outside the hospital. Selected results on costs of induced and spontaneous abortion are shown. The method further tested the feasibility of obtaining valid survey data on abortion from the communities studied by re-interviewing the women hospitalized for induced and spontaneous abortion six months later in their homes. This exercise showed a degree of under-reporting of abortion that varied widely among centers, even among women who had admitted illegal induction at the time of hospitalization. The feasibility of estimating the incidence of illegal abortion by field studies is discussed in the light of these findings.

Female employment and fertility in Peninsular Malaysia: the maternal role incompatibility hypothesis reconsidered.

Multivariate analysis of the 1974 Malaysian Fertility and Family Survey tests the hypothesis that an inverse relationship between women's work and fertility occurs only when there are serious conflicts between working and caring for children. The results are only partly consistent with the hypothesis and suggest that normative conflicts between working and mothering affect the employment-fertility relationship in Malaysia more than spacio-temporal conflicts do. The lack of consistent evidence for the hypothesis, as well as some conceptual problems, lead us to propose an alternative framework for understanding variation in the employment-fertility relationship, both in Malaysia and elsewhere. This framework incorporates ideas from the role incompatibility hypothesis but views the employment-fertility relationship as dependent not just on role conflicts but more generally on the structure of the household's socioeconomic opportunities.

Seasonality of births for West Malaysia's two main racial groups.

PIP: Patterns of Malay and Chinese births occurring from January 1964 through December 1969 as registered by Malaysia's Department of Statistics were analyzed by comparing them with charts of major religious and secular holidays and with the marriage distributions (by month) of the 2 ethnic groups. For Malays there was a reduction in conc eptions associated with the Moslem month of Ramadan, a period of fasting. For the Chinese, number of conceptions peaked around the Chinese New Year, the main Chinese festival. For both groups the months of high marriage rates corresponded to months of high conception rates. Seasonal fluctuations in birthrates were higher for Malays than for the Chinese, which appeared to be due to the more pervasive effect of Islamic beliefs and practices on the Malay way of life. As the Malays constitute a more rural population, climate-related factors were considered as a possible explanation of their more extreme seasonal fluctuations, but the influence of climate could not be demonstrated for either the Malays or the Chinese.^ieng

Pattern of acute pelvic inflammatory disease in abortion-related admissions.

We evaluated 3,066 consecutive women admitted during 1 year to two major hospitals of Kuala Lumpur and the adjacent urban area of Malaysia. Indicators of acute pelvic inflammatory disease were more common among patients with induced abortions. PID was thought to be a major contributor to the higher costs associated with management of patients with induced abortions.