Termination of pregnancies is a public health concern in many developing countries. In Bangladesh women faces barrier to access health care service for pregnancy termination. Moreover induced termination is illegal, against religion and moral grounds therefore, many pregnancies termination performed by untrained and unsafe way in Bangladesh which leading to maternal morbidity and mortality. On the other side, unintended pregnancy termination such spontaneous abortion, miscarriage occurs due to disease, trauma, genetic defect or biochemical incompatibility of mother and fetus and climate change related vulnerabilities. This study investigates the prevalence and associated factors of terminated pregnancy among Bangladeshi ever-married women. Secondary data was obtained from Bangladesh Demographic Health and Survey (BDHS) for the year of 2017-18. Data was included 20127 samples of ever-married women of reproductive age 15-49 year. Descriptive analysis (chi-square test) and one way- ANOVA (Analysis of Variance) test was conducted to understand the association between factors and pregnancy termination. The study finding revealed that 21% ever-married women had terminated pregnancy and there were statistically association between terminated pregnancy and demographic, socio-economic and reproductive health related factors. Termination of pregnancy is prevalent in Bangladeshi women and need to apply health policy for preventing and intervening programme to eliminate geographic and socio-economic inequalities. For example, providing education and counselling program about reproductive health care service and family planning method help to avoid unintended or unsafe pregnancy termination.

Abstract Background: Although the maternal mortality ratio has dropped globally, the ratio is still unacceptably high in many low and lower-middle-income countries, like Bangladesh. Maternal deaths can occur from preventable complications due to pregnancy and childbirth. Delivery at a health institution was proven to be one of the key interventions to minimize maternal mortality. This study aimed at investigating the associations between the socio-demographic and healthcare-related factors, and the place of delivery among ever-married women of reproductive age in Bangladesh.  Methods: A population-based cross-sectional study was conducted with 4487 ever-married women, aged 15-49 years. Data were extracted from the 2014 Bangladesh Demographic and Health Survey. To investigate the associations, multivariate logistic regression was performed.   Results: Of the 4487 ever-married women, 1794 (40%) gave birth by institutional delivery. Multivariate logistic regression showed that wealthier women, attending secondary or above education levels, and whose husbands had primary or above education were more likely to deliver at health institutions. Women who received counselling about danger signs and attended at least one or more ANC visits during pregnancy had higher odds of institutional delivery. Women living in rural areas, following Islam religion, and who were currently working were less likely to deliver at health institutions. Conclusion: The current study revealed that the socio-demographic and healthcare-related factors were associated with the place of delivery among ever-married women of reproductive age in Bangladesh.