Vietnam’s abortion rate equates to 2.5 abortions per woman per lifetime, indicating a high level of repeat abortion. This is despite a high prevalence of contraceptive use of 78% among married women [3]. Abortion among young Vietnamese women is also increasing: in Ho Chi Minh City (HCMC), the number of abortions among females aged 10–24 years increased from 781 in 2005 to 2235 in 2007 [4] and [5].
Vietnam’s contraceptive provision is skewed toward the intrauterine device (IUD), which, particularly among young women, is not always the preferred contraceptive method. High rates of IUD discontinuation for method-related reasons have been documented in Vietnam, which might potentially contribute to the country’s high abortion rate [6]. Whereas 1 abortion is indicative of unintended pregnancy, repeat abortion might signify a need for improvement in family planning programs to support women presenting for terminations in adopting—and continuing on—a contraceptive method of their choice [7].
There are a number of factors that contribute to a high abortion rate.
The thing is, contraception has always presented as a panacea.
If a society just accepts contraception, all will be well!
Vietnam is a society that accepts abortion and contraception.
And they still have high abortion rates.
Because nothing remains stable once you introduce more contraception.
Contraception advocates believe that once contraception is introduced, all things remain equal.
They don't.
Desires change. Intentions change. Behaviours change. Accessibility to abortion and contraception change.
What history has shown us is that widespread contraception use does not lead to a very low rate of abortion.
It does not make the need for abortion to disappear.
If anything, contraception makes abortion more necessary, because abortion is back-up contraception.
Attitude is what ultimately affects the abortion rate. If you accept the unborn child is a human being, and that killing human beings is wrong, you are far more likely to reject abortion.