دورية أكاديمية
أعرض في EDS

The Enduring Association of a First Pregnancy Abortion with Subsequent Pregnancy Outcomes: A Longitudinal Cohort Study.

التفاصيل البيبلوغرافية
العنوان: The Enduring Association of a First Pregnancy Abortion with Subsequent Pregnancy Outcomes: A Longitudinal Cohort Study.
المؤلفون: Studnicki J; Charlotte Lozier Institute, Arlington, VA, USA., Longbons T; Charlotte Lozier Institute, Arlington, VA, USA., Reardon DC; Elliot Institute, Springfield, IL, USA., Fisher JW; Charlotte Lozier Institute, Arlington, VA, USA., Harrison DJ; American Association of Pro-Life Obstetricians and Gynecologists, Eau Claire, MI, USA., Skop I; Charlotte Lozier Institute, Arlington, VA, USA., Cirucci CA; Charlotte Lozier Institute, Arlington, VA, USA., Craver C; Charlotte Lozier Institute, Arlington, VA, USA., Tsulukidze M; Department of Health Sciences, Florida Gulf Coast University, Fort Myers, FL, USA., Ras Z; Computer Science Department, University of North Carolina at Charlotte, Charlotte, NC, USA.
المصدر: Health services research and managerial epidemiology [Health Serv Res Manag Epidemiol] 2022 Oct 11; Vol. 9, pp. 23333928221130942. Date of Electronic Publication: 2022 Oct 11 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 101654536 Publication Model: eCollection Cited Medium: Internet ISSN: 2333-3928 (Electronic) Linking ISSN: 23333928 NLM ISO Abbreviation: Health Serv Res Manag Epidemiol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Thousand Oaks, CA : Sage Publications, [2014]-
مستخلص: Introduction: Multiple abortions are consistently associated with adverse health consequences. Prior abortion is a known risk factor for another abortion.
Objective: To determine the persistence of the association of a first-pregnancy abortion with the likelihood of subsequent pregnancy outcomes.
Methods: Data was extracted for a study population of 5453 continuously eligible Medicaid beneficiaries in states which funded and reported elective abortions 1999-2015. Women age 16 in 1999 were organized into three cohorts based upon the first pregnancy outcome: abortion, birth, natural loss.
Results: Women in the abortion cohort are more likely than those in the birth cohort to experience another abortion rather than a birth or natural loss, and less likely to experience a live birth rather than an abortion or natural loss, for every subsequent pregnancy. The tendency toward abortion (OR 2.99, CL 2.02-4.43) and away from birth (OR 0.49, CL 0.39-0.63) peaks at the sixth pregnancy, but persists throughout the reproductive period ages 16-32. The pattern is reversed, but similarly consistent, for women in the birth cohort. They remain likelier to have another birth rather than an abortion or natural loss in subsequent pregnancies. Compared to the birth cohort, the abortion cohort had 1.35 times as many pregnancies: 4.31 times the abortions, 1.53 times the natural losses, but only 0.52 times the births. They were 4.3 and 5.0 times as likely to have 2-plus and 3-plus abortions, but only 0.47 times and 0.31 times as likely to have 2-plus and 3-plus births. Of the abortion cohort, 37.1% had no births. By contrast, 73.6% of the birth cohort had no abortions.
Conclusion: The first-pregnancy abortion maintains a strong and persistent association with the likelihood of another abortion in subsequent pregnancies, enabling a cascade of adverse events associated with multiple abortions.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2022.)
References: Eur J Contracept Reprod Health Care. 2015;20(5):344-9. (PMID: 25555034)
Eur J Contracept Reprod Health Care. 2020 Aug;25(4):259-263. (PMID: 32460561)
Medicina (Kaunas). 2019 Nov 15;55(11):. (PMID: 31731786)
SAGE Open Med. 2018 Oct 29;6:2050312118807624. (PMID: 30397472)
Obstet Gynecol Surv. 2003 Jan;58(1):67-79. (PMID: 12544786)
PLoS One. 2014 Mar 26;9(3):e90356. (PMID: 24671000)
BJOG. 2009 Oct;116(11):1425-42. (PMID: 19769749)
Health Serv Res Manag Epidemiol. 2020 Jul 31;7:2333392820941348. (PMID: 32844103)
Am J Obstet Gynecol. 2007 Dec;197(6):575.e1-6. (PMID: 17904511)
J Womens Health (Larchmt). 2013 Sep;22(9):760-8. (PMID: 24007380)
Hum Reprod. 2009 Apr;24(4):820-6. (PMID: 19109310)
Med Sci Monit. 2021 Jun 25;27:e931596. (PMID: 34168106)
MMWR Surveill Summ. 2019 Nov 29;68(11):1-41. (PMID: 31774741)
J Womens Health (Larchmt). 2018 Jan;27(1):58-63. (PMID: 28832238)
Best Pract Res Clin Obstet Gynaecol. 2010 Oct;24(5):667-82. (PMID: 20362515)
SAGE Open Med. 2017 Nov 13;5:2050312117740490. (PMID: 29163945)
BMC Womens Health. 2015 May 10;15:40. (PMID: 25956507)
Int J Environ Res Public Health. 2021 Feb 23;18(4):. (PMID: 33672236)
Eur J Obstet Gynecol Reprod Biol. 2016 Oct;205:85-90. (PMID: 27567533)
J Urban Health. 2015 Jun;92(3):593-603. (PMID: 25779755)
Eur J Contracept Reprod Health Care. 2013 Oct;18(5):327-34. (PMID: 23964847)
J Fam Plann Reprod Health Care. 2016 Apr;42(2):133-42. (PMID: 26644146)
Paediatr Perinat Epidemiol. 2017 Nov;31(6):485-492. (PMID: 28815662)
فهرسة مساهمة: Keywords: Medicaid; induced abortion; pregnancy outcome sequence; repeat abortion
تواريخ الأحداث: Date Created: 20221017 Latest Revision: 20221019
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9554127
DOI: 10.1177/23333928221130942
PMID: 36246345
قاعدة البيانات: MEDLINE
الوصف
تدمد:2333-3928
DOI:10.1177/23333928221130942