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. 2020 May;99(5):651-659.
doi: 10.1111/aogs.13788. Epub 2020 Mar 3.

The duration of gestation at previous induced abortion and its impacts on subsequent births: A nationwide registry-based study

Situ Kc  1 , Mika Gissler  2   3 , Reija Klemetti  4
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Free article

The duration of gestation at previous induced abortion and its impacts on subsequent births: A nationwide registry-based study

Situ Kc et al. Acta Obstet Gynecol Scand. 2020 May.
Free article

Abstract

Introduction: Previous induced abortions have been associated with adverse birth outcomes. However, only a few studies have considered the possible influence of gestational age at induced abortion. Therefore, this study aimed to identify the impacts of gestational age during prior induced abortion(s) on subsequent births among first-time mothers in Finland.

Material and methods: First-time mothers (n = 418 690) with singleton births between 1996 and 2013 were identified from the Finnish Medical Birth Register and linked to the Abortion Register. Logistic regression analysis was used to estimate the risk (odds ratio [OR] and 95% confidence interval [CI]) of birth outcomes such as prematurity, low birthweight, perinatal death and small for gestational age (SGA).

Results: Higher risk was determined for extremely preterm birth (OR 2.28; 95% CI 1.53-3.39) and very low birthweight (OR 1.62; 95% CI 1.22-2.16) in women having had late-induced abortion(s) (≥12 gestational weeks) compared with women having had early-induced abortion(s) (<12 gestational weeks); after adjusting for women's background characteristics, abortion method and interval between the pregnancies. When the analysis was limited to a single abortion, an increased risk was found for extremely preterm birth (OR 1.71; 95% CI 1.02-2.81). Higher risks were found for extremely preterm (OR 4.09; 95% CI 2.05-8.18) and very low birthweight (OR 2.65; 95% CI 1.61-4.35) among women with two or more late-induced abortions compared with those with two or more early-induced abortions. Worse outcomes were seen after a late-induced abortion compared to an early-induced abortion for both medically and surgically induced abortion.

Conclusions: The risk of subsequent adverse birth outcomes is very small if any, but the risk is higher with increasing gestational age at the time of induced abortion. Our study supports reduction of unintended pregnancy and offering abortion services without delay and as early in gestation as possible.

Keywords: gestational age; induced abortion; perinatal outcomes; register-based study; termination of pregnancy.

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References

REFERENCES

    1. Sedgh G, Bearak J, Singh S, et al. Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends. Lancet. 2016;388(10041):258-267.
    1. Ancel PY, Lelong N, Papiernik E, Aphe Saurel-Cubizolles MJ, Kaminski M. History of induced abortion as a risk factor for preterm birth in European countries: results of the EUROPOP survey. Hum Reprod. 2004;19:734-740.
    1. Shah PS, Zao J. Induced termination of pregnancy and low birthweight and preterm birth: a systematic review and meta-analyses. BJOG. 2009;116:1425-1442.
    1. Klemetti R, Gissler M, Niinimäki M, Hemminki E. Birth outcomes after induced abortion: a nationwide register-based study of first births in Finland. Hum Reprod. 2012;27(11):3315-3320.
    1. Kc S, Hemminki E, Gissler M, Virtanen SM, Klemetti R. Perinatal outcomes after induced termination of pregnancy by methods: a nationwide register-based study of first births in Finland 1996-2013. PLoS ONE. 2017;12:e0184078.

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