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Mika Gissler - One of the best experts on this subject based on the ideXlab platform.
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determinants of underage Induced Abortion the 1987 finnish birth cohort study
Acta Obstetricia et Gynecologica Scandinavica, 2016Co-Authors: Suvi Leppalahti, Oskari Heikinheimo, Reija Paananen, Paivi Santalahti, Marko Merikukka, Mika GisslerAbstract:INTRODUCTION Although underage pregnancies often end in Induced Abortion, data on girls who undergo termination of pregnancy are lacking. Our aim was to identify determinants of underage Induced Abortion and compare them with those of childbirth. MATERIAL AND METHODS All girls born in 1987 in Finland surviving the perinatal period (n = 29 041) were included in the study and divided into three study groups: Girls undergoing Induced Abortion (n = 1041, 3.6%) or childbirth (n = 395, 1.4%) at <18 years of age and girls with no underage pregnancies (n = 27 605, 95.0%). RESULTS Shared risk factors of underage Induced Abortion and childbirth included early onset behavioral and emotional disorders [adjusted OR 1.9 (1.4-2.5) and 2.7 (95% CI 1.8-3.9)], a history of foster care [1.5 [1.1-1.9] and 3.0 [2.3-4.1)], and socioeconomic factors, including living in a family receiving income support [1.8 (1.5-2.1) and 3.4 (2.7-4.4)], respectively. Specific risk factors of underage Induced Abortion were psychoactive substance use disorders [2.2 (1.3-3.5)], having a mother who smoked during pregnancy [1.5 (1.3-1.8)] or had undergone Induced Abortion [1.8 (1.5-2.2)]. Coping with a chronic physical illness [0.7 (0.5-0.9)], and perinatal problems [0.6 (0.4-0.7)] were inversely associated with underage Induced Abortion. CONCLUSIONS The traditionally acknowledged determinants of underage childbirth played a less prominent role in Induced Abortion. Novel risk factors of underage Induced Abortion were found, including severe substance abuse and adverse maternal reproductive history, and should be addressed at all levels offering youth healthcare and social welfare services.
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Determinants of underage Induced Abortion – the 1987 Finnish Birth Cohort study
Acta obstetricia et gynecologica Scandinavica, 2016Co-Authors: Suvi Leppalahti, Oskari Heikinheimo, Reija Paananen, Paivi Santalahti, Marko Merikukka, Mika GisslerAbstract:INTRODUCTION Although underage pregnancies often end in Induced Abortion, data on girls who undergo termination of pregnancy are lacking. Our aim was to identify determinants of underage Induced Abortion and compare them with those of childbirth. MATERIAL AND METHODS All girls born in 1987 in Finland surviving the perinatal period (n = 29 041) were included in the study and divided into three study groups: Girls undergoing Induced Abortion (n = 1041, 3.6%) or childbirth (n = 395, 1.4%) at
Caroline Moreau - One of the best experts on this subject based on the ideXlab platform.
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Induced Abortion incidence and safety in Côte d’Ivoire
PLoS ONE, 2020Co-Authors: Suzanne Bell, Grace Sheehy, Andoh Kouakou Hyacinthe, Georges Guiella, Caroline MoreauAbstract:Background: In Côte d'Ivoire, Induced Abortion is legally restricted unless a pregnancy threatens a woman's life. Yet the limited available evidence suggests Abortion is common and that unsafe Abortion is contributing to the country's high maternal mortality. Our study aimed to estimate the one-year incidence of Induced Abortion in Côte d'Ivoire using both direct and indirect methodologies, determine the safety of reported Abortions, and identify the women most likely to experience a recent Induced Abortion or an unsafe Abortion. Methods: In 2018, we conducted a nationally representative, population-based survey of women age 15 to 49 in Côte d'Ivoire. Women reported their own Abortion experiences and those of their closest female confidante. We estimated the one-year incidence of Induced Abortion, and the safety of the Abortions women experienced. Using bivariate and multivariate regression, we separately assessed sociodemographic characteristics associated with having had a recent Abortion or an unsafe Abortion. Results: Overall, 2,738 women participated in the survey, approximately two-thirds of whom reported on the Abortion experiences of their closest female friend. Based on respondent data, the one-year incidence of Induced Abortion was 27.9 (95% CI 18.6-37.1) per 1,000 women of reproductive age, while the confidante incidence was higher at 40.7 (95% CI 33.3-48.1) per 1,000. Among respondents, 62.4% of Abortions were most unsafe, while 78.5% of confidante Abortions were most unsafe. Adolescents, less educated women, and the poorest women had the most unsafe Abortions. Conclusion: This study provides the first national estimates of Induced Abortion incidence and safety in Côte d'Ivoire, using a population-based approach to explore social determinants of Abortion and unsafe Abortion. Consistent with other research, our results suggest that legal restrictions on Abortion in Côte d'Ivoire are not preventing women from having Abortions, but rather pushing women to use unsafe, potentially dangerous Abortion methods. Efforts to reduce the harms of unsafe Abortion are urgently needed.
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Induced Abortion incidence and safety in cote d ivoire
PLOS ONE, 2020Co-Authors: Suzanne O Bell, Grace Sheehy, Andoh Kouakou Hyacinthe, Georges Guiella, Caroline MoreauAbstract:Background In Cote d’Ivoire, Induced Abortion is legally restricted unless a pregnancy threatens a woman’s life. Yet the limited available evidence suggests Abortion is common and that unsafe Abortion is contributing to the country’s high maternal mortality. Our study aimed to estimate the one-year incidence of Induced Abortion in Cote d’Ivoire using both direct and indirect methodologies, determine the safety of reported Abortions, and identify the women most likely to experience a recent Induced Abortion or an unsafe Abortion. Methods In 2018, we conducted a nationally representative, population-based survey of women age 15 to 49 in Cote d’Ivoire. Women reported their own Abortion experiences and those of their closest female confidante. We estimated the one-year incidence of Induced Abortion, and the safety of the Abortions women experienced. Using bivariate and multivariate regression, we separately assessed sociodemographic characteristics associated with having had a recent Abortion or an unsafe Abortion. Results Overall, 2,738 women participated in the survey, approximately two-thirds of whom reported on the Abortion experiences of their closest female friend. Based on respondent data, the one-year incidence of Induced Abortion was 27.9 (95% CI 18.6–37.1) per 1,000 women of reproductive age, while the confidante incidence was higher at 40.7 (95% CI 33.3–48.1) per 1,000. Among respondents, 62.4% of Abortions were most unsafe, while 78.5% of confidante Abortions were most unsafe. Adolescents, less educated women, and the poorest women had the most unsafe Abortions. Conclusion This study provides the first national estimates of Induced Abortion incidence and safety in Cote d’Ivoire, using a population-based approach to explore social determinants of Abortion and unsafe Abortion. Consistent with other research, our results suggest that legal restrictions on Abortion in Cote d’Ivoire are not preventing women from having Abortions, but rather pushing women to use unsafe, potentially dangerous Abortion methods. Efforts to reduce the harms of unsafe Abortion are urgently needed.
Jørn Olsen - One of the best experts on this subject based on the ideXlab platform.
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Induced Abortion and placenta complications in the subsequent pregnancy
Acta obstetricia et gynecologica Scandinavica, 2001Co-Authors: Weijin Zhou, Gunnar Lauge Nielsen, Helle Larsen, Jørn OlsenAbstract:Background. To study the risk of placenta complications following an Induced Abortion as a function of the interpregnancy interval. Methods. This study is based on three Danish national registries; the Medical Birth Registry, the Hospital Discharge Registry, and the Induced Abortion Registry. All primigravida women from 1980 to 1982 were identified in these three registries. A total of 15,727 women who terminated the pregnancy with a first trimester Induced Abortion were selected to the Abortion cohort, and 46,026 women who did not terminate the pregnancy with an Induced Abortion constituted the control cohort. By register linkage all subsequent pregnancies were identified from 1980 to 1994. Only women who had a non-terminated pregnancy following the index pregnancy were selected to the study. Placenta complications were identified using either the Hospital Discharge Registry ICD-8 codes or the Medical Birth Registry records. Results. A slightly higher risk of placenta complications following an Abortion ...
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Induced Abortion and low birthweight in the following pregnancy
International journal of epidemiology, 2000Co-Authors: Weijin Zhou, Henrik Toft Sørensen, Jørn OlsenAbstract:Background To examine whether Induced Abortion increases the risk of low birthweight in subsequent singleton live births. Methods Cohort study using the Danish Medical Birth Registry (MBR), the Hospital Discharge Registry (HDR), and the Induced Abortion Registry (IAR). All women who had their first pregnancy during 1980-1982 were identified in the MBR, the HDR, and the IAR. We included all 15 727 women whose pregnancy was terminated by a first trimester Induced Abortion in the Induced Abortion cohort and 46 026 women whose pregnancy was not terminated by an Induced Abortion were selected for the control cohort. All subsequent pregnancies until 1994 were identified by register record linkage. Results Low birthweight (
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Induced Abortion and risk of breast cancer
Ugeskrift for laeger, 1998Co-Authors: Mads Melbye, Jørn Olsen, J. Wohlfahrt, Morten Frisch, Tine Westergaard, Helweg-larsen K, Per Kragh AndersenAbstract:It has been hypothesized that an interrupted pregnancy might increase the risk of breast cancer, because proliferation of breast cells will take place without the protective effect of subsequent differentiation. In a cohort of 1.5 million women (28.5 million person-years) we identified 370,715 Induced Abortions in 280,965 women (2.7 million person-years) and 10,246 women with breast cancer. After adjustment for other risk factors, Induced Abortion was not associated with the risk of breast cancer (relative risk: 1.00; 95 percent confidence interval 0.94 to 1.06). However, the relative risk of breast cancer increased with increasing gestational age of the most recently Induced Abortion: 18 weeks: 1.89; P(trend) = 0.016. On a population basis, Induced Abortion was not associated with an increased risk of breast cancer. An increase was only seen for the special group of late second trimester Abortions, but this finding was based on small numbers.
Finn Egil Skjeldestad - One of the best experts on this subject based on the ideXlab platform.
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The relation between Induced Abortion and ectopic pregnancy.
Obstetrics and gynecology, 1997Co-Authors: Hani K. Atrash, Finn Egil Skjeldestad, Lilo T. Strauss, Juliette S. Kendrick, Young W. AhnAbstract:Objective To determine whether having had one or more Induced Abortions increases a woman's risk of having an ectopic pregnancy. Methods We conducted a case-control study of all women admitted to a major metropolitan hospital in Georgia with a surgical diagnosis of ectopic pregnancy during the period of October 1988 to August 1990. Controls were randomly selected from women seeking an Induced Abortion or delivering an infant at the same hospital. After exclusions, this analysis included 182 cases and 1056 controls. Stratified analysis and unconditional logistic regression were used to control for confounding and to estimate the relative risks. Results Approximately 90% of cases and controls were non-Hispanic, black women; 34% of the cases and 36% of the controls reported a history of Induced Abortion. The crude odds ratio for having an ectopic pregnancy associated with a history of Induced Abortion was 0.9 (95% confidence interval 0.6,1.3). The odds ratio remained the same after adjusting for selected confounding variables and stratifying by the number of Induced Abortions, gestational age at the time of Abortion, place where the Abortion was performed, and the woman's report of medical complications of the Abortion. Conclusion We found no evidence that having one or more Induced Abortions increases a woman's risk of having an ectopic pregnancy.
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The incidence of repeat Induced Abortion a prospective cohort study
Acta obstetricia et gynecologica Scandinavica, 1994Co-Authors: Finn Egil SkjeldestadAbstract:Background. To measure the cumulative incidence of first and second repeat Induced Abortion and what differentiates first-time repeaters from non-repeaters.Methods. The study population comprised 2925 women who had their first Induced Abortion at the University Hospital of Trondheim, Norway between January 1, 1987 and December 31. IOYI. Repeat Induced Abortion within the study period was measured as a cumulative incidence of second and third Induced Abortion. Survival analyses and logistic regression analysis were applied using ‘repeater’ as the dependent variable.Result. The cumulative incidence of second Induced Abortion was 3.7% at end of first year, 7.1% at end of second year, 9.9% at the end of third year, and 12.3% at four completed years of observation. The cumulative incidence of third Induced Abortion was 0.1% at the end of first year. 0.6% at the end of second, 1.3%, at the end of third and 2.0% at four years of Observation. The cumulative incidence of the third Abortion, measured as the time at...
Suvi Leppalahti - One of the best experts on this subject based on the ideXlab platform.
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determinants of underage Induced Abortion the 1987 finnish birth cohort study
Acta Obstetricia et Gynecologica Scandinavica, 2016Co-Authors: Suvi Leppalahti, Oskari Heikinheimo, Reija Paananen, Paivi Santalahti, Marko Merikukka, Mika GisslerAbstract:INTRODUCTION Although underage pregnancies often end in Induced Abortion, data on girls who undergo termination of pregnancy are lacking. Our aim was to identify determinants of underage Induced Abortion and compare them with those of childbirth. MATERIAL AND METHODS All girls born in 1987 in Finland surviving the perinatal period (n = 29 041) were included in the study and divided into three study groups: Girls undergoing Induced Abortion (n = 1041, 3.6%) or childbirth (n = 395, 1.4%) at <18 years of age and girls with no underage pregnancies (n = 27 605, 95.0%). RESULTS Shared risk factors of underage Induced Abortion and childbirth included early onset behavioral and emotional disorders [adjusted OR 1.9 (1.4-2.5) and 2.7 (95% CI 1.8-3.9)], a history of foster care [1.5 [1.1-1.9] and 3.0 [2.3-4.1)], and socioeconomic factors, including living in a family receiving income support [1.8 (1.5-2.1) and 3.4 (2.7-4.4)], respectively. Specific risk factors of underage Induced Abortion were psychoactive substance use disorders [2.2 (1.3-3.5)], having a mother who smoked during pregnancy [1.5 (1.3-1.8)] or had undergone Induced Abortion [1.8 (1.5-2.2)]. Coping with a chronic physical illness [0.7 (0.5-0.9)], and perinatal problems [0.6 (0.4-0.7)] were inversely associated with underage Induced Abortion. CONCLUSIONS The traditionally acknowledged determinants of underage childbirth played a less prominent role in Induced Abortion. Novel risk factors of underage Induced Abortion were found, including severe substance abuse and adverse maternal reproductive history, and should be addressed at all levels offering youth healthcare and social welfare services.
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Determinants of underage Induced Abortion – the 1987 Finnish Birth Cohort study
Acta obstetricia et gynecologica Scandinavica, 2016Co-Authors: Suvi Leppalahti, Oskari Heikinheimo, Reija Paananen, Paivi Santalahti, Marko Merikukka, Mika GisslerAbstract:INTRODUCTION Although underage pregnancies often end in Induced Abortion, data on girls who undergo termination of pregnancy are lacking. Our aim was to identify determinants of underage Induced Abortion and compare them with those of childbirth. MATERIAL AND METHODS All girls born in 1987 in Finland surviving the perinatal period (n = 29 041) were included in the study and divided into three study groups: Girls undergoing Induced Abortion (n = 1041, 3.6%) or childbirth (n = 395, 1.4%) at
