Document Detail


History of induced abortion as a risk factor for preterm birth in European countries: results of the EUROPOP survey.
MedLine Citation:
PMID:  14998979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The objective of this study was to investigate the relationship between history of induced abortion and preterm delivery in various parts of Europe, and according to the main cause of preterm birth. METHODS: We used data from a case-control survey, the EUROPOP study; 2938 preterm births and 4781 controls at term from ten European countries were included. Based on national statistics, we distinguished three groups of countries with high, intermediate and low rates of induced abortion. RESULTS: Previous induced abortions were significantly associated with preterm delivery and the risk of preterm birth increased with the number of abortions. Odds ratios did not differ significantly between the three groups of countries. The extent of association with previous induced abortion varied according to the cause of preterm delivery. Previous induced abortions significantly increased the risk of preterm delivery after idiopathic preterm labour, preterm premature rupture of membranes and ante-partum haemorrhage, but not preterm delivery after maternal hypertension. The strength of the association increased with decreasing gestational age at birth. CONCLUSIONS: Identifying subgroups of preterm births on the basis of the complications involved in delivery increases our understanding of the mechanisms by which previous induced abortion affects subsequent pregnancy outcomes.
Authors:
Pierre-Yves Ancel; Nathalie Lelong; Emile Papiernik; Marie-Josèphe Saurel-Cubizolles; Monique Kaminski;
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2004-01-29
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  19     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-04     Completed Date:  2004-10-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  England    
Other Details:
Languages:  eng     Pagination:  734-40     Citation Subset:  IM    
Affiliation:
Epidemiological Research Unit on Perinatal and Women's Health, INSERM U149-IFR69, 16 avenue Paul Vaillant-Couturier, 94807 Villejuif Cedex. ancel@vjf.inserm.fr
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / adverse effects*,  statistics & numerical data
Case-Control Studies
Europe
Female
Fetal Membranes, Premature Rupture / etiology
Humans
Interviews as Topic
Obstetric Labor, Premature / etiology*
Odds Ratio
Parturition*
Placenta Previa / etiology
Pregnancy
Pregnancy Complications / etiology
Reproductive History*
Risk Assessment
Uterine Hemorrhage / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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