Document Detail


The comparative safety of legal induced abortion and childbirth in the United States.
MedLine Citation:
PMID:  22270271     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the safety of abortion compared with childbirth.
METHODS: We estimated mortality rates associated with live births and legal induced abortions in the United States in 1998-2005. We used data from the Centers for Disease Control and Prevention's Pregnancy Mortality Surveillance System, birth certificates, and Guttmacher Institute surveys. In addition, we searched for population-based data comparing the morbidity of abortion and childbirth.
RESULTS: The pregnancy-associated mortality rate among women who delivered live neonates was 8.8 deaths per 100,000 live births. The mortality rate related to induced abortion was 0.6 deaths per 100,000 abortions. In the one recent comparative study of pregnancy morbidity in the United States, pregnancy-related complications were more common with childbirth than with abortion.
CONCLUSION: Legal induced abortion is markedly safer than childbirth. The risk of death associated with childbirth is approximately 14 times higher than that with abortion. Similarly, the overall morbidity associated with childbirth exceeds that with abortion.
LEVEL OF EVIDENCE: II.
Authors:
Elizabeth G Raymond; David A Grimes
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  119     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-24     Completed Date:  2012-06-11     Revised Date:  2012-07-11    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  215-9     Citation Subset:  AIM; IM    
Affiliation:
Gynuity Health Projects, New York, New York, USA. eraymond@gynuity.org
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MeSH Terms
Descriptor/Qualifier:
Abortion, Legal / adverse effects,  mortality*
Delivery, Obstetric / adverse effects,  mortality*
Female
Humans
Live Birth
Maternal Mortality
Pregnancy
Pregnancy Complications / epidemiology*
United States / epidemiology
Comments/Corrections
Comment In:
Obstet Gynecol. 2012 Jun;119(6):1271; author reply 1271-2   [PMID:  22617597 ]
Obstet Gynecol. 2012 Feb;119(2 Pt 1):212-4   [PMID:  22270270 ]
Obstet Gynecol. 2012 Jun;119(6):1271; author reply 1271-2   [PMID:  22617596 ]

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


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