0
June 27, 1980, Vol 243, No. 24 >
ARTICLE | June 27, 1980

Association of Induced Abortion With Subsequent Pregnancy Loss FREE

Ann Aschengrau Levin, MS; Stephen C. Schoenbaum, MD; Richard R. Monson, MD; Phillip G. Stubblefield, MD; Kenneth J. Ryan, MD
[+] Author Affiliations

Reprint requests to Department of Medicine, Peter Bent Brigham Hospital, 721 Huntington Ave, Boston, MA 02115 (Dr Schoenbaum).


JAMA. 1980;243(24):2495-2499. doi:10.1001/jama.1980.03300500021020
Text Size: A A A
Published online
Article
References

We compared prior pregnancy histories of two groups of multigravidas—240 women having a pregnancy loss up to 28 weeks' gestation and 1,072 women having a term delivery. Women who had had two or more prior induced abortions had a twofold to threefold increase in risk of first-trimester spontaneous abortion, loss between 14 to 19 and 20 to 27 weeks. The increased risk was present for women who had legal induced abortions since 1973. It was not explained by smoking status, history of prior spontaneous loss, prior abortion method, or degree of cervical dilatation. No increase in risk of pregnancy loss was detected among women with a single prior induced abortion. We conclude that multiple induced abortions do increase the risk of subsequent pregnancy losses up to 28 weeks' gestation.

(JAMA 243:2495-2499, 1980)

REFERENCES

1 +
Alberman E, Elliott M, Creasy M, et al:  Previous reproductive history in mothers presenting with spontaneous abortions . Br J Obstet Gynecol 82:366-373, 1975;.
2 +
Kline J, Stein Z, Susser M, et al:  Induced abortion and spontaneous abortion: No connection? Am J Epidemiol 107:290-298, 1978;.
3 +
Harlap S, Shiono PH, Ramcharan S, et al:  A prospective study of spontaneous fetal losses after induced abortions . N Engl J Med 301:677-681, 1979;.
4 +
Mantel N, Haenszel W:  Statistical aspects of the analysis of data from retrospective studies of disease . J Natl Cancer Inst 22:719-748, 1959;.
5 +
Miettinen OS:  Stratification by a multivariate confounder score . Am J Epidemiol 104:609-620, 1976;.
6 +
Wright CSW, Campbell S, Beazley J:  Second-trimester abortion after vaginal termination of pregnancy . Lancet 1:1278-1279, 1972;.
7 +
Richardson JA, Dixon G:  Effects of legal termination of subsequent pregnancy . Br Med J 1:1303-1304, 1976;.
8 +
Moriyama Y, Hirokawa 0:  The relationship between artificial termination of pregnancy and abortion of premature birth , in Harmful Effects of Induced Abortion . Tokyo, Family Planning Federation of Japan, 1966;, pp 64-73.
9 +
Schoenbaum SC, Monson RR, Stubblefield PG, et al:  Outcome of the delivery following an induced or spontaneous abortion . Am J Obstet Gynecol 136:19-24, 1980;.
10 +
Harlap S, Davies AM:  Late sequelae of induced abortion: Complications and outcome of pregnancy and labor . Am J Epidemiol 102:217-224, 1975;.
11 +
 Gestation, birth-weight and spontaneous abortion in pregnancy after induced abortion, WHO Task Force on Sequelae of Abortion . Lancet 1:142-145, 1979;.
12 +
Roht LH, Aoyama H, Leinen GE, et al:  The association of multiple induced abortions with subsequent prematurity and spontaneous abortion . Acta Obstet Gynaecol Jpn 23:140-145, 1976;.
13 +
Daling JR, Emanuel I:  Induced abortion and subsequent outcome of pregnancy . Lancet 2:170-172, 1975;.
14 +
Daling JR, Emanuel I:  Induced abortion and subsequent outcome of pregnancy in a series of American women . N Engl J Med 297:1241-1245, 1977;.
15 +
Hogue CJ:  Low birth weight subsequent to induced abortion: A historical prospective study of 948 women in Skopje, Yugoslavia . Am J Obstet Gynecol 123:675-681, 1975;.
16 +
Koller O, Eikhom SN:  Late sequelae of induced abortion in primigravidae: The outcome of the subsequent pregnancies . Acta Obstet Gynecol Scand 56:311-317, 1977;.
17 +
Van der Slikke JW, Treffers PE:  Influence of induced abortion on gestational duration in subsequent pregnancies . Br Med J 1:270-272, 1978;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Alberman E, Elliott M, Creasy M, et al:  Previous reproductive history in mothers presenting with spontaneous abortions . Br J Obstet Gynecol 82:366-373, 1975;.
2 +
Kline J, Stein Z, Susser M, et al:  Induced abortion and spontaneous abortion: No connection? Am J Epidemiol 107:290-298, 1978;.
3 +
Harlap S, Shiono PH, Ramcharan S, et al:  A prospective study of spontaneous fetal losses after induced abortions . N Engl J Med 301:677-681, 1979;.
4 +
Mantel N, Haenszel W:  Statistical aspects of the analysis of data from retrospective studies of disease . J Natl Cancer Inst 22:719-748, 1959;.
5 +
Miettinen OS:  Stratification by a multivariate confounder score . Am J Epidemiol 104:609-620, 1976;.
6 +
Wright CSW, Campbell S, Beazley J:  Second-trimester abortion after vaginal termination of pregnancy . Lancet 1:1278-1279, 1972;.
7 +
Richardson JA, Dixon G:  Effects of legal termination of subsequent pregnancy . Br Med J 1:1303-1304, 1976;.
8 +
Moriyama Y, Hirokawa 0:  The relationship between artificial termination of pregnancy and abortion of premature birth , in Harmful Effects of Induced Abortion . Tokyo, Family Planning Federation of Japan, 1966;, pp 64-73.
9 +
Schoenbaum SC, Monson RR, Stubblefield PG, et al:  Outcome of the delivery following an induced or spontaneous abortion . Am J Obstet Gynecol 136:19-24, 1980;.
10 +
Harlap S, Davies AM:  Late sequelae of induced abortion: Complications and outcome of pregnancy and labor . Am J Epidemiol 102:217-224, 1975;.
11 +
 Gestation, birth-weight and spontaneous abortion in pregnancy after induced abortion, WHO Task Force on Sequelae of Abortion . Lancet 1:142-145, 1979;.
12 +
Roht LH, Aoyama H, Leinen GE, et al:  The association of multiple induced abortions with subsequent prematurity and spontaneous abortion . Acta Obstet Gynaecol Jpn 23:140-145, 1976;.
13 +
Daling JR, Emanuel I:  Induced abortion and subsequent outcome of pregnancy . Lancet 2:170-172, 1975;.
14 +
Daling JR, Emanuel I:  Induced abortion and subsequent outcome of pregnancy in a series of American women . N Engl J Med 297:1241-1245, 1977;.
15 +
Hogue CJ:  Low birth weight subsequent to induced abortion: A historical prospective study of 948 women in Skopje, Yugoslavia . Am J Obstet Gynecol 123:675-681, 1975;.
16 +
Koller O, Eikhom SN:  Late sequelae of induced abortion in primigravidae: The outcome of the subsequent pregnancies . Acta Obstet Gynecol Scand 56:311-317, 1977;.
17 +
Van der Slikke JW, Treffers PE:  Influence of induced abortion on gestational duration in subsequent pregnancies . Br Med J 1:270-272, 1978;.

Letters

Submit a Letter
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2012 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems