Age, parity, history of abortion and contraceptive choices affect the risk of repeat abortion

Heikinheimo, Oskari; Gissler, Mika; Suhonen, Satu

doi:10.1016/j.contraception.2008.03.013

Cited by 165 publications

(169 citation statements)

References 19 publications

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“…Similarly, a California study in an urban hospital indicated no association between poverty, education, or insurance coverage and repeat abortions, 3 Older age has been associated with repeat abortions in this and other crosssectional studies, 2-4 but prospective studies have reported decreased incidence of future abortion in association with older age. [11][12][13] The association appears in crosssectional studies because older age represents a longer period at risk for unplanned pregnancy. Additionally, repeat abortion has been associated with cohabitation and greater coital frequency, 14 both markers for increased pregnancy risk.…”

Section: Discussionmentioning

confidence: 99%

Repeat Abortions in New York City, 2010

Toprani

2015

J Urban Health

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This study aims to describe factors associated with the number of past abortions obtained by New York City (NYC) abortion patients in 2010. We calculated rates of first and repeat abortion by age, race/ethnicity, and neighborhood-level poverty and the mean number of self-reported past abortions by age, race/ethnicity, neighborhood-level poverty, number of living children, education, payment method, marital status, and nativity. We used negative binomial regression to predict number of past abortions by patient characteristics. Of the 76,614 abortions reported for NYC residents in 2010, 57 % were repeat abortions. Repeat abortions comprised 950 % of total abortions among the majority of sociodemographic groups we examined. Overall, mean number of past abortions was 1.3. Mean number of past abortions was higher for women aged 30-34 years (1.77), women with ≥5 children (2.50), and black nonHispanic women (1.52). After multivariable regression, age, race/ethnicity, and number of children were the strongest predictors of number of past abortions. This analysis demonstrates that, although socioeconomic disparities exist, all abortion patients are at high risk for repeat unintended pregnancy and abortion.

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Section: Discussionmentioning

confidence: 99%

Repeat Abortions in New York City, 2010

Toprani

2015

J Urban Health

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“…Studies in many countries have found that promoting use of long-acting reversible contraception might be the most effective way forward (e.g. Heikinheimo et al, 2008;Ames & Norman, 2012;Rose & Lawton, 2012;Pohjoranta et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…It was assumed that someone had at most compulsory education if there was no education level recorded in the dataset, because Statistics Finland does not give information for research purposes about people with less than upper secondary education due to ethical regulations. The other variables included in the analyses were time since previous abortion, parity, age, relationship status, place of residence (province and level of urbanization) and nativity (native Finn vs non-native), because previous studies have found these characteristics to be associated with repeat abortion (Osler et al, 1997;Jones et al, 2006;Heikinheimo et al, 2008;Niinimäki et al, 2009;Väisänen & Jokela, 2010;Makenzius et al, 2011).…”

Section: Variablesmentioning

confidence: 99%

“…None of these studies compared cohort trends or educational differences. Other characteristics commonly associated with higher incidence of repeat abortion include having children (Osler et al, 1997;Jones et al, 2006;Heikinheimo et al, 2008;Niinimäki et al, 2009;Väisänen & Jokela, 2010;Makenzius et al, 2011;Stone & Ingham, 2011;Rose et al, 2015), being unemployed (Das et al, 2009), not being married (Jones et al, 2006;Niinimäki et al, 2009;Väisänen & Jokela, 2010) and using barrier (Osler et al, 1997;Niinimäki et al, 2009) or oral contraceptives (Jones et al, 2006;Heikinheimo et al, 2008;Niinimäki et al, 2009) rather than long-acting reversible methods of contraception.…”

Section: Introductionmentioning

confidence: 99%

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Educational Inequalities in Repeat Abortion: A Longitudinal Register Study in Finland 1975–2010

Väisänen

2016

J. Biosoc. Sci.

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Summary. The proportion of repeat abortions among all abortions has increased over the last decades in Finland. This study examined the association of education with the likelihood of repeat abortion, and the change in this association over time using reliable longitudinal data. A unique set of register data from three birth cohorts were followed from age 20 to 45, including about 22,000 cases of repeat abortion, and analysed using discretetime event-history models. Low education was found to be associated with a higher likelihood of repeat abortion. Women with low education had abortions sooner after the preceding abortion, and were more often single, younger and had larger families at the time of abortion than more highly educated women. The educational differences were more significant for later than earlier cohorts. The results show a lack of appropriate contraceptive use, possibly due to lack of knowledge of, or access to, services. There is a need to improve access to family planning services, and contraceptives should be provided free of charge. Register data overcome the common problems of under-reporting of abortion and attrition ensuring the results are reliable, unique and of interest internationally.

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“…First, it must be offered before the patient leaves the health facility where abortion care was provided. Experience has shown that if the woman is not given her contraceptive method before discharge, but instead she is referred to another service to obtain her method at a later time, the risks of a further unplanned pregnancy and another abortion are significantly higher [9,10].…”

Section: Introductionmentioning

confidence: 99%

Legal termination of pregnancy as an opportunity for expanding postabortion contraception: Experience at the Pereira Rossell Hospital, Montevideo, Uruguay

Nozar

Greif

Coppola

et al. 2016

Intl J Gynecology & Obste

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Objective:To determine to what extent women adopted highly effective contraceptive methods after a legal abortion. Methods: The data available during a period before and another period after liberalization of the abortion law were reviewed. The data gathering was incomplete and reliable only during certain periods, which were used in the study. Results: There was an increase in the proportion of women who returned for contraception and in the proportion who used any method and long-acting methods; however, no contraception was administered immediately after abortion and only 16% of all women treated started to use a long-acting method during the period after the law was liberalized. Conclusion: The proposed objective was not being achieved, the recommended guidelines were not being followed, and data gathering was incomplete. Good intentions are not enough and it is always necessary to evaluate the performance of a program. The results indicate that immediate reforms are necessary in postabortion contraception services.

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Age, parity, history of abortion and contraceptive choices affect the risk of repeat abortion

Cited by 165 publications

References 19 publications

Repeat Abortions in New York City, 2010

Repeat Abortions in New York City, 2010

Educational Inequalities in Repeat Abortion: A Longitudinal Register Study in Finland 1975–2010

Legal termination of pregnancy as an opportunity for expanding postabortion contraception: Experience at the Pereira Rossell Hospital, Montevideo, Uruguay

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