Intergenerational abortion tendency between mothers and teenage daughters: a population-based cohort study

Liu, Ning; Farrugia, Michele; Vigod, Simone N.; Urquía, Marcelo L.; Ray, Joel G.

doi:10.1503/cmaj.170595

Cited by 15 publications

(14 citation statements)

References 24 publications

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“…In a previous study, we examined the intergenerational association for TOP between mothers and their teenage daughters . We observed a hazard ratio of 1.94 (95% CI 1.86–2.01) for TOP in a teenage daughter if her mother had a history of TOP …”

Section: Discussionmentioning

confidence: 98%

Intergenerational teen pregnancy: a population‐based cohort study

Liu

Vigod

Farrugia

et al. 2018

BJOG

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Section: Discussionmentioning

confidence: 98%

Intergenerational teen pregnancy: a population‐based cohort study

Liu

Vigod

Farrugia

et al. 2018

BJOG

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“…We used Ontario health administrative databases held at ICES, Toronto, as described elsewhere 14,15 and detailed in Appendix 1A, available at www.cmaj.ca/lookup/suppl/doi:10.1503/cmaj.181288/-/ DC1. We linked data sets with procedure-level information using unique encoded patient identifiers and data sets with physician-level information using encoded physician billing numbers.…”

Section: Sources Of Datamentioning

confidence: 99%

Physician procedure volume and related adverse events after surgically induced abortion: a population-based cohort study

Liu

Vigod

Farrugia

et al. 2019

CMAJ

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I nduced abortion is a common procedure performed among women of reproductive age. 1 Although it is technically a simple and safe procedure, complications with different degrees of severity can occur following induced abortion. 2-6 Physician procedure volume is known to be inversely related to the risk of complications after complex procedures, such as cancer, cardiac and pelvic surgery. 7,8 In contrast to these complex higher-risk surgeries, surgically induced abortion is a low-risk, less technically demanding procedure, performed mostly among relatively healthy women. In addition, given that most induced abortions are performed for reasons other than a maternal illness or fetal anomaly, such as a mistimed pregnancy or financial burden, 9,10 this underscores the expectation that the procedure carries little or no risk of an adverse outcome for women. To our knowledge, the influence of physician procedure volume on patient outcomes after induced abortion is not known. Accordingly , we aimed to examine the relation between physicians' volume of surgically induced abortion procedures and women's risk of adverse events after surgically induced abortion. Methods Study setting We conducted a population-based cohort study using administrative health data for the province of Ontario, Canada, where health care, including access to induced abortion services, is publicly funded. Induced abortions are performed in hospitals, outpatient clinics and health care centres. 11 In recent years, induced abortions have been increasingly provided at free-standing abortion clinics located almost exclusively in large urban centres. 12 Up to December 2016, at least 95% of induced abortions in the province were done as a sur gic al procedure. 3 An oral preparation that combines mifepristone and RESEARCH HEALTH SERVICES

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“…4 Rather, as the Canadian Institute for Health Information subsequently clarified, 5 and others have noted, 6 the number of induced abortions is much higher, at about 40 000 per year, which is close to that estimated by the algorithm used in our study. 7 Our study did not evaluate the economic determinants of having, or not having, an induced abortion. However, we did observe a consistent effect size for the phenomenon of intergenerational induced abortion across income quintiles (Appendix 2 in our paper).…”

mentioning

confidence: 98%

“…However, we did observe a consistent effect size for the phenomenon of intergenerational induced abortion across income quintiles (Appendix 2 in our paper). 7 Although we appreciate the recent provision of Canadian federal funding to address the issues of sexual and reproductive coercion 8 and reproductive rights, 9 we are not sure that such measures can be entrusted to governments alone. As concluded in our paper, and in agreement with Drs.…”

mentioning

confidence: 99%

“…Norman and Munro, education and the widespread availability of highly effective contraception is part of any effective strategy to reduce unintended teen pregnancy. 7 Rather than taking "a stab in the dark," our study also introduces a core social determinant of health that appears to heighten the risk of unintended pregnancy, and consequential induced abortion: that of the family experience. 7 Beyond time-consuming and expensive population surveys, we welcome the testing of evidence-informed interventions, at the family, peer, school and individual levels, which may be a more efficient way to reduce unintended teen pregnancy (and the resultant need for induced abortions).…”

mentioning

confidence: 99%

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