Medical versus surgical termination of pregnancy in primigravid women—is the next delivery differently at risk?

Zaman, Rabia; Bashar, Nada; Kemp, M.; Maharan, M

doi:10.1111/1471-0528.12238

Cited by 1 publication

(2 citation statements)

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“…In Finland, it is mandatory to report all performed induced abortions to the Register of Induced Abortions and all live births and stillbirths of at least 22 gestational weeks or birthweight 500 g or more to the Medical Birth Register. Induced abortion is legal in Finland up to 20 weeks of gestation for social and ethical reasons and up to 24 weeks of gestation in case of confirmed fetal illness or congenital anomaly 23 . There is a national guideline on induced abortion in Finland 24 .…”

Section: Methodsmentioning

confidence: 99%

“…Induced abortion is legal in Finland up to 20 weeks of gestation for social and ethical reasons and up to 24 weeks of gestation in case of confirmed fetal illness or congenital anomaly. 23 There is a national guideline on induced abortion in Finland. 24 Both medical and surgical abortions are available for first-trimester abortion and the woman can choose the method after discussion with a physician.…”

Section: Materials and Me Thodsmentioning

confidence: 99%

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Fear of childbirth after medical vs surgical abortion. Population‐based register study from Finland

Kemppainen

Niinimäki

Bloigu

et al. 2021

Acta Obstet Gynecol Scand

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Introduction To evaluate the effect of method of induced abortion and other abortion‐associated variables on the incidence of fear of childbirth in subsequent pregnancy. Material and methods This population‐based register study cohort includes all nulliparous women with their first pregnancy ending in an induced abortion in 2000‐2015 and subsequent pregnancy with live singleton delivery between 2000 and 2017 (n = 21 479). Data were derived from three national registers maintained by the Finnish Institute for Health and Welfare. We divided the study population in three cohorts: (a) medical and (b) surgical abortion during first trimester (≤84 days of gestation), and (c) medical abortion during second trimester (85‐168 days of gestation). Primary outcome measures were the incidence of registry‐identified fear of childbirth and cesarean delivery related to it. Results The overall incidence of fear of childbirth was 5.6% (n = 1209). Altogether, 19.2% (n = 4121) of women underwent cesarean delivery. The odds were elevated especially for elective cesarean delivery (odds ratio [OR] 9.30, 95% CI 7.95‐10.88, P < .001) in women with fear of childbirth. In multivariable analysis, the odds for fear of childbirth (adjusted OR [aOR] 0.80, 95% CI 0.68‐0.94) and cesarean delivery (aOR 0.66, 95% CI 0.84‐0.90) were decreased in women with a history of first‐trimester medical abortion compared with those with first‐trimester surgical abortion. Second‐trimester medical abortion had no effect on the odds for fear of childbirth (aOR 1.04, 95% CI 0.71‐1.50). Maternal age of 30‐39 years and interpregnancy interval over 2 years were additional risk factors for both fear of childbirth and cesarean delivery, but surgical evacuation of uterus after the abortion was not. Conclusions One first‐ or second‐trimester medical abortion does not increase the odds for fear of childbirth, and cesarean delivery related to it in subsequent pregnancy when compared with first‐trimester surgical abortion. Older maternal age and longer interpregnancy interval emerged as risk factors for fear of childbirth.

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Section: Methodsmentioning

confidence: 99%

Section: Materials and Me Thodsmentioning

confidence: 99%