Short and long term mortality rates associated with first pregnancy outcome: Population register based study for Denmark 1980–2004

Reardon, David C.; Coleman, Priscilla K.

doi:10.12659/msm.883338

Cited by 13 publications

(16 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 Research from Finland and Denmark, countries with comprehensive systems for reporting abortions and other pregnancy outcomes, concluded that there is a 4 times greater risk of mortality following abortion than childbirth. 4,5 These findings contrast with the often-referenced conclusion that childbirth-related mortality is 14 times that of abortion. 6…”

Section: Introductionmentioning

confidence: 78%

RETRACTED: Doctors Who Perform Abortions: Their Characteristics and Patterns of Holding and Using Hospital Privileges

Studnicki¹,

Longbons²,

Fisher³

et al. 2019

Health Services Research and Managerial Epidemiology

View full text Add to dashboard Cite

Controversy exists regarding whether doctors who perform abortions should be required to hold hospital admitting privileges, but no research exists as to the extent to which they actually hold and use such privileges. Extensive Internet and government data sources were used to identify and verify abortionists in Florida. All medical and osteopathic abortion doctors who were licensed to practice at any time during the period 2011 to 2016 were included in the study (n = 85). Every abortionist hospital admission of a female patient aged 15 to 44 occurring during the 6-year study period was identified (n = 21 502). Abortionist physicians are 74.1% male, 62% have been in practice for 30 years or longer, 27.1% are graduates of foreign medical schools, and 55.3% are board certified. Nearly half (48.2%) of the abortionists had at least 1 malpractice claim, public complaint, disciplinary action, or criminal charge. Half (50.6%) of the abortionists reported hospital privileges, but only 32 (37.6%) admitted at least 1 patient to a hospital. Seven physicians accounted for 68.2% of all the admissions, and 79.6% of all admissions were related to a live birth. Black was the modal race (47.6%) and Medicaid the most frequent (64.9%) pay source. Nearly one-fifth (19.4%) of admissions came through the emergency department. Physicians who hold hospital privileges are significantly ( P < .05) more likely to be board certified and to be approved for Medicaid payment than their colleagues without privileges. Of those doctors who hold and use hospital privileges, the lowest admission volume physicians are significantly less likely to be involved in live births, more likely to admit commercially insured and white inpatients, and much more likely to use the emergency room as the route to hospital admissions for their Medicaid-eligible and black patients. Further study of abortionist physicians is indicated regarding their heterogeneous personal and professional characteristics; their career pathways and practice concentrations; their relative integration with or isolation from peers and the professional network; the importance of black and poor induced abortion patients in their total caseload; and, especially for abortionists without hospital privileges, the means by which their patients requiring emergency care and hospitalization are accommodated.

show abstract

Section: Introductionmentioning

confidence: 78%

RETRACTED: Doctors Who Perform Abortions: Their Characteristics and Patterns of Holding and Using Hospital Privileges

Studnicki¹,

Longbons²,

Fisher³

et al. 2019

Health Services Research and Managerial Epidemiology

View full text Add to dashboard Cite

show abstract

“…Obesity is also associated with adverse pregnancy outcomes such as pre-eclampsia, gestational diabetes mellitus (GDM), caesarean delivery, macrosomia, neural tube defect, thromboembolism, postpartum hemorrhage, puerperal infection, and increased risk of maternal and perinatal mortality [ 6 – 15 ]. According to the National Health and Nutrition Examination Survey, in the United States, more than half of pregnant women are overweight or obese [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Body weight gain and serum leptin levels of non-overweight and overweight/obese pregnant women

et al. 2013

View full text Add to dashboard Cite

BackgroundOur objective was to evaluate changes in serum leptin levels during pregnancy in overweight/obese and non-obese women and to assess total and percent weight gain during pregnancy as possible factors that influence leptin levels.Material/MethodsIn a prospective study of 42 low-risk pregnant women receiving prenatal care, we assessed serum leptin levels at gestational weeks 9–12, 25–28, and 34–37. Based on their pre-pregnancy body mass indices (BMIs), the cohort was divided into: non-overweight (BMI <25 kg/m2) and overweight/obese (BMI ≥25 kg/m2) subjects.ResultsWe found a progressive increase in maternal weight gain during pregnancy in both groups. There was also a progressive increase in leptin levels in the 2 strata; however, the increase was significantly higher in the non-overweight patient group. We found that non-overweight pregnant women had a noticeably larger total weight gain. When analyzing the percent weight gain during pregnancy compared to the pre-pregnancy weight, the non-overweight group had a significantly greater percent weight gain than the overweight/obese group.ConclusionsOur results suggest that the greater increase in leptin levels in non-overweight pregnant women can be explained by the higher percent weight gain in this group compared to overweight/obese women. These findings suggest that controlling the percent weight gain may be an important preventive measure when controlling leptin levels during pregnancy and subsequent medical complications.

show abstract

“…The risk of death in a given year for a woman who was not pregnant was 57/100,000 women, but after an abortion, the risk was 83/100,000, after miscarriage 52/100,000, and for those who carried a pregnancy to term 28/100,000 (Studnicki et al 2017). Danish studies reported that the risk of death within 180 days after a first trimester abortion was 244 percent higher than the risk of death after childbirth; the risk of death after a late-term abortion was 615 percent higher than that after childbirth (Reardon and Coleman 2012).…”

Section: Report Of the National Academies Of Sciencementioning

confidence: 99%

Induced Abortion and the Increased Risk of Maternal Mortality

Marmion

Skop²

2020

Linacre Q

View full text Add to dashboard Cite

After years of failure to obtain accurate statistics on maternal mortality, the United States noted a sharp increase in its maternal mortality rate with widening racial and ethnic disparities. The 2016 report shocked the nation by documenting a 26 percent increase in maternal mortality from 18.8/100,000 live births in 2000 to 23.8 in 2014. Suggested etiologies of this increase included artifact as a result of improved maternal death surveillance, incorrect use of ICD- 10 codes, healthcare disparities, lack of family support and other social barriers, substance abuse and violence, depression and suicide, inadequate preconception care, patient noncompliance, lack of standardized protocols for handling obstetric emergencies, failure to meet expected standards of care, aging of the pregnant patient cohort with associated increase in chronic diseases and cardiovascular complications, and lack of a comprehensive national plan. While some of the increase in maternal mortality may be a result of improved data collection, pregnancy-related deaths are occurring at a higher rate in the United States than in other developed countries. Some have suggested that the increased maternal mortality is due to limiting women’s access to legal abortion. In order to discover effective strategies to improve pregnancy outcomes, maternal mortality must be investigated in an unbiased manner. This review explores the relationship between legal-induced abortion and maternal mortality. Summary: In Finland, where epidemiologic record linkage has been validated, the risk of death from legal induced abortion is reported to be almost four times greater than the risk of death from childbirth. It is difficult to do this comparison in the United States not only because prior induced abortion history is often not recorded for a pregnancy-related death but also because less than one-quarter of the states require health care providers to report abortion deaths for investigation. These omissions are important because mortality risk in pregnancies subsequent to abortion is increased due to abortion-induced morbidities such as preterm birth and abnormal placentation. Legal induced abortion is a root cause of the racial and ethnic disparity noted in maternal mortality. In the United States, the death rate from legal induced abortion performed at 18 weeks gestation is more than double that observed for women experiencing vaginal delivery.

show abstract

Short and long term mortality rates associated with first pregnancy outcome: Population register based study for Denmark 1980–2004

Cited by 13 publications

References 16 publications

RETRACTED: Doctors Who Perform Abortions: Their Characteristics and Patterns of Holding and Using Hospital Privileges

RETRACTED: Doctors Who Perform Abortions: Their Characteristics and Patterns of Holding and Using Hospital Privileges

Body weight gain and serum leptin levels of non-overweight and overweight/obese pregnant women

Induced Abortion and the Increased Risk of Maternal Mortality

Contact Info

Product

Resources

About