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Characteristics of pregnant women who report previous induced abortions

机译:报告先前人工流产的孕妇的特征

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摘要

Associations between previous induced abortion and demographic and health factors in pregnancy were measured in 9 874 women who gave birth and who had been interviewed during pregnancy. Previous abortion was most rare among women having their first baby and increased with increasing birth order up to the fourth, thereafter decreasing. It was positively correlated with maternal age and negatively with age at marriage. There was no effect of years of schooling, when other variables were taken into account, but there were significant differences between ethnic groups, abortion being commonest among Jewish women from North African countries and more prevalent in those from western and Asian countries than in the second-generation Israel-born or in Arab women.Women who reported abortions were less likely to be strict as regards religious observance and less likely to have had a previous stillbirth or child death, other variables being equal. They were more likely to be smokers or former smokers and to be delivered of their babies in certain obstetric units. They more often reported vomiting, bleeding, and medication in early pregnancy. On the other hand, there was no significant association with diabetes, anaemia, blood groups, or season of birth.The findings show that women reporting previous induced abortions differ significantly from other pregnant women in a wide range of demographic and health characteristics. Such women may also be biased for complications of pregnancy and outcome, particularly if selected from a clinic population. Observations that indicate a deleterious effect of induced abortions on subsequent pregnancy outcomes must therefore be interpreted with considerable caution.
机译:在9 874名分娩并在怀孕期间接受采访的妇女中,测量了先前的人工流产与怀孕期间的人口统计学和健康因素之间的关联。在有第一个孩子的妇女中,以前的流产是最罕见的,并随着出生顺序的增加而增加,直到第四个。它与产妇年龄呈正相关,与结婚年龄呈负相关。当考虑其他变量时,受教育年限没有影响,但是种族群体之间存在显着差异,流产在北非国家的犹太妇女中最常见,在西方和亚洲国家的妇女中比第二种更普遍以色列出生的几代人或在阿拉伯妇女中。报告堕胎的妇女在宗教遵守方面不太严格,在先前的死产或儿童死亡等其他变量相同的情况下,堕胎的可能性也较小。他们更可能是吸烟者或以前的吸烟者,并在某些产科部门分娩了婴儿。他们更经常报告怀孕初期的呕吐,出血和药物治疗。另一方面,与糖尿病,贫血,血型或出生季节没有显着相关性。研究结果表明,报告过人工流产的妇女在广泛的人口统计学和健康特征方面与其他孕妇有显着差异。这类妇女的妊娠并发症和结局也可能有偏见,特别是如果从临床人群中选出的话。因此,必须谨慎地解释表明人工流产对随后妊娠结局具有有害作用的观察结果。

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