Use our new account feature to register for a free CLI account. Your new account will allow you to bookmark and organize articles and research for easy reference later - making it simple to keep track of the research that's important to you!
Register / Sign in
close-panel

Charlotte Lozier Institute

Phone: 202-223-8073
Fax: 571-312-0544

2776 S. Arlington Mill Dr.
#803
Arlington, VA 22206

Get Notifications

Sign up to receive email updates from Charlotte Lozier Institute.

Become A Defender of Life

Your donation helps us continue to provide world-class research in defense of life.

DONATE

Charlotte Lozier Institute

Phone: 202-223-8073
Fax: 571-312-0544

2776 S. Arlington Mill Dr.
#803
Arlington, VA 22206

Maternal & Public HealthPeer ReviewedAbortion Health Services Research and Managerial Epidemiology

The Enduring Association of a First Pregnancy Abortion with Subsequent Pregnancy Outcomes: A Longitudinal Cohort Study

Additional Authors: Tessa Longbons; David C. Reardon, Ph.D.; John W. Fisher, Ph.D., J.D., M.S., M.A.; Donna Harrison, M.D.; Ingrid Skop, M.D., FACOG; Christina A. Cirucci, M.D.; Christopher Craver; Maka Tsulukidze, M.D., Ph.D, MPH; Zbigniew Ras, D.Sc.

Abstract

Introduction

Multiple abortions are consistently associated with adverse health consequences. Prior abortion is a known risk factor for another abortion.

Objective

To determine the persistence of the association of a first-pregnancy abortion with the likelihood of subsequent pregnancy outcomes.

Methods

Data was extracted for a study population of 5453 continuously eligible Medicaid beneficiaries in states which funded and reported elective abortions 1999–2015. Women age 16 in 1999 were organized into three cohorts based upon the first pregnancy outcome: abortion, birth, natural loss.

Results

Women in the abortion cohort are more likely than those in the birth cohort to experience another abortion rather than a birth or natural loss, and less likely to experience a live birth rather than an abortion or natural loss, for every subsequent pregnancy. The tendency toward abortion (OR 2.99, CL 2.02-4.43) and away from birth (OR 0.49, CL 0.39-0.63) peaks at the sixth pregnancy, but persists throughout the reproductive period ages 16–32. The pattern is reversed, but similarly consistent, for women in the birth cohort. They remain likelier to have another birth rather than an abortion or natural loss in subsequent pregnancies. Compared to the birth cohort, the abortion cohort had 1.35 times as many pregnancies: 4.31 times the abortions, 1.53 times the natural losses, but only 0.52 times the births. They were 4.3 and 5.0 times as likely to have 2-plus and 3-plus abortions, but only 0.47 times and 0.31 times as likely to have 2-plus and 3-plus births. Of the abortion cohort, 37.1% had no births. By contrast, 73.6% of the birth cohort had no abortions.

Conclusion

The first-pregnancy abortion maintains a strong and persistent association with the likelihood of another abortion in subsequent pregnancies, enabling a cascade of adverse events associated with multiple abortions.
Read Complete Article

Latest Posts

February 7, 2023 Whose Choice? Pressure to Abort Linked to Worsening of Subsequent Mental Health February 2, 2023 Effects of Pressure to Abort on Women’s Emotional Responses and Mental Health February 1, 2023 Abortion Reporting: Hawaii (2020)

You Might Also Be Interested In

Whose Choice? Pressure to Abort Linked to Worsening of Subsequent Mental Health

February 7, 2023

Effects of Pressure to Abort on Women’s Emotional Responses and Mental Health

February 2, 2023

Abortion Reporting: Hawaii (2020)

February 1, 2023

Become A Defender of Life

Your donation helps us continue to provide world-
class research in defense of life.

BECOME A PARTNER
cta-image