Abstract
An integrated approach to estimate the total number of pregnancies that begin in a population during one calendar year and the probability of spontaneous abortion is described. This includes an indirect estimate of the number of pregnancies that result in spontaneous abortions. The method simultaneously takes into account the proportion of induced abortions that are censored by spontaneous abortions and vice versa in order to estimate the true annual number of spontaneous and induced abortions for a population. It also estimates the proportion of pregnancies that women intended to allow to continue to a live birth. The proposed indirect approach derives adjustment factors to make indirect estimates by combining vital statistics information on gestational age at induced abortion (from the 12 States that report to the National Center for Health Statistics) with a life table of spontaneous abortion probabilities. The adjustment factors are applied to data on induced abortions from the Alan Guttmacher Institute Abortion Provider Survey and data on births from U.S. vital statistics. For the United States in 1980 the probability of a spontaneous abortion is 19 percent, given the presence of induced abortion. Once the effects of spontaneous abortion are discounted, women in 1980 intended to allow 73 percent of their pregnancies to proceed to a live birth. One medical benefit to a population practicing induced abortion is that induced abortions avert some spontaneous abortions, leading to a lower mean gestational duration at the time of spontaneous abortion.
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Selected References
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- Cutright P. Spontaneous fetal loss: a note on rates and some implications. J Biosoc Sci. 1975 Oct;7(4):421–433. doi: 10.1017/s0021932000010294. [DOI] [PubMed] [Google Scholar]
- FRENCH F. E., BIERMAN J. M. Probabilities of fetal mortality. Public Health Rep. 1962 Oct;77:835–847. [PMC free article] [PubMed] [Google Scholar]
- Figa'-Talamanca I., Repetto F. Correcting spontaneous abortion rates for the presence of induced abortion. Am J Public Health. 1988 Jan;78(1):40–42. doi: 10.2105/ajph.78.1.40. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Henshaw S. K., Binkin N. J., Blaine E., Smith J. C. A portrait of American women who obtain abortions. Fam Plann Perspect. 1985 Mar-Apr;17(2):90–96. [PubMed] [Google Scholar]
- Potter R. G. Competition between spontaneous and induced abortion. Demography. 1975 Feb;12(1):129–141. [PubMed] [Google Scholar]
- Potter R. G., Wyon J. B., New M., Gordon J. E. Fetal wastage in eleven Punjab villages. Hum Biol. 1965 Sep;37(3):262–273. [PubMed] [Google Scholar]
- SHAPIRO S., JONES E. W., DENSEN P. M. A life table of pregnancy terminations and correlates of fetal loss. Milbank Mem Fund Q. 1962 Jan;40:7–45. [PubMed] [Google Scholar]
- Susser E. Spontaneous abortion and induced abortion: an adjustment for the presence of induced abortion when estimating the rate of spontaneous abortion from cross-sectional studies. Am J Epidemiol. 1983 Mar;117(3):305–308. doi: 10.1093/oxfordjournals.aje.a113542. [DOI] [PubMed] [Google Scholar]
- Ventura S. J., Taffel S. M., Mosher W. D. Estimates of pregnancies and pregnancy rates for the United States, 1976-85. Am J Public Health. 1988 May;78(5):506–511. doi: 10.2105/ajph.78.5.506. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Westoff C. F., DeLung J. S., Goldman N., Forrest J. D. Abortions preventable by contraceptive practice. Fam Plann Perspect. 1981 Sep-Oct;13(5):218–223. [PubMed] [Google Scholar]
- Wilcox A. J., Weinberg C. R., O'Connor J. F., Baird D. D., Schlatterer J. P., Canfield R. E., Armstrong E. G., Nisula B. C. Incidence of early loss of pregnancy. N Engl J Med. 1988 Jul 28;319(4):189–194. doi: 10.1056/NEJM198807283190401. [DOI] [PubMed] [Google Scholar]