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. 1982 Jan;72(1):30–37. doi: 10.2105/ajph.72.1.30

Hospitalization for medical-legal and other abortions in the United States 1970-1977.

M B Bracken, D H Freeman Jr, K Hellenbrand
PMCID: PMC1649753  PMID: 7053616

Abstract

The National Hospital Discharge Survey records for medical-legal, spontaneous, and "other" abortions (ICDA-8 640-641, 643, and 644 respectively) for 1970-1977 were analyzed to investigate the impact of liberalized access to abortion on abortion-related morbidity in the United States. The analysis suggests that in census regions where an increase in medical-legal abortions performed in hospitals occurred over the study period there was an associated decreased likelihood of a "spontaneous" or "other" abortion. The spontaneous and "other" abortion codes appear to have been used synonymously and a small number of each used to classify complications of both illegal and legal abortions performed outside hospitals. There was a significant reduction in length of stay for spontaneous and other abortions between 1970 and 1977. This is suggestive of decreasing severe presenting symptomatology for complicated abortion. The study further suggests that: during 1970-77 illegal abortions were largely replaced by legal procedures; increases in legal abortions beyond those replacing illegal have not resulted in increased rates of hospitalization for complicated abortion; and, the case morbidity rate for legal abortion appears to have declined.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cates W., Jr, Rochat R. W. Illegal abortions in the united states: 1972-1974. Fam Plann Perspect. 1976 Mar-Apr;8(2):86–92. [PubMed] [Google Scholar]
  2. Cates W., Jr, Smith J. C., Rochat R. W., Patterson J. E., Dolman A. Assessment of surveillance and vital statistics data for monitoring abortion mortality, United States, 1972-1975. Am J Epidemiol. 1978 Sep;108(3):200–206. doi: 10.1093/oxfordjournals.aje.a112612. [DOI] [PubMed] [Google Scholar]
  3. Francome C. Estimating the number of illegal abortions. J Biosoc Sci. 1977 Oct;9(4):467–479. doi: 10.1017/s0021932000011305. [DOI] [PubMed] [Google Scholar]
  4. Frederiksen H., Brackett J. W. Demographic effects of abortion. Public Health Rep. 1968 Dec;83(12):999–1010. [PMC free article] [PubMed] [Google Scholar]
  5. Goldstein P., Stewart G. Trends in therapeutic abortion in San Francisco. Am J Public Health. 1972 May;62(5):695–699. doi: 10.2105/ajph.62.5.695. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Huldt L. Outcome of pregnancy when legal abortion is readily available. Lancet. 1968 Mar 2;1(7540):467–468. doi: 10.1016/s0140-6736(68)92791-8. [DOI] [PubMed] [Google Scholar]
  7. Kahan R. S., Baker L. D., Freeman M. G. The effect of legalized abortion on morbidity resulting from criminal abortion. Am J Obstet Gynecol. 1975 Jan 1;121(1):114–116. doi: 10.1016/0002-9378(75)90985-0. [DOI] [PubMed] [Google Scholar]
  8. Layde P. M., Ory H. W., Peterson H. B., Scally M. J., Greenspan J. R., Smith J. C., Fleming D. The declining length of hospitalization for tubal sterilization. JAMA. 1981 Feb 20;245(7):714–718. [PubMed] [Google Scholar]
  9. Leete R. Some comments on the demographic and social effects of the 1967 Abortion Act. J Biosoc Sci. 1976 Jul;8(3):229–251. doi: 10.1017/s0021932000010713. [DOI] [PubMed] [Google Scholar]
  10. Quick J. D. Liberalized abortion in Oregon: effects on fertility, prematurity, fetal death, and infant death. Am J Public Health. 1978 Oct;68(10):1003–1008. doi: 10.2105/ajph.68.10.1003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Seward P. N., Ballard C. A., Ulene A. L. The effect of legal abortion on the rate of septic abortion at a large county hospital. Am J Obstet Gynecol. 1973 Feb 1;115(3):335–338. doi: 10.1016/0002-9378(73)90587-5. [DOI] [PubMed] [Google Scholar]
  12. Stewart G. K., Goldstein P. J. Therapeutic abortion in California. Effects of septic abortion and maternal mortality. Obstet Gynecol. 1971 Apr;37(4):510–514. [PubMed] [Google Scholar]
  13. Tietze C. Two years' experience with a liberal abortion law: its impact on fetility trends in New York City. Fam Plann Perspect. 1973 Winter;5(1):36–41. [PubMed] [Google Scholar]

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