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. 1992 Mar;82(3):391–394. doi: 10.2105/ajph.82.3.391

Low birth weight in relation to multiple induced abortions.

M T Mandelson 1, C B Maden 1, J R Daling 1
PMCID: PMC1694356  PMID: 1536355

Abstract

BACKGROUND. Most studies report that a single induced abortion does not increase risk for delivering a low birth weight infant in a subsequent pregnancy. However, the effect of multiple abortions has not been adequately evaluated. METHODS. This relationship was studied in 6541 White women who delivered their first child between 1984 and 1987. We compared the frequencies of low birth weight (less than 2500 g) among infants born to 1999 women without prior induced abortion and 1999 women with one abortion with the frequencies of low birth weight among infants born to women with two (n = 1850), three (n = 520), and four or more (n = 173) prior induced abortions. RESULTS. After adjustment for confounding variables, we found no linear relationship in risk of low birth weight among women with one (relative risk [RR] = 1.2, 95% confidence interval [CI] = 0.9-1.5), two (RR = 1.5, 95% CI = 1.1-2.0), three (RR = 1.3, 95% CI = 0.8-1.9), or four or more (RR = 1.6, 95% CI = 0.9-2.9) prior induced abortions. CONCLUSIONS. These findings confirm earlier reports of little or no evidence of harmful effects on birth weight by one or by two or more induced abortions. We further report that risk is not significantly elevated even in women with three, four, or more prior terminations of pregnancy when compared with women with one or two abortions.

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Selected References

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  1. Bracken M. B., Hellenbrand K. G., Holford T. R., Bryce-Buchanan C. Low birth weight in pregnancies following induced abortion: no evidence for an association. Am J Epidemiol. 1986 Apr;123(4):604–613. doi: 10.1093/oxfordjournals.aje.a114280. [DOI] [PubMed] [Google Scholar]
  2. Daling J. R., Emanuel I. Induced abortion and subsequent outcome of pregnancy in a series of American women. N Engl J Med. 1977 Dec 8;297(23):1241–1245. doi: 10.1056/NEJM197712082972301. [DOI] [PubMed] [Google Scholar]
  3. Frank P. I., Kay C. R., Lewis T. L., Parish S. Outcome of pregnancy following induced abortion. Report from the joint study of the Royal College of General Practitioners and the Royal College of Obstetricians and Gynaecologists. Br J Obstet Gynaecol. 1985 Apr;92(4):308–316. doi: 10.1111/j.1471-0528.1985.tb01102.x. [DOI] [PubMed] [Google Scholar]
  4. Frost F., Starzyk P., George S., McLaughlin J. F. Birth complication reporting: the effect of birth certificate design. Am J Public Health. 1984 May;74(5):505–506. doi: 10.2105/ajph.74.5.505. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Henshaw S. K., Van Vort J. Abortion services in the United States, 1987 and 1988. Fam Plann Perspect. 1990 May-Jun;22(3):102-8, 142. [PubMed] [Google Scholar]
  6. Hogue C. J., Cates W., Jr, Tietze C. The effects of induced abortion on subsequent reproduction. Epidemiol Rev. 1982;4:66–94. doi: 10.1093/oxfordjournals.epirev.a036252. [DOI] [PubMed] [Google Scholar]
  7. Holt V. L., Daling J. R., Voigt L. F., McKnight B., Stergachis A., Chu J., Weiss N. S. Induced abortion and the risk of subsequent ectopic pregnancy. Am J Public Health. 1989 Sep;79(9):1234–1238. doi: 10.2105/ajph.79.9.1234. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Linn S., Schoenbaum S. C., Monson R. R., Rosner B., Stubblefield P. G., Ryan K. J. The relationship between induced abortion and outcome of subsequent pregnancies. Am J Obstet Gynecol. 1983 May 15;146(2):136–140. doi: 10.1016/0002-9378(83)91041-4. [DOI] [PubMed] [Google Scholar]
  9. Lumley J. Very low birth-weight (less than 1,500 g) and previous induced abortion: Victoria 1982-1983. Aust N Z J Obstet Gynaecol. 1986 Nov;26(4):268–272. doi: 10.1111/j.1479-828x.1986.tb01585.x. [DOI] [PubMed] [Google Scholar]
  10. Madore C., Hawes W. E., Many F., Hexter A. C. A study on the effects of induced abortion on subsequent pregnancy outcome. Am J Obstet Gynecol. 1981 Mar 1;139(5):516–521. doi: 10.1016/0002-9378(81)90510-x. [DOI] [PubMed] [Google Scholar]
  11. Park T. K., Strauss L. T., Hogue C. J., Kim I. S. Previous experience of induced abortion as a risk factor for fetal death and preterm delivery. Int J Gynaecol Obstet. 1984 Jun;22(3):195–202. doi: 10.1016/0020-7292(84)90005-5. [DOI] [PubMed] [Google Scholar]
  12. Pickering R. M., Forbes J. F. Risks of preterm delivery and small-for-gestational age infants following abortion: a population study. Br J Obstet Gynaecol. 1985 Nov;92(11):1106–1112. doi: 10.1111/j.1471-0528.1985.tb03020.x. [DOI] [PubMed] [Google Scholar]
  13. Richardson J. A., Dixon G. Effects of legal termination on subsequent pregnancy. Br Med J. 1976 May 29;1(6021):1303–1304. doi: 10.1136/bmj.1.6021.1303. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Seidman D. S., Ever-Hadani P., Slater P. E., Harlap S., Stevenson D. K., Gale R. Child-bearing after induced abortion: reassessment of risk. J Epidemiol Community Health. 1988 Sep;42(3):294–298. doi: 10.1136/jech.42.3.294. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Slater P. E., Davies A. M., Harlap S. The effect of abortion method on the outcome of subsequent pregnancy. J Reprod Med. 1981 Mar;26(3):123–128. [PubMed] [Google Scholar]

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