Table 3. Multiple variable analysis of factors associated with serious abortion complications, adjusted logistic regression odds ratiosa.
Serious complication OR (95% CI) | Serious complication, among induced abortion cases c OR (95% CI) | Sepsis OR (95% CI) | |
Time Period | |||
Before implementation (2001–2003) | Reference | Reference | Reference |
Early implementation (2004–2006) | 1.0 (0.87, 1.16) | 0.85 (0.63, 1.15) | 0.60 (0.47, 0.75)*** |
Later implementation (2007–2010) | 0.74 (0.64, 0.85)*** | 0.49 (0.37, 0.64)*** | 0.37 (0.29, 0.46)*** |
Patient age | 1.03 (1.02, 1.04)*** | 1.02 (1.01, 1.04)* | 1.05 (1.04, 1.07)*** |
Induced abortion recorded in chart | 6.54 (5.74, 7.46)*** | – | 15.79 (13.03, 19.13)*** |
Stage of pregnancy:b | |||
First trimester | Reference | Reference 1.96 | Reference |
Second trimester | 1.78 (1.55, 2.04)*** | (1.48, 2.58)*** | 1.89 (1.52, 2.36)*** |
Third trimester | 1.57 (1.31, 1.88)*** | 1.77 (1.12, 2.77)* | 1.13 (0.81, 1.61) |
Model n | 21,699 | 1,854 | 21,699 |
p<.05, ** p<.01, ***p<.001.
All odds ratios are also adjusted for hospital and season.
Data on the stage of pregnancy was missing in 7.6% of the medical charts. Significance and direction of results were unchanged when the stage of pregnancy variable was excluded from the models.
Clinical evidence such as foreign body or injury from instrumentation (e.g., uterine perforation) or free-text chart documentation of induced abortion based upon patient disclosure or provider observation.