Ectopic pregnancy and prior induced abortion.
Author(s) -
Ann Aschengrau Levin,
Stephen C. Schoenbaum,
Phillip G. Stubblefield,
S Zimicki,
Richard R. Monson,
K J Ryan
Publication year - 1982
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.72.3.253
Subject(s) - ectopic pregnancy , abortion , medicine , obstetrics , confidence interval , pregnancy , confounding , relative risk , gynecology , induced abortions , pelvic inflammatory disease , family planning , population , research methodology , genetics , environmental health , biology
We compared the prior pregnancy histories of 85 multigravid women with an ectopic pregnancy and 498 multigravid delivery comparison subjects. We found a relationship between the number of prior induced abortions and the risk of ectopic pregnancy: the crude relative risk of ectopic pregnancy was 1.6 for women with one prior induced abortion and 4.0 for women with two or more prior induced abortions; however, use of multivariate techniques to control confounding factors reduced the relative risks to 1.3 (95 per cent confidence interval, 0.6-2.7) and 2.6 (95 per cent confidence interval, 0.9-7.4), respectively. The analysis suggests that induced abortion may be one of several risk factors for ectopic pregnancy, particularly for women who have had abortions plus pelvic inflammatory disease or multiple abortions.
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