Open AccessDo women with a repeat termination of pregnancy prefer a medical or a surgical regimen?
Author(s) -
Worm Frandsen Maja,
Rørbye Christina,
Nilas Lisbeth
Publication year - 2014
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.12305
Subject(s) - medicine , pregnancy termination , medical abortion , pregnancy , abortion , obstetrics , regimen , gynecology , vacuum aspiration , surgery , misoprostol , family planning , population , research methodology , genetics , biology , environmental health
We compared the risk of a repeat termination and the method of termination in women with a prior medical or surgical termination, or both, in a cohort study of women with a pregnancy termination at gestational age ≤63 days in 1999–2001. Within 5 years, 24% (330/1379) had a repeat abortion, and repeat terminations were more frequent in the surgical [27% (159/588)] than the medical group [22% (171/791)] ( p < 0.05). The method used at the repeat termination was medical in 49% (83/171) of women with an earlier medical termination, compared with 13% (21/159) ( p < 0.01) in women with an earlier surgical termination. In 125 women who had experienced both procedures, 37% (46/125) of the next terminations were performed medically and 63% (79/125) surgically ( p < 0.01). Women in our study with a repeat termination tended to choose the same method as used before, and more often a surgical termination .