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https://ciane.net/id=532

Created on : 26 Feb 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Pregnancy-associated mortality after birth, spontaneous abortion, or induced abortion in Finland, 1987-2000. American Journal of Obstetrics and Gynecology 2004;190(2):422-427.

Author(s) :

Gissler M, Berg C, Bouvier-Colle M-H, Buekens P.

Year of publication :

2004

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE : To test the hypothesis that pregnant and recently pregnant women enjoy a "healthy pregnant women effect," we compared the all natural cause mortality rates for women who were pregnant or within 1 year of pregnancy termination with all other women of reproductive age.
STUDY DESIGN : This is a population-based, retrospective cohort study from Finland for a 14-year period, 1987 to 2000. Information on all deaths of women aged 15 to 49 years in Finland (n = 15,823) was received from the Cause-of-Death Register and linked to the Medical Birth Register (n = 865,988 live births and stillbirths), the Register on Induced Abortions (n = 156,789 induced abortions), and the Hospital Discharge Register (n = 118,490 spontaneous abortions) to identify pregnancy-associated deaths (n = 419).
RESULTS : The age-adjusted mortality rate for women during pregnancy and within 1 year of pregnancy termination was 36.7 deaths per 100,000 pregnancies, which was significantly lower than the mortality rate among nonpregnant women, 57.0 per 100,000 person-years (relative risk [RR] 0.64, 95% CI 0.58-0.71). The mortality was lower after a birth (28.2/100,000) than after a spontaneous (51.9/100,000) or induced abortion (83.1/100,000). We observed a significant increase in the risk of death from cerebrovascular diseases after delivery among women aged 15 to 24 years (RR 4.08, 95% CI 1.58-10.55).
CONCLUSION : Our study supports the healthy pregnant woman effect for all pregnancies, including those not ending in births.

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Keywords :

➡ perinatal death rates

Author of this record :

Cécile Loup — 26 Feb 2004