Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-26T06:52:21.773Z Has data issue: false hasContentIssue false
  • English
  • Français

Contraceptive practice and repeat induced abortion: an epidemiological investigation

Published online by Cambridge University Press:  31 July 2008

Mary Jo shepard  and
Michael B. Bracken
Mary Jo shepard
Affiliation:
Department of Epidemiology and Public Health, Yale Medical School, 60 College Street New Haven, Connecticut, USA
Michael B. Bracken
Affiliation:
Department of Epidemiology and Public Health, Yale Medical School, 60 College Street New Haven, Connecticut, USA
Get access Rights & Permissions [Opens in a new window]

Summary

The relationship between abortion experience and contraceptive practice is examined among women having a first or repeat induced abortion at the same clinic(n=443 in each group). A previous abortion was the single most important predictor of past contraceptive practices and of contraception at the conception of the pregnancy being terminated. A previous abortion was associated with greater use of all methods of contraception among women not on welfare (P < 0·001). During the 18–month study the proportion of patients who had had previous abortions rose from 13·3% to 21·1%, and those undergoing repeat abortions appeared increasingly likely to be on welfare. Contraceptive practies did not change over time except for women on welfare having repeat abortions who became less likely to have used contraception at the time of conception (p < 0·05). While the experience of abortion is generally associated with improved contraceptive practice, many women in this population, particularly those on welfare, appear to remain exposed to unprotected coitus and subsequent repeat abortion.

Type
Research Article
Information
Journal of Biosocial Science , Volume 11 , Issue 3 , July 1979 , pp. 289 - 302
Copyright
Copyright © Cambridge University Press 1979

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bachi, R. (1970) Abortion in Israel. In: Abortion in a Changing World, Vol. 1. Columbia University Press, New York.Google Scholar
Bakker, C.B. & Dightman, C.R. (1964) Psychological factors: fertility control. Fert. Steril. 15, 559.Google Scholar
Becker, S. (1974) Prior Use of Contraception among Abortion Clients. MA thesis, University of Chicago.Google Scholar
Bognar, Z. & Czeizel, A. (1976) Mortality and morbidity associated with legal abortions in Hungary, 1960–1973. Am.J.Publ. Hlth. 66,568.Google Scholar
Bracken, M.B. (1977) Psychosomatic aspects of abortion: implications for counselling. J. Reprod. Med. 19, 265.Google Scholar
Bracken, M.B., Grossman, G. & Hachamovitch, M. (1972) Contraceptive practice among New York abortion patients. Am. J. Obstet. Gynec. 114, 967.CrossRefGoogle ScholarPubMed
Bracken, M.B., Hachamovitch, M. & Grossman, G. (1972) Correlates of repeat induced abortions. Obstet. Gynec. 40, 816.Google ScholarPubMed
Bracken, M.B. & Kasl, S.V. (1975) First and repeat abortions: a study of decision making and delay. J.biosoc.Sci. 7, 473.Google Scholar
Brewer, C. (1977) Third time unlucky: a study of women who have three or more legal abortions. J.biosoc.Sci. 9, 99.Google Scholar
Center for Disease Control (1977) Abortion Surveillance 1975. CDC, Washington.Google Scholar
Chow, L.P. (1970) Abortion in Taiwan. In: Abortion in a Changing World, Vol. 1. Columbia University Press, New York.Google Scholar
Daily, E.F., Nicholas, N., Nelson, F. & Pakter, S. (1973) Repeat abortions in New York city: 1970–1972. Fam. Plann. Perspect. 5, 89.Google Scholar
Daling, J.R. & Emanuel, I. (1975) Induced abortion and subsequent outcome of pregnancy. Lancet, ii, 170.Google Scholar
Daling, J.R. & Emanuel, I. (1977) Induced abortion and subsequent outcome of pregnancy in a series of American women. New Engl.J.Med. 297, 1241.Google Scholar
Goodman, L.A. & Kruskal, W.H. (1954) Measures of association for cross classifications. J.Am.statist.Ass. 49, 732.Google Scholar
Grauer, H. (1972) A study of contraception as related to unwanted pregnancy. Can.med.Ass.J. 107, 739.Google Scholar
Grounds, D., Davies, B. & Mowbray, R. (1970) The contraceptive pill, side effects and personality:reportof a controlled double blind trial. Br.J.Psychiat. 116, 169.Google Scholar
Harlap, S. & Davies, A.M. (1975) Late sequelae of induced abortion: complications and outcome of pregnancy and labor. Am.J.Epidemiol. 102, 217.Google Scholar
Hawkins, C.H. (1970) The erotic significance of contraceptive methods. J.Sex Res. 6, 143.Google Scholar
Hill, J.G. (1972) Birth control usage among abortion patients. J.Kansas med.Soc. 73, 295.Google Scholar
Hoffmeyer, H. & Norgaard, M. (1964) Incidence of conception and the course of pregnancy: investigations and calculations on the incidence of illegal abortions since 1940. Ugest Laeg. 126, 355. Translated summary in: An Annotated Bibliography of Induced Abortion. Edited by af Geijerstam, G.K.Center for Population Planning, Ann Arbor, Michigan.Google Scholar
Hogue, C.J. (1975) Low birth weight subsequent to induced abortion. Am.J.Obstet.Gynec. 123,675.Google Scholar
Jacobsson, L., vonSchoultz, B. & Solheim, F. (1976) Repeat aborters-first aborters, a social psychiatric comparison. Soc.Psychiat. 11, 75.Google Scholar
Kruskal, W.H. & Wallis, W.A. (1952) Use of ranks in one-criterion variance analysis. J.Am.statist.Ass. 47, 583. Addendum(1953)907.Google Scholar
Leach, J. (1977) The repeat abortion patient. Fam. Plann. Perspect. 9, 37.Google Scholar
Luker, K. (1976) Taking Chances: Abortion and the Decision not to Contracept. University of California Press, Berkley.Google Scholar
Polgar, S. & Rothstein, F. (1970) Family planning and conjugal roles in New York city poverty areas. Soc.Sci.Med. 4,135.CrossRefGoogle ScholarPubMed
Rainwater, L. (1965) Family Design, Marital Sexuality, Family Size and Contraception. Aldine Press, Chicago.Google Scholar
Ramakumar, R. & Gropal, Y.S. (1972) Husband-wife communication and fertility in a suburban community exposed to family planning. J.Fam.Wwlfare., 18, 30.Google Scholar
Robert, A.L. (1972) Aspects psychologiques de linterruption repetee de grossesse. Sexologie 2, 45.Google Scholar
Rodgers, D.A. & Ziegler, J. (1968) Changes in sexual behavior consequent to use of non-coital procedures of contraception. Psychosomat.Med. 30, 495.Google Scholar
Roht, L.H., Aoyama, H., Leinen, G.E. & Gallen, P.W. (1976) The association of multiple induced abortions with subsequent prematurity and spontaneous abortion. Acta obstet. gynec.Jap.. 25, 140.Google Scholar
Rovinsky, J.J. (1972) Abortion recidivism: a problem in preventive medicine. Obstet. Gynec. 39, 649.Google Scholar
Schneider, S.M. & Thompson, D.S. (1976) Repeat aborters. Am. J. Obstet. Gynec. 126, 316.Google Scholar
Sullivan, E., Tietze, C. & Dryfoos, J.G. (1977) Legal abortion in the United States, 1975–1976. Fam.Plann.Perspect. 8, 116.Google Scholar
Szebady, E. & Klinger, A. (1972) Pilot surveys of repeated abortion seeking. Int. med.Hlth Res.Newsletter, 14, 6.Google Scholar
Tietze, C., Bobgaarts, J. & Schearer, B. (1976) Mortality associated with the control of fertility. Fam.Plann.Perspect. 8, 6.Google Scholar
Tietze, C. & Murstein, M.C. (1975) Induced Abortion: 1975 Factbook. Reports on Population/Family Planning No. 14.Population Council. New York.Google Scholar
Urban, R. (1964) The birth and abortion rate in Czechoslovakia. Revue Sov. med. Sci. 1, 24.Google Scholar
Wynnyczukova, H. (1975) Abortion and selected phenomena in reproduction processes in CSSR. Demosta, 8, 118.Google Scholar