Fear of childbirth after medical versus surgical abortion
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Researchers evaluate the effect of method of induced abortion and other abortion?associated variables on the incidence of fear of childbirth in a subsequent pregnancy. One first or second?trimester medical abortion does not increase the odds for fear of childbirth, and cesarean delivery related to it in subsequent pregnancy when compared to first?trimester surgical abortion. Older maternal age and longer interpregnancy interval emerged as risk factors for fear of childbirth.

This population?based register study cohort includes all nulliparous women with their first pregnancy ending in induced abortion in 2000–2015 and subsequent pregnancy with live singleton delivery between 2000 and 2017. Researchers divided the study population into three cohorts: (1) medical and (2) surgical abortion during first?trimester (equal to or less than 84 days of gestation), and (3) medical abortion during second?trimester (85?168 days of gestation). Primary outcome measures were the incidence of registry identified fear of childbirth and cesarean delivery related to it.

The overall incidence of fear of childbirth was 5.6% (n=1209). Altogether 19.2% (n=4121) of women underwent cesarean delivery. The odds were elevated especially for elective cesarean delivery in women with fear of childbirth. In multivariable analysis, the odds for fear of childbirth and cesarean delivery were decreased in women with a history of first?trimester medical compared to those with first?trimester surgical abortion. Second?trimester medical abortion had no effect on the odds for fear of childbirth. Maternal age of 30–39 years and interpregnancy interval over two years were additional risk factors for both fear of childbirth and cesarean delivery, but the surgical evacuation of uterus after the abortion was not.

Source:https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/aogs.14078
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