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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
US trends in abortion and preterm birth
Elena Rita Magro Malosso1, Gabriele Saccone2, Biagio Simonetti3
1a Department of Health Science, Division of Pediatrics, Obstetrics and Gynecology , Careggi Hospital University of Florence , Florence , Italy.
Changes in abortion methods correlate with preterm birth rates. Medical abortion is linked to lower preterm birth rates, while surgical abortion is linked to higher rates, suggesting a potential impact on public health outcomes.
Area of Science:
- Reproductive Health
- Epidemiology
- Public Health
Background:
- Prior surgical abortion identified as a risk factor for spontaneous preterm birth (PTB).
- No significant correlation found between medical abortion and PTB in prior analyses.
Purpose of the Study:
- Evaluate the impact of evolving US abortion rates and practices on the national PTB rate.
- Analyze trends in abortion types and their correlation with PTB incidence.
Main Methods:
- Epidemiologic analysis of US legal abortion and PTB data (2003-2012).
- Utilized National Vital Statistics Reports and CDC Abortion Surveillance data.
- Correlated PTB rates with surgical and medical abortion rates using chi-squared and Pearson correlation tests.
Main Results:
- PTB rate significantly declined from 12.3% (2003) to 11.5% (2012).
- Surgical abortion rate decreased (88.9% to 78.0%), while medical abortion rate increased (7.9% to 21.9%).
- PTB rate positively correlated with surgical abortion rate (r=0.712) and negatively with medical abortion rate (r=-0.731).
Conclusions:
- Shifts in abortion practices may be associated with the observed decrease in US PTB incidence.
- Further research is needed to elucidate the specific effects of surgical versus medical abortion on PTB.
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