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Related Experiment Videos

Mortality and fertility control.

C Tietze, S Lewit

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |January 1, 1977
    PubMed
    Summary
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    Combining safe contraception with safe abortion significantly reduces mortality risks compared to pregnancy. This approach offers a rational fertility regulation strategy, especially for women over 40.

    Area of Science:

    • Reproductive Health
    • Public Health Policy
    • Medical Risk Assessment

    Background:

    • Fertility regulation strategies are crucial for public health.
    • Previous research suggests combining contraception with abortion is effective.
    • Mortality risks associated with pregnancy and childbirth require careful consideration.

    Purpose of the Study:

    • To evaluate the mortality risks of combined fertility control methods.
    • To compare the safety of reversible contraceptives and abortion with pregnancy risks.
    • To identify specific demographic groups with elevated risks.

    Main Methods:

    • Comparative risk analysis of mortality associated with various fertility control methods.
    • Review of data on combined contraceptive use and induced abortion.

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  • Stratification of risks based on age and smoking status.

    • Main Results:

    • Major reversible contraceptives (pill, IUDs, condoms, diaphragms) and abortion have low mortality rates compared to pregnancy.
    • Pill use after age 40 by women who smoke presents an exception with higher mortality risk.
    • Condom and diaphragm use with early induced abortion as backup demonstrate very low mortality.

    Conclusions:

    • A strategy combining safe, albeit not fully effective, contraception with safe abortion is a rational approach to fertility regulation.
    • This combined approach significantly mitigates mortality risks associated with unintended pregnancies.
    • Healthcare providers should counsel women, particularly smokers over 40, on specific method risks.