Psychological ill-being experienced by first-time mothers and their partners in pregnancy after abortion: a cohort study

Holmlund, Susanna; Kaljonen, Anne; Junttila, Niina; Räihä, Hannele; Mäkinen, Juha; Rautava, Päivi

doi:10.3109/0167482x.2014.974542

Cited by 5 publications

(4 citation statements)

References 39 publications

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“…In the present study, women with a history of IA more often have a history of psychiatric diagnoses. In earlier studies, IA has not been shown to increase the risk of mental disorders or psychological illness in mid pregnancy 24–26 . Smoking, living in a city, and high or unknown SES also emerged as risk factors for FOC.…”

Section: Discussionmentioning

confidence: 84%

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Fear of childbirth after induced abortion in primiparous women: Population‐based register study from Finland

Kemppainen,

Mentula,

Seppälä

et al. 2023

Acta Obstet Gynecol Scand

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IntroductionFear of childbirth (FOC) is a common obstetrical challenge that complicates about every 10th pregnancy. Background factors of FOC are diverse. We evaluated the association of induced abortion (IA) and FOC in subsequent pregnancy.Material and methodsPopulation‐based register study based on three Finnish national registers: the Register of Induced Abortions, the Medical Birth Register and the Hospital Discharge Register. The study cases were primigravid women undergoing an IA in 2000–2015 and subsequent pregnancy ending in live singleton birth up to 2017. Each case had three controls, matched by age and residential area, whose first pregnancy ended in a live birth. The main outcome was the incidence of FOC in the subsequent pregnancy. In a secondary analysis, we assessed other risk factors for FOC.ResultsThe study cohort consisted of 21 455 women and 63 425 controls. Altogether, 4.2% of women had a diagnosis of FOC. The incidence was higher in women with a history of IA than in controls (5.6% vs 3.7%, P < 0.001). A history of IA was associated with higher odds for FOC: adjusted odds ratio [aOR] 1.20 with 95% confidence interval (CI) 1.11–1.30. In addition, a history of psychiatric diagnosis (aOR 3.48, 95% CI 3.15–3.83), high maternal age, 30–39 years old (aOR 1.55, 95% CI 1.43–1.67; P < 0.001) and ≥40 years old (aOR 3.00, 95% CI 2.37–3.77; P < 0.001) and smoking (aOR 1.20, 95% CI 1.11–1.31; P < 0.001) were associated with increased odds for FOC. Women living in densely populated or rural areas and those with lower socioeconomic class had lower odds for FOC.ConclusionsA history of IA is associated with increased odds for FOC in subsequent pregnancy. However, the associations of FOC with a history of psychiatric diagnosis and elevated maternal age (especially ≥40 years old) are more pronounced.

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Section: Discussionmentioning

confidence: 84%

“…In earlier studies, IA has not been shown to increase the risk of mental disorders or psychological illness in mid pregnancy. 24 , 25 , 26 Smoking, living in a city, and high or unknown SES also emerged as risk factors for FOC. However, we found no multicollinearity related to the independent factors analyzed.…”

Section: Discussionmentioning

confidence: 99%

Fear of childbirth after induced abortion in primiparous women: Population‐based register study from Finland

Kemppainen,

Mentula,

Seppälä

et al. 2023

Acta Obstet Gynecol Scand

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“…In Nordic countries with permissive legislation, society has a neutral attitude toward IA procedures and an effective maternity health care system – the psychosocial consequences of IA seem to be minimal [3–7]. Maternity health clinic (MHC) services [8], aiming to monitor and screen the health and well-being of the mother and the unborn baby, and the data from the follow-up visits, are less studied in regard to the effect of terminating a pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Induced abortion - impact on a subsequent pregnancy in first-time mothers: a registry-based study

Holmlund

Kauko

Matomäki

et al. 2016

BMC Pregnancy Childbirth

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BackgroundTo date, several studies concerning the effects of induced abortion (IA) on women’s later psychosocial well-being and future delivery complications have been published. However, the lack of reports on woman’s physical well-being during their first full-term pregnancy occurring after IA is what inspired the current study. Here, we evaluate the physical well-being and use of maternity services of first-time mothers with a history of IA.MethodsFinnish National Birth Registry data from 2008 to 2010 were linked with the Induced Abortion Registry data from 1983 to 2007. After excluding first-time mothers with a history of miscarriage, ectopic pregnancy or delivery, 57,406 mothers were eligible for the study, with 5,167 (9.0 %) having experienced prior IA. Data from the pregnancy follow-up visits were evaluated and compared between IA mothers and primiparous mothers.ResultsWomen with IA had higher rates of smoking after the first trimester and were more likely to be overweight (body mass index >25 kg/m2) than the control group mothers. A higher use of maternity health clinic (MHC) services, thrombosis prophylaxis and participation in a second trimester ultrasound and amniotic fluid sample testing were evident in IA mothers, whereas the likelihood of assisted fertilisation procedure(s) was elevated in the control group. A shorter interpregnancy interval (IPI) seemed to contribute to a late first MHC visit and first trimester serum screening test participation, a higher incidence of placenta samples and an increased presence of preeclampsia and maternal care for poor foetal growth.ConclusionsIA is associated with being overweight before the subsequent pregnancy and with smoking after the first trimester. More frequent pregnancy follow-up visits in the IA group may be due to greater participation in the placenta sample testing and use of thrombosis prophylaxis. No association between IA and preeclampsia, hypertension, gestational diabetes or preterm premature rupture of membranes was evident in the pregnancy parameters. According to our findings, experiencing IA decreased the need for fertilisation procedures before the next pregnancy when compared to primiparous mothers. Among the IA mothers, the short IPI seemed to contribute to the higher risk for preeclampsia and maternal care for poor foetal growth. However, more research is needed around the IPI before establishing its effect on later pregnancy.

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“…There are two studies conducted with male respondents, one of which analyzed the intrapsychic and relationship-related factors underlying induced abortion (Naziri 2007). The other one is a Finnish cohort study conducted with pregnant women’s partners ( N = 540), which found no significant differences in psychological well-being according to whether or not the partner had had previous experience of abortion (Holmlund et al 2014).…”

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confidence: 99%

The Psychosocial Aspects of Induced Abortion: Men in the Focus

Nagy

Rigó

2019

Men and Masculinities

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Although a man is as well concerned in each case of induced abortion as a woman is, the amount of existing studies that attempt to describe and gain insight into the psychological effects of induced abortion on men is extremely small, either when considering this number in itself or when comparing it to the number of related studies focusing on women. The present article gives an overview of the existing psychological knowledge of men’s perspective on induced abortion including their typical reactions; roles; participation in, and responsibility for, decision-making; and their impact on the female partner. Furthermore, a number of related but understudied issues are addressed.

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Psychological ill-being experienced by first-time mothers and their partners in pregnancy after abortion: a cohort study

Cited by 5 publications

References 39 publications

Fear of childbirth after induced abortion in primiparous women: Population‐based register study from Finland

Fear of childbirth after induced abortion in primiparous women: Population‐based register study from Finland

Induced abortion - impact on a subsequent pregnancy in first-time mothers: a registry-based study

The Psychosocial Aspects of Induced Abortion: Men in the Focus

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