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  • Title: [Induced abortion in primigravidae and subsequent pregnancy, with particular consideration of underweight (author's transl)].
    Author: Grindel B, Zwahr C, Lubinski H, Voigt M.
    Journal: Zentralbl Gynakol; 1979; 101(16):1009-14. PubMed ID: 532428.
    Abstract:
    Attention was given to the relationship between induced abortion in primigravidae and the course as well as outcome of subsequent pregnancy. Reference is made to the women hospitalised for childbirth in the obstetric ward of the Regional Hospital of Schwerin, between 1969 and 1977. Chi-square testing revealed highly significant differences between women with preceding legal abortion, on the one hand, and those without, on the other, with regard to birth weight of the newborn, duration of pregnancy, cervical insufficiency, need for cerclage, imminent abortion, morbidity during pregnancy inside and outside hospital, and the need for using shute forceps on delivery. No difference was established regarding the occurrence of Rh incompatibility, pyelonephritis of the pregnant women, iron deficit anaemia, and gestosis during pregnancy. A retrospective study of irregularities in childbirth among 7671 primiparae is presented. 356 of the patients had previously undergone induced abortion. The rate of underweight infants was 13.92% for the children of women who had undergone induced abortion and 7.90% for those who hadn't. There was also a highly significant increase in the incidence of cervical insufficiency, abortus imminens, and delivery with Shute-forceps among women who had undergone induced abortion. A shortened pregnancy duration, an increased need for cerclage, and stationary and ambulant morbidity were also significantly more frequent among the abortion patients. Induced abortion involves a health risk during subsequent pregnancies, and the physician must inform his patient of this fact.
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