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P G Steinhoff

Publications and source records attributed to P G Steinhoff.

13 recordsLinked to original sources

Induced abortion and ectopic pregnancy in subsequent pregnancies.

In a prospective study the rate of ectopic pregnancies of women with prior induced abortion was contrasted to two sets of comparison groups: a large set of unmatched observations and a smaller subset of matched and refined data. The crude rates of ectopic pregnancy among 4004 abortion and 98,316 control pregnancies, excluding repeat pregnancies of the same women, were 0.57% and 0.49%, respectively. No significant association was detected between history of induced abortion and ectopic pregnancy based on the chi 2 analysis on unmatched data stratified by maternal age and marital status (relative risk = 1.18, 95% confidence limits (CL) 0.57-1.79) or the multivariate logistic regression analysis on the smaller set of data (relative risk = 1.34, 95% CL 0.66-2.72). Within pregnancies of the induced abortion group the risk of ectopic pregnancy was not related to abortion procedure, use of laminaria, number of prior induced abortions, or length of gestation at time of abortion. However, there was a clear association between the presence of post-abortion infection or retained secundines and ectopic pregnancy with a fivefold increase for those pregnancies of women with a history of these complications over those without these complications within the induced abortion cohort.

Abortion, Induced↗

Induced abortion and spontaneous fetal loss in subsequent pregnancies.

The effect of induced abortion on spontaneous pregnancy loss in subsequent pregnancies was studied based on 3,416 pairs of matched data in a follow-up investigation. Pregnancy outcome was examined also in relation to abortion procedure, gestation length at time of abortion, and number of previous abortions. In general there was no significant association between prior induced abortion and risks of pregnancy loss with the relative risks of 1.10, 0.88, and 0.81 for the first to third trimester respectively. A slight increase of first-trimester spontaneous loss was noted with the D&C/Suction procedure and early induced abortion (less than 9 weeks). The D&C procedure was associated with non-significant increase of second-trimester loss with the relative risk of 1.59.

Abortion, Induced↗

The potential reduction of medical complications from induced abortion.

Reducing medical complications resulting from induced abortion by identifying the safest and most appropriate procedures(s) for each gestational age is the purpose of this study. Data on all women who had induced abortions at all hospitals in the State of Hawaii where such procedures were performed between March 11, 1970, when the new abortion law went into effect, and June 30, 1974 were analyzed. Study findings show that if the abortion procedure with the least risk of complications at each length of gestation were selected a reduction in the complication rate of nearly 30% could result.

Abortion, Induced↗

Abortion in Hawaii.

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Abortion, Induced↗

Women who obtain repeat abortions: a study based on record linkage.

The proportion of induced abortions in a year that are repeat procedures rises over time, but this rate is as low as can be expected given the shortcomings of currently available contraceptives. There is no evidence that women substitute abortion for contraception. Teenagers and poor women have greater difficulty avoiding unwanted pregnancies.

Abortion, Induced↗

Completeness and accuracy of reporting induced abortions performed in Hawaii's hospitals, 1970--74.

This study examined the completeness and accuracy of reporting induced abortions to the official agency by following up documented cases of abortions performed in hospitals in Hawaii for the years 1970--74. The following two sets of records were initially linked by computer on the basis of first name, maiden name, date of the event, age, and ethnic background: (a) a total of 18,531 induced abortions ascertained in hospitals with complete linking information and (b) official fetal death and live birth records filed at the State health department. Overall, 96.1 percent of the hospital abortions were matched in the official certificates. Of 17,550 abortions classified as elective, 98.7 percent were so recorded in the certificate file, whereas the remainder were reported as mostly either therapeutic or unknown for cause of fetal death. When the probability of matches for those abortions without complete linking information and possible errors in the information were considered, the estimates of underreporting to the health department were a maximum of 3.9 percent and a minimum of 1.2 percent; the mean value was 2.6 percent. The extent of underreporting of induced abortions is becoming serious with the widespread practice of abortion procedures in nonhospital institutions in recent years. The results of the study also demonstrated the utility of the record-linkage process in checking data for completeness and accuracy or studying separate vital events on the same persons.

Abortion, Induced↗