Estimating The Probability Of Spontaneous Abortion In The Presence Of Induced Abortion And Vice Versa

Details

• Alternative Title:
  Public Health Rep
• Personal Author:
  Hammerslough, C R
• Description:
  An integrated approach to estimate the total number of pregnancies that begin in a population during one calendar year and the probability of spontaneous abortion is described. This includes an indirect estimate of the number of pregnancies that result in spontaneous abortions. The method simultaneously takes into account the proportion of induced abortions that are censored by spontaneous abortions and vice versa in order to estimate the true annual number of spontaneous and induced abortions for a population. It also estimates the proportion of pregnancies that women intended to allow to continue to a live birth. The proposed indirect approach derives adjustment factors to make indirect estimates by combining vital statistics information on gestational age at induced abortion (from the 12 States that report to the National Center for Health Statistics) with a life table of spontaneous abortion probabilities. The adjustment factors are applied to data on induced abortions from the Alan Guttmacher Institute Abortion Provider Survey and data on births from U.S. vital statistics. For the U.S. in 1980 the probability of a spontaneous abortion is 19 percent, given the presence of induced abortion. Once the effects of spontaneous abortion are discounted, women in 1980 intended to allow 73 percent of their pregnancies to proceed to a live birth. One medical benefit to a population practicing induced abortion is that induced abortions avert some spontaneous abortions, leading to a lower mean gestational duration at the time of spontaneous abortion.
• Subjects:
  Abortion, Induced Abortion, Spontaneous Birth Rate Data Collection Female Humans Infant, Newborn Pregnancy Pregnancy Outcome Probability
• Source:
  Public Health Rep. 107(3):269-277
• Pubmed ID:
  1594736
• Pubmed Central ID:
  PMCnull
• Document Type:
  Journal Article
• Place as Subject:
  North America
• Volume:
  107
• Issue:
  3
• Collection(s):
  Public Health Reports
• Main Document Checksum:
  urn:sha256:e1073db6a80a9b8619fea1db152f74e0d5ec34aa6de6ca9d66b497610d64c820
• Download URL:
  https://stacks.cdc.gov/view/cdc/63748/cdc_63748_DS1.pdf
• File Type:
  [PDF - 1.61 MB ]