Simoila , L , Isometsä , E , Gissler , M , Suvisaari , J , Sailas , E , Halmesmäki , E & Lindberg , N 2018 , ' Schizophrenia and induced abortions : A national register-based follow-up study among Finnish women born between 1965-1980 with schizophrenia or schizoaffective disorder ' , Schizophrenia Research , vol. 192 , pp. 142-147 . https://doi.org/10.1016/j.schres.2017.05.039
Title: | Schizophrenia and induced abortions : A national register-based follow-up study among Finnish women born between 1965-1980 with schizophrenia or schizoaffective disorder |
Author: | Simoila, Laura; Isometsä, Erkki; Gissler, Mika; Suvisaari, Jaana; Sailas, Eila; Halmesmäki, Erja; Lindberg, Nina |
Contributor organization: | Department of Psychiatry HUS Psychiatry University of Helsinki Clinicum HUS Gynecology and Obstetrics Department of Obstetrics and Gynecology Faculty of Medicine |
Date: | 2018-02 |
Language: | eng |
Number of pages: | 6 |
Belongs to series: | Schizophrenia Research |
ISSN: | 0920-9964 |
DOI: | https://doi.org/10.1016/j.schres.2017.05.039 |
URI: | http://hdl.handle.net/10138/301090 |
Abstract: | Background: The objectives of this study were to investigate, in women with schizophrenia or schizoaffective disorder, the number and incidence of induced abortions (= pregnancy terminations performed by a physician), their demographic characteristics, use of contraceptives, plus indications of and complications related to pregnancy termination. Methods: Using the Care Register for Health Care, we identified Finnish women born between the years 19651980 who were diagnosed with either schizophrenia or schizoaffective disorder during the follow-up period ending 31.122013. For each case, five age- and place-of-birth- matched controls were obtained from the Population Register of Finland. Information about births and induced abortions were obtained from the Medical Birth Register and the Induced Abortion Register. Results: The number and incidence of induced abortions per 1000 follow-up years did not differ between cases and their controls. However, due to fewer pregnancies, cases exhibited an over 2-fold increased risk of pregnancy termination (RR 228; 95% CI 2.20-2.36). Cases were younger, were more often without a partner at the time of induced abortion, and their pregnancies resulted more often from a lack of contraception. Among cases, the indication for pregnancy termination was more often mother-to-be's medical condition. Induced abortions after 12 weeks gestation were more common among cases. However, cases had no more complications related to termination. Conclusions: The incidence of induced abortions among Finnish women with schizophrenia or schizoaffective disorder is similar to the general population, but their risk per pregnancy over two-fold. They need effective, affordable family planning services and long-term premeditated contraception. (C) 2017 Elsevier B.V. All rights reserved. |
Subject: |
Induced abortion
Schizoaffective disorder Schizophrenia Women PSYCHOTIC DISORDERS SPECTRUM DISORDERS BIRTH COHORT DATA QUALITY PREGNANCY FERTILITY POPULATION MANAGEMENT FINLAND POSTPARTUM 3124 Neurology and psychiatry 3123 Gynaecology and paediatrics |
Peer reviewed: | Yes |
Usage restriction: | openAccess |
Self-archived version: | publishedVersion |
Total number of downloads: Loading...
Files | Size | Format | View |
---|---|---|---|
1_s2.0_S0920996417303134_main.pdf | 320.3Kb |
View/ |