Injury deaths, suicides and homicides associated with pregnancy, Finland 1987-2000

Tulane University, New Orleans, Louisiana, United States
The European Journal of Public Health (Impact Factor: 2.46). 11/2005; 15(5):459-63. DOI: 10.1093/eurpub/cki042
Source: PubMed

ABSTRACT Only few studies have been carried out on the relationship between pregnancy and deaths from external causes.
Information on deaths from external causes among women aged 15-49 years in Finland in 1987-2000 (n = 5299) was linked to three national health registers to identify pregnancy-associated deaths (n = 212).
The mortality rate for women during pregnancy and within 1 year of pregnancy termination from external causes was lower than mortality from external causes among non-pregnant women (relative risk 0.79; 95% confidence interval 0.69-0.91). Owing to elevated suicide and homicide rates, however, an increased risk was observed for women after abortions, especially in the age group of 15-24 years.
The low rate of deaths from external causes suggests the protective effect of childbirth, but the elevated risk after a terminated pregnancy needs to be recognized in the provision of health care and social services.

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Available from: Mika Gissler, Jan 10, 2014
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    • "We examine clinically diagnosed major depression, suicidal ideation, and self-esteem. Some research has examined whether women who have an abortion are at an increased risk of subsequent depressive symptoms or disorders (e.g., Coleman et al., 2009; Reardon & Cougle, 2002; Russo & Denious, 2001; Schmiege & Russo, 2005; Taft & Watson, 2008; Pederson, 2008), having suicidal ideation or committing suicide (e.g., Fergusson et al., 2006, 2008; Gissler et al., 1996, 1997, 2004a, 2004b, 2005; Reardon et al., 2002), or lower self esteem (e.g., Bradshaw & Slade, 2003; Pope, Adler, & Tschann, 1999; Russo & Dabul, 1997; Russo & Zierk, 1992). Findings have varied depending on the outcome examined, the measurement of the outcome, the comparison group used, and what factors were controlled in the analyses. "
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