Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Intended Pregnancy After Being Denied an Abortion

Contraception; ePub 2018 Sep 20; Upadhyay, et al

Being able to obtain a wanted abortion may enable women to have a subsequent pregnancy later, a recent study found. The Turnaway Study is a prospective cohort study of women who received or were denied a wanted abortion. Women were recruited from 1 of 30 US abortion clinics and researchers examined subsequent intended pregnancy among those who presented just under the facility’s gestational limit and received an abortion (Near-Limit Abortion group, n=413) vs those who presented for abortion just beyond the facility’s gestational limited and were denied an abortion and went on to parent the child (Parenting Turnaways, n=146). The probability of trying to become pregnant was modeled and overall pregnancy rates and intended pregnancy rates over 5 years compared. Among the findings:

  • Parenting Turnaways had lower predicted probabilities of reporting trying to become pregnant in the first 1.5 years after birth/abortion vs the Near-Limit group.
  • Parenting Turnaways also had lower pregnancy rates overall (53.5 per 100 women-years vs 40.4 per 100 women-years; adjusted hazard ratio=0.69).
  • Parenting Turnaways had a lower 5-year intended pregnancy rate, although this rate was low among both groups.

Citation:

Upadhyay UD, Angel Aztian-James E, Rocca CH, Foster DG. Intended pregnancy after receiving vs. being denied a wanted abortion. [Published online ahead of print September 20, 2018]. Contraception. doi:10.1016/j.contraception.2018.09.002.