General Obstetrics and Gynecology ObstetricsA history of induced abortion in relation to substance use during subsequent pregnancies carried to term☆
Section snippets
Material and methods
For the primary analyses, the sample of 607 women was derived from the National Pregnancy and Health Survey completed by 2613 women. This sample was limited to women who had been recently delivered of a child, with either one previous pregnancy with a resolution of an induced abortion (gravida 2, para 1; n = 74) or a live birth (gravida 2, para 2; n = 531) and the necessary background data. Exactly 64.3% of the sample was white (n = 406), 18.4% was Hispanic (n = 116), and 11.4% (n = 72) was
Primary analyses
Chi-square tests, with the calculation of ORs and the η2 statistic, were used to examine the strength of associations between previous reproductive outcome and usage of various substances at any point during pregnancy. The results of these analyses (Table I) indicate significantly higher rates of usage for the induced abortion group (gravida 2, para 1) compared with the birth group (gravida 2, para 2), relative to any form of illicit drug use (marijuana, methadone, heroine, cocaine,
Comment
This study was designed to compare the use of illicit drugs, alcohol, and cigarettes during pregnancy among a nationally representative group of women with either a history of an induced abortion or a live birth. Consistent with previous research,20, 21, 22, 23 the results revealed significantly higher rates of consumption associated with a previous abortion, compared with previous birth relative to the use of any illicit drugs (OR, 5.60; 95% CI, 2.39-13.10) and alcohol (OR, 2.22; 95% CI,
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Moderators and mediators of the relationship between receiving versus being denied a pregnancy termination and subsequent binge drinking
2016, Drug and Alcohol DependenceCitation Excerpt :Most research about pregnancy termination and subsequent alcohol use and alcohol use disorders (AUDs) finds that women who terminate pregnancies drink more alcohol and are more likely to have AUDs subsequent to the pregnancy than women who continue pregnancies (Coleman, 2005; Major et al., 2009; Pedersen, 2007; Steinberg and Finer, 2011). Some researchers have explained this finding by positing that terminating a pregnancy leads women to drink alcohol to cope with the stress of pregnancy termination (Coleman, 2005; Coleman et al., 2002, 2005; Pedersen, 2007). In contrast to the stress-and-coping explanation, our recent research has found that binge and problem alcohol use among women who terminate stay steady over time (Roberts et al., 2015).
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2012, ContraceptionCitation Excerpt :And a commentary published in January 2012 [7], written by authors of the RCPsych's review, concluded that the Coleman meta-analysis (p. 12) “cannot be regarded as a formal systematic review.” Like others [1,7–17], we strongly question the quality of this meta-analysis of 22 papers [18–39] just as the reliability, validity and replicability of some of the studies [e.g., 26,37] in the meta-analysis have been questioned [40,41]. While many [1,7–17] have discussed the errors and shortcomings in separate critiques of the Coleman meta-analysis [6], no one has presented a comprehensive summary of them in one paper.
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Reprint requests: Priscilla Coleman, PhD, Human Development and Family Studies, 16F Family and Consumer Sciences Bldg, Bowling Green State University, Bowling Green, OH 43403. E-mail: [email protected]