Advertisement

A history of induced abortion in relation to substance use during subsequent pregnancies carried to term

      Abstract

      Objective: Previous research has revealed a general association between induced abortion and substance use. The purpose of this study was to examine the correlation when substance use is measured specifically during a subsequent pregnancy. Study Design: A nationally representative sample of women was surveyed about substance use during pregnancy shortly after giving birth. Women with a previous induced abortion, whose second pregnancy was delivered, were compared separately with women with one previous birth and with women with no previous births. Results: Compared with women who gave birth, women who had had an induced abortion were significantly more likely to use marijuana (odds ratio, 10.29; 95% CI, 3.47-30.56), various illicit drugs (odds ratio, 5.60; 95% CI, 2.39-13.10), and alcohol (odds ratio, 2.22; 95% CI, 1.31-3.76) during their next pregnancy. The results with only first-time mothers were very similar. Conclusion: Psychosocial mechanisms that may explain the findings are discussed. Screening for abortion history may help to identify pregnant women who are at risk for substance use more effectively. (Am J Obstet Gynecol 2002;187:1673-8.)

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Obstetrics & Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • DePuy C
        • Dovitch D
        The healing choice: your guide to emotional recovery after an abortion.
        Simon Schuster, New York1997
        • Barnard C
        The long-term psycho-social effects of abortion.
        Institute for Pregnancy Loss, Portsmouth (NH)1990
        • Zolese G
        • Blacker CVR
        The psychological complications of therapeutic abortion.
        Br J Psychiatry. 1992; 160: 742-749
        • Niswander K
        • Singer J
        • Singer M
        Psychological reaction to therapeutic abortion.
        Am J Obstet Gynecol. 1972; 114: 29-33
        • Coleman PK
        • Nelson ES
        The quality of abortion decisions and college students' reports of post-abortion emotional sequelae and abortion attitudes.
        J Soc Clin Psychol. 1998; 17: 425-442
        • Devore NE
        The relationship between previous elective abortions and postpartum depressive reactions.
        J Obstet Gynecol Neonatal Nurs. 1979; 8: 237-240
        • Pepper LG
        Grief and elective abortion: breaking the emotional bond.
        Omega. 1987/88; 18: 1-12
        • Reardon DC
        • Ney PG
        Abortion and subsequent substance abuse.
        Am J Drug Alcohol Abuse. 2000; 26: 61-75
        • Yamaguchi D
        • Kandel D
        Drug use and other determinants of premarital pregnancy and its outcome: a dynamic analysis of competing life events.
        J Marriage Family. 1987; 49: 257-270
        • Major B
        • Cozzarelli C
        • Cooper ML
        • Zubek J
        • Richards C
        • Wilhite M
        • et al.
        Psychological responses of women after first-trimester abortion.
        Arch Gen Psychiatry. 2000; 57: 777-784
        • Miller WB
        • Pasta DJ
        • Dean CL
        Testing a model of the psychological consequences of abortion.
        in: The new civil war: the psychology, culture, and politics of abortion. American Psychological Association, Washington (DC)1998: 235-267
        • Greer HS
        • Lal S
        • Lewis SC
        • Belsey EM
        • Beard RW
        Psychological consequences of therapeutic abortion.
        Br J Psychiatry. 1979; 128: 74-79
        • Bradley CF
        Abortion and subsequent pregnancy.
        Can J Psychiatry. 1984; 29: 498
        • Rue V
        • Shutova L
        Posttraumatic stress symptoms and elective abortion: a comparison of US and Russian women.
        in: Proceedings of the 1st World Congress on Women's Mental Health; 2001 March 27-31; Berlin, Germany: Berlin: The Congress2001
        • Amaro H
        • Zuckerman B
        • Cabral H
        Drug use among adolescent mothers: profile of risk.
        Pediatrics. 1989; 84: 144-150
        • Morrissey ER
        • Schuckit MA
        Stressful life events and alcohol problems among women seen at a detoxification center.
        J Stud Alcohol. 1978; 39: 1559-1576
        • Houston H
        • Jacobson L
        Overdose and termination of pregnancy: An important association?.
        Br J Gen Pract. 1996; 46: 737-738
        • Harlap S
        • Davies A
        Characteristics of pregnant women reporting previous induced abortions.
        Bull World Health Org. 1975; 52: 149-154
        • Meirik O
        • Nygren KG
        Outcome of first delivery after second trimester two staged induced abortion.
        Acta Obstet Gynecol Scand. 1984; 63: 45-50
        • Kuzma J
        • Kissinger D
        Patterns of alcohol and cigarette use in pregnancy.
        Neurobehav Toxicol Teratol. 1981; 3: 211-221
        • Frank DA
        • Zuckerman H
        • Amaro K
        • Aboagye K
        • Baucher H
        • Cabral H
        • et al.
        Cocaine use during pregnancy: prevalence and correlates.
        Pediatrics. 1988; 82: 888-895
        • Keith LG
        • MacGregor S
        • Friedell S
        • Rosner M
        • Chasnoff IJ
        • Sciarm J
        Substance abuse in pregnant women: recent experience at the Perinatal Center for Chemical Dependence of Northwestern Memorial Hospital.
        Obstet Gynecol. 1989; 73: 715-720
        • Oro AS
        • Dixon SD
        Perinatal cocaine and methamphetamine exposure: maternal and neonatal correlates.
        J Pediatr. 1987; 111: 571-578
        • Amaro H
        • Fried LE
        • Cabral H
        • Zuckerman B
        Violence during pregnancy and substance use.
        Am J Public Health. 1990; 80: 575-579
        • Jones EF
        • Forrest JD
        Under-reporting of abortion in surveys of US women: 1976 to 1988.
        Demography. 1992; 29: 113-126