Fear of childbirth after medical vs surgical abortion. Population‐based register study from Finland

Introduction To evaluate the effect of method induced abortion and other abortion-associated variables on incidence fear childbirth in subsequent pregnancy. Material methods This population-based register study cohort includes all nulliparous women with their first pregnancy ending an 2000-2015 live singleton delivery between 2000 2017 (n = 21 479). Data were derived from three national registers maintained by Finnish Institute for Health Welfare. We divided population cohorts: (a) medical (b) surgical during trimester (≤84 days gestation), (c) second (85-168 gestation). Primary outcome measures registry-identified cesarean related to it. Results The overall was 5.6% 1209). Altogether, 19.2% 4121) underwent delivery. odds elevated especially elective (odds ratio [OR] 9.30, 95% CI 7.95-10.88, P < .001) childbirth. In multivariable analysis, (adjusted OR [aOR] 0.80, 0.68-0.94) (aOR 0.66, 0.84-0.90) decreased a history first-trimester compared those abortion. Second-trimester had no 1.04, 0.71-1.50). Maternal age 30-39 years interpregnancy interval over 2 additional risk factors both delivery, but evacuation uterus after not. Conclusions One first- or second-trimester does not increase childbirth, it when Older maternal longer emerged as