title: Do women with a repeat termination of pregnancy prefer a medical or a surgical regimen?
abstract: We compared the risk of a repeat termination and the method of termination in women with a prior medical or surgical termination, or both, in a cohort study of women with a pregnancy termination at gestational age ≤63 days in 1999-2001. Within 5 years, 24% (330/1379) had a repeat abortion, and repeat terminations were more frequent in the surgical [27% (159/588)] than the medical group [22% (171/791)] (p < 0.05). The method used at the repeat termination was medical in 49% (83/171) of women with an earlier medical termination, compared with 13% (21/159) (p < 0.01) in women with an earlier surgical termination. In 125 women who had experienced both procedures, 37% (46/125) of the next terminations were performed medically and 63% (79/125) surgically (p < 0.01). Women in our study with a repeat termination tended to choose the same method as used before, and more often a surgical termination.
authors.affiliation: Department of Obstetrics and Gynecology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.
authors.forename: Maja
authors.initials: M
authors.lastname: Worm Frandsen
authors.forename: Christina
authors.initials: C
authors.lastname: Rørbye
authors.forename: Lisbeth
authors.initials: L
authors.lastname: Nilas
mesh_terms: D000028:Abortion, Induced / Q000379:methods* / Q000706:statistics & numerical data / Q000639:trends; D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D005865:Gestational Age; D006801:Humans; D008875:Middle Aged; D057240:Patient Preference / Q000706:statistics & numerical data*; D011247:Pregnancy; D055815:Young Adult
keywords: Medical termination of pregnancy; induced abortion; repeat abortion; surgical termination of pregnancy; termination