Evidence map›Paper›PMID 26241413›Full record

ArticleObstetrics and gynecology2015

Abortion-Related Mortality in the United States: 1998-2010.

Suzanne Zane, Andreea A Creanga, Cynthia J Berg, Karen Pazol, Danielle B Suchdev, Denise J Jamieson, William M Callaghan

Registry-linked trialAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03391986 (Auricular Acupuncture as Adjunct for Pain Management During First Trimester Uterine Aspiration.), which is not on this map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03391986 nacompletednot on this mapstarted 2017, after this paper: background citation

Auricular Acupuncture as Adjunct for Pain Management During First Trimester Uterine Aspiration.

TypeinterventionalSponsorColumbia UniversityRan2017 to 2018Enrolled153ConditionsPain Acute, AcupunctureArmsSEIRIN® Pyonex™ Acupuncture Needles, 12 mm Plasters
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Abortion Surveillance - United States, 2022.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Abortion Surveillance - United States, 2021.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2023
    Article
  14. Article
  15. The Next Infodemic: Abortion Misinformation.Journal of medical Internet research · 2023
    Article
  16. Article
  17. Abortion Surveillance - United States, 2020.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2022
    Article
  18. Post-abortion Complications: A Narrative Review for Emergency Clinicians.The western journal of emergency medicine · 2022
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Suzanne ZaneDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Andreea A Creanga
Cynthia J Berg
Karen Pazol
Danielle B Suchdev
Denise J Jamieson
William M Callaghan

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveTo examine characteristics and causes of legal induced abortion-related deaths in the United States between 1998 and 2010.

methodsAbortion-related deaths were identified through the national Pregnancy Mortality Surveillance System with enhanced case-finding. We calculated the abortion mortality rate by race, maternal age, and gestational age and the distribution of causes of death by gestational age and procedure.

resultsDuring the period from 1998-2010, of approximately 16.1 million abortion procedures, 108 women died, for a mortality rate of 0.7 deaths per 100,000 procedures overall, 0.4 deaths for non-Hispanic white women, 0.5 deaths for Hispanic women, and 1.1 deaths for black women. The mortality rate increased with gestational age, from 0.3 to 6.7 deaths for procedures performed at 8 weeks or less and at 18 weeks or greater, respectively. A majority of abortion-related deaths at 13 weeks of gestation or less were associated with anesthesia complications and infection, whereas a majority of abortion-related deaths at more than 13 weeks of gestation were associated with infection and hemorrhage. In 20 of the 108 cases, the abortion was performed as a result of a severe medical condition where continuation of the pregnancy threatened the woman's life.

conclusionDeaths associated with legal induced abortion continue to be rare events-less than 1 per 100,000 procedures. Primary prevention of unintended pregnancy, including those in women with serious pre-existing medical conditions, and increased access to abortion services at early gestational ages may help to further decrease abortion-related mortality in the United States. LEVEL OF EVIDENCE: III.

Indexed as

Abortion, LegalAdultEthnicityFemaleHumansMaternal AgePopulation SurveillancePregnancyPregnancy TrimestersPregnancy, UnplannedRisk FactorsUnited States

Identifiers

PMID26241413
PMCPMC4554338

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.