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Economic data for the same period were obtained from The World Bank. An economic downturn was defined as an annual decline in gross domestic product per head. Multivariate regression\u2014controlling for country\u2010specific differences in infrastructure, population size, and demographic structure\u2014and 5\u2010year lag analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data were available for 81 countries. Abortion\u2010related maternal mortality was significantly increased in years of economic downturns (<jats:italic>R<\/jats:italic>= 0.0708; 95% confidence interval [CI] 0.0264\u20130.1151; <jats:italic>P<\/jats:italic>= 0.0018). The association was sustained for 4 years after an economic downturn (year 1: <jats:italic>R<\/jats:italic>= 0.0709 [95% CI 0.0231\u20130.1187], <jats:italic>P<\/jats:italic>= 0.0037; year 2: <jats:italic>R<\/jats:italic>= 0.0634 [0.0178\u20130.1089], <jats:italic>P<\/jats:italic>= 0.0065; year 3: <jats:italic>R<\/jats:italic>= 0.0554 [0.0105\u20130.1004], <jats:italic>P<\/jats:italic>= 0.0157; year 4: <jats:italic>R<\/jats:italic>= 0.0593 [0.0148\u20130.1037], <jats:italic>P<\/jats:italic>= 0.009). There was an annual 36% increase in deaths associated with unsafe abortion during economic downturn years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Economic downturns were associated with increased abortion\u2010related maternal mortality, possibly due to changes in government healthcare spending and service provision. A global economic downturn could impede a reduction in maternal mortality.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2015.03.029","type":"journal-article","created":{"date-parts":[[2015,5,9]],"date-time":"2015-05-09T13:45:48Z","timestamp":1431179148000},"page":"169-173","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["The effect of economic downturns on maternal mortality among pregnancies with abortive outcomes in 81 countries, 1981\u20132010"],"prefix":"10.1002","volume":"130","author":[{"given":"Ka Ying Bonnie","family":"Ng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahiben","family":"Maruthappu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jawaad","family":"Farrukh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Callum","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rifat","family":"Atun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Zeltner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,9]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60518-1"},{"key":"e_1_2_6_3_2","unstructured":"World Health Organization Millenium Development Goals MDG 5: improve maternal health.http:\/\/www.who.int\/topics\/millennium_development_goals\/maternal_health\/en\/index.html Updated May 2014. 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