{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:20:58Z","timestamp":1787016058488,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T00:00:00Z","timestamp":1502841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003125","name":"Suomen Kulttuurirahasto","doi-asserted-by":"publisher","award":["00160409"],"award-info":[{"award-number":["00160409"]}],"id":[{"id":"10.13039\/501100003125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Repeat terminations of pregnancy (\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      s) are associated with an increased risk of adverse outcomes in the subsequent birth. The perinatal outcomes after repeat\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      s by their methods have not yet been properly studied. This study aimed to examine perinatal outcomes in subsequent pregnancy among the women with a singleton birth and a history of\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      s.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      All the first\u2010time mothers (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\u00a0419\u00a0879) with a singleton birth during 1996\u20132013 in Finland were identified from the Medical Birth Register and linked to the Abortion Register. Adjusted multivariable logistic regression analysis was used to estimate risks of adverse perinatal outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The increased incidence of adverse perinatal outcomes was found with increasing number of surgical\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      s. After adjusting for confounders, the women with one surgical\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      had slightly increased but significant odds of 1.07 (95% CI 1.02, 1.13) for being small for gestational age compared with the women having no\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      . A significantly high risk for extremely preterm birth (OR 1.51, 95% CI 1.03, 2.23) was found among the women having had repeat surgical\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      s when compared to the women with no\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      . Non\u2010significant risks were found for adverse perinatal outcomes after women's repeat surgical\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      s than repeat medical\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      s.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Information regarding the consequences of repeat induced\n                      <jats:styled-content style=\"fixed-case\">TOP<\/jats:styled-content>\n                      s will be significant in sexual health education as well as counselling women after first termination.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ppe.12389","type":"journal-article","created":{"date-parts":[[2017,8,17]],"date-time":"2017-08-17T03:53:34Z","timestamp":1502942014000},"page":"485-492","source":"Crossref","is-referenced-by-count":15,"title":["Risks of Adverse Perinatal Outcomes after Repeat Terminations of Pregnancy by their Methods: a Nationwide Register\u2010based Cohort Study in Finland 1996\u20132013"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1026-4494","authenticated-orcid":false,"given":"S.","family":"KC","sequence":"first","affiliation":[{"name":"Faculty of Social Sciences University of Tampere Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Gissler","sequence":"additional","affiliation":[{"name":"Department of Information Services National Institute for Health and Welfare Helsinki Finland"},{"name":"Department of Neurobiology Care Sciences and Society Karolinska Institute, Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. M.","family":"Virtanen","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences University of Tampere Tampere Finland"},{"name":"Department of Public Health Solutions National Institute for Health and Welfare Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Klemetti","sequence":"additional","affiliation":[{"name":"Department of Welfare National Institute for Health and Welfare Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,16]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Department of Health.Abortion Statistics England and Wales: 2014.https:\/\/www.gov.uk\/government\/statistics\/report-on-abortion-statistics-in-england-and-wales-for-2014[last accessed 3 December 2016]."},{"key":"e_1_2_6_3_1","unstructured":"National Board of Health and Welfare.Statistics on Induced Abortions 2014.http:\/\/www.socialstyrelsen.se\/[last accessed 12 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