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Induced Abortions and Birth Outcomes of Women With a History of Severe Psychosocial Problems in Adolescence

Published online by Cambridge University Press:  25 June 2015

V. Lehti ,
M. Gissler ,
J. Suvisaari  and
M. Manninen
V. Lehti*
Affiliation:
Department of Psychiatry, Helsinki University Central Hospital P.O. Box 442, 00029HUS, Finland
M. Gissler
Affiliation:
National Institute for Health and Welfare (THL), Department of Information Services, P.O. Box 30, 00271Helsinki, Finland Nordic School of Public Health, Gothenburg, Sweden
J. Suvisaari
Affiliation:
National Institute for Health and Welfare (THL), Mental Health Unit P.O. Box 30, 00271Helsinki, Finland
M. Manninen
Affiliation:
National Institute for Health and Welfare (THL), Mental Health Unit P.O. Box 30, 00271Helsinki, Finland
*
*Corresponding author. E-mail address: [email protected] (V. Lehti).
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Abstract

Objective

To increase knowledge on the reproductive health of women who have been placed in a residential school, a child welfare facility for adolescents with severe psychosocial problems.

Methods

All women (n = 291) who lived in the Finnish residential schools on the last day of the years 1991, 1996, 2001 and 2006 were included in this study and compared with matched general population controls. Register-based information on induced abortions and births was collected until the end of the year 2011.

Results

Compared to controls, women with a residential school history had more induced abortions. A higher proportion of their births took place when they were teenagers or even minors. They were more often single, smoked significantly more during pregnancy and had a higher risk of having a preterm birth or a baby with a low birth weight.

Conclusions

The findings have implications for the planning of preventive and supportive interventions that aim to increase the well-being of women with a residential school history and their offspring.

Keywords

AbortionChild welfareConduct problemsPregnancySmoking
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 6 , September 2015 , pp. 750 - 755
Copyright
Copyright © Elsevier Masson SAS 2015

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