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Eur J Public Health. 2005 Oct;15(5):459-63. Epub 2005 Jul 28.

Injury deaths, suicides and homicides associated with pregnancy, Finland 1987-2000.

Author information

1
STAKES National Research and Development Centre for Welfare and Health, STAKES Information Division, Helsinki, Finland. mika.gissler@stakes.fi

Abstract

BACKGROUND:

Only few studies have been carried out on the relationship between pregnancy and deaths from external causes.

METHODS:

Information on deaths from external causes among women aged 15-49 years in Finland in 1987-2000 (n = 5299) was linked to three national health registers to identify pregnancy-associated deaths (n = 212).

RESULTS:

The mortality rate for women during pregnancy and within 1 year of pregnancy termination from external causes was lower than mortality from external causes among non-pregnant women (relative risk 0.79; 95% confidence interval 0.69-0.91). Owing to elevated suicide and homicide rates, however, an increased risk was observed for women after abortions, especially in the age group of 15-24 years.

CONCLUSIONS:

The low rate of deaths from external causes suggests the protective effect of childbirth, but the elevated risk after a terminated pregnancy needs to be recognized in the provision of health care and social services.

PMID:
16051655
DOI:
10.1093/eurpub/cki042
[Indexed for MEDLINE]

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