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Incidence of Emergency Department Visits and Complications After Abortion
| Content Provider | Scilit |
|---|---|
| Author | Upadhyay, Ushma D. Desai, Sheila Zlidar, Vera Weitz, Tracy A. Grossman, Daniel Anderson, Patricia Taylor, Diana |
| Copyright Year | 2015 |
| Description | Journal: Obstetrical & gynecological survey |
| Abstract | Published rates for complications after abortion may be inaccurate for a number of reasons. They usually do not include complications diagnosed at a site other than the original care site such as an emergency department (ED). Only limited data are available for ED visits for complications, especially for women living in rural locations who must travel to distant locations for abortion care. Such women likely seek postabortion care at an ED near their home. Moreover, differences in procedures used for termination of pregnancy, weeks of gestation, and protocols used to detect complications influence reported rates. This retrospective observational cohort study was conducted to estimate the abortion complication rate, including those diagnosed or treated at EDs. Patient-level billing data for the years 2009 to 2010 were obtained from the California Medicaid (Medi-Cal)fee-for-service program, which provides immediate, temporary Medicaid coverage for pregnant low-income women. Complete information was available for all health care that women received up to 6 weeks following an abortion. Reasons for ED visits were determined, and the abortion-related complication rate and the adjusted relative risk were estimated. Complications were defined as any postabortion adverse events receiving an abortion-related diagnosis or treatment at any source of care within 6 weeks of an abortion procedure. Abortion-related complications were classified as major if hospital admission, surgery, or blood transfusion was required. A total of 54,911 abortions were identified among 50,273 fee-for-service Medi-Cal beneficiaries. Among all abortions, 6.4% (3531/54,911) were followed up by an ED visit within 6 weeks of the abortion, but less than 1% (478/54,911) resulted in an ED visit for an abortion-related complication. Of the 54,911 abortions, 15 (0.03%) involved transfer by ambulance to EDs on the day of the abortion. The major complication rate among all 54,911 abortions was 0.23% (n = 126); rates varied when comparing 35 medication abortions (0.31%), 57 first-trimester aspiration abortions (0.16%), and 34 second-trimester or later procedures (0.41%). The total abortion-related complication rate for all health care sources including the original abortion facility and EDs was 2.1% (n = 1156) and ranged from 1.3% after first-trimester aspiration abortion to 5.2% after medication abortion. These findings show abortion complication rates to be low and comparable to previously published rates even when there is no loss to follow-up and ED visits are included. |
| Related Links | https://escholarship.org/content/qt523956jn/qt523956jn.pdf?t=opoj85 |
| Ending Page | 385 |
| Page Count | 2 |
| Starting Page | 384 |
| ISSN | 00297828 |
| e-ISSN | 15339866 |
| DOI | 10.1097/01.ogx.0000465302.22063.d9 |
| Journal | Obstetrical & gynecological survey |
| Issue Number | 6 |
| Volume Number | 70 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2015-06-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Obstetrical & gynecological survey Related Complication Rate |
| Content Type | Text |
| Resource Type | Synopsis |
| Subject | Obstetrics and Gynecology |
