Abstract

In the course of writing a review, the author analyzed dozens of articles from overseas which strongly suggested a cause-effect relation between induced, first-trimester abortion and premature birth in subsequent gestations. Interruption of the first pregnancy appeared particularly conducive to unfavorable future reproductive performance. Other studies by Dr. Schoenbaum and Moriyama and Hirokama have demonstrated an increased incidence of premature labor following artificial interruption of a woman's first gestation. Although these studies have suggested that the statistical data was not significant, the author recommends deducing a probable or possible cause-effect relationship rather than the absence of an increased risk. The assumption that the risks of abortion must be proven with conclusive statistical data represents a preconceived prejudice. What requires unequivocal evidence is that abortion does not have an unfavorable impact upon future reproductive life.

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