Citation

Gissler M, Berg C, Bouvier-Colle MH, Buekens P. Eur. J. Public Health 2005; 15(5): 459-463.

Affiliation

STAKES National Research and Development Centre for Welfare and Health, STAKES Information Division, Helsinki, Finland.

Copyright

(Copyright © 2005, Oxford University Press)

DOI

10.1093/eurpub/cki042

PMID

16051655

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.