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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: venla.lehti@utu.fi (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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References

Alhusen, J.L., Lucea, M.B., Bullock, L., Sharps, P.Intimate partner violence, substance use, and adverse neonatal outcomes among urban women. J Pediatr 2013;163:471–476.CrossRefGoogle ScholarPubMed
Anwar, E., Stanistreet, D.“It has not ruined my life; it has made my life better”: a qualitative investigation of the experiences and future aspirations of young mothers from the North West of England. J Public Health 2014.Google ScholarPubMed
Bardone, A.M., Moffitt, T.E., Caspi, A., Dickson, N., Stanton, W.R., Silva, P.A.Adult physical health outcomes of adolescent girls with conduct disorder, depression, and anxiety. J Am Acad Child Adolesc Psychiatry 1998;37:594–601.CrossRefGoogle ScholarPubMed
Colman, I., Murray, J., Abbott, R.A., Maughan, B., Kuh, D., Croudace, T.J., et al.Outcomes of conduct problems in adolescence: 40-year follow-up of national cohort. BMJ 2009;338:a2981.CrossRefGoogle ScholarPubMed
Conduct Problems Prevention Research Group. Trajectories of risk for early sexual activity and early substance use in the Fast Track prevention program. Prev Sci 2014;15(Suppl. 1:S33–S46.CrossRefGoogle Scholar
Donohew, L., Zimmerman, R., Cupp, P.S., Novak, S., Colon, S., Abell, R.Sensation seeking, impulsive decision-making, and risky sex: implications for risk-taking and design of interventions. Pers Indiv Dif 2000;28:1079–1091.CrossRefGoogle Scholar
Ekblad, M., Gissler, M., Korkeila, J., Lehtonen, L.Trends and risk groups for smoking during pregnancy in Finland and other Nordic countries. Eur J Public Health 2014;24:544–551.CrossRefGoogle ScholarPubMed
Ekblad, M., Gissler, M., Lehtonen, L., Korkeila, J.Prenatal smoking exposure and the risk of psychiatric morbidity into young adulthood. Arch Gen Psychiatry 2010;67:841–849.CrossRefGoogle ScholarPubMed
Ellingson, J.M., Rickert, M.E., Lichtenstein, P., Langstrom, N., D’Onofrio, B.M.Disentangling the relationships between maternal smoking during pregnancy and co-occurring risk factors. Psychol Med 2012;42:1547–1557.CrossRefGoogle ScholarPubMed
Englund-Ogge, L., Brantsaeter, A.L., Sengpiel, V., Haugen, M., Birgisdottir, B.E., Myhre, R., et al.Maternal dietary patterns and preterm delivery: results from large prospective cohort study. BMJ 2014;348:g1446.CrossRefGoogle ScholarPubMed
Fergusson, D.M., Horwood, L.J., Ridder, E.M.Show me the child at seven: the consequences of conduct problems in childhood for psychosocial functioning in adulthood. J Child Psychol Psychiatry 2005;46:837–849.CrossRefGoogle ScholarPubMed
Fergusson, D.M., Woodward, L.J.Educational, psychosocial, and sexual outcomes of girls with conduct problems in early adolescence. J Child Psychol Psychiatry 2000;41:779–792.CrossRefGoogle ScholarPubMed
Gaudie, J., Mitrou, F., Lawrence, D., Stanley, F.J., Silburn, S.R., Zubrick, S.R.Antecedents of teenage pregnancy from a 14-year follow-up study using data linkage. BMC Public Health 2010;10:63.CrossRefGoogle ScholarPubMed
Hango, D., Le Bourdais, C.The effect of education on early parenthood among young Canadian adults. Can Stud Popul 2009;36:237–265.CrossRefGoogle Scholar
Helldán, A., Helakorpi, S., Virtanen, S., Uutela, A.Health behaviour and health among the Finnish adult population. Helsinki: National Institute for Health and Welfare; 2013.Google Scholar
Imamura, M., Tucker, J., Hannaford, P., da Silva, M.O., Astin, M., Wyness, L., et al.Factors associated with teenage pregnancy in the European Union countries: a systematic review. Eur J Public Health 2007;17:630–636.CrossRefGoogle ScholarPubMed
Jahnukainen, M.Koulukodissa ja koulukodin jälkeen. Vuosina 1996 ja 2000 valtion koulukodeista kotiutettujen nuorten koulukotikokemukset ja jälkiseuranta vuoteen 2002. Helsinki: National Research and Development Centre for Welfare and Health; 2004.Google Scholar
Janisse, J.J., Bailey, B.A., Ager, J., Sokol, R.J.Alcohol, tobacco, cocaine, and marijuana use: relative contributions to preterm delivery and fetal growth restriction. Subst Abus 2014;35:60–67.CrossRefGoogle ScholarPubMed
Kalland, M., Sinkkonen, J., Gissler, M., Meriläinen, J., Siimes, M.A.Maternal smoking behavior, background and neonatal health in Finnish children subsequently placed in foster care. Child Abuse Negl 2006;30:1037–1047.CrossRefGoogle ScholarPubMed
Kelhä, M.Wrong-aged mothers? Age and social conditions of motherhood. Helsinki: University of Helsinki; 2009.Google Scholar
Kodl, M.M., Wakschlag, L.S.Does a childhood history of externalizing problems predict smoking during pregnancy?. Addict Behav 2004;29:273–279.CrossRefGoogle ScholarPubMed
Kratz, L.M., Vaughan, E.L.Mental health problems, legal involvement, and smoking during pregnancy. Subst Use Misuse 2012;47:718–725.CrossRefGoogle ScholarPubMed
Laflin, M.T., Wang, J., Barry, M.A longitudinal study of adolescent transition from virgin to non virgin status. J Adolesc Health 2008;42:228–236.CrossRefGoogle Scholar
Lehti, V., Niemelä, S., Heinze, M., Sillanmäki, L., Helenius, H., Piha, J., et al.Childhood predictors of becoming a teenage mother among Finnish girls. Acta Obstet Gynecol Scand 2012;91:1319–1325.CrossRefGoogle ScholarPubMed
Lehti, V., Sourander, A., Klomek, A., Niemelä, S., Sillanmäki, L., Piha, J., et al.Childhood bullying as a predictor for becoming a teenage mother in Finland. Eur Child Adolesc Psychiatry 2011;20:49–55.CrossRefGoogle ScholarPubMed
Lehti, V., Sourander, A., Polo-Kantola, P., Sillanmäki, L., Tamminen, T., Kumpulainen, K.Association between childhood psychosocial factors and induced abortion. Eur J Obstet Gynecol Reprod Biol 2013;166:190–195.CrossRefGoogle ScholarPubMed
Lehto-Salo, P.The placement on a reform school – The second chance for an adolescent? Psychiatric disorders, learning disabilities and problems in the family as a challenge of treatment. Jyväskylä: University of Jyväskylä; 2011.Google Scholar
Leppälahti, S., Gissler, M., Mentula, M., Heikinheimo, O.Is teenage pregnancy an obstetric risk in a welfare society? A population-based study in Finland, from 2006 to 2011. BMJ Open 2013;3.e003225-2013-003225CrossRefGoogle Scholar
Lindroth, M., Tikkanen, R., Löfgren-Mårtenson, L.Unequal sexual health – differences between detained youth and their same aged peers. Scand J Public Health 2013;41:722–728.CrossRefGoogle ScholarPubMed
Magee, S.R., Bublitz, M.H., Orazine, C., Brush, B., Salisbury, A., Niaura, R., et al.The relationship between maternal-fetal attachment and cigarette smoking over pregnancy. Matern Child Health J 2014;18:1017–1022.CrossRefGoogle ScholarPubMed
Manninen, M., Lindgren, M., Huttunen, M., Ebeling, H., Moilanen, I., Kalska, H., et al.Low verbal ability predicts later violence in adolescent boys with serious conduct problems. Nord J Psychiatry 2013;67:289–297.CrossRefGoogle ScholarPubMed
Manninen, M., Lindgren, M., Therman, S., Huttunen, M., Ebeling, H., Moilanen, I., et al.Clinical high-risk state does not predict later psychosis in a delinquent adolescent population. Early Interv Psychiatry 2014;8:87–90.CrossRefGoogle ScholarPubMed
Manninen, M., Therman, S., Suvisaari, J., Ebeling, H., Huttunen, M., Joskitt, L., et al.Psychiatric symptoms and their recognition in adolescents institutionalized for behavior problems. Psychiatria Fennica 2010;41:111–129.Google Scholar
Massey, S.H., Neiderhiser, J.M., Shaw, D.S., Leve, L.D., Ganiban, J.M., Reiss, D.Maternal self concept as a provider and cessation of substance use during pregnancy. Addict Behav 2012;37:956–961.CrossRefGoogle ScholarPubMed
Miller, B.C., Benson, B., Galbraith, K.A.Family relationships and adolescent pregnancy risk: a research synthesis. Develop Rev 2001;21:1–38.CrossRefGoogle Scholar
Nykjaer, C., Alwan, N.A., Greenwood, D.C., Simpson, N.A., Hay, A.W., White, K.L., et al.Maternal alcohol intake prior to and during pregnancy and risk of adverse birth outcomes: evidence from a British cohort. J Epidemiol Community Health 2014;68:542–549.CrossRefGoogle ScholarPubMed
Pedersen, W., Mastekaasa, A.Conduct disorder symptoms and subsequent pregnancy, child-birth and abortion: a population-based longitudinal study of adolescents. J Adolesc 2011;34:1025–1033.CrossRefGoogle ScholarPubMed
Peipert, J.F., Madden, T., Allsworth, J.E., Secura, G.M.Preventing unintended pregnancies by providing no-cost contraception. Obstet Gynecol 2012;120:1291–1297.CrossRefGoogle ScholarPubMed
Plant, D.T., Barker, E.D., Waters, C.S., Pawlby, S., Pariante, C.M.Intergenerational transmission of maltreatment and psychopathology: the role of antenatal depression. Psychol Med 2013;43:519–528.CrossRefGoogle ScholarPubMed
Raatikainen, K., Heiskanen, N., Heinonen, S.Under-attending free antenatal care is associated with adverse pregnancy outcomes. BMC Public Health 7 2007 268.CrossRefGoogle ScholarPubMed
Ramrakha, S., Bell, M.L., Paul, C., Dickson, N., Moffitt, T.E., Caspi, A.Childhood behavior problems linked to sexual risk taking in young adulthood: a birth cohort study. J Am Acad Child Adolesc Psychiatry 2007;46:1272–1279.CrossRefGoogle ScholarPubMed
Raudino, A., Fergusson, D.M., Woodward, L.J., Horwood, L.J.The intergenerational transmission of conduct problems. Soc Psychiatry Psychiatr Epidemiol 2013;48:465–476.CrossRefGoogle ScholarPubMed
Rogers, J.M.Tobacco and pregnancy. Reprod Toxicol 2009;28:152–160.CrossRefGoogle Scholar
Rönkä, A., Kinnunen, U., Pulkkinen, L.The accumulation of problems of social functioning as a long-term process: women and men compared. Int J Behav Dev 2000;24:442–450.CrossRefGoogle Scholar
Sankilampi, U., Hannila, M.L., Saari, A., Gissler, M., Dunkel, L.New population-based references for birth weight, length, and head circumference in singletons and twins from 23 to 43 gestation weeks. Ann Med 2013;45:446–454.CrossRefGoogle ScholarPubMed
Sauvola, A., Mäkikyrö, T., Jokelainen, J., Joukamaa, M., Järvelin, M.R., Isohanni, M.Single-parent family background and physical illness in adulthood: a follow-up study of the Northern Finland 1966 birth cohort. Scand J Public Health 2000;28:95–101.Google ScholarPubMed
Secura, G.M., Madden, T., McNicholas, C., Mullersman, J., Buckel, C.M., Zhao, Q., et al.Provision of no-cost, long-acting contraception and teenage pregnancy. N Engl J Med 2014;371(14):1316–1323.CrossRefGoogle ScholarPubMed
Smith, J.L., Skinner, S.R., Fenwick, J.Perceptions of teen motherhood in Australian adolescent females: life-line or lifederailment. Women Birth 2012;25:181–186.CrossRefGoogle ScholarPubMed
Stack, D.M., Serbin, L.A., Girouard, N., Enns, L.N., Bentley, V.M., Ledingham, J.E., et al.The quality of the mother-child relationship in high-risk dyads: application of the Emotional Availability Scales in an intergenerational, longitudinal study. Dev Psychopathol 2012;24:93–105.CrossRefGoogle Scholar
Vikat, A., Rimpelä, A., Kosunen, E., Rimpelä, M.Sociodemographic differences in the occurrence of teenage pregnancies in Finland in 1987-1998: a follow up study. J Epidemiol Community Health 2002;56:659–668.CrossRefGoogle ScholarPubMed
Vinnerljung, B., Franzen, E., Danielsson, M.Teenage parenthood among child welfare clients: a Swedish national cohort study of prevalence and odds. J Adolesc 2007;30:97–116.CrossRefGoogle ScholarPubMed
Vuori, E., Gissler, M.Perinatal statistics: parturients, deliveries and newborns 2013. Helsinki: National Institute for Health and Welfare; 2014.Google Scholar
Wachlarowicz, M., Snyder, J., Low, S., Forgatch, M., Degarmo, D.The moderating effects of parent antisocial characteristics on the effects of Parent Management Training-Oregon (PMTO). Prev Sci 2012;13:229–240.CrossRefGoogle Scholar
Williams, R.L., Fortenberry, J.D.Dual use of long-acting reversible contraceptives and condoms among adolescents. J Adolesc Health 2013;52(4 Suppl.):S29–S34.CrossRefGoogle ScholarPubMed
Witt, W.P., Cheng, E.R., Wisk, L.E., Litzelman, K., Chatterjee, D., Mandell, K., et al.Maternal stressful life events prior to conception and the impact on infant birth weight in the United States. Am J Public Health 2014 104(Suppl. 1):S81–S89.CrossRefGoogle ScholarPubMed
Witt, W.P., Cheng, E.R., Wisk, L.E., Litzelman, K., Chatterjee, D., Mandell, K., et al.Preterm birth in the United States: the impact of stressful life events prior to conception and maternal age. Am J Public Health 2014;104(Suppl. 1):S73–S80.CrossRefGoogle ScholarPubMed
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