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Pregnancy-induced hypertension in North Carolina, 1988 and 1989.

INTRODUCTION: Pregnancy-induced hypertension (PIH) is a highly prevalent pregnancy complication with adverse effects on maternal and infant health. Epidemiologic research concerning its etiology is limited. METHODS: Birth records from North Carolina for the period 1988 through 1989 included an indication of the presence of PIH. The risk of PIH was examined in relation to several maternal characteristics and exposures, including reproductive history, demographic characteristics, and tobacco use during pregnancy. Risk ratio estimates, adjusted for confounders, were calculated contrasting PIH among exposed vs unexposed women. RESULTS: The overall risk of PIH was 43.1 per 1000 births, with multiple pregnancies, nulliparity, and advanced maternal age associated with markedly increased risks. Tobacco use was inversely associated with PIH, and Blacks and Whites were at virtually equal risk. CONCLUSIONS: Problems in diagnosis and classification impede research in this area, with birth certificates limited in quality and breadth of information. Nonetheless, several patterns emerged that are worthy of further epidemiologic evaluation using more sophisticated designs.

Adult↗

[Not Available].

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Contraception↗

Fertility decline in Bangladesh: toward an understanding of major causes.

Bangladesh has undergone a considerable decline in fertility, despite the absence of conditions believed to be necessary for such reproductive changes. Indeed, Bangladesh is the only one among the world's twenty poorest countries where such a change has occurred. The paper examines the nature of fertility transition in Bangladesh, looks at the trends in contraceptive use and fertility, and identifies the major factors accounting for the fertility decline, despite poor socio-economic conditions. Two types of factors in the decline are: (a) positive factors which encourage eligible couples to contracept, and (b) negative factors which compel women to contracept, for spacing or limiting births. The effects of positive and negative factors on contraceptive use and fertility are analysed with data from a rural sample of 4,194 women from the 1993-94 Bangladesh Demographic and Health Survey (BDHS), 2,597 women from the MCH-FP Extension Project area, and 8,110 women from the Matlab MCH-FP Project area. Logistic regression is used in the analysis. Strong and highly significant effects of female education, female employment and access to media on contraceptive use and fertility have been found.

Adult↗

[Not Available].

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Contraception↗

Psychosocial characteristics of repeat aborters in Singapore.

"The psychosocial characteristics of 200 repeat aborters and 200 first time aborters [among] Singapore Chinese were compared with 200 antenatal patients. The repeat aborters started their sexual activities at an earlier age. They were married for a longer period, had more past pregnencies and more children, but their marital adjustments were slightly less satisfactory. There were no differences in education, housing, and religious practices among the three groups. The aborters knew more methods of contraceptive practices, but they tended to use unreliable methods. Their main reasons for seeking abortion were that their families were complete or that they wished to space births."

Abortion Applicants↗