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Spontaneous fetal loss: a note on rates and some implications

Published online by Cambridge University Press:  31 July 2008

Phillips Cutright
Phillips Cutright
Affiliation:
Department of Sociology, Indiana University, Bloomington, Indiana, USA
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Summary

After reviewing recent work indicating that the level of spontaneous fetal loss (SFL) is much higher than estimates derived from traditional sources, this paper assesses some implications of differential rates of SFL by race and maternal health and challenges the common view that early SFL is largely a function of genetic abnormalities of the fetus and thus subject to little change over time. If, as is argued here, SFL changes over time in response to changing environmental conditions, fertility trends may be affected by environmental trends. An example of the possible impact of declining SFL on marital fertility rates over the period 1940–60 in the US is provided. The paper concludes with work that uses new estimates of SFL rates to measure the extent to which induced abortion may be unnecessary because the pregnancy would terminate spontaneously, and then estimates the extent to which contraceptive failure rates, as measured in the US National Fertility Study of 1965, may be deflated due to under-reporting of SFL.

Type
Research Article
Information
Journal of Biosocial Science , Volume 7 , Issue 4 , October 1975 , pp. 421 - 433
Copyright
Copyright © Cambridge University Press 1975

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References

Coombs, L., Freedman, R. & Namboothiri, D.N. (1969) Inferences about abortion from foetal mortality data. Popul. Stud. 23, 247.CrossRefGoogle ScholarPubMed
Cutright, P. (1972) Illegitimacy in the United States: 1920–1968. In: Demographic and Social Consequences of Population Growth. Vol. I, US Commission on Population Growth and the American Future. Edited by Westoff, C. F. & Parke, R.Government Printing Office, Washington, DC.Google Scholar
Cutright, P. (1973) Illegitimacy and income supplements. In: The Family, Poverty, and Welfare Programs: Factors Influencing Family Instability. Studies in Public Welfare, Paper No. 12 (Pt. I). Edited by Lerman, R. I.Government Printing Office, Washington, DC.Google Scholar
Cutright, P. (1975) The rise of teenage illegitimacy in the United States: 1940–1971. In: The Teenage Pregnant Girl. Edited by Zackler, J.Thomas, Springfield, III.Google Scholar
Farley, R. (1970) The Growth of the Black Population. Markham, Chicago.Google Scholar
French, F.E. & Bierman, J.M. (1962) Probabilities of fetal mortality. Publ. Hlth Rep. 77, 835.CrossRefGoogle ScholarPubMed
Grove, R.D. & Hetzel, A.M. (1968) Vital Statistics Rates in the United States: 1940–1960. Government Printing Office, Washington, DC.Google Scholar
James, W.H. (1970) The incidence of spontaneous abortion. Popul. Stud. 24, 241.Google Scholar
Léridon, H. (1973) Aspects Biométriques de la Fécondité Humaine. Cahier no. 65, Institutional d’études démographiques. Presses Universitaires de France, Paris.Google Scholar
McCarthy, M.A. (1966) Infant, Fetal, and Maternal Moratality: United States, 1963. National Center for Health Statistics, Series 20, No. 3. Government Printing Office, Washington, DC.Google Scholar
Ryder, N.B. (1973) Contraceptive failure in the United States. Fam. Plann. Persp. 5, 133.Google Scholar
Ryder, N.B. & Westoff, C.F. (1971) Reproduction in the United States—1965. Princeton University Press, Princeton, NJ.Google Scholar
Shapiro, S., Levine, H.S. & Abramowicz, M. (1971) Factors associated with early and late foetal loss. In: Advances in Planned Parenthood—VI, p. 45. Series No. 224. Excerpta Medica, New York.Google Scholar
Shapiro, S., Ross, L.J. & Levine, H.S. (1965) Relationship of selected prenatal factors to pregnancy outcome and congenital anomalies. Am. J. publ. Hlth, 55, 268.CrossRefGoogle ScholarPubMed
Skalar, J. & Berkov, B. (1973) The effects of legal abortion on legitimate and illegitimate birth rates: the California experience. Stud. Fam. Plann. 4, 281.Google Scholar
Tietze, C. (1972) Teenage sexual revolution. Fam. Plann. Persp. 4, 6.Google Scholar
Tietze, C. (1973) Two years’ experience with a liberal abortion law: its impact on fertility trends in New York City. Fam. Plann. Persp. 5, 36.CrossRefGoogle ScholarPubMed
Tietze, C. & Lewit, S. (1971) The IUD and the pill: extended use-effectiveness. Fam. Plann. Persp. 3, 53.CrossRefGoogle ScholarPubMed
Van Der Vlugt, T. & Piotrow, P.T. (1973) Uterine Aspiration Techniques. Population Reports, Series F. No. 3, F-25. George Washington University, Washington, DC.Google Scholar
Westoff, C.F. & Ryder, N.B. (1969) Recent trends in attitudes toward fertility control and the practice of contraception in the United States. In: Fertility and Family Planning. Edited by Behrman, S. J., Corsa, L. & Freedman, R.University of Michigan Press, Ann Arbor.Google Scholar
Westoff, C.F. & Westoff, A. (1971) From Now to Zero. Little-Brown, Boston.Google Scholar