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Termination of pregnancy and sterilisation in women with childhood-onset type 1 diabetes

Helsinki , Helsinki , Finland 3 Department of Obstetrics and Gynecology, University of Helsinki , Helsinki , Finland 4 Mika Gissler 5 Lena Sjöberg 6 Diabetes Research Group, King Abdulaziz University

Perinatal outcomes after induced termination of pregnancy by methods: A nationwide register-based study of first births in Finland 1996–2013

used for termination. Author Contributions Conceptualization: Situ KC, Elina Hemminki, Mika Gissler, Reija Klemetti. Data curation: Mika Gissler. Formal analysis: Situ KC. Funding acquisition: Situ ... KC, Reija Klemetti. Investigation: Situ KC, Reija Klemetti. Methodology: Situ KC, Reija Klemetti. Project administration: Situ KC, Mika Gissler, Reija Klemetti. 8 / 10 Resources: Situ KC, Suvi M

Maternal cancer and congenital anomalies in children – a Danish nationwide cohort study

Several studies on pregnancy-associated cancers have suggested an association with congenital anomalies in offspring. Previous studies have included maternal cancers diagnosed up to 2 years after pregnancy; however, long latency periods of some cancers mean that cancers diagnosed many years postpartum might have been present during pregnancy in a preclinical state. This paper...

Maternal Smoking and the Risk of Cancer in Early Life – A Meta-Analysis

Background In spite of the well-known harmful effects on the fetus, many women continue smoking during pregnancy. Smoking as an important source of toxic chemicals may contribute to the developmental origin of diseases. Objectives The aim of this work was to pursue the possible association between maternal smoking and cancer in early life. Specifically, we wanted to identify the...

Mortality in Children Aged 0-9 Years: A Nationwide Cohort Study from Three Nordic Countries

Background Mortality in children under five years has been widely studied, whereas mortality at 5–9 years has received little attention. Using unique data from national registers in three Nordic countries, we aimed to characterize mortality directionality in children aged 0 to 9 years. Methods and Findings The cohort study included all children born in Denmark from 1973 to 2008...

The challenge of compiling data profiles to stimulate local preventive health action: a European case study from child safety

Objectives Positive recent experience of presenting comparative child safety data at national level has instigated policy action in Europe. It was hoped a Child Safety Index could quantify how safe a community, region or locality is for its children in comparison with similar areas within Europe, as a focus for local targeted action. Methods Validated indicators proposed by...

Parker et al. Respond to “Preeclampsia Risk After Induced Abortion”

Epidemiology, School of Public Health, Boston University , Boston, Massachusetts (Samantha E. Parker , Martha M. Werler); National Institute of Health and Welfare , Helsinki , Finland ( Mika Gissler); Nordic ... School of Public Health , Gothenburg , Sweden ( Mika Gissler); Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University , New York , New York (Cande V. Ananth); and

Cancer Incidence among Patients with Anorexia Nervosa from Sweden, Denmark and Finland

A diet with restricted energy content reduces the occurrence of cancer in animal experiments. It is not known if the underlying mechanism also exists in human beings. To determine whether cancer incidence is reduced among patients with anorexia nervosa who tend to have a low intake of energy, we carried out a retrospective cohort study of 22 654 women and 1678 men diagnosed with...

Influence of delivery characteristics and socioeconomic status on giving birth by caesarean section – a cross sectional study during 2000–2010 in Finland

Background Caesarean section (CS) rates especially without medical indication are rising worldwide. Most of indications for CS are relative and CS rates for various indications vary widely. There is an increasing tendency to perform CSs without medical indication on maternal request. Women with higher socioeconomic status (SES) are more likely to give birth by CS. We aimed to...

Smoking among older childbearing women - a marker of risky health behaviour a registry-based study in Finland

Background Smoking during pregnancy is known to negatively affect pregnancy outcomes and it has been associated with numerous complications during pregnancy. Smoking is more common in younger pregnant women, but previous research has shown that adverse pregnancy outcomes related to older maternal age and smoking are even more harmful than with younger smokers. The aim of this...

Prevalence of overweight in 2 to 17 year-old children and adolescents whose parents live separately: a Nordic cross-sectional study

Background Comparative data of parental separation and childhood overweight has not been available before across the Nordic countries. The aim of this study was to examine the within-country prevalence and association between parental cohabitation and overweight in Nordic children. Methods A cross-sectional survey of 2-17-year-old children was conducted in 2011, titled...

Unemployment at municipality level is associated with an increased risk of small for gestational age births � a multilevel analysis of all singleton births during 2005�2010 in Finland

Introduction Neighbourhood level deprivation has been shown to influence adverse perinatal outcomes independent of individual level socioeconomic status (SES) in countries with high income inequality, such as the United States. The present study evaluates whether municipality level deprivation defined based on education (proportion of inhabitants with university level education...

Patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of Denmark and Finland in 1982–2006

Background Mortality among patients with mental disorders is higher than in general population. By using national longitudinal registers, we studied mortality changes and excess mortality across birth cohorts among people with severe mental disorders in Denmark and Finland. Methods A cohort of all patients admitted with a psychiatric disorder in 1982–2006 was followed until death...

The Association of Episiotomy with Obstetric Anal Sphincter Injury–A Population Based Matched Cohort Study

Objectives To estimate the independent association of episiotomy with obstetric anal sphincter injuries (OASIS) using first a cross-sectional and then a matched pair analysis. Design A matched cohort. Setting Data was gathered from the Finnish Medical Birth Register from 2004–2011. Population All singleton vaginal births (n = 303,758). Methods Women resulting matched pairs (n...

Mortality after Parental Death in Childhood: A Nationwide Cohort Study from Three Nordic Countries

Jiong Li and colleagues examine mortality rates in children who lost a parent before 18 years old compared with those who did not using population-based data from Denmark, Sweden, and Finland. Please see later in the article for the Editors' Summary

Uterine perforation caused by intrauterine devices: clinical course and treatment

STUDY QUESTIONS What are the symptoms of uterine perforation caused by modern copper intrauterine devices (Cu-IUDs) and the levonorgestrel-releasing intrauterine system (LNG-IUS); how is perforation detected and what are the findings in abdominal surgery?

Assisted reproduction using donated embryos: outcomes from surveillance systems in six countries†

BACKGROUND Embryo donation, though less often performed than other assisted reproductive technology (ART), can represent an attractive option for couples who do not wish to discard their embryos remaining after IVF, and for those who cannot or should not conceive naturally. Clinicians and potential participants could benefit from information comparing outcomes of embryo donation...

Variations in Multiple Birth Rates and Impact on Perinatal Outcomes in Europe

), Sophie Alexander (Belgium), Pavlos Pavlou (Cyprus), Petr Velebil (Czech Republic), Laust Mortensen (Denmark), Luule Sakkeus (Estonia), Mika Gissler (Finland), Béatrice Blondel (France), Nicholas Lack ... , Laust Hvas Mortensen, University of Copenhagen; Estonia, Luule Sakkeus, Estonian Institute for Population Studies, Tallinn University; Finland, Mika Gissler, Anna Heino, Annukka Ritvanen, THL National