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© 1991 Oxford University Press

research-article

Risk Factors for Spontaneous Abortion

FABIO PARAZZINI*,*, LUCA BOCCIOLONE*,**, LUIGI FEDELE**, EVA NEGRI*, CARLO LA VECCHIA*,{dagger} and BARBARA ACAIA**

*Istituto di Ricerche Farmacologiche ‘Mario Negri’ Via Entrea 62, 20157 Milano, Italy.
**Prima Clinica Ostetrico-Ginecologica, Universitŕ di Milano 20122 Milano, Italy.
{dagger}Institut universitaire de médicine sociale et préventive 1005, Lausanne, Switzerland.

Correspondence to: Fabio Parazzini, Istituto di Ricerche Farmacologiche ‘Mario Negri’. Via Eritrea 62, 20157 Milano, Italy.

A case-control study was conducted to evaluate risk factors for spontaneous abortions. Cases were 94 women with two or more unexplained miscarriages (after exclusion of genetic, endocrine and Müllerian factors) and no term pregnancy, controls were 176 women admitted for normal delivery to the same clinic where cases were identified. Questions were asked about personal characteristics and habits, and gynaecological history. A family history of recurrent miscarriage was more common among women with spontaneous miscarriages than among the controls (13 cases versus 8 controls, relative risk (RR) =3.2, 95% confidence interval (CI) = 1.3–8.1). Compared to women whose menarche occurred at age 11 or younger, the RRs were 0.8 when menarche occurred at age 12–13 and 0.5 at age 14 or more: this trend in risk was statistically significant. Compared with never smokers, current smokers had about a 40% increased risk of miscarriage and the risk increased with number of cigarettes per day. No association emerged with socio-demographic characteristics (e.g. education, marital status, age of the partner), reproductive history (age at first pregnancy), type of contraceptive used and other general lifestyle habits (e.g. alcohol or coffee consumption).

Revised 1 August 1990


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