Risk factors of early spontaneous abortions among Japanese: a matched case-control study
Abstract
BACKGROUND: No epidemiological studies have examined risk factors for early spontaneous abortions among Japanese women. In this matched case-control study, we investigated the associations of reproductive, physical, and lifestyle characteristics of women and their husbands with early spontaneous abortion <12 weeks of gestation. METHODS: Information was collected through medical records for 430 cases of early spontaneous abortion and 860 controls of term delivery. Two controls were individual-matched to one case according to maternal age (± 3 years) and calendar year of events (either early spontaneous abortion or delivery). Multivariable conditional odds ratios (ORs) and 95% confidence interval (CI) were calculated with conditional logistic-regression. RESULTS: The risk of early spontaneous abortions was higher for women with a past history of early spontaneous abortions; OR was 1.98 (95% CI: 1.35, 2.89) for one previous spontaneous abortion, 2.36 (95% CI: 1.47, 3.79) for two, and 8.73 (95% CI: 5.22, 14.62) for three or more. Other factors also influence risk; an OR of 2.39 (95% CI: 1.26, 4.25) was found for women who smoked, and 1.65 (95%CI: 1.17, 2.35) for women working outside the home. CONCLUSIONS: Our finding suggests that for Japanese women, smoking and working may be important public health issue targets for the prevention of early spontaneous abortions.
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Endometrium transforms into decidua during implantation to accommodate the invading placenta.
“Endometrium transforms into decidua during implantation to accommodate the invading placenta. 51”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [51]
The Discussion mentions the endometrium only as a possible site of obesity-related effects on miscarriage; it does not describe its transformation into decidua or its role in accommodating the placenta. Searches for the claimed wording and for decidua, implantation, and placenta found no passage addressing that process in our copy. (LLM, conf=0.76)
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- Authors
- Baba, S., Noda, H., Nakayama, M., Waguri, M., Mitsuda, N., & Iso, H.
- Affiliations
- Osaka Women's and Children's Hospital (JP)
- Osaka University Hospital (JP)
- The University of Osaka (JP)
- Corresponding author
- Iso, H.
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-12-14
- Volume
- 26
- Issue
- 2
- Pages
- 466-472
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2146833092
- Cited by
- 43
- References
- 28
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 3 · 2019: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 9 · 2013: 1 · 2012: 3
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- OUKA (Osaka University Knowledge Archive) (Osaka University) (submittedVersion)
- Funders
- Japan Society for the Promotion of Science (21890218)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Keywords
- early spontaneous abortion, miscarriage, risk factors, Japanese women, smoking, maternal employment, lifestyle factors, reproductive traits
- MeSH terms
- Abortion, Spontaneous, Abortion, Induced, Adolescent, Adult, Female, Humans, Japan, Maternal Age, Middle Aged, Pregnancy, Pregnancy Trimester, First, Risk Factors, Smoking, Women, Working, Case-Control Studies
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