{"id":3579,"date":"2023-01-17T10:00:59","date_gmt":"2023-01-17T09:00:59","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3579"},"modified":"2023-01-13T10:33:27","modified_gmt":"2023-01-13T09:33:27","slug":"the-transition-from-abortion-to-miscarriage-to-describe-early-pregnancy-loss-in-british-medical-journals-a-prescribed-or-natural-lexical-change","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2023\/01\/17\/the-transition-from-abortion-to-miscarriage-to-describe-early-pregnancy-loss-in-british-medical-journals-a-prescribed-or-natural-lexical-change\/","title":{"rendered":"The Transition from Abortion to Miscarriage to Describe Early Pregnancy Loss in British Medical Journals: A Prescribed or Natural Lexical Change?"},"content":{"rendered":"<p><strong>Article Summary by Beth Malory<\/strong><\/p>\n<p>\u201cThe transition from abortion to miscarriage to describe early pregnancy loss in British medical journals: A prescribed or natural lexical change?\u201d<em>,\u00a0<\/em>published in<em>\u00a0Medical Humanities\u00a0<\/em>in March 2022,<em>\u00a0<\/em>investigates the origins of the shift from use of the word &#8216;abortion&#8217; to &#8216;miscarriage&#8217; in medical British English. Using the statistical technique Change Point Analysis, this study ascertains that a 1985 letter published in\u00a0<em>The Lancet<\/em>\u00a0by a team of London-based obstetricians (Beard et al. 1985) was pivotal in prompting the move away from &#8216;abortion&#8217; in the context of spontaneous pregnancy loss before 28 weeks&#8217; gestation.<\/p>\n<p>The cause of this shift in British medical language had been subject to debate for decades, with some contending that Beard et al.&#8217;s (1985) letter to\u00a0<em>The Lancet\u00a0<\/em>merely endorsed a linguistic change already well underway. Others had argued that the publication of Beard et al.&#8217;s (1985) letter was a decisive moment in obstetric language in Britain, and this study showed that this was indeed the case.<\/p>\n<p>A purpose-built change point model was used to process language data for the three medical journals publishing obstetric and gynaecological research most frequently between 1975 and 1995; the\u00a0<em>British Medical Journal <\/em>(<em>BMJ<\/em>),\u00a0<em>British Journal of Obstetrics and Gynaecology <\/em>(<em>BJOG<\/em>), and\u00a0<em>The Lancet.\u00a0<\/em>The resulting data show 1985-6 to be the locus for a sudden, sustained, fall in the rate at which \u2018abortion\u2019 is used, in the context of spontaneous pregnancy loss, and an accompanying rise in the rate of \u2018miscarriage\u2019 use. This fall is most dramatic in the\u00a0<em>BJOG,\u00a0<\/em>where<em>\u00a0<\/em>\u2018miscarriage\u2019 is seldom used after 1985. It is less pronounced, though still evident, in the other two journals, where use of \u2018abortion\u2019 in this context persists, at a much lower frequency, into the 1990s.<\/p>\n<p>As Beard et al. (1985) note, use of \u2018abortion\u2019 in Recurrent Miscarriage clinics was causing extreme distress to patients; to the extent that they made a plea for use of \u2018miscarriage\u2019 on \u201chumanitarian grounds\u201d. These findings therefore highlight the impact which linguistic prescriptivism intended to have a positive impact on patient wellbeing can have, if it originates with authoritative figures and is disseminated effectively.<\/p>\n<p>&nbsp;<\/p>\n<h4>Read the full article on the <strong><a href=\"https:\/\/mh.bmj.com\/content\/48\/4\/489\"><em>Medical Humanities <\/em>journal website<\/a><\/strong>.<\/h4>\n<p>&nbsp;<\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3580\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/01\/Malory-Beth-The-Transition-from-Abortion-to-Miscarriage-225x300.jpeg\" alt=\"Beth Malory Photo\" width=\"225\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/01\/Malory-Beth-The-Transition-from-Abortion-to-Miscarriage-225x300.jpeg 225w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/01\/Malory-Beth-The-Transition-from-Abortion-to-Miscarriage-768x1024.jpeg 768w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/01\/Malory-Beth-The-Transition-from-Abortion-to-Miscarriage-1152x1536.jpeg 1152w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/01\/Malory-Beth-The-Transition-from-Abortion-to-Miscarriage-1536x2048.jpeg 1536w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/01\/Malory-Beth-The-Transition-from-Abortion-to-Miscarriage-640x853.jpeg 640w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/01\/Malory-Beth-The-Transition-from-Abortion-to-Miscarriage-scaled.jpeg 1920w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/>Beth is Lecturer in English Linguistics at University College London&#8217;s Survey of English Usage.<\/em><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Article Summary by Beth Malory \u201cThe transition from abortion to miscarriage to describe early pregnancy loss in British medical journals: A prescribed or natural lexical change?\u201d,\u00a0published in\u00a0Medical Humanities\u00a0in March 2022,\u00a0investigates the origins of the shift from use of the word &#8216;abortion&#8217; to &#8216;miscarriage&#8217; in medical British English. Using the statistical technique Change Point Analysis, this [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2023\/01\/17\/the-transition-from-abortion-to-miscarriage-to-describe-early-pregnancy-loss-in-british-medical-journals-a-prescribed-or-natural-lexical-change\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15028,15047],"tags":[15068],"class_list":["post-3579","post","type-post","status-publish","format-standard","hentry","category-journal-announcements","category-special-issues","tag-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Transition from Abortion to Miscarriage to Describe Early Pregnancy Loss in British Medical Journals: A Prescribed or Natural Lexical Change? - Medical Humanities<\/title>\n<meta name=\"description\" content=\"Beth Malory investigates the origins of the shift from use of the word &#039;abortion&#039; to &#039;miscarriage&#039; in medical British English.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3579\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Transition from Abortion to Miscarriage to Describe Early Pregnancy Loss in British Medical Journals: A Prescribed or Natural Lexical Change? - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"Beth Malory investigates the origins of the shift from use of the word &#039;abortion&#039; to &#039;miscarriage&#039; in medical British English.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3579\" \/>\n<meta property=\"og:site_name\" content=\"Medical Humanities\" \/>\n<meta property=\"article:published_time\" content=\"2023-01-17T09:00:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/01\/Malory-Beth-The-Transition-from-Abortion-to-Miscarriage-225x300.jpeg\" \/>\n<meta name=\"author\" content=\"Chris Pak\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Chris Pak\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3579#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3579\"},\"author\":{\"name\":\"Chris Pak\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/person\\\/0e11c1a9a0f1f9f2aa898a719652c44c\"},\"headline\":\"The Transition from Abortion to Miscarriage to Describe Early Pregnancy Loss in British Medical Journals: A Prescribed or Natural Lexical Change?\",\"datePublished\":\"2023-01-17T09:00:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3579\"},\"wordCount\":394,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3579#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/files\\\/2023\\\/01\\\/Malory-Beth-The-Transition-from-Abortion-to-Miscarriage-225x300.jpeg\",\"keywords\":[\"Blog\"],\"articleSection\":[\"Journal Announcements\",\"Special Issues\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3579#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3579\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3579\",\"name\":\"The Transition from Abortion to Miscarriage to Describe Early Pregnancy Loss in British Medical Journals: A Prescribed or Natural Lexical Change? 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