Вплив артифіційних абортів на стан репродуктивного здоров’я жінок фертильного віку. Результати когортного дослідження

Abstract

Data on the negative impact of artificial abortions in the early stages on a woman's reproductive health are contradictory. Variables that may affect the results include study design, gestational age at the time of abortion, duration of follow-up, and procedure’s type. Aim - to analyze the impact of early artificial abortions on the reproductive womenʼs health. Materials and methods. A retrospective cohort study was conducted, which included 549 consecutively recruited women, of which: 119 respondents with a history of induced abortions made up the experimental group, 430 without artificial termination of pregnancy - the comparison group. An analysis of the gynecological and obstetrical anamnesis was carried out. Statistical data processing was carried out using the SPSS 21 program. Results. It was established that the presence of artificial abortions in the anamnesis is associated with an increase in the frequency of infertility, colpitis, cervix dysplasia, salpingo-oophoritis, uterus inflammatory diseases, habitual miscarriage, and also increase in the obstetric complications frequency (spontaneous miscarriages at an early stage, the threat of termination of pregnancy, premature births, abdominal surgical delivery, placental complications). Conclusions. Analysis of the artificial abortions consequences indicates the presence of various disorders in reproductive system of fertile women. This study did not involve any experiments on animals or humans. No conflict of interests was declared by the authors.