The frequency of inflammatory postabortion diseases, which have turned into a chronic form, ranges from 14.6% to 19.2% and is often the cause of reproductive health disorders in young women. Aim - to investigate risk factors for the development of chronic endometritis after early abortions. Materials and methods. A cohort study was conducted, in which 119 women aged 18 to 45 years (on average - 29.63±5.75 years) took part: I group - 19 women with developed chronic endometritis after artificial abortion, II group - 100 women with the physiological course of the postabortion period. Analysis of anamnestic data, results of clinical laboratory and instrumental research was carried out. Statistical data processing was carried out using the SPSS 21 program. Results. According to the results of multivariate regression analysis, significant risk factors for the development of chronic endometritis after artificial abortion in the early stages are: age ≥30 years, presence of obesity, anemia, previous abortion(s) in the anamnesis, III-IV degree of vaginal contents purity, due date abortion > 9 weeks, retention of fetal egg elements after termination of the current pregnancy. Conclusions. On the basis of the identified clinical and anamnestic risk factors for chronic postabortion endometritis, it is advisable to single out a high-risk group in order to increase the effectiveness of treatment and preventive measures to avoid possible negative consequences for the reproductive women’s health after early termination of pregnancy. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors.
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