Complications and adverse outcomes related to induced abortion in female from the Ukrainian-Russian military conflict regions: A multicentre study
 
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1
UKRAINIAN CENTER OF MATERNITY AND CHILDHOOD OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE
 
2
THE ZARIFA ALYEVA INTERNATIONAL CENTER OF MEDICAL SCIENCE, KYIV, UKRAINE
 
3
ODESSA NATIONAL MEDICAL UNIVERSITY, ODESSA, UKRAINE
 
4
SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE
 
5
KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE
 
6
MEDICAL CENTRE “ASHERA”, KHARKIV, UKRAINE
 
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NATIONAL TECHNICAL UNIVERSITY "KHARKIV POLYTECHNIC INSTITUTE". EDUCATIONAL AND SCIENTIFIC MEDICAL INSTITUTE. DEPARTMENT OF OBSTETRICS, GYNECOLOGY, AND REPRODUCTOLOGY, KHARKIV, UKRAINE
 
8
LVIV MEDICAL UNIVERSITY, LVIV, UKRAINE
 
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BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE
 
10
KYIV CITY CLINICAL ONCOLOGY CENTER, KYIV, UKRAINE
 
11
ANDREI KRUPYNSKYI LVIV MEDICAL ACADEMY, LVIV, UKRAINE
 
 
Publication date: 2025-11-30
 
 
Wiadomości Lekarskie 2025;(11):2411-2419
 
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ABSTRACT
Aim: To provide an overview of complications and adverse outcomes related to induced abortion in female from the Eastern and Southern Ukrainian-Russian military conflict regions. Material and Methods: This are a multicentre combined retrospective and prospective cohort study. All women who underwent induced abortion in Eastern and Southern Ukrainian-Russian military conflict regions between 2022 and 2024 are included in the study. Results: A total of 14,196 induced abortion were performed, 10,630 (74.9%) complications cases were observed. The most complication were infections (71.1%), cervical injury (6.6%), incomplete abortion (5.4%), hemorrhage (5.2%), and uterine perforation (4.9%). The most common infection related to induced abortions was endometritis (21.6%), cervicitis (17.8%), vaginal cuff infections (16.3%), peritonitis (12.3%) and pelvic abscess (10.7%), followed by adnexa utery (8.1%), parametritis (6.7%), salpingitis (5.1%), sepsis (1.3%) and other (0.2%) infections. The main risk factors was increased maternal age, surgical abortion approach, increased gestational age, prior cesarean delivery, presence of a bleeding disorder, fetal demise before the abortion, lack of healthcare facilities, lack of essential medication, lack of personnel and equipment, and surgical inexperience. Conclusions: This study findings demonstrate the high rate of complications related to induced abortion in the Ukrainian-Russian military conflict regions. The ongoing war has led to a decline in the quality of healthcare services and main reason for the high rate of complications and adverse outcomes related to induced abortion in female from the military conflict regions.
eISSN:2719-342X
ISSN:0043-5147
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