Complications and adverse outcomes related to induced abortion in female from the Ukrainian-Russian military conflict regions: A multicentre study
More details
Hide details
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
7
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
9
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
KEYWORDS
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.