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  • Title: [Implications of abortion in the etiology of sterility in a textile mill in Galati, Romania].
    Author: Chiva P.
    Journal: Obstet Ginecol (Bucur); 1987; 35(1):47-50. PubMed ID: 12283505.
    Abstract:
    The effects of abortion on fertility were studied in 2200 women aged 16- 45 with a potential fertility rate of 73.7%. 378 cases of sterility (17.18%) were recorded, of which 284 cases had secondary sterility, 82 cases had primary sterility, and in 12 cases azoospermia was found. Involuntary sterility amounted to 15.78% of the 2200 cases if 31 cases (1.4% of the total sample size) of voluntary infertility were excluded. The pregnancy rate was 8.5% in this population during a 2 year period. 75 cases (26.4%) of secondary sterility were caused by simple curettage abortion, and in 10 cases post-partum curettage resulted in infertility. Chronic and acute uterine and ovarian inflammations necessitating curettage were responsible for secondary infertility in 106 cases (37.3%), thus abortion was implicated in 63.7% of all secondary in fertility cases. In the remaining 36.3% of cases the causative factors of sterility were: postoperative sequelae of extrauterine pregnancy, ovarian cyst, uterine fibroma, cicatrices following electrocauterization, uterine malformations, and in rare cases endocrine disorders. In 11% of cases the exact cause of sterility could not be established. In 7 cases sterility was definitively attributable to septico-hemorrhagic infarctions after hysterectomy, and in 4 cases following surgical interventions occasioned by bilateral pyosalpinx and generalized peritonitis. In women aged 22-42 primary sterility occurred in 24.3% of cases, and the duration of infertility was 3-20 years. Secondary sterility developed in the 25-35 age group. As a result of an intensive educational and health awareness effort, significant gains were attained: the birth rate went up by 70%, the rate of abortions was reduced by 50%, and illnesses caused by temporary inability to work decreased by 40%.
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