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  • Title: [Pregnancy and labor after spontaneous and induced abortion].
    Author: Krasnodebski J, Rajda M, Potepa M, Piechowicz A.
    Journal: Przegl Lek; 1989; 46(4):385-90. PubMed ID: 2788897.
    Abstract:
    The course of pregnancy, delivery and puerperium has been analysed in 91 women after spontaneous abortion in the past, 170 women after artificial abortion and in 91 women during the first pregnancy. The women after abortion were characterized by the advanced age the more frequent hemorrhage during the pregnancy, the renal failures, the preterm deliveries and the gestoses. After the artificial abortions the deliveries were longer and the blood loss greater. If compare women with the first pregnancy the women after abortion were characterized by more frequent complications during the puerperium. The clinical state of neonates from the group compared showed no significant differences. The course of pregnancy, delivery, puerperium and neonatal state was analyzed in 91 women (Group I) after spontaneous abortion of first gravidity of 5-16 weeks duration (concluded by curettage); in 170 women (Group II) after induced abortion of a 5-12 week old pregnancy and in a control group of 96 women (Group III) who had neither induced nor spontaneous abortion. The women in the abortion groups were older: 35.1% and 29.4% were over 25 vs. 19.7% in the control group. hemorrhage during pregnancy was more frequent (17.5% and 20.5% vs. 6.2% in controls) as well as renal disorders (14.2% and 24.4% vs. 2.3% in controls), preterm deliveries (10.9% and 17% vs. 5.2% in controls), and gestoses (18.6% and 30% vs. 8.2% in controls). In the induced abortion group, 15.3% of women had 35-37 week long pregnancies vs. 5.2% in controls. Most terms lasted 38-41 weeks (75.8% and 82.9% in the abortion groups vs. 87.5% in controls). The normal release of amniotic fluid was 14.2% and 24.7% in the abortion groups vs. 22.9% in controls. the deliveries were longer after induced abortions and the blood loss greater (26.9% and 56.4$ lost 251-500 ml blood in the first 2 groups vs. 23.95 of controls, furthermore 18.2% of the induced abortion group lost over 501 ml vs. 2% of controls). When comparing the women's first pregnancy the abortion groups also had more frequent complications during the puerperium (19.7% in Group I had high temperature vs. 7.2% in controls). T clinical state of neonates of the 3 groups compared showed no significant differences.
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