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  • Title: [Prevention of post-abortion complications].
    Author: Radionchenko AA, Zal'mezh LV, Konishcheva OE, Volkova LA.
    Journal: Sov Med; 1984; (11):108-10. PubMed ID: 6523202.
    Abstract:
    A study was conducted on the effectiveness of vibratory massage of the uterus in preventing post-abortion complications. Observations were made on 303 pregnant women, ages 20-40, admitted to the gynecology clinic for induced abortions. The base group consisted of 168 women who received vibratory massage of the uterus after the abortion; the control group consisted of 135 women not given vibromassage. The base group included 28 (17%) primiparae, 9 (5.3%) parae and 27 (17%) nulliparae; 60 (36%) had each had 3 abortion, and 27 (17%) had had 4 or more; 43 (25.5%) of the women had their fit menstruation by the age of 15 and later; painful menstrual function (algodysmenorrhea) was noted in 44 (26%) of the women; 41 (32%) had sex for the first time at an early age (14-16 yrs). Histories showed chronic inflammation of adnexa for 20 (12.5%) and cervical erosion for 6 (3.5%). Similar data were obtained in the control group. In the base group, 28 of the women were 6-8 weeks pregnant, 92 were 8-10 weeks and 48 were 11-12 weeks, in the control group, the numbers were 44, 56 and 35, respectively. Induced abortions were performed by curettage (126 in the base group, 110 in the control group) and vacuum-aspiration (42 and 25, respectively). Vibromassage of the uterus was performed immediately after the abortions and on the 1st and 2nd days of the post-abortion period. The effect of the vibromassage was evaluated by clinical observation of the women, uterine probing, amount of blood loss, examination of vaginal discharge for microflora, clinical blood analysis, and immediate and late post-operative complications. In the group with abortions preformed by vacuum-aspiration with vibromassage, no heavy blood loss was detected, and the number of women with little or no discharge increased significantly compared to the control group. In the group receiving vibromassage, hematometra was detected in 2.4% of the women, endometritis on 6%, exacerbated chronic inflammation of adnexa in 4%. In the control group, the figures were 6, 13.3 and 17.6%, respectively. In observations for 12-24 months after the abortions, among 100 women who received vibromassage, disturbance of menstrual function was noted in 19.3% and sterility in 8.2%, while in the control group 14.1 and 16.2%, respectively. In the first 6 months after abortion, women not using contraception became pregnant in 7% of the cases, and in 9.1% of the cases among those who received vibromassage. Thus, studies showed that vibratory massage of the uterus, employed immediately after the induced abortion and the next two days of the post-abortion period, has a stimulating effect on the contracting activities of the uterus and contributes to a decrease in immediate and late complications.
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