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  • Title: [Abortion complications and their effect on subsequent pregnancies].
    Author: Schulze G, Herold C.
    Journal: Zentralbl Gynakol; 1978; 100(19):1261-5. PubMed ID: 716693.
    Abstract:
    About complications in 2147 interruptions of pregnancy, carried out between February 15, 1974 and December 31, 1976 was reported.--48,4 per cent was nullipare or primipare. The rate of early complications was 5,28 per cent. During the period of report 7,03 per cent of patients became pregnant again. The fates from these pregnancy were following: 37,6 per cent interruptions of pregnancy once more. 15,2 per cent abortion and 18,4 per cent premature birth. Prenatal mortality was 3,1 per cent. A study of 2147 induced abortions was undertaken to determine the frequency of complications and to determine the effect of an abortion on a subsequent pregnancy. 9.4% of the patients were 17 years of age or younger, 36.5% were single, 25.1% were nulliparae. The overall complication rate was 5.28%. The most frequent complications were inflammations, e.g., adnexitis, endometritis, parametritis: 1.58%. There was a .79% incidence of cervical injuries, 76.4% of which were among primigravidae. 151 of the patients became pregnant during the 2 years following the abortion; 87 carried the pregnancy to term. The incidence of spontaneous abortion among these patients was 25.3%, of cervical insufficiency 20.7% and of premature birth 13.8%. Only 35.6% of the pregnancies proceeded without complication. Perinatal mortality was 3.1%. Steps must be taken to prevent the use of induced abortion as a contraceptive measure, especially among young primigravidae.
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