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  • Title: [Early and late complications in induced abortions of primigravidae (including suggested measures)].
    Author: Kreibich H, Ludwig A.
    Journal: Z Arztl Fortbild (Jena); 1980 Apr 01; 74(7):311-6. PubMed ID: 7415298.
    Abstract:
    Of 7823 induced abortions which were performed between 1970 and 1978, 798 were performed on 13-18 year old primigravidae. About 88% of these women were 16-18 years of age. The 2 most frequent early complications were fever (4.27%) and palpable evidence of infection (parametritis/salpingitis) (6.4%). Most complications were observed after the use of Hegar dilation and vacuum aspiration. 390 of the patients who underwent abortion between 1976 and 1978 were examined 14 days and 3 months after the abortion. 1.79% reported residual bleeding at both examinations, even though placental residue was not found. The incidence of infection fell from 4.62% to 3.58%. 1.79% reported menstrual irregularities 3 months after the operation. The rate of spontaneous abortion following a previous induced abortion among all patients increased from 1.68% in 1970 to 17.54% in 1978. 652 of the 796 adolescents were interviewed in 1977: 418 were married. Of these, 10.29% had had spontaneous abortions, 11% premature births, 64.11% had had normal births, and 5.5% secondary sterility. Of the 234 single women, 78.63% used oral contraceptives, 6.84% had undergone subsequent induced abortion(s), and 5.98% had undergone spontaneous abortion. Better sex education is needed to help avoid an increase in induced abortion and its consequences among adolescents.
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