Complications and adverse outcomes related to induced abortion in female from the Ukrainian-Russian military conflict regions: A multicentre study

Aidyn G Salmanov; Volodymyr V Artyomenko; Andrey O Semenyuk; Serhii Yu Vdovychenko; Svitlana M Korniyenko; Vitalii S Strakhovetskyi; Yuliia V Strakhovetska; Olga V Gorbunova; Olena V Doroganova; Orusia A Kovalyshyn; Andriy I Chubatyy; Igor V Kokhanov; Victoria Ye Butska; Alexander G Tymchenko; Ihor Paliga

doi:10.36740/wlek/214791

Complications and adverse outcomes related to induced abortion in female from the Ukrainian-Russian military conflict regions: A multicentre study

Salmanov AG, Artyomenko VV, Semenyuk AO, Vdovychenko SY, Korniyenko SM, Strakhovetskyi VS, Strakhovetska YV, Gorbunova OV, Doroganova OV, Kovalyshyn OA, Chubatyy AI, Kokhanov IV, Butska VY, Tymchenko AG, Paliga I

Wiadomosci lekarskie (Warsaw, Poland : 1960), 2025

DOI 10.36740/wlek/214791 PMID 41518179

Abstract

Aim

To provide an overview of complications and adverse outcomes related to induced abortion in female from the Eastern and Southern Ukrainian-Russian military conflict regions.

Materials and Methods

This are a multicentre combined retrospective and prospective cohort study. All women who underwent induced abortion in Eastern and Southern Ukrainian-Russian military conflict regions between 2022 and 2024 are included in the study.

Results

A total of 14,196 induced abortion were performed, 10,630 (74.9%) complications cases were observed. The most complication were infections (71.1%), cervical injury (6.6%), incomplete abortion (5.4%), hemorrhage (5.2%), and uterine perforation (4.9%). The most common infection related to induced abortions was endometritis (21.6%), cervicitis (17.8%), vaginal cuff infections (16.3%), peritonitis (12.3%) and pelvic abscess (10.7%), followed by adnexa utery (8.1%), parametritis (6.7%), salpingitis (5.1%), sepsis (1.3%) and other (0.2%) infections. The main risk factors was increased maternal age, surgical abortion approach, increased gestational age, prior cesarean delivery, presence of a bleeding disorder, fetal demise before the abortion, lack of healthcare facilities, lack of essential medication, lack of personnel and equipment, and surgical inexperience.

Conclusions

This study findings demonstrate the high rate of complications related to induced abortion in the Ukrainian-Russian military conflict regions. The ongoing war has led to a decline in the quality of healthcare services and main reason for the high rate of complications and adverse outcomes related to induced abortion in female from the military conflict regions.

Topics

General Gynecology › Infections › Pelvic Inflammatory Disease · Infections and the Reproductive Microbiome › Systemic and Emerging Infections › Infection in Pregnancy

Aidyn G Salmanov, Volodymyr V Artyomenko, Andrey O Semenyuk, Serhii Yu Vdovychenko, Svitlana M Korniyenko, Vitalii S Strakhovetskyi, Yuliia V Strakhovetska, Olga V Gorbunova, Olena V Doroganova, Orusia A Kovalyshyn, Andriy I Chubatyy, Igor V Kokhanov, Victoria Ye Butska, Alexander G Tymchenko, Ihor Paliga

A Salmanov, V Artyomenko, A Semenyuk, S Vdovychenko, S Korniyenko, V Strakhovetskyi, Y Strakhovetska, O Gorbunova, O Doroganova, O Kovalyshyn, A Chubatyy, I Kokhanov, V Butska, Alex Tymchenko, A Tymchenko, I Paliga

PMID 41518179 41518179 DOI 10.36740/wlek/214791 10.36740/wlek/214791 Salmanov et al. 2025, Salmanov 2025

Complications and adverse outcomes related to induced abortion in female from the Ukrainian-Russian military conflict regions: A multicentre study

Abstract

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