Induced midtrimester abortion and future fertility--where are we today?

S Lurie, Z Shoham
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Abstract

Objective: To review recent data and clinical opinions on the impact of induced midtrimester abortion on future fertility.

Data: MEDLINE search from 1971 to June 1994. Studies on complications and sequelae of induced midtrimester abortion and impact upon future fertility were included.

Results: The possible complications that might be involved include uterine rupture, intrauterine adhesions, pelvic inflammatory disease, subsequent spontaneous abortions, cervical incompetence, subsequent premature labor, and ectopic pregnancy. Very little has been published on the effect of induced midtrimester abortion on future fertility, thus making a clear-cut conclusion difficult.

Conclusions: As with first trimester abortion, midtrimester abortion seems to have no great effect on future fertility; and the rate of complications could be significantly reduced using appropriate measures, as discussed in the paper.

人工流产和未来生育——我们今天在哪里?
目的:回顾中期人工流产对未来生育影响的最新资料和临床观点。资料:MEDLINE检索,1971年至1994年6月。包括对中期人工流产并发症、后遗症及对未来生育影响的研究。结果:子宫破裂、宫腔粘连、盆腔炎、自然流产、宫颈功能不全、早产、异位妊娠等可能发生的并发症。关于中期人工流产对未来生育能力的影响的报道很少,因此很难得出明确的结论。结论:与妊娠早期流产一样,妊娠中期流产似乎对未来的生育能力没有太大影响;如文中所述,采用适当的措施可以显著降低并发症的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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