Mogilevkina I, Markote S, Avakyan Y, Mrochek L, Liljestrand J, Hellberg D
Department of Obstetrics and Gynecology, University Hospital Donetsk, Ukraine.
Acta Obstet Gynecol Scand. 1996 Nov;75(10):908-11. doi: 10.3109/00016349609055026.
To analyse trends in childbirth, induced abortions and maternal morbidity from 1970 to 1994 in Estonia, Latvia, Lithuania, Russia, Belarussia and the Ukraine.
Official health statistics from the six countries were compiled and analysed.
High abortion rates (up to 142 per 1000 women of fertile ages and years) were seen in all countries analysed, but since 1980 a continuing decrease is noted for Estonia, Latvia and Kalimingrad with a lowest rate of 50 abortions/1000 women/year in Latvia in 1994. Teenage abortions and childbirths are increasing. Maternal mortality, including complications of abortions, is still a reality in all the countries studied.
The high abortion frequencies in all countries studied here indicate that national abortion prevention programs are needed. Such programs should focus on education, both of medical professionals, teenagers, fertile women and males. Concomitantly, the availability of cheap and modern contraceptives must increase, especially to defined risk groups.
分析1970年至1994年爱沙尼亚、拉脱维亚、立陶宛、俄罗斯、白俄罗斯和乌克兰的分娩、人工流产及孕产妇发病率趋势。
汇编并分析这六个国家的官方卫生统计数据。
在所分析的所有国家中,人工流产率都很高(每1000名育龄妇女每年高达142例),但自1980年以来,爱沙尼亚、拉脱维亚和加里宁格勒的人工流产率持续下降,1994年拉脱维亚的人工流产率最低,为每1000名妇女每年50例。青少年人工流产和分娩数量正在增加。在所研究的所有国家中,孕产妇死亡率,包括人工流产并发症,仍然是一个现实问题。
此处所研究的所有国家人工流产率都很高,这表明需要实施国家人工流产预防计划。此类计划应侧重于对医疗专业人员、青少年、育龄妇女和男性的教育。同时,必须增加廉价和现代避孕药具的可及性,特别是对特定风险群体。