Rehabilitation and contraception of women after induced abortion
O.F. Serova, T.N. Melnik
Moscow Regional Research Institute of Obstetrics and Gynecology, Maternity Hospital, Lubertsi town, Moscow region, Russia
Objectives: To elaborate a system of rehabilitation measures after various types of induced abortions.
Materials and Methods: One-hundred fifty women coming for induced abortions were studied with clinical, bacteriological,
radioimmune and morphological methods.
Results: Pregnancy was terminated with medicaments (Mifepriston) in 50 patients (group 1), by way of vacuum aspirator in 50
(group 2), and with surgery in 50 (group 3). Patients of all three groups were equal by age and extragenital pathology. An assessment
of restorative processes in endometrium and menstrual function was made after the abortions. A differentiated approach
towards rehabilitation of women depending on the applied method of pregnancy interruption was elaborated. Patients of group
1 were recommended Novynette (ethinylestradiol 20 mcg, desogestrel 150 mcg) during not less than three months; Regulon
(ethinylestradiol 30 mcg, desogestrel 150 mcg) for three months was indicated for the patients of group 2, Regulon for not less
than six months was recommended for the patients of group 3. Post-abortion contraception was performed with the same medicaments
prior to the planning of the next pregnancy.
Conclusion: A differentiated use of hormonal contraceptives depending on the method of pregnancy interruption contributes to
a rapid restoration of menstrual and reproductive functions of women.