Medical and statistical analysis of the prevalence of abortions in Sakhalin Oblast
Year: 2024
Type: article
Study design: Observational Study
Abstract: The article analyzes the structure and dynamics of abortions in the Sakhalin region for the period 2013-2022 based on statistical data from the Sakhalin region and the State Federal Statistical Observation No. 13 ‘Information on pregnancy with an abortive outcome’. Despite a significant decrease in the absolute number of abortions in the Sakhalin Region, which is partly due to a decrease in the number of women of fertile age, a high level of abortions per 1,000 women aged 15-49 years remains, almost twice as high as the same indicator in the Russian Federation. There is an increase in the proportion of spontaneous abortions, as well as abortive outcomes associated with other abnormal products of conception, which may indicate problems of women's reproductive health and a decrease in reproductive potential. These changes are also related to the adoption of new statistical forms of registration of abortions in Russia in 2015-2016. In the structure of the terms of termination of pregnancy, the main part during the study period is abortions up to 12 weeks, but there is a tendency to increase the proportion of abortions at a later date of 12-21 weeks - by 44.8%. In turn, not a single case of abortion for social reasons was noted during the study period, but the share of criminal abortion increased, so in 2021 there were seven cases of illegal termination of pregnancy up to 12 weeks and five cases in 2022. There has also been an increase in medical (legal) abortions in non-governmental medical organizations, which indicates the need to develop measures aimed at interaction between state and non-state medical institutions providing abortion services. In addition, there is no data on abortions among first-time pregnancies in non-governmental medical organizations, which leads to an underestimation of this indicator in the overall structure of abortions. According to the data of the State Federal Statistical Observation No. 13, there has been a steady increase in the share of abortions among first-time pregnancies in the structure of all abortions, including in the share of medical (legal) abortions by 31.9% over the period from 2016-2022. This indicates the need to develop preventive measures aimed at increasing the availability of contraception and medical literacy in the field of reproductive health and the formation of responsible reproductive behavior among the population of the Sakhalin region. Keywords: abortion, fertility, reproductive choice, Sakhalin region
Source: Yakut Medical Journal
Author: Mi Ran Khe
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4406477113