The Risk Factors of Infertility Associated with Unsafe Abortion in a Sub-Saharan Population  

作　　者：Justin Esimo Mboloko Charles Bampanzi Moangi Pathou Ipanga Mampuya Junior Mata Mboloko Patrick Sendeke Mogwo Annie Azima Egbolo Serge Litambelo Etana Dan Kabengele Ngoyi Athena Mwakila Asana Guy Sibo Monzango Justin Esimo Mboloko;Charles Bampanzi Moangi;Pathou Ipanga Mampuya;Junior Mata Mboloko;Patrick Sendeke Mogwo;Annie Azima Egbolo;Serge Litambelo Etana;Dan Kabengele Ngoyi;Athena Mwakila Asana;Guy Sibo Monzango(Kinshasa University Clinics, University of Kinshasa, Kinshasa, Democratic Republic of Congo;Edith Medical Center, Kinshasa, Democratic Republic of Congo)

机构地区：[1]Kinshasa University Clinics, University of Kinshasa, Kinshasa, Democratic Republic of Congo [2]Edith Medical Center, Kinshasa, Democratic Republic of Congo

出　　处：《Open Journal of Obstetrics and Gynecology》2025年第1期67-77,共11页妇产科期刊(英文)

摘　　要：Background: Unsafe abortion (USA) is defined as the termination of a non-desired pregnancy, performed by an unqualified person or in an environment without minimum medical standards, or both. It can impact negatively the fertility in the future by tubo-peritoneal lesions. The current study aimed to highlight the infertility factors associated with USA. Material and Methods: From January 1st 2000 to December 31st 2021, a total of 3876 patients that sought care for infertility in the University Clinic of Kinshasa and the Edith Medical Center were enrolled. The socio-demographic, clinical and paraclinical variables were recorded and analyzed in relation to USA history. Results: The patients’ average age was 33.4 ± 5.7 years. Half of them were housewives;about sixty percent of the patients were nulliparous (59.31%). Seventy percent had a secondary infertility with 43.33% having a history of unsafe abortion. The main diagnosis was genital infections and uterus myoma. The chronic endometritis, bilateral tubal occlusion and Uterine synechiae were more associated with USA group. The spermogram anomalies and other partners’ lesions seemed of infectious origin. Conclusion: The USA remains a more frequent phenomenon in our setting. The chronic endometritis, bilateral tubal occlusion, uterine synechiae and indirectly uterus myoma were the infertility factors related to USA. The genital infection of any origin seems to be the main denominator underlying the female and the male infertility in our setting.Background: Unsafe abortion (USA) is defined as the termination of a non-desired pregnancy, performed by an unqualified person or in an environment without minimum medical standards, or both. It can impact negatively the fertility in the future by tubo-peritoneal lesions. The current study aimed to highlight the infertility factors associated with USA. Material and Methods: From January 1st 2000 to December 31st 2021, a total of 3876 patients that sought care for infertility in the University Clinic of Kinshasa and the Edith Medical Center were enrolled. The socio-demographic, clinical and paraclinical variables were recorded and analyzed in relation to USA history. Results: The patients’ average age was 33.4 ± 5.7 years. Half of them were housewives;about sixty percent of the patients were nulliparous (59.31%). Seventy percent had a secondary infertility with 43.33% having a history of unsafe abortion. The main diagnosis was genital infections and uterus myoma. The chronic endometritis, bilateral tubal occlusion and Uterine synechiae were more associated with USA group. The spermogram anomalies and other partners’ lesions seemed of infectious origin. Conclusion: The USA remains a more frequent phenomenon in our setting. The chronic endometritis, bilateral tubal occlusion, uterine synechiae and indirectly uterus myoma were the infertility factors related to USA. The genital infection of any origin seems to be the main denominator underlying the female and the male infertility in our setting.

关 键 词：Unsafe Abortion Secondary Infertility Infertility Factors Tubal Infertility Sub-Saharan Setting 

分 类 号：R73[医药卫生—肿瘤]