THE RATE AND STRUCTURE OF ABORTIONS IN THE REPUBLIC OF BASHKORTOSTAN IN 2017-2022
Authors:   Bashkir State Medical University of the Ministry of Health of the Russian Federation, Ufa, Russian Federation, Sharafutdinova Nazira , Borisova Marina ,   Bashkir State Medical University of the Ministry of Health of the Russian Federation, Ufa, Russian Federation, Fazlyeva Elza ,   Fomin’s Clinic, Ufa, Russian Federation, Mukhamadeeva Olga ,   Bashkir State Medical University of the Ministry of Health of the Russian Federation, Ufa, Russian Federation, Sharafutdinov Marat ,   Bashkir State Medical University of the Ministry of Health of the Russian Federation, Ufa, Russian Federation,   City Clinical Hospital No. 21, Ufa, Russian Federation, Saitova Zarema ,   Bashkir State Medical University of the Ministry of Health of the Russian Federation, Ufa, Russian Federation, Khakimova Aisylu ,   Bashkir State Medical University of the Ministry of Health of the Russian Federation, Ufa, Russian Federation, Murtazin Askar ,   Bashkir State Medical University of the Ministry of Health of the Russian Federation, Ufa, Russian Federation,   Medical Information and Analytical Center, Ufa, Russian Federation
Published: January 2024

Significance. Despite the decline in the frequency of abortions, they remain an urgent problem due to the decline in the birth rate and deterioration of the reproductive health of the female population. The purpose of the study is to determine the structure and frequency of pregnancy termination among women in the Republic of Bashkortostan for 2017-2022. Material and methods. The main sources of information were the official statistical materials of the Ministry of Health of the Republic of Bashkortostan, federal statistical observation form No.13 (“Information on pregnancy with an abortive outcome”), as well as information from the state health information system of the Republic of Bashkortostan on termination of pregnancy among women. Results. From 2017 to 2022 in the Republic of Bashkortostan there was a 41.5% decrease in the frequency of abortions among women of reproductive age (from 14.7 per 1000 women of reproductive age in 2017 to 8.6 per 1000 women of reproductive age in 2022). Medical abortions prevailed in the structure of pregnancy termination up to 12 weeks (52.8% in 2017 and 41.1% in 2022), and spontaneous abortions prevailed in the structure of pregnancy termination from 12 to 22 weeks (44.1% and 40.6%, respectively). Abortion rates decreased among both urban and rural women, but were higher among rural women compared to urban women. The highest abortion rates were observed in the age groups of 20-24 years, 25-29 years, 30-34 years and 35-39 years. It should be noted that the prevalence of abortion was higher among rural women (9.3‰ and 6.5‰ respectively) than urban women (4.4‰ and 2.8‰ respectively). The average women age who terminated pregnancy was lower among rural women. Abortions up to 12 weeks prevailed in the structure of pregnancy terminations. Conclusions. From 2017 to 2022, the Republic of Bashkortostan registered a decrease in the abortion rate, the majority of pregnancies were terminated until 12 weeks of gestation, the prevalence of abortion is higher among rural women, the average age of rural women who terminated pregnancy was lower compared to urban women.