A bankruptcy proceeding. Induced abortion from inside the Yakutia and you may potential solutions
More descriptive investigation of research to your younger girls and adolescent girls revealed that the uterus and you can ovaries both expanded, typically, slowly and you can modestly. In the girls of Russian source, a popular boost in the distance, thickness and you will antero-rear size of the fresh new womb are seen amongst the period of a dozen and you may 13 (rise in duration – 1 cm, width – 1.cuatro cm, antero-rear size – step one.step one cm). After that, growth went on even more slowly, at a level regarding 0.1–0.step three cm per year.
Uterine size are less getting girls regarding local communities compared with the brand new Russian classification. Statistically high distinctions was indeed observed certainly girls aged ten–11 and you can several–sixteen. An identical pattern is seen which have uterine duration and you will antero-posterior diameter. Of the age 17, people statistically extreme distinctions levelled away.
Among Russians, a well known increase in ovarian size was observed between eleven and you can a dozen years old (because of the 0.six cm). Density of one’s ovarian tissues try located to increase because of the thirteen yrs . old (of the 0.8 cm). Zero instance prominent escalation in gains try noticed among Yakuts and you can Evenks (maximum increases spurt try 0.4 cm). From Kochi girls for marriage inside the girls young than 17, ovarian proportions was notably faster regarding Yakut and you will Evenk category weighed against the fresh Russian classification. A top relationship try discovered between ovarian and you will uterine proportions and you will age of menarche (r=0.65).
It was unearthed that, within the users within the ages of 14, a majority of menstrual schedules was in fact anovulatory ( Desk six.step 3 ). From inside the 15-year-olds, 3-residence out of menstrual time periods was basically anovulatory. From the 16–17 years of age, ovulation started to be present in 1 / 2 of the players. In the decades 18, an overwhelming greater part of menstrual cycles (80–87.5%) had been ovulatory. Zero mathematically factor in the version of menstrual cycle is actually discovered between the cultural groups.
Table 6.step three
Frequency out-of ovulation during the teenage girls is receive to improve gradually, getting together with the limitation frequency inside the sixth seasons away from periods.
From span of our very own ultrasound studies, a number of sonographic results had been shown ( Table 6.4 ). Ultrasonographic signs of polycystic ovarian disorder was indeed noticed a lot more have a tendency to about Yakut and you may Evenk teenage girls compared to Russians. In women out of reproductive decades, ultrasonographic signs of polycystic ovarian problem were observed simply when you look at the separated hours. Ultrasonographic proof persistent salpingo-oophoritis and you can chronic endometritis try observed even more usually inside Evenks than in the other groups.
Dining table six.cuatro
Uterine fibroids just weren’t known certainly teenage users. One of feminine from reproductive ages, uterine fibroids was recognized a whole lot more often inside Evenks than in this new Russian or Yakut communities. Out-of-stage endometrial thickness is actually discovered more apparently about local feminine compared to Russians. Adolescent girls were with greater regularity discovered to own a “thin” endometrium.
seven.step one. Styles inside the caused abortion when you look at the Yakutia
Already, triggered abortion is the simply type of birth-control covered by brand new mandatory medical care insurance program of one’s Russian Federation. It will help to describe the rise present in infertility and you can maternity difficulty due to implantation trouble regarding endometrial irregularities (67). Actually, inside six months of the sexual debut, 28–46% regarding more youthful Russian female read triggered abortion (5).
Within the Yakutia, the brand new trend in induced abortion was revealed during the Desk 1.step three . Specific 5.4% of females off reproductive ages has actually experienced induced abortion inside months 2004–2008, compared to step three.6% from the Russian Federation overall.
On the Russian Federation inside the 2002, forty.6 abortions was in fact did for every single 1,000 women regarding reproductive age. In Yakutia, that it profile try sixty.9 for every step 1,000 female out-of reproductive age. When you look at the 2008, so it decreased to 29.dos per step one,000 women of reproductive age on the Russian Federation due to the fact an excellent whole, in order to 48 for each and every 1,000 feminine regarding reproductive years into the Yakutia.
