We observed 23 women who developed peritonitis after cesarean section. The average age of the patients was 28.9 years. There were 7 first-pregnant women and 16 second-pregnant women. The anamnesis revealed the presence of endogenous foci of infection in all the patients. Thus, flu, sore throat, acute respiratory infections were diagnosed in 20 women, pneumonia in 3; chronic pyelonephritis in 5, inflammatory uterine appendages in 6, rheumatism with mitral valve insufficiency in 1, Botkin disease in 1. Genuine pregnancy was preceded by abortions in 19 women, of whom 11 had formal abortions, 3 had criminal abortions, and 5 had spontaneous abortions at 10 to 25 weeks' gestation against a background of chronic pyelonephritis and inflammatory diseases of the uterine appendages.
There were 2,659 women with intrauterine devices produced by the Kazan Medical and Instrumental Plant under observation. 122 women were observed up to 3 months, 152 - up to one year, 1906 - from one to 5 years, 445 - up to 7 years, 34 - more than 10 years. The efficacy of intrauterine devices reached 97.6% according to our observations. The control group consisted of 218 women who used synthetic progestins (Bisecurin, Non-Ovlon) for contraception according to the usual scheme: one tablet a day from the 5th day of the cycle.
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