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If you're lucky they give you a little sedative.”According to du Plessix Gray, Olga estimated that she had had about 14 abortions in total, and she knew women who had had as many as 25.'Huge Psychological Trauma'Today, modern techniques make the experience less traumatic and dangerous, but Natalia Vartapetova, the director of a Russian NGO called the Institute of Family Health says complications following abortions are still widespread."Unfortunately, still, the consequences of abortion are among the key causes of maternal mortality in Russia," she says.

"One of the problems, perhaps, is infection control -- infection and sepsis afterward -- or other complications, like hemorrhage.

These issues have always been very closed."Growing Options Part of the reason abortions were so prevalent during the Soviet era, health professionals say, was that contraceptives were so unreliable.

Oral contraception was not available and more often than not, Soviet-made condoms and intrauterine devices didn’t work.

Infertility, as well -- we know about one-third of infertility is due to previous abortions."But for all that, the situation is improving, Vartapetova says.

One of her projects is to educate health professionals about modern methods of birth control, and in the 20 or so regions where the programs are taking place, abortion rates have fallen.

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"An unplanned pregnancy can cause them enormous stress.

But Yerofeyeva and other association employees can also paint a stark picture of the reality of abortion in Russia today.

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