The aim of this investigation was to determine the frequency of adverse pregnancy outcomes in Kiev during the period surrounding the Chernobyl accident on April 26, 1986. Additional effective equivalent doses resulting from the catastrophic irradiation in 1986-1991 was 8.04 mSv for Kiev inhabitants. We retrospectively analyzed the archives of the two largest obstetric hospitals between 1969 and 1990. Spontaneous miscarriages, congenital anomalies, and perinatal mortality varied during the two decades without any pronounced changes in any direction. Additional long-term follow-up is needed to determine mutagenic or carcinogenic effects.

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