Retrospective Observational Assessment of the Hazards of OTC Availability of MTP Pills
- 1. Associate Professor, Department of Obstetrics & Gynecology, PMCH, Patna, Bihar, India
- 2. Department of Obstetrics & Gynecology, PMCH, Patna, Bihar, India
Description
Aim: The aim of this study was to study the implications of self-administration of abortion pills by pregnant women. Material & Methods: This study was a retrospective observational study carried out in Department of Obstetrics & Gynecology, PMCH, Patna, Bihar, India after due permission from the hospital authorities. Case sheets were analyzed to obtain data regarding self-administration of abortion pills and complications secondary to its administration. Results: Pregnancy was confirmed by 50 women with urine pregnancy test and 1 woman had undergone USG along with UPT. 48% women consumed pills after 1-5 days of hospital visit. 46% women showed > 10 grams of hemoglobin level. Majority of cases reported were of incomplete abortion (56%) followed by Failed abortion (10%) and Incomplete abortion with sepsis (10%). Conclusion: Unsupervised medical abortion can lead to increased maternal morbidity and mortality. To curtail this harmful practice, strict legislations are required to monitor and also to restrict the sales of abortion pills over the counter and access to abortion pills for the public should be only through centers approved for MTP. Large scale prospective studies are required to assess the actual magnitude of this problem.
Abstract (English)
Aim: The aim of this study was to study the implications of self-administration of abortion pills by pregnant women. Material & Methods: This study was a retrospective observational study carried out in Department of Obstetrics & Gynecology, PMCH, Patna, Bihar, India after due permission from the hospital authorities. Case sheets were analyzed to obtain data regarding self-administration of abortion pills and complications secondary to its administration. Results: Pregnancy was confirmed by 50 women with urine pregnancy test and 1 woman had undergone USG along with UPT. 48% women consumed pills after 1-5 days of hospital visit. 46% women showed > 10 grams of hemoglobin level. Majority of cases reported were of incomplete abortion (56%) followed by Failed abortion (10%) and Incomplete abortion with sepsis (10%). Conclusion: Unsupervised medical abortion can lead to increased maternal morbidity and mortality. To curtail this harmful practice, strict legislations are required to monitor and also to restrict the sales of abortion pills over the counter and access to abortion pills for the public should be only through centers approved for MTP. Large scale prospective studies are required to assess the actual magnitude of this problem.
Files
IJPCR,Vol15,Issue2,Article161.pdf
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Additional details
Dates
- Accepted
-
2023-02-08
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue2,Article161.pdf
- Development Status
- Active
References
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