Title: Self Medicated Abortion- Care or Crime
Authors: Dr Meena Jethani, Dr Kalpana Yadav, Dr Shilpi Muchhoria, Dr Shubhangi Sharma, Dr Monika
DOI: http://dx.doi.org/10.18535/jmscr/v3i9.33
Now a days due to change in life style of young generation, misuse of Abortion pills are a one of the major problems of the society. Main aim of this study is to find out the incidence of self medicated abortion and outcome and complication associated with it. Present study is prospective descriptive hospital based study, carried out in the department of obstetrics and Gynaecology, S.S. Medical College and associated Gandhi Memorial Hospital, Rewa (M.P.) for 1 year from 1st july 2013 to 30th june 2014 on 323 patients. Data was collected and analysed. Self medication was more common in 20-29 yrs (55.4%), which were mostly multiparous (88.3%). The most common presenting complaint was bleeding per vaginum (43.62%). Most common outcome was incomplete abortion (57.45%), most common complication was moderate anaemia (45.75%). Health care and health protection is every woman’s reproductive right. Every woman must be counseled regarding advantages, drawbacks, risks and limitations of different methods of abortion. Prevention of unwanted pregnancy is the best way to prevent unsafe abortion. Hence, awareness on contraceptives and emergency contraceptives is must for all. Abortion is silent screan, we have to encourage safe practise like MTP by either medical or surgical means ”TO MEET THE UNMET NEEDS OF WOMEN’S HEALTH” in this aspect. 1. Ahman E, Shah IH. New estimates and trends regarding unsafe abortion mortality. Int J Gynaecol Obstet. 2011;115(2):121-6. 2. International Consensus Conference on Non-surgical (Medical) Abortion in Early First Trimester on Issues Related to Regimens and Service Delivery (2006). Frequently asked clinical questions about medical abortion. Geneva: World Health Organization.ISBN 92-4-159484-5. 3. Ellertson C, Waldman SN. The Mifepristone- Misoprostol regimen for early medical abortion. Curr Women Health Rep. 2001; 1:184-90 4. The Medical Termination of Pregnancy Act, 1971, Act No. 34 of 1971, as amended by Act No. 64 of 2002 5. Geeta G, Ashutosh G, Shahshi K et al. A study of Septic Abortions: trends in a tertiary hospital. J Obstet Gynecol India.2005; 55(3): 257-260. 6. Guidelines for medical abortion in india-Material circulated by CASSA during the State-level Workshop on “Review of MTP Act 1971 in the context of Women’s Right to Safe Abortion and Halting Sex Selective Abortion, held in Chennai on 17th and 18th August 2007. 7. Giri A, Srivastav VR, Suwal A, Sharma B et al. A Study of Complications following Self-administration with Medical Abortion Pills.NJOG / VOL 10 / NO. 1 / ISSUE 19/ Jan-Jun, 2015. 8. Mishra N. Unprecedented use of medical abortion can be injurious to health. JEMS. 2013;2(8):856-9. 9. Thaker RV, Deliwala KJ, Shah PT. Self-medication of abortion pill: women`s health in Jeopardy. NHLJMS. 2014;3:26-31. 10. Maarit J, Maarit N, Satu S, Elina H, Mika G, Oskari H. Immediate adverse events after second trimester medical termination of pregnancy. Hum Reprod. 2011;26(4):927-32. 11. Nivedita K, Fatima S. Is it safe to provide abortion pills over the counter? A study on outcome following self medication with abortion pills. J Clin Diagn Res. 2015;9(1):1-4. 12. NFHS – 3 National Family Health Survey. 13. Hausknecht R. Mifepristone & Misoprostol for early medical abortion: 18 months experience in United States. Contraception 2003; 67: 463-5. 14. Deshpande S, Yelikar K, Deshmukh A Kanade K. Comparative study of medical abortion by Mifepristone with vaginal Misoprostol in women < 49 days versus 50-63 days of amenorrhoea. J of Obst & Gyn of India. 60(5);2010: 403-407. 15. Grimes DA. Medical abortions in early pregnancy: A review of the evidence. Obstet Gynecol 1997;89: 790-96. 16. Ojha N, Bista KD. Situation analysis of patients attending TU Teaching Hospital after medical abortion with problems and complications. JNMA. 2013;52(191):466-70. 17. Bajwa SK, Bajwa SS, Ghai GK, Singh N, Singh A, Goraya SPS. Medical abortion: is it a blessing or curse for the developing nations? SLJOG. 2011;33:84-90. 18. Sedgh G et al., Induced abortion: incidence and trends worldwide from 1995 to 2008,Lancet, 2012, 379(9816):625–632 19. Trupin S R, Moreno C. Medical Abortion: Overview & Management. Medscape Womens Health 2001; 6: 4. 20. India - ICMA International Consortium for Medical Abortion. m.icma.md/country/IN.Abstract
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