Title: Medical Method for Termination of Pregnancy and Outcome

Authors: Dr Simple Agrawal, Dr Bhawana Gupta

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i4.17

Abstract

INTRODUCTION

Abortion is a sensitive and contentious issue with religious, moral, cultural and political dimensions. It has been practiced since antiquity with or without legal and worldwide nearly one in 10 pregnancies end in unsafe abortions. These deaths represent about 13% of all pregnancy related death.(1)

In India, abortion was legalized under the medical termination of pregnancy act. This act was introduced in1971. It came in to force in April 1972. This act has helped to reduce the morbidity and mortality associated with unwanted pregnancy by making it legal and safe. It empowers social sanctions. WHO (2004) states 46 million pregnancies are terminated voluntarily each year, 27 million safely and 19 millions falling into category of unsafe abortions. It empowers the women to take an early decision about termination and gives the choice of legal and safe medical termination method. 

References

1.    1.      World Health Organization (2004)Unsafe abortion- global and regional estimates of the incidence of unsafe abortion and associated mortality in 2000. 4th Edition, WHO, 82.\

2.      U Manaktala, R Singla, ARathore, S Garg.Low Dose Mifepristone and Vaginal Misoprostol: A Safe Option for Termination Of Pregnancy Up To 63 Days. The Internet Journal of Gynecology and Obstetrics.2006 Volume 8 Number 1

3.      SAHU RR, SONI AA, RAUT VS Randomized Control Study of Oral Versus Vaginal and Sublingual Misoprostol with Mifepristone for First-Trimester MTP. Indian Journal of Clinical Practice, Vol. 24, No. 7, December 2013

4.      Shrivastava V, Shrivastava A.Mifepristone and Oral Misoprostol for Early  Medical Abortion.  Department of Obstretics and Gynecology, J Nepal Health Res Counc 2009 Oct;7(15):127-130

5.      BySeth S.,NagarthA,GoelN  in Etawha India. Low dose mifepristone with misop-rostol in 24 hours for medical termination of pregnancy. African journal of primary health care and medicine, 2011;3(1)

6.      Von Hertzen H, Huong N, Piaggio G, Bayalag M, Cabezas E, Fang A, Gemzell-Danielsson K, Hinh N, Mittal S, Ng E, ChaturachindaK, Pinter B, Puscasiu L, Savardekar L, Shenoy S, Khomassuridge A, Tuyet H, Velasco A, Peregoudov A, for the WHO Research Group on Postovul-atory Methods of Fertility Regulation. Misoprostol dose and route after mifepristone for early medical abortion: a randomised controlled noninferiority trial. BJOG  2010;117:1186–1196.

7.      Schaff AE, Feilding LS, Westhoff C, Ellertson C, Eisinger HS, Stadalius SL, Fuller L. Vaginal Misoprostol admini-ster-ed 1, 2, or 3 days after Mifepristone for early medical abortion. JAMA. 2000; 284:1948–1953. doi:10.1001/jama.284.15.1948, PMid:11035891

Corresponding Author

Dr Simple Agrawal

Jaslok Hospital