Title: Study of Knowledge, Attitude and Practices Regarding Septic Abortion and Its associated factors in and around Muzaffarpur, Bihar

Authors: Dr Amrita Pritam­­­­­­­­, Dr Sanjeev Kumar, Dr Pallawi Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.02

Abstract

Objective: Abortion is sought by women for a variety of reasons including birth control. Any pregnancy which is unwanted predisposes a woman to an additional risk; if she seeks abortion and safe service are not available to them. Lack of awareness regarding contraception and MTP Act and non-availability of trained health personnel are important causes of septic abortion in India. Present study was conducted to evaluate the knowledge, attitude and practices regarding septic abortion and its associated factors.

Materials and Methods: A total of 100 patients presented with septic abortion were selected through simple randomization were included in the study. Information of these cases regarding their knowledge, attitude and practices of septic abortion and other related factors was obtained by conducting interview. Result were studied and analyzed statistically.

Result: Among 100 cases studied, majority (46%) were having no knowledge about contraceptive device. Rural women had lesser knowledge regarding of contraception than female who were resides in town. Majority of the cases got the knowledge of contraception through media and health care providers like radio (22.22%), PHC (22.22%),  television (18.52%), ASHA/ANM (18.52%). Urban Population of women had a greater knowledge of MPT Act than rural population, in majority of the cases (52%), abortion was done by dais. Among 100 cases studied, in 60 cases (60%), instrumentation was used for procuring the septic abortion.

Conclusion: Present study shows that less knowledge regarding contraception and MTP Act in rural women and conduction of abortion by untrained personnel like dais, quacks, and local practitioners are important cause for high incidence of septic abortion in India. So, there is the need to strengthen the health system for better quality abortion services and provision of comprehensive and safe abortion service centers.

Keywords: Attitude, Contraception, Knowledge, Practice, Septic abortion.

References

  1. Park K. Abortion: Demography and Family Planning.In: Park's Textbook of Preventive and Social Medicine.24th Jabalpur: Banarsidas Bhanot 2017:p.539.
  2. Jeffcoate's Principles of Gynaecology, 7th ed. New Delhi, India: Jaypee Brothers Medical Publishers (p) Ltd; 2008; 131-138.
  3. Ahman E, Seth I. Unsafe abortion. In: Battler P. Global and regional estimates of the incidence of unsafe abortion and assoc-iated mortality. WHO, Geneva. 2004:1.
  4. Ministry of Health & Family Planning, Government of India, Medical Termination of Pregnancy Act, 1971, 34 of 1971,31-6 (iii) Amended 1972, New Delhi.
  5. Park K. Abortion: Demography and Family Planning. In: Park's Textbook of Preventive and Social Medicine.24th Jabalpur: Banarsidas Bhanot 2017:p.540.
  6. WHO (2011). Unsafe Abortion, Incidence and Mortality, Global and Regional Levels in 2008 and Trends During 1990-2008, Information Sheet.
  7. Last JM: Scope and methods of prevention. In Last JM(ed): Maxy-Rosenan Public Health and Preventive Medicine.pp3,4 11th New York, Applenton-century-crofts,1980
  8. of India (2010). Annual Report 2011-2012,Ministry of Health and Family Welfare, New Delhi
  9. Ian Donalds Practical Obstetric Problems. 6th New Delhi: BI Publication Limited: p.
  10. Kore S, Rao S, Pandole A, Rudrawawr R, Kamath S, Ambiye V. Outcome of septic abortions: impact of tertiary care. J Obstet Gynecol India. 2004;53(3):289-92
  11. Sharma M, Malhotra P, Jain P et al. 'Rote of early active management in patients of septic abortion. J Obstet & Gynaecol. Today. 2008; 13: 459-61.
  12. Jain V, Saha SC Bagga R, Gopalan S, Unsafe abortion: A neglected tragedy. Review from a tertiary care hospital in India. J Obstet. Gynaecol, 2004; 30(3): 197-201.
  13. Padubidri V, Kotwani BG, Septic Abortions- 5 Years review. J Obstet & Gynecol. India.1978; 11: 593-97.
  14. Naib M, Siddiqui MI, Afridi B. A review of septic induced abortion cases in one year at Khyber
    Teaching Hospital, Peshawar. JAyub Med Coll Abbottabad. 2004; 16(3): 59-62.
  15. Sood M, Juneja Y, goyai U. Maternal mortality and morbidity associated with clandestime abortions. Journal of Indian Medical Association. 1995; 93(2): 77.
  16. Sai FT, Nassim J: The need for a reproductive health approach. Int J Gynecol Obstet 3(Suppl):103,1989.

Corresponding Author

Dr Amrita Pritam

Senior Resident, Department of Obstetrics and Gynecology, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar