Title: Unsupervised Pills: Who are Likely to Consume?

Authors: Dr Neha Singh, Dr Meenakshi Rana, Dr Sanjay Rathod

 DOI: https://dx.doi.org/10.18535/jmscr/v9i12.31

Abstract

Background: Federation of obstetrics and gynecological societies of indi(FOGSI) recommends close monitoring of distribution of drugs that are used for medical abortion and that the medical profession and pharmaceutical industry should excise due diligence in the promotion and usage of drugs that are used for medical abortion. Despite this, it has been perceived by the society that, medical abortion are extremely safe option even in hands of untrained personel, leading to its over the counter dispensing and possibly increase in unsupervised terminations and life threatening complications.

Objective:  To Study the demographic profile of women consuming unsupervised abortion pills

Study Design: Prospective Observational Study

Study Settings: This study is to be conducted at Kamla Nehru State Hospital for Mother and Child , IGMC Shimla.

Study Period: 1st July 2018 - 30th June 2019

Inclusion Criteria

All women who have consumed unsupervised abortion pills and reported to the hospital.

Exclusion Criteria

Women coming with Spontaneous abortion, Missed abortion and Blighted ovum.

Results: Data was collected from 121 patients who had history of self medication of abortion pills.74% women were in age group 21-30 years and 88.4% were married. uneducated women were 5%.93% were multigravidas. Source of procurement of drug was seen to be chemist in 79.3% .7 (6%) of the patients in the study used the pills between 9-12 weeks of gestation and another 13(11%) used it after 12 weeks. Conclusion: Health care and health protection is every women’s right. Every women must be counseled regarding advantages, drawbacks, risk and limitations of different method of abortion. awareness on contraceptives is must for all. The chemist also needs to be aware about the MTP act and consequences of medicines that are taken without medical supervision. training on various regimes and advancement is also required for the medical practitioner.

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Corresponding Author

Dr Meenakshi Rana

Junior Resident, Department of Obstetrics and Gynecology, IGMC Shimla, India