Medical Abortion-An Alternative to Surgical Abortion

Kapur, Kanika; Joneja, GS; Biswas, Manoj

doi:10.1016/s0377-1237(06)80106-1

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…As per Medical Termination of Pregnancy (MTP) Act of India, this method can only be administered by gynecologists and registered medical practitioners (RMP) recognized for performing MTPs up to 49 days since the first day of LMP [5,6]. The medical abortion carries a very high success rate of 93-98 % if they are used judiciously, that is, after properly assessing the gestational age as well as the health of the patient [7,8]. Federation of Obstetrics and Gynecological Societies of India (FOGSI) recommends close monitoring of distribution of these drugs and that the medical profession and pharmaceutical industry should exercise due diligence in the promotion and usage of drugs that are used for medical abortion [9].…”

Section: Introductionmentioning

confidence: 99%

Over-the-counter MTP Pills and Its Impact on Women’s Health

Sarojini

Ashakiran

Bhanu

et al. 2016

J Obstet Gynecol India

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Objectives To study the complications and consequences including maternal morbidity and mortality following indiscriminate self-consumption of abortion pills reporting to a tertiary care center. Methodology This is an observational study conducted at Vanivilas hospital between January 2012 to December 2013 for 24 months. After applying inclusion and exclusion criteria, 104 women were studied with respect to period of gestation, parity, clinical features at presentation and management in the institution. An analysis of maternal morbidity and mortality was done with respect to surgical interventions, ICU admissions, need for blood transfusions and maternal deaths. Observations and results In this study, there were 75 (72.2 %) cases of incomplete abortion, 10 (9.6 %) cases of missed abortion, 2 (1.9 %) cases of ruptured ectopic and 2 123(1.9 %) cases of rupture uterus. Seventy-eight (75 %) cases received blood transfusion, 7 (6.7 %) were admitted to ICU, and 2 (1.9 %) developed acute kidney injury. There were 2 (1.9 %) maternal deaths in the study group. Conclusion This study shows urgent need for legislation and restriction of drugs used for medical termination of pregnancy. Drugs should be made available via health care facilities under supervision to reduce maternal mortality and morbidity due to indiscriminate use of these pills.

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Section: Introductionmentioning

confidence: 99%

Over-the-counter MTP Pills and Its Impact on Women’s Health

Sarojini

Ashakiran

Bhanu

et al. 2016

J Obstet Gynecol India

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“…[5] The medical abortion carries a very high rate of success (93 -98%), if they are used judiciously such as after properly assessing the gestational age as well as health of the patient. [6,7] Federation of Obstetrics and Gynaecological Societies of India (FOGSI) recommends close monitoring on distribution of these drugs and medical professional and pharmaceutical industry should exercise due diligence in the promotion and usage of drugs that are used for medical abortion. [8] Despite this, it has been perceived by the society that medical abortions are extremely safe even in hands of untrained personnel, leading to overthe-counter dispensing and possible increase in unsupervised terminations of pregnancy and life-threatening complications.…”

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confidence: 99%

Self-Medication of Abortifacient Agent and Its Impact on Women’s Health- An Experience in a Government Medical College of West Bengal

Mandal¹,

Mandi²,

Bhar³

et al. 2018

jemds

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BACKGROUND Self-medication or medication by untrained person for termination of unwanted pregnancy is commonly practiced among women of child bearing age group. This study was undertaken to observe the consequences of self-medication of abortifacient agent on women's health reporting to a Government Medical College. MATERIALS AND METHODS This is an observational study conducted at Midnapore Medical College from January 2016 to June 2017. After applying inclusion and exclusion criteria, 102 women were selected with respect to age, parity, period of gestation, clinical features at presentation, ultrasonography findings, complications and management they received. Analysis was also done with respect to surgical interventions, need for blood transfusion and maternal mortality. RESULTS In this study, 77 cases (75.4%) were diagnosed as incomplete abortion (8 cases clinically and 69 cases ultrasonographically). 15 cases (14.7%) of complete abortion, 5 cases (4.9%) of missed abortion, 3 cases (2.9%) of live gestation and 2 cases (1.9%) of ruptured ectopic pregnancy were recorded. 15 cases (14.7%) received blood transfusion and 2 cases (2%) required intensive care unit (ICU) admission. Fortunately, no maternal death was reported in the study group. CONCLUSION Reproductive health protection and care is every woman's right. Awareness on contraception is must for all. This study shows urgent need for legislation and restriction of drugs used for medical termination of pregnancy. Availability of abortifacient drugs directly from hospital/ practitioners who are qualified under Medical Termination of Pregnancy (MTP) Acts may reduce complication of these drugs.

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“…The medical method of abortion carries a very high success rate of 95-98% if used judicially, as long as the contraindications are not disregarded (4,5) (such as confirmed/suspected ectopic pregnancy, undiagnosed abdominal pain, severe anaemia, uncontrolled hypertension, CVS diseases such as angina, arrhythmia, valvular disease, coagulopathy, allergy/intolerance to mifepristone/misoprostol/other prostaglandins) and psychosocial situation unsuitable for MMA such as-1. Woman unable to adhere to the protocol due to social and personal reasons.…”

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confidence: 99%

Over-the-Counter Abortion Pill and Its Impact on Maternal Health

Mohanraj¹,

Sundaram²

2017

jemds

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BACKGROUNDOutpatient medical abortion is an acceptable alternative to surgical pregnancy termination in appropriately selected pregnant women less than 49 days' menstrual age. Throughout history, many natural substances have been given for alleged abortifacient effect. In many of these; serious illness and even death have resulted. Currently, there are only 3 medications for early medical abortion that have been widely studied. These are used either alone or in combination and include  The antiprogestin mifepristone.  The antimetabolite methotrexate.  The prostaglandin misoprostol. Objective-This study was carried out to see the maternal consequences and complications including maternal morbidity and mortality following indiscriminate self-intake of abortion pills reporting in a tertiary medical college hospital. MATERIALS AND METHODSThis is a retrospective study carried out at KAPV Govt. Medical College, MGMGH Hospital at Trichy from January 2014 to December 2015. 100 women reported at tertiary institution were studied with respect to the age of the patient, parity, period of gestation, clinical presentation at admission, USG findings, complications and its management. An analysis is made regarding surgical procedures, need of blood transfusion and number of maternal deaths. RESULTSIn my retrospective study at KAPV Govt. Medical College, MGMGH, Trichy, there were 67 patients (67%) presented with profuse bleeding PV, 10 patients (10%) with acute pain abdomen, 13 patients (13%) USG reports as retained products, 6 patients (6%) with infection. Shock was observed in 2 patients (2%) and 2 patients (2%) were observed with ruptured ectopic pregnancy. Incomplete abortion is the main complication seen in 76 patients (76.8%) while complete abortion was in 8 patients (8%), missed abortion was seen in 9 patients (9%) and live gestation in 4 patients (4%). 65 cases received more than one blood transfusion. Maternal death was found in one case in my study. CONCLUSIONThis study reveals a requirement of immediate and stern action for regulation and total restriction of abortion pills available as over-the-counter without medical prescription. As accessibility to safe abortion service by qualified providers is utmost important to avoid the complications, easy availability in the public and private health facilities is to be insisted to the target people. This helps the service providers to take into account the factors like the woman's personal circumstances and situation and provide respectful, confidential and high quality services.

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Medical Abortion-An Alternative to Surgical Abortion

Cited by 5 publications

References 12 publications

Over-the-counter MTP Pills and Its Impact on Women’s Health

Over-the-counter MTP Pills and Its Impact on Women’s Health

Self-Medication of Abortifacient Agent and Its Impact on Women’s Health- An Experience in a Government Medical College of West Bengal

Over-the-Counter Abortion Pill and Its Impact on Maternal Health

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