Unintended pregnancy and abortion in India: Country profile report

Sebastian, Mary Philip; Khan, M.E.; Sebastian, Daliya

doi:10.31899/rh4.1052

Cited by 16 publications

(18 citation statements)

References 141 publications

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“…Although service statistics showed a similar number of abortions were performed in public and private facilities, the number for public facilities is likely to be much higher considering the unavailability of data at a large public hospital where surgical abortion is routinely provided. Reports based on nationwide surveys indicate that the private sector is the dominant provider of abortion services ( 21 ). The latest available national district level survey ( 7 ) indicates the 54% of all induced abortions were in the private sector, 38% in the public sector and the remainder at home.…”

Section: Discussionmentioning

confidence: 99%

“…The performance of Emergency Obstetric Care (EmOC) signal functions at the facilities was ascertained to allow their classification into BEmOC or Comprehensive Emergency Obstetric Care (CEmOC) facilities based on WHO classification ( 20 , 21 ). CEmOCs were facilities that performed all eight signal functions including caesarean section and blood transfusion.…”

Section: Methodsmentioning

confidence: 99%

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Availability and distribution of safe abortion services in rural areas: a facility assessment study in Madhya Pradesh, India

Chaturvedi

Ali

Randive

et al. 2015

Global Health Action

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BackgroundUnsafe abortion contributes to a significant portion of maternal mortality in India. Access to safe abortion care is known to reduce maternal mortality. Availability and distribution of abortion care facilities can influence women's access to these services, especially in rural areas.ObjectivesTo assess the availability and distribution of abortion care at facilities providing childbirth care in three districts of Madhya Pradesh (MP) province of India.DesignThree socio demographically heterogeneous districts of MP were selected for this study. Facilities conducting at least 10 deliveries a month were surveyed to assess availability and provision of abortion services using UN signal functions for emergency obstetric care. Geographical Information System was used for visualisation of the distribution of facilities.ResultsThe three districts had 99 facilities that conducted >10 deliveries a month: 74 in public and 25 in private sector. Overall, 48% of facilities reported an ability to provide safe surgical abortion service. Of public centres, 32% reported the ability compared to 100% among private centres while 18% of public centres and 77% of private centres had performed an abortion in the last 3 months. The availability of abortion services was higher at higher facility levels with better equipped and skilled personnel availability, in urban areas and in private sector facilities.ConclusionsFindings showed that availability of safe abortion care is limited especially in rural areas. More emphasis on providing safe abortion services, particularly at primary care level, is important to more significantly dent maternal mortality in India.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Availability and distribution of safe abortion services in rural areas: a facility assessment study in Madhya Pradesh, India

Chaturvedi

Ali

Randive

et al. 2015

Global Health Action

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“…Operational definition for MTP "termination of pregnancy before the foetus becomes viable (up to 20 weeks) and performed as per the MTP rules and regulations laid out in the MTP Act, 1971, 4 revised in 1971 and amended in 2002" 1 and, definition of Unsafe abortion" a procedure for terminating an unintended pregnancy carried out either by persons lacking the necessary skills or in an environment that does not conform to minimal medical standards, or both." 5 The data obtained was entered in MS Excel and analysed. Categorical data were presented as frequencies and continuous data as mean ± standard deviation (SD).…”

Section: Methodsmentioning

confidence: 99%

Medical Termination of Pregnancy: Six Years Study of the Trend and Profile of the Clients in a Metropolitan Public Hospital

Senapati¹,

Samel²,

Paradkar³

et al. 2018

jebmh

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BACKGROUND To increase the incidence of safe and legalised abortions, it is important to know the clients. This study is a 6 years research of the records of MTP performed at the public hospital attached to a medical college, to know the trend, socio-demographic and obstetric status of the women undergoing MTP. The objectives of the study were to find trend, sociodemographic factors, obstetric status and complications of MTPs. MATERIALS AND METHODS A study of the records of all the MTP operations performed at the gynaecology department of the hospital from 2010 to 2016. Data analysis was done on MS excel. RESULTS Most women who underwent MTP were young, sexually active women and had completed 2 child family. Along with MTP, younger women preferred IUCD and elder women preferred Tubal Ligation as contraception. There is an overall gradual increase in the incidence of MTPs conducted which could be attributed to increase in population of the city and nearby areas. CONCLUSION In this study, most of the women preferred MTP after 2 nd Pregnancy and at the age of 21-35 years. Most women accepted permanent method of sterilization after MTP shows that women had completed family by the age of 30 years and had no access to effective contraceptive services. MTPs thus seems to be used as an emergency treatment for failed contraception. This trend should be discouraged but at the same time safe abortion should be legalised to safeguard the health of the women.

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“…In India, 9%-20% of maternal deaths are on account of unsafe abortions (10). Many women undergo unsafe abortions outside the hospital set-up due to high costs, the lack of medical competency in rural areas, absence of knowledge of legal abortion, reluctance to approach services in the neighbourhood, lack of confidentiality, etc.…”

Section: Unwanted Pregnanciesmentioning

confidence: 99%

“…Many women undergo unsafe abortions outside the hospital set-up due to high costs, the lack of medical competency in rural areas, absence of knowledge of legal abortion, reluctance to approach services in the neighbourhood, lack of confidentiality, etc. (10).The percentage of unwanted and untimed pregnancies in India in 2005-2006 was about 24.3% (10).…”

Section: Unwanted Pregnanciesmentioning

confidence: 99%