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

Abstract

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.

Clinical profile of women seeking medical termination of pregnancy at a tertiary care institute, South India

“…15 Yet another study from Maharashtra reported contraceptive failure in 99.1% as reason for undergoing MTP. 16 In the indication of humanitarian grounds all the 28 subjects were rape victims in this study and majority were second trimester pregnancies. No one was denied of abortion services though it is reported that the rape victims suffer denial of safe abortion in public sectors in India due to misinterpretation of MTP Act rules and regulations.…”

“…[3][4][5] Oral contraception was the choice of contraception in most women in North India where as tubectomy or CU-T in South India. 3,4,16…”