DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20213463

Self-administered medical abortion pills: evaluation of the clinical outcome and complications among women presenting with unsupervised pill intake to a tertiary care hospital: a cross-sectional study

Shreya Singh, Sheela Shivamonga Rangappa

Abstract


Background: In India, it is becoming a public health problem due to easy over-the-counter abortion pill availability despite the legal ban, widespread misuse by non-allopath doctors, dais and quacks, and ignorance on part of women. The pills are being dispensed blindly without proper medical evaluation and even without ruling out the contraindications. In India, abortion facility is available legally under the MTP act, 1971.

Methods: Its cross-section study including 81 patients presenting to outpatients and emergency department of obstetrics and Gynecology, in RL Jalapa Hospital and Research Centre affiliated to Sri Deva Raj Urs Academy of Higher Education and Research, Kolar between December 2020 and February 2021, a study conducted among women with a history of unsupervised pills abortion pill intake.

Results: In the study 35% were in the age group 19 to 20 years, 45% were in the age group 21 to 25 years and 20% were in the age group 26 to 30 years. 55% were from joint family and 45% were from nuclear family, 76.2% were multigravida and 23.8% were primigravida.

Conclusions: This study shows strict legislation and restriction required the sale of abortion pills for public use. The drug should be available only via health care facilities under the super version during an abortion. Creating awareness regarding contraception and effective method to fulfil the unmet need for contraception will be useful avoid the harmful practice of self-administered abortion pills and reducing maternal mortality.


Keywords


Pills, Abortion, MTP, Contraception

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References


WHO. International Consensus Conference on Non-surgical (Medical) Abortion in Early First Trimester on Issues Related to Regimens and Service Delivery. Frequently asked clinical questions about medical abortion. Geneva: WHO; 2006.

Mishra N. Unprecedented use of medical abortion can be injurious to health. JEMS. 2013;2(8):856-9.

Guidelines for medical abortion in India, 2021. Available at: http://ebookbrowsee.net/guidelines formedicalabortion-in-india-doc-d134818684. Accessed on 01 June 2021.

Desalegn S. Prevalence of anaemia in pregnancy in Jima town, South-western Ethiopia. Ethiop Med J. 1993;31(4):251–8.

Clark W, Bracken H, Tanenhaus J, Schweikert S, Lichtenberg ES, Winikoff B. Alternatives to a routine follow-up visit for early medical abortion. Obstet Gynecol 2010;115:264–72.

Dakhale GN, Hiware SK, Shinde AT, Mahatme MS. Basic biostatistics for post-graduate students. Indian J Pharmacol. 2012;44(4):435-42.

Ellertson C, Waldman SN. The mifepristone-misoprostol regimen for early medical abortion. Curr Womens Health Rep. 2001;1(3):184-90.

Rao SPSS. Richard J. An Introduction to Biostatistics, A manual for students in health sciences. 4th ed. New Delhi: Prentice-Hall of India; 2006: 86-160.

Elenbaas RM, Elenbaas JK, Cuddy PG. Evaluating the medical literature. Part II: Statistical analysis. Ann Emerg Med. 1983;12(10):610-20.

Silva WI, Dayananda RA, Nishanthi PNW. Contraceptive behavior of abortion seekers in Sri Lanka. Asian Popul Stud. 2006;2(1):3-18.

Thaker RV, Deliwala KJ, Shah PT. Self-medication of abortion pill: women’s health in Jeopardy. NHLJMS. 2014;3(1):26-31.