DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20175000
Published: 2017-10-28

Epidemiology of MTP in a tertiary care center over a period of 3 years

Bhawna Sharma, Namrata Saxena, Anshu Sharma, Neetu Arora

Abstract


Background: Medical termination of pregnancy was legalized in India under the MTP act of 1971 which states that all the women can legally have an abortion up to 20 weeks of gestation if indicated. This study is a retrospective analysis of incidence, indication, the age group availing the facility, socio-demographic and obstetric profile of MTP seekers and the method of contraception followed after MTP.

Methods: A retrospective 3-year data was analyzed by MTP register of the hospital as a reference.

Results: The incidence rate of MTP is 96/1000 live births in the institute. The main reason for MTP is failure of contraception which highlights the unmet need of contraception and counselling. Majority of the age group availing MTP belonged to 16-20 years. Most of the women were   from urban slums, were illiterate and belonged to class IV and V according to Prasad’s classification. Mostly MTP seekers were parous, having ≥2 living children, and maximum no. of them went to private hospitals for their previous MTP. Medical method was the most favoured method of the care giver as well as of the patient. OCP was the choice of contraception after MTP. Religious difference is still very evident in availing   MTP services which can be minimized by tactful counselling. 

Conclusion: MTP act of 1971 opened new horizons for the unwanted pregnancies. Young population opting for MTP indicates the unmet need of contraception and counselling suggesting that implementation and integration of MTP services should be at the root level.


Keywords


Contraception, MTP, OCP

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References


Ministry of Health and Family Welfare. Family Welfare Year Book 1997-98. New Delhi Ministry of Health and Family Welfare. 1999.

Khan, ME, Rajagopal S, Barge S, Kumar N. Situational Analysis of Medical Termination of Pregnancy Services in Gujarat, Maharashtra, Tamil Nadu and Uttar Pradesh, Paper read at International Workshop on Abortion Facilities and Post-Abortion Care and Operations Research, New York. 1998:19-21.

World Health Organization. Safe abortion: technical and policy guidance for health systems. Geneva WHO. 2003.

Registrar General of India. Medical certification of cause of death 1995. New Delhi RGI. 1999.

Bela G. Abortion Research in India: what we know and what we need to know, In: Ramasubban R, Jejeebhoy SJ eds, Women’s Reproductive Health in India, New Delhi: Rawat Publications; 2000.

Ramesh AS, Sadashivaiah K, Simha JS. Medical termination of pregnancy: a study of acceptor characteristics. Bull Eugen Soc. 1981;13(3):85-90

Katke RD, Prabhudesai AA. Socio-epidemiological factors of medical termination of pregnancy: an overview in a tertiary care institute. Int J Reprod Contracept Obstet Gynecol. 2016;5(4):1061-4.

Banerjee NE, Sinha AL, Kriplani AL, Roy KK, Takkar DE. Factors determining the occurrence of unwanted pregnancies. Nat Med J Ind. 2001;14(4):211-4.

Ramasubbanand RS, Jejeebhoy J, eds, Women’s Reproductive Health in India. Jaipur: Rawat Publications; 2000:186-235.

Dhillon BS, Chandhiok N, Kambo I, Saxena NC. Induced abortion and concurrent adoption of contraception in the rural areas of India (An ICMR task force study). Ind J Med Sci 2004;58(11):478-84.

Ganguly G., Biswas A., Sharma GD. Profile of women undergoing medical termination of pregnancy in hospital. J Ind Med Assoc. 1993;91(11):286-7

Reeti M, Poonam G, Deepti D, Anju H. Knowledge of emergency contraception among women coming for induced abortion. J Obstet Gynecol Ind. 2006;56(3):233-5.

Ram R, Ghosh MN, Bhattacharya S, Halder A, Chatterji C, Maskar N. Study of unmet need for family planning among married women of reproductive age attending immunization clinician medical college of Calcutta. Ind J Community Med. 2000;XXV(1):22-5.

Tripathi R, Rathore AM, Sachdev J. Emergency contraception: knowledge, attitude and practice among health care providers in North India. J Obstet Gynecol Ind. 2003;29:142-6.

Kumar MA, Anuradha G, Sebanti G, Sudhir A. Fertility regulation: 5yearstudy. J Obstet Gynecol Ind.2008;8(5):421-4.