Family planning practices and prehospital care received by women seeking abortion services in a tertiary care hospital
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20211739Keywords:
Contraception, Legal abortion services, Medical termination of pregnancy, Over the counter abortifacients, Prehospital careAbstract
Background: The study was carried out in the department of Gynaecology and Obstetrics at RG Kar Medical college and Hospital, among 114 attendees seeking induced or spontaneous abortion. The aim of the study was to assess their socio demographic characteristics, elicit their family planning knowledge, practices and prehospital care received by them before coming to this institute.
Methods: An observational descriptive cross-sectional study was carried out using a predesigned, pretested schedule using systemic random sampling technique among women seeking abortion services at a tertiary care centre.
Results: Out of the 114 interviewees, 53 (46.5%) underwent induced abortion and rest had spontaneous abortion. Statistically significant difference was found between the mean age of induced and spontaneous abortion seekers. Majority i.e. 28 (52.8%) of induced abortion seekers first sought help at illegal abortion service providers. Statistically significant difference was found in duration of marriage, gravidity and number of living children between induced and spontaneous abortion candidates. Contraceptive knowledge and practice were found to be higher among induced abortion seekers.
Conclusions: This study clearly shows the need to focus on unmet need for family planning services including safe abortion services at pre-tertiary hospital level. The Government needs to stop advertisement and sale of over the counter abortifacients which is proving to be a menace to women’s health.
References
Mukherjee S. Abortion as a Process of Birth Limiting Rather than Spacing among Educated Urban Couples in West Bengal, India. J Population and Social Studies. 2017;25(3):235-64.
Bryant AG, Speizer IS, Hodgkinson JC, Swiatlo A, Curtis SL, Perreira K. Contraceptive Practices, Preferences, and Barriers Among Abortion Clients in North Carolina. South Med J. 2018;111(6):317-23.
Lamina MA. Prevalence of Abortion and Contraceptive Practice among Women Seeking Repeat Induced Abortion in Western Nigeria. J Pregnancy. 2015;486203.
World Health Organisation, Department of Reproductive Health and Research. Safe abortion: technical and policy guidance for health systems. 2nd ed. Switzerland: WHO publications: 2012.
Joshi P, Saroshe S. A cross sectional study to assess the effects of unsupervised use of illegal over the counter pill for medical termination of pregnancy a cosmopolitan city of Central India. Int J Reprod Contracep Obstet Gynecol. 2016;5(8):1-3.
Nivedita K, Shanthini F. Is It Safe to Provide Abortion Pills over the Counter? A Study on Outcome Following Self-Medication with Abortion Pills. J Clin Diagn Res. 2015;9(1):1-4.
Jabeen A, Dawood NS, Riaz S, Tanveer S. Methods and complications of septic induced abortion in patients managed at a tertiary care hospital. J Ayub Med Coll Abbottabad. 2013;25(1-2):12-5.
Lakde RN, Parande MA, Wakankar PS. Knowledge of emergency contraception among women seeking abortion services at tertiary care hospital in Western Maharashtra. Int J Med Sci Public Health 2018;7:507-13.
Nataraja H G, Harshini V. Contraceptive knowledge attitude and practice among women who were seeking for termination of pregnancy. Asian J Biomed and Pharmac Sci. 2013;3(23):4-6.
Shivakumar BC, Vishvanath D. A Profile of Abortion Cases in a Tertiary Care Hospital. J Indian Acad Forensic Med. 2011;33(1):33-8.
Devi IT, Akoijam BS, Nabakishore N, Jitendra N, Nonibala T. Characteristics of primigravid women seeking abortion services at a referral center, Manipur. Indian J Community Med. 2007;32(3):175-7.
Bahadur A, Mittal S, Sharma JB, Sehgal R. Socio-demographic profile of women undergoing abortion in a tertiary centre. Arch Gynecol Obstet. 2008;278(4):329-32.
Agarwal S, Salhan S. Septic abortion- current scenario in a tertiary care hospital. J Obstet Gynecol India. 2008;58(2):147-51.
Maheswari RU, Jayanthi TP. Abortion Seeking Behaviour: A study from tertiary care hospital. International Journal of Community Medicine and Public Health. 2017;4(7):2303-7.
Roychowdhury U B, Guharoy D, Roy A, Basak S. Termination of pregnancy in adolescents. J. Indian Acad Forensic Med. 2008;30(4):145-8.
Bhattacharya S, Mukherjee G, Mistri P, Pati S. Safe abortion– Still a neglected scenario: A study of septic abortions in a tertiary hospital of Rural India. Online J Health Allied Scs. 2010;9(2):7
Kalyanwala S, Francis ZAJ, Jejeebhoy S, Kumar R. Abortion Experiences of Unmarried Young Women in India: Evidence from a Facility-Based Study in Bihar and Jharkhand. International Perspectives on Sexual and Reproductive Health. 2010;36(2):62-71.
Adinma JIB, Nwosu BO. Family planning knowledge and practice among Nigerian women attending an antenatal clinic. Adv Contracept. 1995; 11:335-44.
Bobzom DN, Mai AM, Chama CM, Muna DM. Maternal mortality in Maiduguri, Nigeria. J Obstet Gynecol. 1998;18(2):139-40.
Oye ABA, Adewole IF, Umoh AV, Fapohunda OR, Iwere N. Characteristics of abortion care seekers in South-Western Nigeria. Afr J Reprod Health. 2004;8(3):81-91.
Abiodun OMA, Balogun ORA. Sexual activity and contraceptive use among young female students of tertiary educational institutions in Ilorin, Nigeria. J Contracept. 2008;79(2):146-9.
Oye ABA, Adewole IF, Umoh AV, Ekanem EE, Gbadegesin A, Iwere N. Community-based survey of unwanted pregnancy in southwestern Nigeria. Afr J Reprod Health. 2004;8(3):103-15.
