Online ISSN: 2515-8260

Keywords : Abortion


Manual vacuum aspiration with medical method of abortion in termination of pregnancy up to 9 weeks of gestational age: A comparative study

Soubhagya Talawar,Rashmi Naganagoudar,Hanumant V Nipanal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 1109-1118

Introduction:Unsafe abortions are a serious public health issue in India, involving the expulsion or extraction of the product of conception and causing controversy.Unmet demand exists for a simple, effective early pregnancy termination method that is both accessible and safe. Medical abortion using mifeprostone and misoprostol and surgical abortion using manual vacuum aspiration are two procedures that meet this need.
Materials and Methods:All requirements outlined in the MTP Act of 1972 by the Government of India were followed in this study. On the first day of the medical abortion, the patient was given 200 mg of mifepristone orally. After 48 hours at home, the patient was told to keep using Tab. Misoprostol 800ug vaginally.A 60ml double-valved manual vacuum aspiration syringe was used for MVA. Following the MVA syringe's attachment, the contents were aspirated. Villi on fresh tissue served as proof that the procedure was successful.The aspirated uterine contents were placed on a piece of gauze and examined to determine the gestational sac. Each woman was under observation for at least four hours following the procedure. The vital signs were examined before discharge. Inj. Women with Rh negative blood groups received 300ug of anti-D within 72 hours of the abortion.

A PROSPECTIVE STUDY ON MATERNAL FETAL OUTCOME IN TEENAGE PREGNANCY

Duggasani Padmaja, A. Sudharani, Unnam Bhavitha

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 2073-2084

Background: To find out the strategies for prevention of problems associated with teenage pregnancy.
Materials and Methods: A Prospective study was conducted over a period of one year from January 2020 to December 2020 at Government General Hospital, Kurnool in the Department of Obstetrics and Gynecology which is being a tertiary care centre.
Results: The incidence of teenage pregnancy during the study period from January 1 2020 – December 31 2020 in Government Medical College, Kurnool was 9.86% 57.1% of the study population were 19 yrs, 38.5% were 18 yrs and the age of 3.9% & 0.5% of the teenage mothers was 17 years and 15 years respectively. Mean age was 18.52 years. 79.5% of the teenage mothers were primigravida. 1.5% of the teenage pregnancies were out of wedlock pregnancy, the rest 98.5% were married. 43.5% of the teenage mothers were married at the age of 18 years, 39.5% of them at 17 years of age, 10.5% at 16 years and 4% and 1% at 15 and 14 years of age respectively. 71% of the teenage pregnant were residing in rural areas and 29% in urban areas. 70% of the teenage pregnant were Hindus, 26.5% were Muslims and 3.5% were Christians. About 56% had primary education, 32.4% had secondary education and 11.6% were illiterate. 87.5 % of the study population belonged to lower class of socio-economic status. Cephalopelvic disproportion is the most common indication for LSCS. 2.8% of the teenage pregnant women had breech presentation as an indication for LSCS. 89.7% of the study population had an Apgar of 8-10 at 5min. 44.1% of the newborn required NICU admission and the reason for admission was low birth weight, preterm, IUGR, hyperbilirubinemia, birth asphyxia and meconium aspiration syndrome. 89.8% of the newborn had good neonatal outcome. 99.88% of the teenage pregnant women had good maternal outcome. Only one maternal death was seen during 1 year period in teenage pregnant women.
Conclusion: Good prenatal, intranatal, and postnatal services, as well as good neonatal, contraceptive, and abortion choices, all contribute to reduce the dangers associated with teenage pregnancies to a considerable extent. With all of these measures in place, we may expect a global drop in teen pregnancy rates and difficulties in the next years.