Online ISSN: 2515-8260

Keywords : MTP


A CLINICAL STUDY OF MANUAL VACUUM ASPIRATION IN WOMEN UNDERGOING FIRST TRIMESTER ABORTIONS.

Dr. Rutuja Pipare, Dr. Shrinivas Gadappa,Dr. Anurag Sonawane,Dr. Rupali A Gaikwad .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 3074-3082

Background-According to WHO, 42 million pregnancies end annually in induced abortions, 20 million of which are estimated to be unsafe. Globally, unsafe abortion accounts for 13% of maternal deaths, 99% of which occur in the developing world. This is mainly due to unavailability of the services and the underutilisation of the available services.
Materials and methodology-A prospective observational study of 650women , selected by non-probability convenience sampling method and who met the designed set of criteria, was conducted.
Results- In this study maximum number of participants were 238 (36.62%) in the age group of 21-25 years . Most participants 527 (81.07%) of the women were multigravida and 37.85% were having gestational age (GA) between 8.1-10 week. Maximum number of participants45.54% underwent MTP , among which 235 (36.15%) patients were terminated under ground V. Further 84.62% had no complaints of pain post-operatively. Further analysis reveals that there was significant correlation between GA and duration of procedure as p<0.05.In the study, 97.69% women did not have any associated complications. In the present study, Intrauterine contraceptive device (Copper T )was the most accepted method of contraception post MVA in 182 (28%) women , followed by oral pills in 169 (26%) women , tubal ligation in 130 (20%) women , condoms in 62 (9.53%) women , DMPA injection in 57 (8.76%) women and 50 (7.69%) women refused the use of any sort of contraception.
Conclusion-MVA is both safe & effective in first trimester medical termination of pregnancy and early trimester abortion.MVA  is safe, cost-effective and reduces hospital stay as compared to inpatient based management.

Prevalence and determinants of medical termination of pregnancy in a rural tertiary teaching hospital

Dr. Ke Manga Reddy, Dr. Lakshmi Priyanka K, Dr. Kanya Kumari D, Kalpana Betha

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2601-2607

Background: The Medical termination of Pregnancy (MTP) was legalized in India by an act in 1971. The present study is a retrospective data analysis over 5 years to find out the socio-demographic profile, incidence, indications, methods and complications of MTP in our institution.
Material and Methods: This is a retrospective study conducted in a tertiary teaching hospital over a period of 5 years from January 2016 to December 2020. The 5 year data of MTP was analysed by keeping the MTP register as reference. The findings were than documented and analysed.
Results: The incidence rate of MTP in our institute is 27.75/1000 live births. The maternal age group of 21-30 years is availing MTP services the most. 76% of MTP were performed in 1st trimester and 24% were performed in 2nd trimester. Surgical method was the most favoured method of the care giver as well as of the patient in first trimester. Second trimester termination were mostly performed by medical method. Most common reason given for termination of pregnancy was "family completed"(38.26%). Other reasons given were "anomalous fetus" (21.94%), "birth spacing" (17.86%), "social reasons" (13.27%) and "contraceptive failure" (5.61%).
Conclusion: The most common reason for medical termination of pregnancy is unwanted pregnancy due to nonuse of contraception. Women of reproductive age group should be motivated for various methods of contraception. There is need to counsel them that MTP is not a way to control unwanted pregnancy and not free from complications.