Keywords : medical methods
Prevalence and determinants of medical termination of pregnancy in a rural tertiary teaching hospital
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.