Factors associated with induced second trimester abortion at a tertiary level hospital of Uttarakhand region: a 6-year retrospective study

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dc.contributor.authorNimonkar, Shwetaen_US
dc.contributor.authorChaudhari, Priyankaen_US
dc.contributor.authorGupta, Vineetaen_US
dc.contributor.authorSaxena, Namrataen_US
dc.contributor.authorAgarwal, Shivangien_US
dc.date.accessioned2020-10-16T08:05:00Z
dc.date.available2020-10-16T08:05:00Z
dc.date.issued2020-06
dc.description.abstractBackground: Despite the liberalization of the abortion services since the early 1970s in India, access to safe abortion services remains limited for the vast majority of Indian women particularly from rural areas. Second trimester abortions have different indications and associated with increased maternal morbidity and mortality as compared to the first trimester abortions.Methods: This study was a retrospective study conducted from the January 2014 to December 2019 at obstetrics and genecology department of Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India. All patients of 12 weeks to 20 weeks of confirmed gestational age were given medical method of second trimester abortion. Data was collected and analyzed regarding demographic features, gestational age, indications, and induction-abortion interval and post abortion contraceptive methods accepted by patient.Results: During this study period a total of 180 patients had second trimester abortion at study institute. Maximum number of patients 69 (38.3%) were of 25-30 years of age group and 161 (85%) patients were of Hindu religion. Major indication was failure of contraception (42.8%) and congenital anomalies in the fetus (45.6%). There was one case of failed medical abortion in which emergency hysterectomy was done for undiagnosed adherent placenta. All patients were compliant of using contraceptive methods after the abortion because of recent medical and mental stress and majority 82 (45.6%) of the patients preferred oral combined contraceptive pills.Conclusions: Apart from congenital anomalies rest all indications can be reduced if women in our country are empowered to control their fertility, get education to become more aware and provided with social security.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, Indiaen_US
dc.identifier.citationNimonkar Shweta, Chaudhari Priyanka, Gupta Vineeta, Saxena Namrata, Agarwal Shivangi. Factors associated with induced second trimester abortion at a tertiary level hospital of Uttarakhand region: a 6-year retrospective study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Jun; 9(6): 2333-2336en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/207747
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber6en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20202307en_US
dc.subjectAbortionen_US
dc.subjectInductionen_US
dc.subjectMedical abortionen_US
dc.subjectMedical termination of pregnancy acten_US
dc.subjectSecond trimesteren_US
dc.titleFactors associated with induced second trimester abortion at a tertiary level hospital of Uttarakhand region: a 6-year retrospective studyen_US
dc.typeJournal Articleen_US
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