A hospital based exploratory study to assess the reasons and timings of seeking abortion services in a tertiary care hospital in Mumbai

Authors

  • Suradharadhika Ramkrishna Department of Community Medicine, Grant Government Medical College, Mumbai, Maharashtra, India
  • Nirbha Shirish Ghurye Department of Community Medicine, Grant Government Medical College, Mumbai, Maharashtra, India
  • Prashant Vilas Howal Department of Community Medicine, Grant Government Medical College, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20195060

Keywords:

Medical termination of pregnancy, Safe abortion, Hospital based retrospective study, Timing and Mumbai

Abstract

Background: The adoption of the Medical Termination of Pregnancy (MTP) Act has allowed for abortion on the grounds of medical and social reasons since 1972.The aim of the present study is to establish the demographic of women seeking abortion care services and to determine the role of different factors in the timing of seeking an abortion.

Methods: A retrospective hospital record-based study was carried out among pregnant women seeking an MTP in a tertiary care hospital in Mumbai. The records of women seeking MTP over a 5-year period from January 2012 to December 2016 were accessed and data pertaining to their demographic and obstetric history was recorded. Statistical tests of significance and analysis were done.

Results: A total of 803 women underwent an MTP from January 2012 to December 2016. The number of deliveries during the same time period was 13735. The most common age group was 25-30 years. Stratification in terms of the educational backgrounds showed that 45.7% had received only secondary school education while 12.7% had no schooling. Majority of the women (74.8%) availed an MTP in the first trimester, out of which, most of them (36.9%) had 2 previous pregnancies. Most women coming in the second trimester (43.6%) hadn’t conceived before.

Conclusions: Education didn’t seem to be a significant factor in determining the timing of seeking an MTP. School education did not necessarily include exposure to sexual education. Experience in terms of parity was more relevant in identifying signs of pregnancy and seeking appropriate services in a timely manner.

References

D. O. H. and F. Welfare, Annual Report 2015-16. Ministry of Health and Family Welfare, New Delhi; 2016. Available at: https://mohfw.gov.in/sites/ default/files/56324455632156323214.pdf. Accessed on 4 May 2018.

Lohr PA, Fjerstad M, DeSilva U, Lyus R. Abortion. BMJ. 2014; 348:f7553.

National family health survey (NFHS-4), 2012-14. Mumbai: International Institute for Population Sciences (IIPS) and Macro International; 2018.

Singh S. The incidence of abortion and unintended pregnancy in India, 2015. Lancet Global Health. 2018;6(1).

Jesani A, Iyer A. Women and abortion. Economic and Political Weekly. 1993;28(27):2591-94.

The Medical Termination of Pregnancy Act, 1971 (Act No. 34); 1971.

Bartlett LA, Berg CJ, Shulman HB, Zane SB, Green CA, Whitehead S, et al. Risk factors for legal induced abortion-related mortality in the United States. Obstetric Gynecol. 2004;103(4):729-37.

Dalvie SS. Second trimester abortions in India. Reproductive Health Matters. 2008;(16):37-45.

Duggal R. The Political Economy of Abortion in India: Cost and Expenditure Patterns. Reproductive Health Matter. 2005;(2):130-7.

Holla R, Kanchan T, Unnikrishnan B, Kotian MS, Kumar N, Thapar R, et al. Profile of women seeking medical termination of pregnancy in South India. Int J Gynaecol Obstetric. 2014;125(3):253-5.

Shivakumar BC, Vishvanath D, Srivastava PC. A profile of abortion cases in a tertiary care hospital. J Indian Acad Forensic Sci. 2011;33(1):33-8.

Maheswari UR, Jayanthi TP. Abortion seeking behaviour: a study from tertiary care hospital. Int J Community Med Public Health. 2017;4:2303-7.

Aggarwal P, Zutshi V, Batra S. Do women presenting for first and second trimester abortion differ socio-demographically?. Ann Med Health Sci Res. 2013;3(2):187-90.

Finer LB, Frohwirth LF, Dauphinee LA, Singh S, Moore AM. Timing of steps and reasons for delays in obtaining abortions in the United States. Contraception. 2006;74(4):334-44.

Banerjee SK, Andersen KL, Baird TL, Ganatra B, Batra S, Warvadekar J. Evaluation of a multi-pronged intervention to improve access to safe abortion care in two districts in Jharkhand. BMC Health Services Res. 2014;14:227.

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Published

2019-10-24

How to Cite

Ramkrishna, S., Ghurye, N. S., & Howal, P. V. (2019). A hospital based exploratory study to assess the reasons and timings of seeking abortion services in a tertiary care hospital in Mumbai. International Journal Of Community Medicine And Public Health, 6(11), 4810–4815. https://doi.org/10.18203/2394-6040.ijcmph20195060

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Original Research Articles