An audit of MTP in women with high-risk pregnancy

Authors

  • Deepali Srivastava I/C Post Partum Unit, Department of Obstetrics and Gynaecology, King George’s Medical University https://orcid.org/0000-0003-4843-1742
  • Sandeepa Srivastava Senior Consultant Gynaecologist, Department of Obstetrics and Gynaecology, Lok Bandhu Raj Narayan Combined Hospital https://orcid.org/0000-0002-7143-6026
  • Pratibha Kumari PhD, Department of Obstetrics and Gynaecology, King George’s Medical University, Lucknow, Uttar Pradesh, India https://orcid.org/0000-0002-9622-4695
  • Deepanshi Srivastava Technical Assistant, B.Tech, SRM Institute of Technology, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.3126/ajms.v12i12.37865

Keywords:

Abortion, Contraceptions, Foetal mortality, High-risk pregnancies, MTP

Abstract

Background: The women who have been pregnant more than four times are fewer than 18or over 35-years-old, or have at least one medical issue before or during pregnancy, the pregnancy is considered high-risk. Increased maternal and foetal mortality and morbidity are linked to these risk factors. MTP in itself is a blind and risky procedure and performing it in High Risk Pregnancy (HRP) is a challenge for obstetrics and gynecology personnel. When performed with all pre, intra and post-op precautions, results are good and patient-friendly.

Aims and Objectives: Aims of the study were to calculate the number, high-risk factors, method used, and its outcome of MTP in HRP.

Materials and Methods: The present study was a retrospective observational study done at QMH, KGMU, Lucknow performed on subjects admitted for MTP from January 2018 to December 2018. Total admitted patients seeking MTP were 450 out of which 93 belonged to High-Risk Group who underwent surgical and medical abortion accordingly. All precautions and norms defined by Govt. of India were taken care of. Cases were evaluated on the basis of high-risk factors- Age, parity, obstetrical and medical illnesses, and interval since last delivery.

Results: Out of 93 high-risk cases, 88 cases were of 1st trimester and 5 were of 2nd trimester abortion. Six cases required suction evacuation while seven cases were managed medically using medical abortion kit. Contraception was given to all subjects according to their needs. Seventy-one women were of more than 35 yrs, while two were teenagers. 21 women were grand multipara. Women of obstetrical risk were 17 while the rest were having medical illnesses.

Conclusion: This study concludes that there are a large number of high-risk groups for MTP again showing unmet need and lack of specialized counseling of HR patients according to their mental and physical condition. Early recognition of pregnancy and timely intervention can be lifesaving in these women and proper contraceptive counseling is required to prevent future pregnancies.

Downloads

Download data is not yet available.
Abstract
198
PDF
339

Downloads

Published

2021-12-01

How to Cite

Srivastava, D., Srivastava, S., Kumari, P., & Srivastava, D. (2021). An audit of MTP in women with high-risk pregnancy. Asian Journal of Medical Sciences, 12(12), 85–90. https://doi.org/10.3126/ajms.v12i12.37865

Issue

Vol. 12 No. 12 (2021)

Section

Original Articles

License

Copyright (c) 2021 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).