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Research Article

Medical abortion: is it a blessing or curse for the developing nations?

Authors:

Sukhwinder Kaur Bajwa ,

Gian Sagar Medical College and Hospital (GSMCH), Punjab, IN
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Sukhminderjit Singh Bajwa,

Gian Sagar Medical College and Hospital (GSMCH), Punjab, IN
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Gagandeep Kaur Ghai,

Gian Sagar Medical College and Hospital (GSMCH), Punjab, IN
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Nirankar Singh,

Gian Sagar Medical College and Hospital (GSMCH), Punjab, IN
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Anita Singh,

Gian Sagar Medical College and Hospital (GSMCH), Punjab, IN
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SPS Goraya

Gian Sagar Medical College and Hospital (GSMCH), Punjab, IN
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Abstract

Objectives: Medical abortion is definitely a safer and a better option but in developing countries, its widespread misuse has led to partial or septic abortion thereby increasing maternal mortality and morbidity. The study was carried out to analyze the use and misuse of abortion pill and to analyze the factors responsible for avoiding the government facilities.

Methods: The study included all female patients who visited the rural health centre of our institute with pre-tested questionnaire, designed in a manner to obtain the qualitative information regarding their attitude towards the abortion services, use of medical methods of abortion and the current contraceptive practices among them. At the end of study, the data was compiled systematically and was subjected to statistical analysis with simple non parametric tests and the value of P<0.05 was considered significant.

Results: Only 49.62% of the patients had complete abortion while rest was reported with incomplete (41.54%), septic (6.54%) or failed abortion (1.15%) or ectopic pregnancy (1.15%). Local dais (36.55%) and pharmacists (29.61) were the main channels of procurement of pills used for medical abortion. Non-availability of medical methods (65.38%) and compulsion for the accompanied contraception (35%) were the most commonly cited reasons for avoiding government sector facilities.

Conclusions: The low level of awareness, education and misuse of medical methods of abortion are responsible for converting a safe abortion into an unsafe practice. We suggest for an urgent need for strict legislations by the government to regulate the supply of drugs used for medical abortion.

Key words: abortion; contraception; ectopic gestation; medical abortion; mifepristone; misoprostol; pregnancy

DOI: http://dx.doi.org/10.4038/sljog.v33i3.4015

Sri Lanka Journal of Obstetrics and Gynaecology 2011; 33: 84-90

DOI: http://doi.org/10.4038/sljog.v33i3.4015
How to Cite: Bajwa, S.K. et al., (2012). Medical abortion: is it a blessing or curse for the developing nations?. Sri Lanka Journal of Obstetrics and Gynaecology. 33(3), pp.84–90. DOI: http://doi.org/10.4038/sljog.v33i3.4015
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Published on 23 Jan 2012.
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