Study on Safety, Efficacy and Complication of Medical Abortion

ABSTRACT

Introduction: The term abortion has been derived from theLatin word “ABORIRI” which means to detach from itsproper place. “ab” means abnormal and it indicates prematureexpulsion. “ORIRI” means to be born or to arise. Aim ofthe present study was to evaluate the role of combination ofMifepristone and Misoprostol in pregnancy termination up to63 days. Safety, efficacy, cost effectiveness and complicationshave been evaluated.Material and Methods: This study was carried out at RajendraInstitute of Medical Sciences, Ranchi in the department ofObstetrics & Gynaecology from June 2016 to Oct 2017. 200cases were selected from outpatient department and labourroom of Obstetrics & Gynaecology.Result: In my study 93% of women had successful abortionand 7% had to undergo surgical evacuation. It was observedthat majority 98% of the cases were between 21-30 years ofage and most of them 56.5% came from urban areas. 65.5% ofthe cases belonged to literate groups. In majority of the cases76.5% the indication for pregnancy termination was unwantedpregnancy followed by contraceptive failure. 18.5% of thecases were primigravida and 56% of the cases were gravidatwo.Conclusion: Unrestricted use and over the counter purchaseof drugs for medical abortion is detrimental for maternalhealth. Proper dosing, timing, route and counseling by themedical professionals can prevent serious complications.