STUDY OF MEDICAL TERMINATION OF PREGNANCY IN A TERTIARY CARE HOSPITAL- A RETRO-PROSPECTIVE STUDY.

ABSTRACT

Background: Medical termination of pregnancy is de?ned as termination of pregnancy before the age of viability of foetus under any grounds of Medical termination of pregnancy Act 1971.The Medical Termination Bill 2020, passed in March 2020 amends to increase the upper limit for termination to 24 weeks for certain categories of women. Also the bill allows unmarried women termination of pregnancy for contraceptive failure. Safe and legal abortions are considered a key intervention to improve women’s health and quality of life. The current study is to assess the perception of eligible women on MTP services in cases of unwanted pregnancies amid determine the indications, complications and the contraceptive method used along with the procedure. Results: In the present study 60% patients belonged to the age group of 20-30. 41% patients had undergone termination due to failure of contraception,26% patients had multiple congenital anomalies,23.5% patients had maternal medical condition that could cause grave injury to physical and mental health of the mother making termination necessary.9% patients had termination due to social reasons. 53% patients had undergone medical abortion with Misoprostol alone compared to 19% who had undergone termination with combined Mifepristone and Misoprostol. Conclusions: It is needed that more number of females need to be counselled to adopt one or other method for contraception at time of termination to avoid further unwanted pregnancies.Medical termination of pregnancy with mifepristone and misoprostol is a safe, simple and effective approach. It permits greater privacy to the patients. Wide spread use of medical abortion may reduce number of deaths due to traumatic illegal termination of pregnancies Misoprostol, Mifepristone