A STUDY ON MEDICAL TERMINATION OF PREGNANCY (MTP) IN NORTH EAST PART OF INDIA- INCIDENCE, SOCIO DEMOGRAPHIC AND OBSTETRICS PROFILE IN TERTIARY CARE HOSPITAL

Abstract

Background: A total of 3,90,928 MTP were documented from 2018 to 2019 in India, with prevalence of abortion including both spontaneous and induced   being 2.84 per 1000 women of reproductive years.3 Over the time as the years are passing by there is increase in the number of abortions. Still 13% cause of maternal death in India is related to unsafe abortion.4 Even though government of India has relaxed the MTP act Many of them still do not have access to safe abortion facilities and choose to have unsafe abortions for social, cultural reasons. North east India by virtue of their socio-economically disadvantaged population is in the greatest need of safe abortion services.

Aims: To study the Incidence, socio demographic, obstetric profile and reasons of women undergoing medical termination of pregnancy (MTP).

Methodology: A prospective observational cohort study at Department of Obstetrics and Gynecology, Tomo Riba Institute of Health and Medical sciences (TRIHMS). All women coming to OPD in reproductive age group and willing to participate in the study with gestational age less than 24 weeks were included.

Results: The incidence of MTP is calculated to be 88·27 abortions per 1000 women reproductive age group. Majority of the ladies were between 19 – 30 years of age (67.8%) and 81.9% of them belongs to urban population. Majority of the ladies were educated and most of the ladies belongs to class III and IV as per Modified Prasad’s classification. Women in our study were divided into 3 group according to number of living children as two or more, one and zero as 47.9 % ,35.6% and 23.5% respectively and also 21.9% had two or more previous abortion, 27.1% had one and 50.9 had no history of abortion. Most common reason for opting for MTP was completed family accounting for 34.7% and 59.9% women were ready to accept contraception after MTP. The most common method for contraception which women opted for after MTP was intrauterine Copper T device insertion (35.6%) followed by oral contraceptive pill.

Conclusions: Ladies of younger age, residence of urban location, and financially weaker section of the society were more prone for the unplanned pregnancy leading to MTP. Most common reason for opting for MTP was completed family in our study followed by lack of social/family support, financial issue and failure of contraception.