ABSTRACT Background: Abortion pills are freely available at the pharmacy shops and being commonly dispensed without prescription.

Aim: To study the clinical presentation and outcome of women following self-medication of over the counter abortion pills.

Methods: A prospective observational study was conducted at the Department of Obstetrics and Gynecology, Midnapore Medical College from March 2019 to August 2020. Data were analyzed with respect to socio-demographic status, clinical presentation, complications and their management.

Results: Of the 144 women screened for eligibility, 100 were included in the study. The majority (59%) of the women were in 20 to 30 years age group, married (96%), housewife (96%). Primipara (28%) or multipara (63%), belonged to lower socio-economic status (80%), and had no or primary level of education (80%). There were 91(91%) women who received five pills in total but they had taken the pills at different intervals. Ninety three (93%) women presented with vaginal bleeding on and off and were diagnosed abortion related bleeding. Three (3%) women were diagnosed as ruptured ectopic pregnancy, one as ruptured uterus. Four (4%) women had the continuation of live pregnancy. 20% women suffered from severe or very severe anemia. Forty seven (47%) women received blood transfusion. 83(83.0%) women required surgical evacuation and 4(4.0%) women required laparotomy. Conclusion: Self-medication of abortion pill was associated with serious maternal morbidities. Government policies must address poor access to safe abortion care and measures must be taken so that women can get adequate information on medical abortion to use the medicines safely.

Year: 2021
Issue Number: Issue -3
Pages: 91-133
Article Type: Original Article
Article Name: Self-medication of Abortion Pill and its Complications: A Prospective Observational Study
Authors: Snehamay Chaudhuri, Rashmi Rani
Full text PDF

© 2018 | PAJOG All rights reserved.