To study the efficacy of vaginal misoprostol in second trimester abortion
Journal Title: Indian Obstetrics & Gynaecology - Year 2016, Vol 6, Issue 1
Abstract
Aim - To provide a review on mid trimester abortion with vaginal misoprostol which is effective, safe and acceptable with minimal side effects lasting for a transient period. Material & Method - A Prospective study was conducted in the department of Obstetrics & Gynaecology. Hundred patients were selected from outpatient department and labour room having gestational age of 13 to 20 weeks. Irrespective of age, marital status and parity these patients seeking for abortion were induced with vaginal misoprostol for labour induction. The results were analyzed. Result - Maximum number of patients (44%) were in the age group of 26-30 years. Eighty percent of women belonged to urban community and majority of women (88%) were literate while only (12%) were illiterate. Sixty-four percent belonged to lower and middle socio-economic class while only 2% belonged to rich/high socio-economic class. Eighty-one percent of patients had 3 or more children, 5% were primigravidae and 14% had 1 or 2 children. Contraceptive failure temporary and permanent accounted for 9% of women wanting abortion. Women with gestational age of 17-20 weeks, 100% aborted within 24 hrs and 75.66% aborted within 24 hrs in women having gestational age of 13-16 weeks. 88% of patients with gestational age of 17-20 weeks had complete abortion and did not require surgical evacuation. Twelve percent of patients with gestational age of 13-16 weeks required surgical evacuation for placental bits and membrane. This observation was found statistically significant. Conclusion - Misoprostol is highly effective drug for second trimester abortion. It is inexpensive, safe, stable at room temperature, easily available, easy to use with minimum side effects.
Authors and Affiliations
Dr. Atima Bharti, Dr. Seema Kumari
Keywords
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