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SURGICAL TERMINATION OF PREGNANCY: A RETROSPECTIVE STUDY IN A TERTIARY CARE HOSPITAL OF WEST BENGAL

BACKGROUND: Placenta previa is defined as complete or partial covering of cervical internal os with the placenta. Placenta previa is a major risk factor for obstetric haemorrhage. Uterine artery embolization (UAE) reduces blood flow to the lower uterine segment which helps to reduce blood loss during placental separation.

OBJECTIVE: The study aims to evaluate the incidence, indications, age groups, parity distribution, rates of acceptance of contraception after surgical termination of pregnancy. It also enumerates the percentage of patients undergoing surgical abortion and their causes, which are mainly failure of contraception, ignorance, illiteracy, cultural beliefs etc.

 

METHODS: A retrospective data analysis of one year was undertaken. Data was retrieved from the MTP register of C.O.M.J.N.M. Hospital, in Kalyani, Nadia, West Bengal.

 

RESULTS: The main reason for surgical termination was failure of contraception which highlights the unmet need of contraception and counselling. Majority of the age group availing the procedures belonged to 25-35 years which is 240 (69.7%) out of total 344 study population.  Dilatation and evacuation were the commonest procedure undertaken (201 or 58.4%). Most pregnancy termination-seekers were parous, 288 (83%) patients underwent termination in the first trimester. Mostly OCP (56.3%) was the contraception choice after the intervention.

KEY WORDS: Surgical termination of pregnancy, Dilatation andevacuation,contraception.


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