Situation Analysis of Patients Attending TU Teaching Hospital after Medical Abortion with Problems and Complications

Abstract

Introduction: In Nepal medical abortion has been approved for use since 2009. There were many
cases coming to Tribhuvan University Teaching Hospital coming with problems and complications
following medical abortion. Thus the objective of this study was to analyze the cases that came to
TUTH following medical abortion with problems and complications.

Methods: This is a prospective study conducted in the Department of Obstetrics and Gynecology
of TUTH. Study was carried from 1st August 2011 to 30th November 2012. Women who came to
TUTH with any complaints following medical abortion were interviewed, examined and treatment
provided. Relevant clinical finding were noted.

Results: There were a total of 57 cases during the study. Most (66.6%) of the women were in age
group 20-29 years age. There were 45 (79%) women who had abortion up to 9 weeks. Medical shop
was the main place where most of the women (45.6%) directly come to know about medical abortion.
More than 34 (77.2%) received the service from medical shops without any supervision. Most 31
(54.4%) presented with incomplete abortion. There were three cases of continuing pregnancy and
four presented with ectopic pregnancy. Eighteen (31.6%) cases needed admission. Fifty six percent
of the cases were treated with manual vacuum aspiration, six cases underwent laparotomy and there
was one maternal mortality.

Conclusions: There is a need for proper dissemination and implementation of guideline for
management of these women and adequate supervision to reduce the problems and complications.
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Keywords: complications; incomplete abortion; medical abortion; problems.