Abstract
OBJECTIVE: This comparative study was done to highlight the complications of induced miscarriages and identify any change in the pattern of maternal morbidity and mortality associated
with induced miscarriages over time.
METHODS: This is a comparative study of complications and clinical presentation of induced
abortions carried out at two tertiary care hospitals over a time difference of 10 years. The first
phase is from January 2001 to December 2002 carried out in the Department of Obstetrics and
Gynecology W-8 JPMC, Karachi. The second phase is from July 2013 to June 2014 at Creek
General Hospital, which is another tertiary care hospital catering similar patients. The sampling
technique was simple convenient. A total of 120 patients presented with different complications
after a history of induced abortions were studied; 60 patients in the first phase and 60 patients
in the second phase were studied.
RESULTS: Majority of the patients for both phases were between 30-40 years of age { (37/60
(61.66%) and 35/60 (58.%) } . During 1st phase (n=60) the most common reason for termination
of pregnancy was unintended/unplanned pregnancy. Instrumentation was the commonest
method employed, most done by nurses. Bleeding per vaginum was the mode of presentation in
most of the cases and septic abortion was common complication leading to loss of 7 lives. In
2nd phase (n=60) reduced space between pregnancies was the common reason for termination
of the pregnancy. In most of the cases instrumentation done by doctors. Majority of the patients
presented with lower abdominal pain and vaginal discharge. The most common complication
observed was pelvic inflammatory disease. Data entered into SPSS and Chi square test applied
to compare the data during two phases
CONCLUSION: Although we found reduced mortality during 2nd phase of this study, however
unsafe abortions still carries significant morbidity.
Kaweeta Kumari, Sheena Memon, Shireen Zulfiquar Bhutta, Raana Nizam Jamelle. (2016) Hazards of Unsafe Abortions in the Past and Present - A Continuing Dilemma and a Preventable cause of Maternal Mortality, Journal of Liaquat University of Medical and Health Sciences, Volume-15, Issue-1.
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