Case control study of supervised and unsupervised medical abortions in first trimester of pregnancy at a tertiary care center

Abstract

Background: Abortion service as medical healthcare facility is an essential service a women needs. The objective of this study 
was to observe maternal outcome of supervised and unsupervised medical abortion in first trimester of pregnancy. 
Methods: A case control study was done with two groups of patients in their first trimester in a tertiary care hospital (SMGS) 
during a period of 1 year from July 2022 to July 2023.Case group includes 30 patients presenting to emergency department with 
history of unsupervised abortion pill intake. Control group consists of 30 patients presenting to OPD want abortion pill under 
supervision. The main outcome variables were comparison of success rate, complications like heavy bleeding, fever, shock, 
requirement of blood transfusion and interventions required in terms of medical management, surgical evacuations and 
Laparotomy.