A STUDY OF COMPLICATIONS AND MANAGEMENT IN CASES OF SELF ADMINISTERED MTP PILLS AT A TERTIARY CARE CENTER

Abstract

Background- The aim was to study the outcome, management and complications of self medicated Medical Termination of Pregnancy (MTP) pills in pregnant women due to the rampant use of over the counter sale of MTP pills. Methods- It was an observational study of 100 women who attended the Obstetrics and Gynecology Out Patient Department at NIMS Hospital, Jaipur for seeking advice after selfprescribed MTP pills.
Results-Majority of the women i.e. 45% had incomplete abortion, 16% of the women had missed abortion, 15% of the women had complete abortion, 2% of the women had septic abortion, 7% had inevitable abortion, 2% had ruptured ectopic pregnancy, 1 woman was a case of perforated uterus, 1 woman had ruptured uterus, 1 women had molar pregnancy, 1 woman had cesarean scar pregnancy, 9% continued their pregnancy. 28% patients required blood transfusion. The cases of ruptured ectopic with severe shock, perforated uterus, rupture uterus, septic abortions, molar pregnancy and cesarean scar pregnancy required ICU stay.
Conclusion- The current study shows urgent need for legislation and restriction of drugs used for medical termination of pregnancy. Over the counter purchase of medical abortifacients without proper knowledge causes unprecedented maternal morbidity and mortality. Preferably all the patients who are prescribed MTP pills should undergo clinical examination followed by ultrasonographic evaluation to rule out conditions such as molar and ectopic pregnancies. This is