Study of Underlying Factors among Women Presenting with Septic/Unsafe Termination of Pregnancy
Faiza Nawaz, Ammara Mansoor, Arooj Fatima, Ayesha Ilyas, Mehwish Hassan, Tabeer Fatima
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ABSTRACT
Background:
In
our nation, induced abortions are common. Unexpected and unintentional births
are serious public health issues in both developed and underdeveloped nations.
According to the WHO, abortion complications account for 2–12% of maternal
fatalities in Pakistan. The circumstances surrounding these abortions have
major ramifications for both females and communities. However, insufficient
information about factors leading to septic induced abortions at the country
level was the reason to determine the contributing factors among women with
abortion.
Objective:
The
objective of our current research is to regulate occurrence of underlying
factors contributing in patients presenting with septic induced abortion in a
tertiary care setup.
Methods:
This cross-sectional study was conducted at
Department of Obstetrics and Gynecology, Jinnah hospital, Lahore for six months after
approval of synopsis. Sample size of 130 cases was included through non-Probability
consecutive sampling technique after the approval from hospital ethical
committee. Informed consent was taken from each patient
before including them in the study.
Results:
The mean age of the women was noted
26.24±4.93 years of which the minimum age was 18 year and maximum of 40 years. Out
of these 130 women 26(20%) had no child, at least one abortion was most common
as it was noted in 197(82%) of women. The underlying factors contributing to
septic induced abortion it was noted that unwanted pregnancy in 41(31.5%) of
cases, failed contraception in 37(28.5%) of cases, divorce in 6(4.6%) of cases,
displeased family relation in 27(20.8%) of women and out of wedlock was noted
in 19(14.6%) of cases. When data were stratified for effect modifiers
statistically significant difference was found between parity and contributing
factors for abortions (P-value = 0.000) and insignificant difference was
observed with respect to age, educational status and economic status i.e.,
P-value > 0.05.
Conclusion:
The
most common reason for abortion was unwanted pregnancy among the pregnant
women.
Keyword:
Pregnancy,
Abortion, Septic, maternal fatalities in Pakistan, WHO.