Priyanka D1* and Jyotsna D2
1Department of Obstetrics and Gynecology, James Paget University Hospital, UK 2Seth GS Medical College and KEM Hospital, IndiaFulltext PDF
Purpose: Women having pre-existing medical conditions are increasingly embarking on pregnancy. Despite efforts to provide pre-conceptional counselling, majority of these pregnancies are unplanned. Termination of pregnancy is needed if the pregnancy poses a danger to the life of the woman. In this study we analyze the terminations done in such medically complex women to know the causes, methods and contraceptive choices post procedure. Materials and Methods: This is an observational study done in a tertiary care teaching hospital. Data was collected over eight years and 138 cases were included in the study. Data was analyzed using SPSS 28.0.1 and presented in the form of charts and pie diagrams. Results: The mean age of the patients was 25.5 years. 57% of the patients were multigravida and 43% were primigravida. 57% of the terminations were done ≤ 12 weeks. There were no major complications of termination. The most common cause for termination was cardiac disease followed by cancer. 31% patients still didn’t choose any contraception post procedure. Conclusion: There is a huge unmet need for contraception in women with complex medical conditions. Creation of widespread awareness amongst the physicians regarding contraceptive choices is the need of hour.
Abortion; Termination of Pregnancy; High Risk Pregnancy; Heart Disease; Cancer in Pregnancy; Contraception; Counselling
Priyanka D, Jyotsna D. Termination of Pregnancy in Medically Complex Pregnant Women: An Area of Unmet Need for Contraception. J Clin Obstet Gynecol Infertil. 2023; 7(1): 1055.