A Cross-sectional Study on Abortions and Associated Risk Factors in Slum Locality of Bhopal City of Madhya Pradesh
Abstract
Introduction: Abortion can be defined as the termination of a pregnancy after, accompanied by, resulting in, or closely followed by the death of the embryo or fetus. The study was conducted with the objectives to find out the probable cause/ predisposing condition leading to abortions and to study the occurrence of abortion in two localities.
Materials and Methods: The study was a community based cross sectional study, conducted in two nearby localities of Gandhi Medical College, Bhopal using convenient sampling for a period of 1 month i.e. 1 June 2018-30 June 2018. All the families giving history of abortion were included in the study. 36 and 22 abortion cases were identified from Fatehgarh and Shaheed Nagar area respectively. Information regarding their socio-demographic parameters, causes and conditions leading to abortion and problems following the abortion were enquired. Data was compiled using Ms Excel and analysed using Epi Info 7. Appropriate statistical tests were applied and p value <0.05 was considered significant.
Results: The overall occurrence of abortion in present study was found to be 6.36% and of them, the proportion in Fatehgarh and Shaheed Nagar area was found to be 36 (7.8%) and 22 (4.8%) respectively. During first trimester, major probable contributing factor for spontaneous abortion was hypertension in 9 (33.3%) participants followed by fever or infections (14.8%) and thyroid disorders 4 (14.8%). During second trimester, history of hypertension was the most common contributing factor.
Conclusion: The occurrence of abortion was found to be higher in the selected localities and maximum number of abortions occurred in first trimester.
References
Patki A, Chauhan N. An epidemiology study to determine the prevalence and risk factors associated with recurrent spontaneous miscarriage in India. The Journal of Obstetrics and Gynecology of India 2016; 66(5): 310-5.
van den Berg MM, van Maarle MC, van Wely M, et al. Genetics of early miscarriage. Biochim Biophys Acta. 2012; 1822(12): 1951-9.
Hardy K, Hardy PJ. 1st trimester miscarriage: four decades of study. Translational Pediatrics 2015; 4(2): 189.
Stern JJ, Cerrillo M, Dorfmann AD, et al. Frequency of abnormal karyotypes among abort uses from women with and without a history of recurrent spontaneous abortion. Fertil Steril 1996; 65: 250-3.
Stephenson MD, Awartani KA, Robinson WP. Cytogenetic analysis of miscarriages from couples with recurrent miscarriage: a case-control study. Hum Reprod 2002; 17: 446-51.
Ogasawara M, Aoki K, Okada S, et al. Embryonic karyotype of abort uses in relation to the number of previous miscarriages. Fertil Steril 2000; 73: 300-4.
Michels TC, Tiu AY. Second trimester pregnancy loss. American Family Physician 2007; 76(9): 1341-6.
Registrar General of India, Maternal Mortality in India: 1997-2003. Registrar General of India, New Delhi. 2006.
Singh S, Shekhar C, Acharya R, et al. The incidence of abortion and unintended pregnancy in India, 2015. The Lancet Global Health 2018; 6(1): e111-20.
Ford HB, Schust DJ. Recurrent pregnancy loss: etiology, diagnosis, and therapy. Rev Obstet Gynecol. 2009; 2(2): 76-83.
Maharana B. Correlates of spontaneous and induced abortion in India: an investigation using a nationwide large-scale survey data. International Institute for Population Sciences, Mumbai, India. 2011.
Dhingra D, Bharti R, Suri J, et al. Clinico-demographic profile of patients admitted with abortion related complications in a tertiary hospital. International J. of Healthcare and Biomedical Research 2018; 6(2): 31-4.
Adeniran AS, Fawole AA, Abdul IF, et al. Spontaneous abortions (miscarriages): Analysis of cases at a tertiary center in North Central Nigeria. Journal of Medicine in the Tropics. 2015; 17(1): 22.
Royal College of Obstetricians and Gynecologists. The investigation and treatment of couples with recurrent first-trimester and second-trimester miscarriage. Green-top Guideline No. 17. London: RCOG; 2011. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_17.pdf. Accessed 26 July 2018.
