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首页> 外文期刊>International Journal of Pharmacological Research >Factors behind failure of unsupervised self induced medical abortion : A Study from North India
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Factors behind failure of unsupervised self induced medical abortion : A Study from North India

机译：无人监督的人工流产失败的背后因素：来自印度北部的研究。

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Introduction : Unsafe abortions contribute to 8% of maternal mortality. Easy availability and rampant use of medical methods of abortion lead to upsurge in self induced abortion related complications. Present study was conducted to assess the profile, knowledge, attitude and reasons of preference of self induced abortion in women visiting our centre after complication or failure of medical abortion. We also tried to evaluate the burden of different complications and factors behind failure of self induced medical abortion. Material and Methods: It was a prospective mixed methods study performed in the department of obstetrics and gynaecology at a tertiary care centre. These women were interviewed by two doctors with the help of pre structured questionainare and their diagnosis, course of management and duration of stay in the hospital was noted down from hospital records. Results: We recruited 216 women visiting our facility after some complication of self induced medical abortion. 92 women used Mifepristone and misoprostol regimen and rest used misoprostol. 165 women have purchased drugs over the counter from pharmacists. Major source of information is husband or friends. Most of the patients [n= 87.9%] consider it low risk.97% patients follow incorrect drug schedule and misoprostol was taken by oral route only. Ruptured ectopic pregnancy, anaemia, Sepsis, Incomplete abortion, Missed abortion and continuation of pregnancy was observed in 1.8%, 69.44%, 8.3%, 68.5 %, 9.7% and 23.14%. Conclusion: Neglect of eligibility criteria and faulty drug regimens are the most common reasons for failure on self induced medical abortions. Low perceived risk and reluctance to hospital visit and interventions are most common reasons of preference of self induced abortions.
机译：简介：不安全的流产占产妇死亡率的8％。人工流产的容易获得和广泛使用导致人工流产相关并发症的激增。本研究旨在评估因人工流产并发症或失败而来我院的妇女自行流产的概况，知识，态度和偏爱原因。我们还试图评估自发性药物流产失败背后不同并发症和因素的负担。材料和方法：这是在三级护理中心的妇产科进行的前瞻性混合方法研究。这些妇女在预先安排的问卷调查的帮助下接受了两名医生的采访，并从医院记录中记录了她们的诊断，管理过程和住院时间。结果：在自发性药物流产的一些并发症之后，我们招募了216名妇女前往我们的设施。 92名妇女使用米非司酮和米索前列醇方案，其余使用米索前列醇。 165位女性从药剂师那里购买了非处方药。信息的主要来源是丈夫或朋友。大多数患者[n = 87.9％]认为其低风险。97％的患者遵循错误的用药时间表，仅口服口服米索前列醇。异位妊娠破裂，贫血，败血症，流产不完全，流产遗漏和继续妊娠的比例分别为1.8％，69.44％，8.3％，68.5％，9.7％和23.14％。结论：忽视资格标准和错误的药物治疗方案是自发性药物流产失败的最常见原因。低的感知风险以及不愿去医院就诊和干预是自发性流产偏爱的最常见原因。

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