DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150309

A study of sociodemographic determinants, reasons and decision maker of medical termination of pregnancy in urban slums of Jamnagar, India

Hetal T. Koringa, Krupal J. Joshi, Jitesh P. Mehta

Abstract


Background: Medical termination of pregnancy is defined as “willful termination of pregnancy before the age of viability of the foetus. The objective was to study the socio-demographic & obstetric profile and the reasons for procuring an abortion & choice of health care provider.

Methods: A Cross-sectional study was done in urban slum in Jamnagar municipal corporation area by using 30 clusters sampling technique. Every women in the reproductive age group (15-49 years) was included in the study till the sample size of 15 was completed in each cluster and thus total 450 women were interviewed. 48 women out of the total of 450 ever married women in the reproductive age group who had ever undergone induced abortion were studied in detail

Results: In the present study out of 450 eligible women, 48 (10.67%) had undergone an induced abortion and once only. 72.91% (35/48) of the women belonged to the age group 25-34 years and 89.59% (43/48) of the women were Hindus. Almost half of the total women (45.83%) had primary education, higher proportion of women were housewife 77.09% (37/48). According to Modified Prasad’s classification, 54.17 % of women belonged to lower social class (IV and V). One third (33.33%) of the women who underwent MTP had 1 living child. Majority 79.16% of the women preferred government hospital and in 45.83% cases both husband and wife acted as decision maker for MTP. Most common reason given for terminating the pregnancy was “birth spacing”. (52.09%) Other reasons given were, “family completed” (22.91%), “medical” (14.58%) & social (4.17%). Majority of the women (70.83%) accepted post abortion contraception.

Conclusion: There is need to counsel women of reproductive age group that MTP is not a way to control unwanted birth and it is not free from risk. They should be motivated for various methods of contraception.

 


Keywords


MTP, Sociodemographic profile, Urban slum

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References


Park K. Textbook of Preventive and Social Medicine. 21stedition.jabalpur: Bhanot publishers; 2011. p.509.

Shankaraiah RH, Annadani RR, Vijayashankar V, Undi M. Medical termination of pregnancy and subsequent adoption of contraception International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2013;2(3):367-71.

Agrawal S. Determinants of Induced Abortion and Its Consequences on Women’s Reproductive Health: Findings from India’s National Family

Health Surveys. Demographic Health and Research. 2008;53.

Dhumale DM, Lokare PO, Jawarkar AK, Karanjekar VD. International Journal of Basic and Applied Medical Sciences. 2014;4(2):126-31.

Lakkawar NJ, Magon S, Alaganandam P. Attitude and experiences of young women towards medical abortion a hospital based study. Scholars Journal of Applied Medical Sciences. 2014;2(6B):2034-41.

Bahadur A, Mittal S, Sharma JB, Sehgal R. Sociodemographic profile of womenundergoing abortion in a tertiary centre. Arch Gynecol Obstet. 2008;278(4):329-32.

Shivakumar BC, Vishvanath D, Srivastava PC. A Profile of Abortion Cases in a Tertiary Care Hospital. Journal of Indian Academy of Forensic Medicine. 2011;33(1):33-8.

B. Puwar, T. Puwar, K.N. Trivedi. Study of fertility indicators in slum area of Ahmedabad city in India.The Internet journal of health. 2009; 9(1).

Shipra Gupta, Viral Dave, Kishor Sochaliya,

Sudha Yadav. A Study on socio-demographic and obstetric profile of MTP seekers at Guru Govind Singh Hospital Jamnagar. Healthline 2012; 3(1):

-54.

Shankaraiah RH, Annadani RR, Vijayashankar V, Undi M. Medical termination of pregnancy and subsequent adoption of contraception. IJRCOG. 2013;2(3):367-71.

K.G. Santhya, Shalini Verma. Induced Abortion: The Current Scenario in India. Regional Health Forum. 2004;8(2):1-14.

Dhillon BS, Chandhiok N, Kambo I, Saxena NC. Induced abortion and concurrent adoption of contraception in the rural areas of India (An ICMR task force study). Indian J Med Sci. 2004;58(11):478-84.

Khokhar A, Gulati N. Profile of Induced Abortions in Women from an Urban Slum of Delhi. Indian J Comm Med. 2000;25(4):10-12.

Mukhopadhyay AK, Ghosh A, Goswami S, Adhikari S. Fertility regulation-5 year study. Journal of Obstetrics & Gynaecology of India. 2008;58(5):421-24.