Publication: Surgical abortion in second trimester: Initial experiences in Nepal
Date
2010
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
Introduction: In spite of legalising abortion and making safe abortion available at affordable price at accessible distance
to almost everyone, unsafe abortion especially second trimester abortion is still a big health problem in Nepal.
Objective: The objective of the study is to find the demographic profile, reasons for seeking abortion and to see the
effectiveness of Misoprostol in preparing the cervix.
Materials and methods: A prospective study was done in the two second trimester abortion trainings conducted in
Maternity hospital, Kathmandu. Total 57 clients had second trimester abortion performed. Information was collected
from structured questionnaire and then data was analysed.
Results: Commonest reason for seeking abortion was, multiparity (61.4%). Common reasons for second trimester
abortion were, completed family size with unwanted pregnancy (61.4%), unwanted pregnancy in married (10.52%)
unwanted pregnancy in unmarried (5.26%).
Conclusions: Second trimester abortion is one of the most common procedures performed in reproductive-aged women
and when performed by a skilled provider in the appropriate setting, it is one of the safest surgeries, if it is well supported
by change in policy of the country and acceptability of the people.
Key words: Maternal death, Safe abortion, Second trimester abortion
Description
Shrivastava V 1, Bajracharya L2, Thapa S 2
1Department of Obstetrics and Gynaecology, Nepal Medical College, Jorpati, 2Paropakar Maternity and Women’s Hospital, Thapathali