Prospective Analytical Study on Medical Termination of Pregnancy at Tertiary Care Centre in Western Rajasthan

Background: Medical termination of pregnancy (MTP) is a crucial aspect of human health, medical termination of pregnancy can be done by both surgical and medical methods, MTP act amendment 2021 is not followed in India which allows to termination of pregnancy up to 24 weeks and in special circumstances pregnancy can be terminated beyond 24 weeks if medical board and court of law allows it. Aim: Aim of this study was to know the proportion of medical termination of pregnancy in tertiary care center and to know the socioeconomic parameters and adaptation of family planning methods and complications. Methods: This is a observational hospital based prospective study, in this study79 women who wanted or advised medical termination of pregnancy among 9510 pregnant women attending our outpatient department were included in our study and their termination of pregnancy was done by either surgical (vacuum aspiration, dilatation and evacuation) or medical methods (mifepristone and misoprostol) and any complications were looked out and family planning methods were advised. Results: In our study.83% opted for medical termination of pregnancy and most represented age group is 25 -29 years, making up nearly 40 % of total women, most cases were rural (53%) and illiterate (66%) and belonged to lower middle class (41%), (94%) women were married and 28% were third gravida and almost 85% women had no history of previous MTP, most common trimester of abortion was second trimester (75%) Eugenic (56%) cause was most common for seeking induced abortion and 98% women faced no complications. almost (92%) women opted for family planning methods after counselling. Conclusions: Such study not only shows the patterns and outcomes of MTP in a tertiary care setting but also shows the critical need for policy enhancements to support safe, informed, and accessible MTP services.