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Community Based Study of Abortion Complications And Care Sought by Rural Tribal Women Of Extremely Low Resource Settings.
  • Shakuntala Chhabra,
  • AKANKSHA SUMAN
Shakuntala Chhabra
Mahatma Gandhi Institute of Medical Sciences
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AKANKSHA SUMAN
Mahatma Gandhi Institute of Medical Sciences
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Abstract

ABSTRACT BACKGROUND Knowingcomplication, care sought is essential for understanding risks, services, program, policies for abortion care. MATERIAL METHODS Rural community based study was carried out in villages near Sewagram Wardha and Melghat, Amravati, Maharashtra, India. OBJECTIVE To know magnitude of abortion complications, care sought by rural tribal women. RESULTS In Sewagram villages 3.30%, in Melghat 0.32% reported complications with spontaneous abortions (SA) and 1% in Sewagram villages, 0.1% in Melghat with induced abortions (IA). In Sewagram villages of 24 (4.3%) who had complications of SA, 33.3% each (1.4% of SA)reported vaginal bleeding, abdominal pain, weakness 29.16%(1.2%SA),backache%(0.7% of SA),fever 12.5%(0.5% of SA),vaginal discharge 8.33% (0.3% of SA), other complications 8.33% (0.36% of SA). Of 7 (3.9% of all 177), who had complications after IA, 57.1% (2.2% of all IA) reportedvaginal bleeding, 28.5% (1.1% of IA) abdominal pain. In Melghat 4 reported complications after SA (0.32% SA), 2 (0.16 % SA), abdominal pain, one (0.08% SA) vaginal bleeding, one (0.08% of SA) backache.In Melghat of 2 women (3.7%) out of 27 IA cases who had complications. one had vaginal bleeding, discharge, pain,weakness, other vaginal bleeding. In Melghat2 of total 6 sought health facility care, no specialists in spite of complications. There was neither abortion related mortality nor near miss morbidity, severe morbidity. CONCLUSION Research is needed about traditional therapies, reverse pharmacology, socio behavioral issues in addition to creating awareness of abortion complications, long term sequlae, necessity of care seeking.