RESEARCH QUESTION

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TAURAS
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The Study

• TO FIND OUT THE LEADING CAUSES OF
  ABORTION IN 100 PREGNANT WOMEN ADMITTED TO THE
  V.S. GYNEAC WARD.
• Prepared By -
• BHUMIR CHAUHAN 16
• PRANAV DEVANI 20
• CHINTAN DOSHI 21
• Under Guidance Of -
• Dr.Manish Fancy
• 
  Dr. Sheetal Rot

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AIMS

• To find out the leading causes of abortion.

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OBJECTIVES

• To find out the leading causes of abortion.
• To find out the number of cases adopting the
  various methods of contraception after abortion.
• To find out the proportion of spontaneous
  induced abortions out of the total cases.
• To find out the association of mothers height
  with the incidence of abortion.
• To find out the association of mothers weight
  with the incidence of abortion.

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INTRODUCTION

• Abortion is defined as termination of
  pregnancy before the viability age of the fetus (
  28 weeks, gt1000gm ).
• It is broadly classified as
• (1) spontaneous (2) induced

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• SPONTANEOUS -
• It is considered as the
  natures method of birth control. The cause of
  spontaneous abortion remains obscure in more than
  50 cases. Even in rest of the cases the so
  called etiological factors mere act as the risk
  factors.
• Important causes of spontaneous
  abortion are
• 1.      genetic
• 2.     endocrine / metabolic
• 3.     anatomical
• 4.     immunological
• 5.     infections
• INDUCED -
• With liberalization of rules
  regarding abortion in 1971, the Govt. of India
  introduced the MTP act that lays down the
  guidelines for performing a legally induced
  abortion.
• Four conditions are mentioned in the act
  
• 1. medical for mothers health
• 2. eugenic for grossly disabled fetus,
  mentally / physically, not compatible with life.
• 3. humanitarian in pregnancy due to rape
  or such other causes.
• 4. social unwanted baby on economic or
  contraceptive failure.

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Abortion- a hazard to maternal health

• Abortions contribute to about
  13 to maternal mortality causes in India. Also,
  this figure may be much higher than mentioned
  here considering the abundance of unregistered
  abortion done in the rural India.
• Even if the mother survives
  following abortion, maternal morbidity and mental
  trauma cant be compensated.

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Abortion Statistics

• 1. Abortion Rate Total number of all the types
  of abortions per 1000 women of child bearing age.
• World abortion rate 40 to 70 per 1000
•  
• 2. Abortion Ratio
• No. of abortion in given
  period of time
• No. of live births in the
  same duration
• World abortion ratio 260 to 450 per
  1000 live births per year

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• 3. About 70 of abortions in India are induced.
  The rest of them are spontaneous.
• 4. Induced abortions are indirect inverse
  indicators of the effectiveness of family
  planning programme.
•  
• THE EFFECTIVENESS OF FAMILY PLANNING MEASURES OF
  A COUNTRY IS INDICATED BY RATIO OF INDUCED
  ABORTION TO TOTAL ABORTIONS DONE IN A PARTICULAR
  PERIOD.
•  

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MATERIALS METHODOLOGY

• v     Study population 100 pregnant women
  undergoing abortion.
• v    Study area V.S. Gynaec ward.
• v    Study period March 05 to May05 (3
  months)
• v    Study design Quantitative Qualitative.
•  

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Resources
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Methodology

• I.            Permission from the HOD, PSM
  dept. The Dean, NHLMMC The HOD,
  Gyneac dept, VS hospital, Ahbd.
• II.             Prepare the questionnaires with
  the relevant information.
• III.            Selection of 100 pregnant women
  undergoing abortion at VS Gyneac ward during the
  study period.
• IV.            Collection of the data from the
  selected subjects.
• V.             Find out the causes of abortion
  list them according to decreasing frequency.
• VI.            Classify according to spontaneous
  induced abortions.
• VII.          Compilation.
• VIII.        Analysis interpretation.
•  IX.          Evaluation.
•   X.          Submission.

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TIMELINE CHART
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ANALYSIS

• ABORTION OCCURRENCE AT VARIOUS AGES.

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ABORTION IN SOCIOECONOMIC STATUS.
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OCCURRENCE OF MTP SPONTANEOUS ABORTIONS
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INCIDENCE OF MTP
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INDICATIONS OF SPONTANEOUS ABORTION
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ADOPTION OF CONTRACEPTION
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• LIMITATIONS
• Small sample size.
• Small study area.
• Limited use of other mass communication
  and media.
• Doesnt indicate true data, as many abortions
  would have occurred at home.
• Hospital data doesnt include illegal abortions.

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CONCLUSION SUMMARY

• The total number of abortions have been
  divided into spontaneous induced categories.
  From the study data, it can be concluded that the
  leading cause of abortion in spontaneous group is
  undiagnosed and in the induced group is unwanted
  child.
• Proportion of spontaneous induced abortions
  out of the total cases is 3565. This indicates
  that the family planning programmes in our
  country needs to be implemented more effectively.
• Out of the total 100 cases, 67 cases did not
  follow any method of contraception. Number of
  cases adapting permanent method of contraception
  are 26. The remaining 7 cases adapted other
  temporary methods of contraception.
• From the study data no obvious association of
  height weight with incidence of abortion is
  observed.

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RECOMMENDATIONS

• Larger sample size.
• More manpower required.
• Due to limited area of study, only a particular
  caste / religion / socio economic class
  predominates the data.
• Use of mass communication and media are required.
• Many abortions occur at home, so door to door
  visit is also recommended for better collection
  of data. In other words areawise study involving
  all hospitals and community is required.

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BIBLIOGRAPHY

• Parks textbook of preventive and social
  medicine, 18th edition.
• Textbook of obstetrics, D.C. DUTTA, 5th edition.
• Textbook of obstetrics and gynecology, HOLLAND
  BREWS.
• www.who.int
• www.google.co.in
• www.emedicine.com