Community Based Study of Abortion Complications And Care Sought by Rural
Tribal Women Of Extremely Low Resource Settings.
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.