scholarly journals Self-medication of abortion pills and its complications: an observational study

2017 ◽  
Vol 7 (1) ◽  
pp. 205
Author(s):  
Kavina S. Munshi ◽  
Rajal V. Thaker ◽  
Jagruti M. Shah ◽  
Bhavna N. Mewada
Keyword(s):  
Observational Study ◽  
Medical Abortion ◽  
Age Group ◽  
Self Medication ◽  
Excessive Bleeding ◽  
Over The Counter ◽  
Medical Supervision ◽  
Incomplete Abortion ◽  
Medical Termination ◽  
Ruptured Uterus

Background: Medical termination of pregnancy has been legalized in India since 1971. Medical abortion pill is well effective in early weeks of pregnancy. It is safe only when it is used under medical supervision. This study was carried out to analyse the complications following self-medication of abortion pills and to suggest measures to prevent such practice.Methods: This was a retrospective observational study conducted at our hospital from March 2017 to July 2017.Results: In present study 30 (75%) patients were in age group of 20-30 years. Illiterate patients were 22 (55%). Half of the patients, 20 (50%) were having three or more than three children. Majority of women 30 (75%) had consumed the abortion pills 1-10 days before coming to the hospital and 14 (35%) of patients had come with complain of excessive bleeding per vagina. Incomplete abortion was present in 32 (80%) of patients. Instrumental evacuation was required in 28 (87.5%) patients. Laparotomy for ruptured ectopic and rupture uterus was performed in 1 (2.5%) of each patient. 6 (15%) patients were severely anaemic. Transfusion of blood was required in 9 (22.5%) of patients.Conclusions: Medical abortion is effective and safe when carried out under medical supervision. Unsupervised use of medical abortion pills was associated with many complications like incomplete abortion, rupture ectopic and ruptured uterus. So, over the counter sale of medical abortion pill should be restricted.

scholarly journals A Study of Complications following Self-administration with Medical Abortion Pills

2015 ◽  
Vol 10 (1) ◽  
pp. 20-24 ◽  
Author(s):  
A Giri ◽  
VR Srivastav ◽  
A Suwal ◽  
B Sharma
Keyword(s):  
Medical Abortion ◽  
Safe Procedure ◽  
Self Administration ◽  
Self Medication ◽  
Missed Abortion ◽  
Over The Counter ◽  
Medical College ◽  
Incomplete Abortion ◽  
Abortion Complications ◽  
History Of

Aims: The objective of this study was to find out the complications following self-administration with medical abortion pills.Methods: A prospective descriptive study was conducted in Department of Obstetrics and Gynecology,Nepal Medical College over a period of two years from January 2013 to December 2014 among 48 women who were admitted with abortion complications and also gave history of self-administration of abortion pills.Results: During the study period, 48 women with history of self-medication with abortion pills were admitted with various abortion complications. There were 60% of women who had consumed abortion pills within approved nine weeks gestation while 19% had consumed after nine weeks and 21% after twelve weeks. Majority (60%) were admitted with incomplete abortion, 4% with missed abortion, 13% with continued live pregnancy, 6.5% with septic abortion and 6.5% with ectopic pregnancy. Anemia was present in 79% of patient. More than one third of the patient had severe anemia and blood transfusion was needed in 52%. Surgical evacuation was required in 71% of patient; medical abortion with repeat doses of mifepristone and misoprostol was done in was done 13% and 6.5% needed laparotomy for ectopic pregnancy.Conclusions: Though medical abortion is considered to be highly effective and safe procedure, unsupervised selfadministration of medical abortion pills was associated with serious maternal morbidities. There should be some policy torestrict over the counter sale of this medicine.

scholarly journals Outcome and complications of self-administration of over-the-counter abortion pills: an observational study in a tertiary care hospital of a medical college in New Delhi

2021 ◽  
Vol 10 (8) ◽  
pp. 3148
Author(s):  
Anjali Singh ◽  
Sruthi Bhaskaran ◽  
Anshuja Singla
Keyword(s):  
Observational Study ◽  
Health Care Providers ◽  
Tertiary Care ◽  
New Delhi ◽  
Care Hospital ◽  
Care Providers ◽  
Self Administration ◽  
Over The Counter ◽  
Gynecology And Obstetrics ◽  
Medical Termination

Background: Due to unrestricted free availability of abortion pills, despite of national policies, guidelines and medical termination of pregnancy (MTP) act, unsafe abortions by self-administration of these drugs for termination of unwanted pregnancies without prescription are becoming common in our country, leading to associated morbidity and mortality.Methods: A prospective Observational study was done at Guru Teg Bahadur hospital, university college of medical sciences, New Delhi, from November 2019 to April 2020, in the department of gynecology and obstetrics, on women visiting the outpatient department and casualty department with the history of self-administration of medical termination pills without prescription. This study was done to study the outcome and complications occurring due to self-administration of over-the-counter abortion pills that are freely available in the market. 95 women were included in study and data was collected regarding age, education level, parity, presenting complaints, complications and their management. Descriptive analysis of the collected data was done.Results: In this study 95 women were included 71.6% took pills before 8 weeks of gestation, 1% took in second trimester. 46.3% landed up in incomplete abortion and 33.68% needed surgical evacuation, 8.42% had ectopic out, 2.1% had scar site pregnancy and 7.36% needed laparotomy, 1.05% had rupture uterus followed by abortion pill intake while 1.05% suffered from acute kidney injury (AKI). There was no ICU admission nor any mortality.Conclusions: There is urgent need of strict legislation to curtail this bad practice and free availability of over-the-counter abortion pills which leads to unexpected morbidity and mortality, such drugs should be given only by health care providers under supervision, there is need of community level awareness so as to impart knowledge regarding this problem. 

scholarly journals Self-care convicting adverse reaction: prednisolone instance

2020 ◽  
Vol 9 (8) ◽  
pp. 1285
Author(s):  
Pamayyagari Kalpana
Keyword(s):  
Adverse Reaction ◽  
Adverse Effects ◽  
Symptomatic Treatment ◽  
High Dose ◽  
Wide Spread ◽  
Self Medication ◽  
Over The Counter ◽  
Medical Supervision ◽  
Health Events ◽  
Adverse Health Events

Self-medication is a wide spread behavior, particularly among elderly patients. Self-medication involves not only the consumption of over-the-counter products but also the re-use of formerly prescribed drugs without medical supervision. This practice may lead to severe adverse health events. Here we report a case of old female, presented with cushingoid face and hyperglycemia due to self-medication of high dose Prednisolone for longer duration. Symptomatic treatment was given to stabilize the patient. Patient was warned regarding the adverse effects of drugs and strictly advised to use medication only under medical supervision.

scholarly journals Knowledge, attitude and practice of contraception complications among hospitalized women following self-induced medical abortion at tertiary hospital

2020 ◽  
Vol 9 (7) ◽  
pp. 2840
Author(s):  
Aparajita Pal ◽  
Jahar Lal Baidya
Keyword(s):  
Unplanned Pregnancy ◽  
Pregnancy Termination ◽  
Medical Abortion ◽  
Reproductive Age ◽  
Accurate Information ◽  
Emergency Laparotomy ◽  
Age Group ◽  
Over The Counter ◽  
Demographic Profile ◽  
Number Of Patients

Background: Unwanted pregnancies in women and complications of induced abortions are an important health problem in the world. There is recent trend of self-induced medical abortion pill use over the counter without knowing the recommendations. Objectives of this study were to study socio demographic profile, presentations, management of hospitalized women for medical abortion related complications. To explore out contraceptive practices in those women. To way out the reasons for choosing medical abortion by women.Methods: Women of reproductive age group (15-45 years) who admitted in department of Obstetrics and Gynaecology Medical College with the complications following self-induced medical abortion were enrolled. Patients’ demographic profile, socio-economic status, obstetric profile, KAP of contraception, logical reasons for self-induced abortion were studied. Management of each case was done according to hospital protocols.Results: The total number of patients that were enrolled for the study period was 100. 37% of hospitalized women were between 18-25 years age group and 45 % of them had marriage at early age (15-20 years) and 46% were belonged to lower middle-class group. Majority of women with single living child with their last child <1-year age had taken abortion pills for unplanned pregnancy (49%). 74% women had taken abortion pills over the counter for the first time and 88% women did have idea about contraception but never used. 70% of the women had to undergo surgical evacuation and six of them had undergone emergency laparotomy for ruptured tubal ectopic pregnancy. Post abortion counselling successfully convinced to accept combined oral contraceptive (31%), followed by IUCD and permanent sterilization and 16% of women by medical abortion pill refused to accept contraception.Conclusions: Pregnancy termination should be done by qualified medical personal with accurate information about safe medical abortion. Counselling of each couple is must to enhance continuous and consistent use of family planning methods. 

scholarly journals Self medication among elderly poses challenges in urban settings

2021 ◽  
Vol 10 (5) ◽  
pp. 541
Author(s):  
Sadhana K. Hingorani ◽  
Anupama S. Desai ◽  
Sakshi S. Desai ◽  
Raj Kumar Bansal ◽  
Shubham Agarwal ◽  
...  
Keyword(s):  
Developing Countries ◽  
Prescription Drugs ◽  
Senior Citizen ◽  
Age Group ◽  
Self Medication ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Over The Counter ◽  
Interactive Session ◽  
Written Informed Consent

Background: Self-medication can be defined as obtaining and consuming one (or more) drug(s) without the advice of a physician. Using over the counter medicine is a common practice in developing countries including India. Studies have shown relatively high rates of self-medication among elderly and suggested awareness programmes among this group. Objectives of current study are to determine the prevalence of self-medication among geriatric population and to educate them about self-medication by an interactive session.Methods This was a cross sectional, questionnaire based study to evaluate the prevalence of self-medication in geriatric population in senior citizen club of Adajan and Ghoddod area of Surat city. Questionnaires were designed and modified from previous studies. Written informed consent was taken from those willing to participate in the study. After filling of pre-questionnaire, an interactive session was arranged and post-questionnaire were given to all participants. Data obtained were subjected to statistical analysis.Results: Number of participants in present study was 100. Self-medication was most common in age group of 65 to 75 years (48%) followed by less than 65 years (33%). 85% participants reported having taken non-prescription drugs. Drugs commonly used for self-medication were analgesics (85) and antacids (80). Side effects due to self-medication were reported by 22 participants. Main reasons for self-medication cited were to save expenses (65) and to save time (62). Post study awareness increased to 98%.Conclusions: Prevalence of self-medication is high in elderly. Interactive session can increase awareness regarding self-medication.

scholarly journals Pain, Self-Medication and Administration of Over-The-Counter Analgesics: An Observational Study

2017 ◽  
Vol 4 (1) ◽  
pp. 78
Author(s):  
Salman Shaikh ◽  
Yusra Saleem ◽  
Shamoon Noushad ◽  
Sadaf Ahmed
Keyword(s):  
Observational Study ◽  
Self Medication ◽  
Over The Counter

Unsafe abortion: Combating the silent menace

2021 ◽  
Vol 8 (2) ◽  
pp. 146-149
Author(s):  
Shilpa Mishra ◽  
Sudhanshu Kumar Rath
Keyword(s):  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Medical Abortion ◽  
Medical Sciences ◽  
Self Administration ◽  
Excessive Bleeding ◽  
The Public ◽  
Medical Termination ◽  
Induced Abortions ◽  
Unrestricted Access

Medical abortion (MA) is the mechanism by which the administration of one or more drugs willingly interrupts a pregnancy. Around 46 million induced abortions occur annually worldwide. About half of these are unsafe abortions and they occur in developing countries. With the goal of decreasing the number of maternal deaths due to unsafe abortions, the Medical Termination of Pregnancy (MTP) Act of India (1971) was adopted to legalise abortions. Medical method involving ingestion of oral drugs is an accepted mode of MTP. However, self-administration of MTP pill carries number of risks. This study was carried out on women who presented with complaints following self-administration of abortion pills.An observational study was carried out in 100 women who reported with complaints seeking medical help following consumption of abortion pills to the Department of Obstetrics and Gynecology, Kalinga Institute of Medical Sciences and Pradyumna Bal Memorial Hospital (PBM), Bhubaneswar between September 2018 and June 2020.Unmet need for spacing and unwanted pregnancy was the main reason behind self-administration of these pills. Most frequent presenting complaint was excessive bleeding per vaginum (78%). Twelve (12%) of the women presented with severe anemia and another 12% were diagnosed with ectopic pregnancy. Surgical intervention was needed in a majority (84%) of the cases.These unsafe abortions mostly go unnoticed and come to the limelight only when women present with serious consequences. This study highlights the immediate need for regulation and prohibition of unrestricted access to these drugs by the public.

scholarly journals A study of self medication among the adult people of the Nanded city, western India

2017 ◽  
Vol 4 (10) ◽  
pp. 3814 ◽  
Author(s):  
Rambhau Dhondibarao Gadekar ◽  
Prakash Laxminarayan Gattani ◽  
Vishal Samadhan Dhande
Keyword(s):  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
School Level ◽  
Western India ◽  
Common Symptom ◽  
Age Group ◽  
Sources Of Information ◽  
Self Medication ◽  
Cross Sectional ◽  
Over The Counter

Background: Modern medicines are of prime importance to human being and are potentially hazardous when taken indiscriminately in the form of self medication. The main objective was to study the practice of self medication and the common ailments, drugs used, sources of information and the reasons for it.Methods: A community based cross sectional study was carried out on 300 urban adults. From the four zone of Nanded city, one zone was selected by lottery method and from that zone one pharmacy (medical) shop was selected randomly for data collection. Adult people who bought medicines from the selected shop without any prescription were interviewed for information regarding sociodemographic factors like age, sex, residence, education, occupation etc and information about over the counter drug such as which drug they purchased, what was the main symptom of their illness, reasons for not consulting doctor, sources of information about over the counter drug etc. were collected on predesigned and pretested semi structured proforma.Results: Out of 300 study subjects 78.3% were males and 21.7% were females. Maximum study subjects, 39.0% were from 30-39 years of age group and 23% study subjects were educated up to secondary school level. Most common symptom was fever (21%) followed by headache (15%). The commonest category of drug used for self medication was analgesic drugs (27%) and majority of study subjects said pharmacist was the main source of information about OTC drugs (48.7%). 45% study subject stated that reason for self medication was high consultation fees of private doctors.Conclusions: Active age group male members in the family were more involved in self medication and high consultation fees of private doctors was the main reason for not consulting the doctor and practicing self medication.

scholarly journals GAMBARAN TINGKAT PENGETAHUAN SWAMEDIKASI ANALGESIK PADA MASYARAKAT DESA TANJUNGSARI, PETANAHAN, KABUPATEN KEBUMEN

2020 ◽  
Vol 15 (2) ◽  
pp. 50
Author(s):  
Husnul Khuluq
Keyword(s):  
United States ◽  
Herbal Medicine ◽  
Observational Study ◽  
Health Research ◽  
Health Issues ◽  
Self Medication ◽  
Over The Counter ◽  
The United Kingdom ◽  
Analgesic Medication ◽  
Result Show

According  to WHO,  self-medication is the selection and using of drugs without a doctor's prescription by people to to treat common health issues at home . The most widely self-medicated substances are over-the-counter drugs, suplement and herbal medicine. A study in  United States and the United Kingdom found that self-medication was the main effort  to  solve health issues. This is confirmed by the results of several studies that found about 40-72%  people in several  countries practicing  self-medication. In Indonesia, according to  Basic Health Research (Riskesdas 2013) found that  103,860 (35.2%) households use self medication. Several studies have found that differences in  age, marital status,  education , occupation,  have closely related with self-medication behavior. This is the descriptive-observational study with 64 respondent The result show that many people do not understand how to practicing right self medication such as side effect drugs used in self medication, safe analgesic medication for pregnancy.Keyword : analgesic, self-medication

Profil Penyakit Malaria Di Rumah Sakit Islam Siti Rahmah Padang Tahun 2018

2020 ◽  
Vol 2 (2) ◽  
pp. 08-15
Author(s):  
Rahma Triyana ◽  
Salmi Salmi
Keyword(s):  
Observational Study ◽  
Frequency Distribution ◽  
Cross Section ◽  
Laboratory Tests ◽  
Age Group ◽  
Normal Range ◽  
Cross Sectional ◽  
West Sumatra ◽  
Severity Of The Disease

Malaria is one of the health problems in Indonesia, especially West Sumatra. Determination of the description of Malaria disease in an area is needed to determine the spread and severity of the disease. This study aims to determine the frequency distribution according to age, sex and place of residence, description of the types of Plasmodium causes of Malaria and hematological features in Malaria patients at Siti Rahmah Padang Hospital in 2018. This type of research is a descriptive observational study with an approach or design cross section (cross sectional). The frequency distribution of Malaria sufferers in Siti Rahmah Padang Hospital in 2018 according to the highest age was in the age group 21-30 years as many as 28 cases (36.8%), the highest sex among men was 46 (60.5%) and the highest number of residences was found in Koto Tangah sub-district there were 31 cases (40.8%). The type of Plasmodium found in Malaria cases in Siti Rahmah Padang Hospital in 2018 was P. vivax (73 cases (96.05%)) and P. falciparum (3 cases (3.95%)). The results of laboratory tests on Hb, hematocrit, platelet and leukocyte levels in Malaria positive patients in Siti Rahmah Padang Hospital in 2018 were in the normal range.

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