Abstract
INTRODUCTION: Unwanted pregnancy places a women at additional risk, if she seeks abortion and safe services are not available. Poverty, ignorance and non-availability of trained personnel are important causes of septic abortion in India. OBJECTIVE: To study the knowledge and practices of septic abortion in women. MATERIALS AND METHODS: A Longitudinal study was conducted in the indoor of obstetrics and gynaecology department of M.G.M. Medical College & L.S.K Hospital, Kishanganj, Bihar from the period of Feb-2014 to April-2014. A total of 100 cases of septic abortion were selected by simple randomization. Informations of these cases about their knowledge and practices of septic abortion was obtained by conducting interview and studied. OBSERVATIONS: Out of the 100cases studied, majority (i.e 60%) were having no knowledge of contraceptive devices. Rural women were having lesser knowledge of contraception than urban women. Majority of the cases got the knowledge of contraception through media, like television (20%), radio (25%), stage drama (15%), nautankee (12.5%). Urban population of women had a greater knowledge of MTP Act than rural population. In majority of the cases (i.e 65%), there was a history of dai intervention. Among 100cases studied, in 51cases (i.e 51%), instrumentation was used for procuring the septic abortion. CONCLUSION: Present study shows that poor knowledge of contraception and MTP Act particularly in rural women and conduction of abortion by untrained personnel like dais, quacks, local practitioners are important contributing factors for high incidence of septic abortion in India. So, there is the need to strengthen good quality abortion services.
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