Nazish Khalid, Rehana Kanwal.
Complications & Contributing Factors Leading to Induced Miscarriages by Untrained Persons in patients Presenting in a Tertiary Care Hospital.
Pak J Med Health Sci Jan ;7(1):162-4.

Objective: To determine the frequency of complications in patients with induced miscarriages by untrained persons presenting in a tertiary care hospital and to detect the frequency of contributing factors leading to induced miscarriages by untrained persons. Study design: Cross-sectional study Place & duration: July 2012 to December 2012, Department of Obstetrics & Gynaecology, Jinnah Hospital, Lahore. Material & methods: Sample size of 160 cases is collected with 95% confidence level, 4.5% margin of error and taking expected percentage of gut injuries i.e., 92% (least among all complications) and contributing factors leading to induced miscarriages by untrained persons. Results: Majority of the patients i.e. 39.38% (n=63) between 26-30 years of age , mean and SD was calculated as 28.34±4.51 years, 47.5% (n=76) were recorded with >4 paras, 66.88% (n=107) had sepsis, 24.38% (n=39) had haemorrhage, 22.5% (n=36) had uterine perforation and 13.13% (n=21) had gut injuries, illiteracy was the most common factor leading to induced miscarriages by untrained persons i.e., 64.38% (n=103), 31.88% (n=51) subjects had poor economic status, and 42.5% (n=68) failed to get husband’s approval. Conclusion: The frequency of complications i.e. sepsis, uterine perforation, haemorrhage and gut injuries and contributing factors leading to induced miscarriages i.e., illiteracy, poor economic status and failure to get husband’s approval is high among patients with induced miscarriages by untrained persons. However, it is also required that every step should have their surveillance in order to know the frequency of the complications and contribution factors leading to induced miscarriages.

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