Medical Termination of Pregnancy (MTP) is a vital aspect of reproductive healthcare, especially in the second trimester, where the risks and complexities increase. This study analyzes the demographic, clinical and procedural aspects of MTPs performed between 20‐24 weeks at a tertiary care center. This was a prospective observational study conducted over one year, from October 2021 to October 2022, including 68 women seeking MTP between 20‐24 weeks. Data on age, marital status, parity, consanguinity, method of MTP and complications were collected. Descriptive statistics were used for analysis. The majority of participants were aged 18‐30 (50%), with 36.8% married and 30.9% single. A significant proportion had a high parity (42.6%) and previous pregnancies (48.5% with four or more). Misoprostol alone was the most common method (41.2%), while 29.4% experienced complications, primarily retained products of conception. Post‐abortal contraception was adopted by only 47.1%, indicating gaps in counseling. The findings highlight the need for enhanced reproductive education, accessible contraceptive services and comprehensive care, including genetic counseling and trauma‐informed support for vulnerable groups. Addressing these gaps can improve outcomes, reduce repeat MTPs and support women's reproductive autonomy. Effective management of second‐trimester MTP requires personalized care, robust follow‐up and proactive contraceptive counseling. This study emphasizes the importance of empathetic, non‐judgmental healthcare that caters to diverse patient needs.
P. Hemalatha, S. Shashikala, Sahana Manjunath and M. Raksha. Study of Medical Termination of Pregnancy Profile Between 20‐24 Weeks Period of Gestation in Tertiary Care Center.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.467.473
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.467.473