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Study of Underlying Factors among Women Presenting with Septic/Unsafe Termination of Pregnancy

Background: In our nation, induced abortions are common. Unexpected and unintentional births are serious public health issues in both developed and underdeveloped nations. According to the WHO, abortion complications account for 2–12% of maternal fatalities in Pakistan. The circumstances surrounding these abortions have major ramifications for both females and communities. However, insufficient information about factors leading to septic induced abortions at the country level was the reason to determine the contributing factors among women with abortion. Objective: The objective of our current research is to regulate occurrence of underlying factors contributing in patients presenting with septic induced abortion in a tertiary care setup. Methods: This cross-sectional study was conducted at Department of Obstetrics and Gynecology, Jinnah hospital, Lahore for six months after approval of synopsis. Sample size of 130 cases was included through non-Probability consecutive sampling technique after the approval from hospital ethical committee. Informed consent was taken from each patient before including them in the study. Results: The mean age of the women was noted 26.24±4.93 years of which the minimum age was 18 year and maximum of 40 years. Out of these 130 women 26(20%) had no child, at least one abortion was most common as it was noted in 197(82%) of women. The underlying factors contributing to septic induced abortion it was noted that unwanted pregnancy in 41(31.5%) of cases, failed contraception in 37(28.5%) of cases, divorce in 6(4.6%) of cases, displeased family relation in 27(20.8%) of women and out of wedlock was noted in 19(14.6%) of cases. When data were stratified for effect modifiers statistically significant difference was found between parity and contributing factors for abortions (P-value = 0.000) and insignificant difference was observed with respect to age, educational status and economic status i.e., P-value > 0.05. Conclusion: The most common reason for abortion was unwanted pregnancy among the pregnant women. Keyword: Pregnancy, Abortion, Septic, maternal fatalities in Pakistan, WHO