Abstract:
Objective: To study the reasons for therapeutic
termination of pregnancy in the first and second
trimester, and complications of the interventions
and outcome.
Methodology-P a t i e n t s wh o underwen t
therapeutic termination of pregnancy from
February 2001 to Apri l 2005 for medical
indications were studied. Terminations of
pregnancy for pregnancy induced hypertension
were excluded from the study population.
Results- Cardiac disease was the main reason for
termination of pregnancy, and sixteen (76.19%)
patients had pregnancy terminated because of
serious maternal cardiac disease. In those cardiac
Lesions eleven (68.75%) were ccnigenital in origin
Among acquired cardio-vascular lesions two
(13.3%) patients had dilated cardiomyopathyRheumatic ^valvular lesion, aortic aneurysm and
primary pulmonary hypertension accounted to
other three cases. No n cardiac medical problems
were present in five (23.8%) patients who
underwent termination. Those were renal disease,
respiratory disease, and post thyroidectomy and
post radio-iodine therapy. Six (28.57%) of the
patients were primigravidae and others were
multigravidae . Eleve n (52.38%) of the
terminations were done in the first trimester.
Medical induction, Dilatation and Evacuation,
and hysterotomy were used as termination
methods. There was one death of a patient with
A S D associated with pulmonary hypertension
following termination. Thirteen (61.9%) of the
patients underwent permanent sterilization at the
time of termination of pregnancy.
Conclusion: According to this study it shows that
there is a need for organized pre pregnancy
counseling for patients with medical disorders to
avoid pregnancy whe n it is medicall y
contraindicated.
