Volume 118, Issue S2 p. S113-S120
Consequences of unsafe abortion on morbidity and mortality

Pathways and consequences of unsafe abortion: A comparison among women with complications after induced and spontaneous abortions in Madhya Pradesh, India

Sushanta K. Banerjee

Corresponding Author

Sushanta K. Banerjee

Ipas India, New Delhi, India

* Corresponding author: Sushanta K. Banerjee, E-63 Vasant Marg, Vasant Vihar, New Delhi 110057, India. Tel.: +91 11 4606 8811Search for more papers by this author
Kathryn L. Andersen

Kathryn L. Andersen

Ipas, Chapel Hill, NC, USA

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Janardan Warvadekar

Janardan Warvadekar

Ipas India, New Delhi, India

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First published: 22 August 2012
Citations: 23

Abstract

This study aimed to understand women's pathways of seeking care for postabortion complications in Madhya Pradesh, India. The study recruited 786 women between July and November 2007. Data were collected on service provision, abortion-related complications, care-seeking behavior, knowledge about abortion legality and availability, methods used, symptoms, referral source, and out-of-pocket costs. Women seeking care for complications from induced abortion followed more complex pathways to treatment than women with complications of spontaneous abortion. More complex pathways were associated with higher out-of-pocket costs. Improving community awareness on legal aspects, safe abortion methods, and trained providers are necessary to reduce morbidity associated with unsafe abortion.