{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:15:17Z","timestamp":1788257717646,"version":"build-2803163510"},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["ijmr.org.in"],"crossmark-restriction":true},"short-container-title":["Indian J Med Res"],"abstract":"<jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>In India, limited awareness regarding the potential adverse effects of medical termination of pregnancy (MTP) pills, coupled with their non-prescribed over-the-counter availability, has led to their widespread unsupervised use. Such practices may result in serious maternal complications. This study aimed to describe the clinical profile and outcomes among women presenting to a tertiary care hospital following unsupervised self-administration of MTP pills.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A record-based retrospective study was carried out at a tertiary academic medical centre. Case files of women who attended between January and June 2025 with a documented history of self-administered MTP pills were retrieved and evaluated for clinical outcomes and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy-six women fulfilling the inclusion criteria were enrolled. Women aged 25\u201330 y constituted the largest group (30\/76; 39.5%). The predominant diagnosis was incomplete abortion (54\/76; 71.1%), with shock complicating 10\/76 (13.2%) and sepsis complicating 8\/76 (10.5%) cases. Dilatation and evacuation was performed in 42\/76 (55.3%) patients. Serious adverse outcomes comprised 2 maternal deaths, 5 intensive care unit admissions, and 18 women with prolonged hospitalisation beyond three days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation and conclusions<\/jats:title>\n                    <jats:p>Among women presenting to a tertiary care hospital after unsupervised use of MTP pills, incomplete abortion was the most frequent complication, often accompanied by shock and sepsis. These findings underscore the need for strengthening public awareness, enforcing existing regulations, and promoting supervised medical abortion services to reduce preventable maternal morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/ijmr_685_2026","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T10:10:30Z","timestamp":1787047830000},"page":"469-473","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adverse events following self-administered abortion pills: A retrospective observational study"],"prefix":"10.25259","volume":"164","author":[{"given":"Anuja","family":"Sachapara","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruti A.","family":"Naria","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isha","family":"Minjarola","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sweta","family":"Shrivastava","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tithi","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"10.25259\/IJMR_685_2026\/ref-2","doi-asserted-by":"publisher","first-page":"QC01","DOI":"10.7860\/JCDR\/2015\/11626.5388","article-title":"Is it safe to provide abortion pills over the counter? A study on outcome following self-medication with abortion pills","volume":"9","author":"Nivedita","year":"2015","journal-title":"J Clin Diagn Res."},{"key":"10.25259\/IJMR_685_2026\/ref-4","doi-asserted-by":"publisher","first-page":"e1152","DOI":"10.1016\/S2214-109X(20)30315-6","article-title":"Unintended pregnancy and abortion by income, region, and the legal status of abortion: Estimates from a comprehensive model for 1990-2019","volume":"8","author":"Bearak","year":"2020","journal-title":"Lancet Glob Health."},{"key":"10.25259\/IJMR_685_2026\/ref-5","doi-asserted-by":"publisher","first-page":"2372","DOI":"10.1016\/S0140-6736(17)31794-4","article-title":"Global, regional, and subregional classification of abortions by safety, 2010\u201314","volume":"390","author":"Ganatra","year":"2017","journal-title":"Lancet."},{"key":"10.25259\/IJMR_685_2026\/ref-6","doi-asserted-by":"publisher","first-page":"e111","DOI":"10.1016\/S2214-109X(17)30453-9","article-title":"The incidence of abortion and unintended pregnancy in India, 2015","volume":"6","author":"Singh","year":"2018","journal-title":"Lancet Glob Health."},{"key":"10.25259\/IJMR_685_2026\/ref-7","doi-asserted-by":"crossref","first-page":"144","DOI":"10.18231\/j.ijogr.2019.034","article-title":"Analysis of self-prescribed abortion pill: An eye opener","volume":"6","author":"Pandey","year":"2019","journal-title":"Indian J Obstet Gynecol Res."},{"key":"10.25259\/IJMR_685_2026\/ref-8","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/s13224-016-0916-9","article-title":"Over-the-counter MTP pills and its impact on women\u2019s health","volume":"67","author":"Sarojini, Ashakiran","year":"2017","journal-title":"J Obstet Gynecol India."},{"key":"10.25259\/IJMR_685_2026\/ref-9","first-page":"26","article-title":"Self-medication of abortion pill: Women\u2019s health in jeopardy","volume":"3","author":"Thaker","year":"2014","journal-title":"NHL J Med Sci."},{"key":"10.25259\/IJMR_685_2026\/ref-10","doi-asserted-by":"publisher","first-page":"84","DOI":"10.4038\/sljog.v33i3.4015","article-title":"Medical abortion: Is it a blessing or curse for the developing nations?","volume":"33","author":"Bajwa","year":"2012","journal-title":"Sri Lanka J Obstet Gynae."},{"key":"10.25259\/IJMR_685_2026\/ref-11","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1007\/s13224-017-1005-4","article-title":"Self-medication for abortion: Safety issues","volume":"67","author":"Anjum","year":"2017","journal-title":"J Obstet Gynaecol India."},{"key":"10.25259\/IJMR_685_2026\/ref-12","doi-asserted-by":"publisher","first-page":"367","DOI":"10.5455\/2320-1770.ijrcog20130921","article-title":"Medical termination of pregnancy and subsequent adoption of contraception","author":"Shankaraiah","year":"2013","journal-title":"Int J Reprod Contracept Obstet Gynecol."},{"key":"10.25259\/IJMR_685_2026\/ref-13","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.bpobgyn.2019.08.002","article-title":"Self-managed abortion: A systematic scoping review","volume":"63","author":"Moseson","year":"2020","journal-title":"Best Pract Res Clin Obstet Gynaecol."}],"container-title":["The Indian Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/ijmr.org.in\/adverse-events-following-self-administered-abortion-pills-a-retrospective-observational-study\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ijmr.org.in\/adverse-events-following-self-administered-abortion-pills-a-retrospective-observational-study\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T09:34:51Z","timestamp":1788255291000},"score":1,"resource":{"primary":{"URL":"http:\/\/ijmr.org.in\/adverse-events-following-self-administered-abortion-pills-a-retrospective-observational-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,18]]},"references-count":11,"alternative-id":["10.25259\/IJMR_685_2026"],"URL":"https:\/\/doi.org\/10.25259\/ijmr_685_2026","relation":{},"ISSN":["0971-5916"],"issn-type":[{"value":"0971-5916","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,18]]},"article-number":"469"}}