Question 70
Mechanism of labour in abortion Stick is due to
a. Necrosis of Uterine endometrium and stimulation of uterine contraction
b. Oxytocin present in the stick
c. Prostaglandins present in the stick
d. All of the above
Answer
a. Necrosis of Uterine Endometrium and stimulation of uterine contraction
Reference
P.C.Dikshit 1st Edition Page 355
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Discussion
An Abortion Stick is a thin wood or bamboo stick, from 12 to 18 cms long. This stick is wrapped around at one end or for the greater portion of its length with cotton wool or a piece of cloth, and soaked with juice of marking nuts , calotropis, jequirity, asafetida, or a paste made of arsenic oxide, arsenic sulphate and red lead.
Explanation
It is introduced into the vagina or the uterine os by professional abortionists (dhais) and retained there till uterine contractions begin. In some cases the irritant fluid is directly applied to the os or a piece of cloth saturated with irritating juice or paste is introduced into the vagina.
Comments
Instead of stick, a twig or irritant plant such as calotrophis, Nerium Odorum or Plumago rosea can be used.
Tips
To avoid the misuse of induced abortions, most countries have enacted laws whereby only qualified Gynecologists under conditions laid down and done in clinics/hospitals that have been approved can do abortions. The Medical Termination of Pregnancy Act was enacted by the Indian Parliament in 1971 and came into force from 01 April, 1972. The MTP act was again revised in 1975.
