scholarly journals 1387 Audit of Pregnancy Status Documentation in Emergency Admissions to A Tertiary Colorectal Surgery Unit

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
T Anbarasan
Keyword(s):  
Contraceptive Use ◽  
Surgical Intervention ◽  
Reproductive Age ◽  
Medical Assessment ◽  
Emergency Admissions ◽  
Pregnancy History ◽  
Pregnancy Status ◽  
History Of ◽  
Β Hcg ◽  
Surgical Unit

Abstract Aim Documenting pregnancy status (PS) is an important component of the medical assessment of all females of reproductive age (FRA), defined as age 16-55 years old when admitted to hospital. This audit aims to determine the rate of documentation of PS amongst FRA admitted to a tertiary colorectal surgical unit via the surgical admissions unit (SAU) or transfer from other departments between 01/10/20 – 13/11/20. Method A complete documentation of PS comprises of results of urine or serum (β-hCG) and relevant gynaecological history (i.e., last menstrual period and any contraceptive use) clearly reported in the admission clerk-in. Patients with presenting complaint excluding abdominal pain, current pregnancy, history of hysterectomy or sterilisation procedures were excluded. Results During the audit duration, 29 FRA were admitted of which 13 (44.8%) were included for analysis. Of patients included, 4/9 (44.4%) and 1/4 (25.0%) admitted via SAU or transferred from other departments respectively had a past colorectal history. 4 (30.8%) had complete documentation of PS of which, 3 (75.0%) were patients transferred from other departments. Conclusions Low rates of documentation of PS especially amongst emergency admissions via SAU, is possibly associated with a narrow differential diagnosis influenced by pre-existing colorectal history. This audit did not look at PS documentation prior to any subsequent surgical intervention. A re-audit following the implementation of a guidance poster in SAU is currently underway.

scholarly journals KAP study of contraception in clients undergoing MTP and sterilization in Gujarat, India

2017 ◽  
Vol 6 (6) ◽  
pp. 2503
Author(s):  
Rakesh Patel ◽  
Runoo Ghosh
Keyword(s):  
Family Planning ◽  
Side Effect ◽  
Contraceptive Use ◽  
Unwanted Pregnancy ◽  
Reproductive Age ◽  
Medical College ◽  
Medical Termination ◽  
Planning Methods ◽  
History Of ◽  
Reproductive Age Group

Background: Lack of awareness, knowledge and education, religious beliefs and fear of side effects are the main causes why women do not use family planning methods. To study the knowledge, attitude and practice of contraception among clients undergoing to Medical termination of pregnancy (MTP) and sterilization.Methods: This prospective study was done among 400 indoor cases at Department of Obstetrics and Gynecology in B.J. Medical college, Ahmedabad during July 2002 to October 2003. All the clients undergoing MTP and sterilization were explained and counseled about contraception with GATHER approach of family planning. After taking detail history, a thorough clinical examination of the clients was carried out with preliminary investigations.Results: Almost 58% clients were willing to accept TL method as contraceptive option, 39.5% IUCD, 1.75% OC pill method of contraception. Regarding history of side effect of contraceptive use, 17.3% condom users, 68.5% OC pill users, 63% CuT users have felt side effect. Almost 42.5% clients were operated by MTP + Lap TL, 39.5% by MTP + CuT and 14.5% by plain Lap TL.Conclusions: Efforts should be made to promote information, education and communication regarding emergency contraception targeted to all women of reproductive age group. It is important that unwanted pregnancy be prevented through effective contraceptive practice rather than abortion.

Prevalence and Determinants of Malnutrition Among Reproductive Aged Women of Rural Bangladesh

2009 ◽  
Vol 22 (1) ◽  
pp. 110-117 ◽  
Author(s):  
Abul Hasnat Milton ◽  
Wayne Smith ◽  
Bayzidur Rahman ◽  
Bashir Ahmed ◽  
S.M. Shahidullah ◽  
...  
Keyword(s):  
Rural Women ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Health Consequences ◽  
Cross Sectional ◽  
High Prevalence ◽  
Pregnancy Status ◽  
History Of ◽  
Reproductive Aged Women ◽  
Special Priority

Malnutrition among the rural Bangladeshi women of reproductive age is still very high. This high prevalence attributes to a range of adverse health consequences on the women and their offspring. A total of 2341 women aged between 20 and 45 years residing in the study area were interviewed in this cross-sectional study. Information on socioeconomic variables, nutritional status, and pregnancy-related history was obtained using interviewer administered questionnaire. A total of 34% of the reproductive aged rural women suffer from malnutrition. A multivariate analysis shows association between malnutrition and monthly household income, history of taking oral contraceptive, current pregnancy status, and history of breastfeeding. The final regression model shows a statistically significant decreasing trend in malnutrition status with increasing income ( P for trend <.001). The economic and health consequences of malnutrition in this group of women are enormous. National nutritional program should target this women group for any intervention with a special priority.

Biomarkers of Ovarian Reserve and Infertility Among Older Reproductive Age Women

2021 ◽  
pp. 257-261
Author(s):  
Alexis Gadson ◽  
Wendy Kuohung
Keyword(s):  
Ovarian Reserve ◽  
Contraceptive Use ◽  
Smoking Status ◽  
Reproductive Potential ◽  
Hormonal Contraceptive ◽  
High Serum ◽  
Reproductive Age ◽  
Predicted Probability ◽  
Future Fertility ◽  
History Of

Biomarkers of ovarian reserve are being used as markers of reproductive potential. This use of ovarian reserve biomarkers has not been shown to accurate or beneficial when determining future fertility. The aim of this study was to determine the association of ovarian reserve biomarkers and fertility in women of late reproductive age. This was a prospective cohort study of 981 women ages 30 to 44 who had been trying to conceive for fewer than 3 months. A total of 750 women were included in the analysis. After adjusting for age, body mass index, race, current smoking status, and recent hormonal contraceptive use, women with low anti-Mullerian hormone (AMH) values (<0.7 ng/mL) or high serum follicle stimulating hormone (FSH) (>10mIU/mL) did not have a significantly different predicted probability of conceiving after 6 to 12 cycles of attempt. Women without a history of infertility with low AMH values or high serum FSH did not have reduced ability to become pregnant. Probability of conceiving naturally by 6 cycles or 12 cycles was not lower for women with low AMH or high FSH.

scholarly journals Induced abortion among married women in China: a study based on the 1997–2017 China Fertility Surveys

2021 ◽  
Vol 5 (1) ◽  
pp. 83-99
Author(s):  
Zhixin Wei ◽  
Dian Yu ◽  
Hongyan Liu
Keyword(s):  
Contraceptive Use ◽  
Unmet Need ◽  
Induced Abortion ◽  
Married Women ◽  
First Century ◽  
Reproductive Age ◽  
Induced Abortions ◽  
Sex Selective Abortion ◽  
History Of ◽  
And Gender

AbstractThis study uses four sets of data from China Fertility Surveys completed during the years 1997–2017 to analyze the trend of induced abortion, with a focus on the twenty-first century. Married women of reproductive age who had a history of pregnancy during the 5 years prior to participating in a survey were the research object. The study also examines the variation of abortion proportions among different subgroups during different time periods, including an examination of the number and gender of children, place of residence, and contraceptive use of women who had induced abortions. The results show that the occurrence of induced abortion has decreased gradually, and that the risk of induced abortion was higher for those who had given birth to fewer children. However, induced abortion among women with two children has increased in recent years. It is noteworthy that induced abortions among childless premarital women have continued to increase in recent years, and that the sexual and reproductive health problems of adolescents remain of great concern. The occurrence of induced abortions after childbirth increased for those with one or two children, showing that the unmet need for contraception after childbirth should receive more attention. In addition, sex-selective abortion has been decreasing gradually, but still exists today.

scholarly journals Prevalence and determinants of contraceptives use among rural young women (15-24 years) in Ghana

2020 ◽  
Author(s):  
Mohammed Gazali Salifu ◽  
Kamaldeen Mohammed ◽  
Mac-Cauley Harrison ◽  
Aaron Atimpe ◽  
Rogers Wuniwumda Abukari ◽  
...  
Keyword(s):  
Young Women ◽  
Rural Women ◽  
Rural Areas ◽  
Educational Level ◽  
Contraceptive Use ◽  
Reproductive Age ◽  
Categorical Variables ◽  
Chi Square ◽  
History Of ◽  
Living Children

Abstract Background: Contraceptives use has significant effect on controlling fertility, preventing STIs, reducing unwanted pregnancies and induced abortions. The use of contraceptives among reproductive age women (15-49 years) has been largely reported. However, what is unclear is whether the reported prevalence of, and factors that influence the usage of contraceptives is comparable in the context of young adults (aged 15-24 years) in rural areas. The purpose of this study was therefore to report the prevalence and factors that influence contraceptives use among young women (15-24 years) in rural Ghana.Methods: Data (n = 3797) collected using a questionnaire through a mutli-stage probability sampling method in the 2017 Ghana Maternal Health Survey (GMHS) was analyzed by descriptive and inferential statistical methods. The chi-square test was used to identify significant associations between categorical variables at a significant level of p < 0.05. Univariate and multivariate logistic regression analyses was conducted to explore how well each independent variable predicted contraceptive use. Results: Out of the 3,797 women, only 21.49% (95% CI: 19.56, 23.55) used contraceptives. Number of living children, health insurance, knowledge of fertility period, history of abortion, ever given birth, educational level, age of participants and current union were found to influence contraceptives use. Strong significant predictors (at 95% CI, p<0.05) of contraceptives use were history of abortion, age of participants, educational level, number of living children, and knowledge of fertility period. Conclusion: Low usage of contraceptives has been identified among rural women and so there is the need for policymakers to intensify education and facilitate widespread access to modern contraceptives in rural areas and promote their effective use.

Evaluation of concomitant gynecological pathology in group of patients of reproductive age with tumors and tumor formations

2020 ◽  
pp. 10-14
Author(s):  
N. V. Spiridonova ◽  
A. A. Demura ◽  
V. Yu. Schukin
Keyword(s):  
Diagnostic Errors ◽  
Ovarian Tumors ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Predisposing Factor ◽  
Ovarian Tumours ◽  
Preoperative Diagnostic ◽  
Neoplastic Process ◽  
History Of ◽  
The Moment

According to modern literature, the frequency of preoperative diagnostic errors for tumour-like formations is 30.9–45.6%, for malignant ovarian tumors is 25.0–51.0%. The complexity of this situation is asymptomatic tumor in the ovaries and failure to identify a neoplastic process, which is especially important for young women, as well as ease the transition of tumors from one category to another (evolution of the tumor) and the source of the aggressive behavior of the tumor. The purpose of our study was to evaluate the history of concomitant gynecological pathology in a group of patients of reproductive age with ovarian tumors and tumoroid formations, as a predisposing factor for the development of neoplastic process in the ovaries. In our work, we collected and processed complaints and data of obstetric and gynecological anamnesis of 168 patients of reproductive age (18–40 years), operated on the basis of the Department of oncogynecology for tumors and ovarian tumours in the Samara Regional Clinical Oncology Dispensary from 2012 to 2015. We can conclude that since the prognosis of neoplastic process in the ovaries is generally good with timely detection and this disease occurs mainly in women of reproductive age, doctors need to know that when assessing the parity and the presence of gynecological pathology at the moment or in anamnesis, it is not possible to identify alarming risk factors for the development of cancer in the ovaries.

Intimate Partner Violence and its Association With Contraceptive Use Among Women in Pakistan

2019 ◽  
Vol 34 (Spring 2019) ◽  
pp. 157-173
Author(s):  
Kashif Siddique ◽  
Rubeena Zakar ◽  
Ra’ana Malik ◽  
Naveeda Farhat ◽  
Farah Deeba
Keyword(s):  
Intimate Partner Violence ◽  
Logistic Regression ◽  
Partner Violence ◽  
Contraceptive Use ◽  
Binary Logistic Regression ◽  
Intimate Partner ◽  
Married Women ◽  
Reproductive Age ◽  
Outcome Variable ◽  
Odds Ratios

The aim of this study is to find the association between Intimate Partner Violence (IPV) and contraceptive use among married women in Pakistan. The analysis was conducted by using cross sectional secondary data from every married women of reproductive age 15-49 years who responded to domestic violence module (N = 3687) of the 2012-13 Pakistan Demographic and Health Survey. The association between contraceptive use (outcome variable) and IPV was measured by calculating unadjusted odds ratios and adjusted odds ratios with 95% confidence intervals using simple binary logistic regression and multivariable binary logistic regression. The result showed that out of 3687 women, majority of women 2126 (57.7%) were using contraceptive in their marital relationship. Among total, 1154 (31.3%) women experienced emotional IPV, 1045 (28.3%) women experienced physical IPV and 1402 (38%) women experienced both physical and emotional IPV together respectively. All types of IPV was significantly associated with contraceptive use and women who reported emotional IPV (AOR 1.44; 95% CI 1.23, 1.67), physical IPV (AOR 1.41; 95% CI 1.20, 1.65) and both emotional and physical IPV together (AOR 1.49; 95% CI 1.24, 1.72) were more likely to use contraceptives respectively. The study revealed that women who were living in violent relationship were more likely to use contraceptive in Pakistan. Still there is a need for women reproductive health services and government should take initiatives to promote family planning services, awareness and access to contraceptive method options for women to reduce unintended or mistimed pregnancies that occurred in violent relationships.

Clinical and anamnestic characteristics of patients with adenomyosis, accompanied by pelvic pain syndrome

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. 77-80
Author(s):  
M R Orazov ◽  
V E Radzinsky ◽  
M B Khamoshina ◽  
A O Dukhin ◽  
L R Toktar ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Reproductive Age ◽  
Pelvic Pain Syndrome ◽  
Common Disease ◽  
Contributing Factors ◽  
High Prevalence ◽  
Inflammatory Processes ◽  
History Of

Pelvic pain syndrome associated with adenomyosis is a common disease in women of reproductive age. Frequency of detection in the population varies from 10 to 53%. The aim - to study the clinical and anamnestic risk factors of pelvic pain, with adenomiose. Materials and methods. The study included 120 (n=120) patients with diffuse adenomyosis with pain and painless form of the disease who underwent examination and treatment in the gynecological Department of the Central clinical hospital №6 of Russian Railways in Moscow. Each patient was provided with an individual card, which was encrypted 171 sign. The studied parameters reflected the passport and anthropometric data, information about education, social status, presence of occupational hazards, complaints, illness. Results. Burdened gynecological and somatic histories, manifested a low health index, a more pronounced hereditary a family history of neoplastic diseases are contributing factors, and high prevalence of postponed surgeries, chronic, long-term ongoing inflammatory processes of the pelvic organs to create a favorable background for the further progression of chronic pelvic pain syndrome in adenomiose.

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