Contraception and termination of pregnancy

Author(s):  
Stergios K. Doumouchtsis ◽  
S. Arulkumaran ◽  
Sheila Radhakrishnan ◽  
Kamal Ojha

This chapter explores contraception and termination of pregnancy, one of the commonest gynaecological procedures performed all over the world. It discusses unprotected intercourse and emergency contraception, and complications associated with termination of pregnancy (procedure-related, anaesthesia-related, and psychological complications).

Contraception ◽  
2002 ◽  
Vol 66 (6) ◽  
pp. 427-431 ◽  
Author(s):  
A. Perslev ◽  
C. Rørbye ◽  
H.C. Boesen ◽  
M. Nørgaard ◽  
L. Nilas

Contraception ◽  
2000 ◽  
Vol 62 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Morten Beck Sørensen ◽  
Beth Lilja Pedersen ◽  
Lone Enslev Nyrnberg

1976 ◽  
Vol 195 (1118) ◽  
pp. 115-127 ◽  

The demand for effective ‘hindsight’ or post-conceptual methods of family planning appears to be increasing throughout the world. Medical methods are appealing, because potentially they may be self-administered. At present, prostaglandins or their 15-methyl analogues are being studied on patients who are up to one month late with their menses. Of all the routes used the vaginal route appears the best. Side effects include nausea, vomiting, diarrhoea and abdominal cramps and these often need medication to counteract them. The methods are well short of 100% efficiency. Accurate diagnosis of pregnancy and gestation is often a problem and this renders the method unsuitable for an ‘over the counter’ self-administration pill. Since the introduction of the ‘menstrual extraction’ syringe and the Karman curette, termination of pregnancy at up to 8 weeks of amenorrhoea has become substantially easier and safer, especially when combined with local anaesthetics. Dilation is rarely required and the whole procedure rarely takes more than 5–10 min. Post-operative complications appear few and acceptable.


1998 ◽  
Vol 274 (6) ◽  
pp. S46
Author(s):  
M Anderson

Relating emergency contraception, commonly referred to as "the morning-after pill," to the menstrual cycle can be used both to teach endocrine function and to show how physiology relates to the world outside the undergraduate classroom. The menstrual cycle is an excellent topic for teaching many features of the physiology of the human endocrine system. Relating emergency contraception to the menstrual cycle makes this topic relevant to both male and female students, provides opportunities for discussions that require the students' understanding of endocrine functions, and illustrates how physiology is connected to social economic, and political issues. The overview of emergency contraception and literature survey provided here are meant to be adapted for use in a variety of teaching contexts. The depth of coverage and the extent of consideration of issues beyond physiology would depend on many factors including the level fo the course and the size of enrollment.


Contraception ◽  
2014 ◽  
Vol 90 (3) ◽  
pp. 338
Author(s):  
L. Howell ◽  
J.N. Sanders ◽  
D.K. Turok ◽  
P.A. Royer ◽  
J. Jacobson

Author(s):  
Shreya Barik ◽  
Abhishek Malakar ◽  
Ritu Khatuja ◽  
Pinky S. K. Sahoo

Background: Emergency contraception (EC) is a safe and cost effective measure, which when used judiciously can avoid unintended pregnancies. This is especially relevant in our country where both population control and unsafe abortions are a serious concern. For any contraceptive to be effective, the general population must have a proper knowledge and a positive attitude towards it. Women who come for medical termination of unwanted pregnancy are the best representatives of this and our study aimed to assess the knowledge and awareness of EC in this group.Methods: It was a descriptive, cross-sectional study conducted using a predesigned questionnaire among 100 women who came for medical termination of pregnancy at G. B. Pant Hospital, Port Blair. Questions were asked to evaluate their awareness, knowledge and attitude towards EC.Results: Out of 100 women, only 26 % had heard about EC, mostly from mass media, and seven of these 26 women had correct knowledge of timing of using EC. Four women had used EC before, whereas among others, fear of menstrual irregularity was the major deterrent. A significant association was found between education level and occupation with knowledge of EC.Conclusions: Although EC is a potent tool to avoid unwanted pregnancies, ignorance and misconceptions regarding EC is unfortunately still prevalent among those who would benefit the most from it. Medical personnel and health workers should be more proactive to propagate benefits of EC and encourage its use, as they are usually the first point of contact to the target population.


Author(s):  
Dr.Kamath Madhusudhana

It was observed that psychogenic causes were plays an important role in conception 1,2.WHO in 2006 clearly defines infertility as ‘The inability of a couple to achieve conception or to bring a pregnancy to term after a year or more of regular, unprotected intercourse'. It can be classified as either “primary” or “secondary”. While Moshi says as infertility is the ‘absence of conception after 12 months of regular, unprotected intercourse’.Even the world is suffering from a population explosion still infertility is a global health issue!. The prevalence is most common in both sex still it mainly represents dominantly with the rate of 30-40%.


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