Reproductive health assessment in women with cancer: A pilot study

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 19660-19660
Author(s):  
M. Sreedevi ◽  
R. Sutaria ◽  
M. Schoenhage ◽  
A. R. Patel ◽  
E. K. Radeke ◽  
...  

19660 Background: Many women in the reproductive age group are diagnosed with cancer. Reproductive health issues remain an important concern in caring for these women. Based on a case series in our institution and a review of the literature, we found a paucity of literature and clinical acumen regarding reproductive health issues. The purpose of this study was to pilot a survey instrument to develop descriptive data on the reproductive goals of reproductive aged women (15–44yrs) presenting with cancer. Methods: A cross- sectional pilot survey study of 20 selected women diagnosed with various types of cancers presenting to Hematology-Oncology clinic of John.H.Stroger Jr. Hospital of Cook County, Chicago, from January through July 2006. A survey instrument was developed and performed a reproductive health assessment. Patients were interviewed about their obstetric/menstrual history, contraceptive motivations and choices as well as future child bearing options. Results: Of the 20 patients with mean age of 36.6 years who were surveyed, 90 % had breast cancer. Child bearing was completed by 50%, 45% desired future childbearing, 5% were unsure. Contraception was used by 55 %( n=11) of patients out of which 55 %(n=6) were using abstinence, 45% denied the use of any contraception. Amongst the patients who received chemotherapy with radiation and chemotherapy without radiation, 75% and 72.7% respectively continued to menstruate. Ten percent would continue pregnancy, if they become pregnant while on treatment. Conclusions: The result of this pilot study demonstrates some insight into the reproductive health needs and concerns of women diagnosed with cancer. A reproductive health assessment should be performed on all cancer patients who are in the reproductive age group. We plan a large prospective study providing a larger database that may aid in developing treatment plan. No significant financial relationships to disclose.

2021 ◽  
Author(s):  
Aliza K C Bhandari ◽  
Ashmita Adhikari ◽  
Mijjal Shrestha ◽  
Mahbubur Rahman

Abstract Objective: To examine the factors associated with cesarean section among early child bearing women in Nepal.Results: Out of 4006 women of reproductive age group from 1996 to 2016, more than 50% had early pregnancy. The population-based cesarean section (CS) rate was about 10% [95% confidence interval: (8.9-11.6)]. Our logistic regression model showed that women with early child bearing had 32% (p-value <0.05, 95% confidence interval: 0.50- 0.94) less chance of having CS than women of age group 19-29 years. It was also evident that poorest women of same age group had 66% less likelihood of having CS than the richest (p-value: <0.05, 95% confidence interval: 0.29-0.99). Similarly, women from province-1, province-3 and province-4, having complete four antenatal check-ups and delivering in a private institution were associated with CS among early child bearers.


Author(s):  
Maria Jessy Jose ◽  
Farah Naaz Fathima ◽  
Sincy Treesa Joseph ◽  
Aneurin Cornelius Fernandez ◽  
Shanborlang Siangshai ◽  
...  

Background: Reproductive health plays a significant role in a woman’s life. Women of child bearing age group in developing countries suffer ill health due to lack of knowledge on reproductive health issues. The objective of the present study was to assess the knowledge regarding reproductive health among women and the associated socio-demographic factors.Methods: A total of 345 women of age group 15-44 years were recruited using cluster sampling in 15 clusters from among 28 villages under a Primary Health Center from May to July 2017. Data on sociodemographic details and knowledge of reproductive health under the following domains: menstruation, contraception, reproductive tract infections and marriage and pregnancy were collected using a modified interview schedule.Results: The mean age of the study population was 28.59±9.08 years. Majority of them belonged to age group 15-30 years (60%), attained school level education (55.7%), 45% were gainfully employed, married (65.5%) and from middle class (40.6%). It was found that out of 345 study population; only 19% had adequate knowledge on reproductive health. The proportion of women who had adequate knowledge in each domain was marriage and pregnancy (47.5%), menstruation (29.9%), contraception (17.4%) and least being reproductive tract infections (15%). Knowledge on reproductive health was significantly inadequate among women in the age group 31-44 years, illiterate women, who belongs to lower class and students. Only, socio-economic status and occupation were the significant predictors of knowledge.Conclusions: Knowledge regarding reproductive health was inadequate among women in reproductive age group in rural areas.


2013 ◽  
Vol 26 (1) ◽  
pp. 27-30
Author(s):  
Fahmida Rashid ◽  
Shireen Begum ◽  
M A Sattar ◽  
Shahanaj Sharmin ◽  
Kamrun Nesa Begum

Background: Reproductive Healthcare Services is a service that contributes to reproductive  health and wellbeing through preventing and solving reproductive health problems.Objective of the Study: To find out the reproductive health status and also the service  delivery pattern in a rural area.Methodology: It is a cross sectional study done in a village named Kalirbazar, 3km away  from the BARD, Comilla, during the period of13th February to 13th March, 2011. Data were  collected purposively by Individual interview through a structured questionnaire. A total 30  women of reproductive age group (15-45yrs) were taken. Both adolescent unmarried girls and  married women of reproductive age group were included in this study. After collection, data  were analyzed, tabulated and presented.Results: Respondents were mostly married( 63%), unmarried 33%; almost all of the women were Muslim (93%) and from low socioeconomic status(77%). Sixty six percent of women got  married before 18 yrs of age and 47% were illiterate, more than half of the women (60%) were  housewives and 28% dropped out from schools. Forty percent of married women had 2-3  children.Most of the Women had knowledge about contraception, like-OCP (33%), inj. (27%),  barrier (17%), female sterilization (06%) and 17% had no knowledge. Among the married  women 53% use OCP, 32% injectable contraceptives, 11% sterilization and 04% had  vasectomy. Among respondents, 70% had some sorts of menstrual problem, 85% women  lacked of antenatal checkup, 95% delivery occurred at home, 90% delivery conducted by  local dhai and unexpectedly 73% of women had knowledge of STD/HIV&AIDS. 60% of the  women got the information related to reproductive health from relatives and also from media,  health care provider. Most of the women (87%) said that whatever the health service status;  there were problems in getting the services. Only few of them were satisfied with the services  getting either from GO or NGO or from private sector. Almost all the women were buying the  reproductive healthcare services (83%).Conclusion: Reproductive health status in the rural area is not at all satisfactory. GO. and  NGO often fail to make health services available to the doorstep of the users in the community  who are in dire need of it . DOI: http://dx.doi.org/10.3329/bjog.v26i1.13756 Bangladesh J Obstet Gynaecol, 2011; Vol. 26(1) : 27-30


KYAMC Journal ◽  
2019 ◽  
Vol 10 (3) ◽  
pp. 156-159
Author(s):  
Rozina Aktar Zahan ◽  
Nahreen Rahman ◽  
Kh Faisal Alam ◽  
Md Shah Alam ◽  
Nilufar Yasmin ◽  
...  

Background: Urinary Tract Infection (UTI) is the second leading cause of bacterial infection worldwide. More female are affected compared to male, particularly in their reproductive age group. Untreated and repeated UTI cases lead to health complication and antimicrobial resistance. Objective: To know the proportion of UTI among women in child bearing age group in Rajshahi and also to know the influence of socio-demographic parameters on UTI incidence in this region. Methodology: A cross sectional descriptive study was conducted on women in their reproductive age group (15-45 years) in Institute of Biological Sciences (IBSc), Rajshahi University and Rajshahi Medical College (RMC) from July 2014 to June 2017 where mid-stream urine samples were collected and cultured following all standard procedure. Positive cultures were compared with sociodemographic parameters to know their association with UTI cases. Result: Out of Total 450 patients screened for UTI, 151 (33.55%) were culture positive. Married women showed the highest rate of UTI 95 (62.91%) compared to single and widowed/divorced women which was 49 (32.4%) and 7(4.6%) respectively. Pregnancy and diabetes showed greater incidence or association with UTI which was 116 (76.8%) and 93 (61.59%) respectively. In all cases combined, symptomatic UTI was much higher than asymptomatic bacteriuria 54 (35.7%). Good hygiene and cleanliness associated with use of sanitary napkins and latrines have greatly reduced UTI rates among women which were 31 (20.5%) and 27 (17.8%) respectively. Conclusion: UTI has a high rate among women in their childbearing age, particularly when associated with pregnancy and diabetes. Good personal hygiene and awareness can greatly reduce its incidence and prevent further complications and most importantly antimicrobial resistance. KYAMC Journal Vol. 10, No.-3, October 2019, Page 156-159


Author(s):  
Netra Kashinath Patil

           Since evolution of life,woman has been placed on extreme worship place due to her ability of Janan. Preparation of motherhood starts with puberty & ends with menopause. In this period,woman may suffer from different gynaecological disorders affecting child bearing capacity. Cervical erosion is one of the gynaecological conditions in woman of reproductive age group. It adversely affects physiological as well as psychological health of female & even interfers with the professional life & may also cause infertility. So, it is major problem in front of gynaecologists.             Cervical erosion is a condition, where the squamous epithelium of the ectocervix is replaced by columnar epithelium. It causes excessive mucoid discharge per vagina. Electrocauterization & cryosurgery for management of cervical erosion are based on principle of destruction of columnar epithelium to be followed by it’s healing by squamous epithelium.            Ayurvedic classics defined use of Shodhana dravyas in treatment of Karnini Yonivyapada. Many preparations can be used for management of cervical erosion by considering factors such as parity, age & desire of patient with regard to contraception, future pregnancy etc. which are non-hormonal, non-surgical & most effective without side effects. Among these, Apamarga Kshara for destruction & Jatyadi Tail Pichu for healing was selected in the present study.


Author(s):  
Sulagna Das ◽  
Aparajita Dasgupta

Background: RTI/STIs have a profound impact on sexual and reproductive health worldwide, the symptoms of which often goes unnoticed and women suffers from devastating consequences. The present study was conducted to analyse the prevalence of RTIs based on a syndromic approach among women of 15 to 49 years age, supported by both laboratory and clinical diagnosis to measure the actual magnitude of morbidity associated with RTIs among the study population. The objective of the study were to study the prevalence of reproductive tract infection among the women of reproductive age group (15-49 years), to find out the etiological diagnosis and to assess the socio-demographic profile of the study population.Methods: A cross-sectional study was carried out among 312 women aged 15-44 years in a rural area in West Bengal, using the WHO-Syndromic Approach for diagnosis and management of RTIs/STIs.Results: The prevalence of RTIs among the reproductive age group women was 43.6% based on their symptoms of RTI, with majority having abnormal vaginal discharge. According to laboratory investigations the most common cause of RTI was bacterial vaginosis which was 67.4% (using Amsel’s criteria) and 31.7% (as per Nugent’s score), followed by Vulvovaginal candidiasis which was found in 12.4%.Conclusions: RTI among women of reproductive age is quite a common morbidity.It is the need of the hour to educate women about reproductive health issues and encourage them to seek treatment for their problems and wherever possible both clinical and laboratory findings should corroborate self reported morbidity to know the exact prevalence of any disease in the community.


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