Prospective study on outcomes of postpartum intrauterine contraceptive device including safety, efficacy and expulsion at GMERS Medical College, Dharpur-Patan, Gujarat, India

Background: Evaluation of PPIUCD in terms of incidence of failure, expulsion, bleeding p\v and other complication. Present study is aimed at determining the safety, efficacy, expulsion of post placental and intra cesarean insertion of intrauterine device.Methods: Prospective analysis was carried out to collect information regarding IUCD insertion and outcome at tertiary care center for the period of three years using the hospital record that a total number of 600 mothers had postpartum intrauterine contraceptive device.Results: Total women opted for PPIUCD 600, Followed up 560 after 1 week, 580 after 6 weeks and 400 after 6 months. Complications after 6 months 228. (pain 66, bleeding 37, expulsion 17, strings problem 7, discharge p/v 101).Conclusions: The insertion of PPIUCD is safe and effective method of contraception in the means of complication though it is a new concept for the population it is well accepted by the community though expulsion rate is somewhat high compare to conventional IUCD. it can be reduced with practice.

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EVALUATION OF FACTORS FOR DISCONTINUATION OF INTRAUTERINE CONTRACEPTIVE DEVICE AMONG WOMEN IN A TERTIARY CARE CENTER IN JAMMU, INDIA

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2017/901 ◽

2017 ◽

Vol 6 (55) ◽

pp. 4157-4160

Author(s):

Zareena Hassan Khan ◽

Sameena Akhter ◽

Mubashar Mir ◽

Shashi Gupta

Keyword(s):

Care Center ◽

Tertiary Care ◽

Intrauterine Contraceptive Device ◽

Contraceptive Device ◽

Tertiary Care Center ◽

Intrauterine Contraceptive

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A prospective study of acceptability, safety and demographic profile for post placental intrauterine contraceptive device

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20202703 ◽

2020 ◽

Vol 9 (7) ◽

pp. 2674

Author(s):

Neha Jain ◽

Hemangi K. Choudhari

Keyword(s):

Tertiary Care ◽

Acceptance Rate ◽

Intrauterine Contraceptive Device ◽

Contraceptive Device ◽

Expulsion Rate ◽

Demographic Profile ◽

Breast Milk Production ◽

Intrauterine Contraceptive ◽

Post Placental ◽

Long Acting

Background: The objective of this study was to study the acceptance rate, safety, demographic profile and complication of post placental intrauterine contraceptive device (PPIUCD).Methods: Study was prospective, interventional study, held in department of Obstetrics and Gynaecology at authors tertiary care centre. Number of participants was 280. Counselling about family planning was done in antenatal OPD and indoor ward. Total duration of study was 18 months. Selection of participants done based on selection criteria. Participants who accepted postplacental intrauterine contraceptive device as method of contraception followed up to 6 weeks postnatal for complication related to PPIUCD.Results: Authors noted that acceptance rate of PPIUCD was 13.6% and main reason for acceptance was its long acting reversible nature and main reason for denial was ‘do not want contraception immediately’. In present study there was statistically significant association between parity and birth order. However, literacy, urban locality and employment had positive influence over acceptance. If good technique of insertion will be used than expulsion rate will also reduce as seen in present study i.e. expulsion rate only 2.6 %.Conclusions: Post placental intrauterine contraceptive device is one of the best long acting reversible contraceptive methods. It does not affect breast milk production. Woman does not need extra visit to clinic for contraception and she is ensured that she has adequate contraception before getting discharge from hospital. PPIUCD provide adequate birth spacing between two children which reduces maternal and child morbidity.

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A prospective study of safety, efficacy and acceptability of postpartum insertion of intrauterine contraceptive device in a tertiary care hospital in Maharashtra, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20202753 ◽

2020 ◽

Vol 9 (7) ◽

pp. 3037

Author(s):

Nandkishor B. Gaikwad ◽

Poornima M. ◽

Atul Lipare

Keyword(s):

Tertiary Care ◽

Intrauterine Contraceptive Device ◽

Contraceptive Device ◽

Care Hospital ◽

Age Group ◽

Expulsion Rate ◽

Intrauterine Contraceptive ◽

Reversible Method ◽

Post Placental ◽

Long Acting

Background: IUCD (intrauterine contraceptive device) to prevent pregnancy are among the oldest method of contraception. The modern IUCD are highly effective, safe private, long acting and rapidly reversible contraceptive method. Aims and objective of this study was to study the acceptability and safety of postpartum intrauterine contraceptive device (PPIUCD) in postpartum period and to assess the feasibility, safety, efficacy and expulsion rate of IUCD.Methods: A prospective observational study was conducted at tertiary care teaching hospital in Maharashtra from January 2018 to October 2018 and patients were followed up to a period of one-year post IUCD insertion.Results: Majority of patients in this study were in age group 21 to 26 years of age (58.7%) and the least number were in the age group more than 30 years (3.3%). This study showed that majority of patients were primigravida (44%) and the lowest number belonged to gravida 6 (0.3%). Regarding timing of IUCD insertion 73% were done intra caesarean, 22.3% were done post placental and 4.7% were done within 48 hours of delivery. In this study authors found that 4% of patients had per vaginal discharge, 5% had missing IUCD thread and 2% of patients had IUCD expulsion. It was found in this study that 98% of patients continued to use IUCD and only 2% discontinued the usage.Conclusions: From the study authors came to conclusion that PPIUCD insertion is a safe, feasible, effective and reversible method of contraception.

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A comparative evaluation of post placental intrauterine contraceptive device (IUCD) insertion between normal delivery and caesarean section

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20183802 ◽

2018 ◽

Vol 7 (9) ◽

pp. 3826

Author(s):

Sharmistha Sarkar ◽

Dhruba Prasad Paul ◽

Jayanta Ray

Keyword(s):

Caesarean Section ◽

Vaginal Delivery ◽

Comparative Evaluation ◽

P Value ◽

Contraceptive Device ◽

Government Medical College ◽

Expulsion Rate ◽

Medical College ◽

Significant Difference ◽

Post Placental

Background: Adverse maternal and perinatal outcomes are related to pregnancies spaced too closely together. Objective of present study was to compare the expulsion rate and complications between post placental IUCD insertion between caesarean section and vaginal delivery.Methods: This study was a prospective comparative study conducted in the department of Obstetrics and Gynecology, at Agartala Government Medical College over 1.5 Years (January 2016-June2017) All cases at term pregnancy delivering by caesarean section and vaginal delivery were divided into two different groups. Sample size of 105 in each group. Subjects recruited from-obstetrics OPD and casualty of Agartala Government Medical College (AGMC) and GB Pant Hospital expulsion rate and complications. Comparative evaluation of Expulsion rate and complications following post placental IUCD insertion between caesarean section and vaginal delivery at the end of six months, one year and one and half year.Results: There was no significant difference in either complications between the two groups (P value-.913) or outcomes (p value-.035). Expulsion rate 18.2% following vaginal delivery compared to those with intracaesarean insertion i.e 3.8%.Conclusions: The complications associated with postplacental Intrauterine device insertion is insignificant, still the awareness, acceptance and continuation are very low. Therefore Information, education Communication activity by the field workers must be enhanced to overcome this knowledge gap.

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Evaluation of safety, efficacy, acceptance and expulsion of post placental intrauterine contraceptive device in a tertiary care centre

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20180169 ◽

2018 ◽

Vol 7 (2) ◽

pp. 542

Author(s):

Geetha Mahadevan ◽

Nithya Chandika B.

Keyword(s):

Analytical Study ◽

Intrauterine Device ◽

Tertiary Care ◽

Steady Increase ◽

Contraceptive Device ◽

Common Complication ◽

Tertiary Care Centre ◽

Obstetrics And Gynaecology ◽

Intrauterine Contraceptive ◽

Post Placental

Background: Postpartum intrauterine device provides an effective temporary method of contraception for the woman who needs birth spacing rather than birth limitation and also a quasi-permanent family planning method. The aim of this study was to study the efficacy, acceptance, safety and complication of PPIUCD insertion.Method: This a retrospective analytical study done in a tertiary care teaching institute, Institute of Obstetrics and Gynaecology Egmore for a six-year period from January 2010 to December 2015 with a sample size of 81204. Outcomes measured were safety, efficacy, acceptance (patients and professionals) and complications.Results: For the study period of six years the total number of women delivered were 81204. A steady increase was noted in the insertion of PPIUCD from 2010 (1.98%) to 2015 (58%). 50.5% had insertion following caesarean section and 49.5% following vaginal delivery. Primipara had a higher rate of acceptance amounting to 74.74%. Most common complication reported was missing strings 9.25% and a greater part of the patients (83%) did not have any complaints.Conclusions: Enthusiasm and conviction on the part of the health care provider goes a long way in improving the acceptance rate of PPIUCD. It is an indispensable contraceptive tool for our country since our women most often do not return for postnatal contraceptive options.

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A STUDY OF ANTIRETROVIRAL THERAPY OUTCOMES IN A TERTIARY CARE CENTER IN THANJAVUR MEDICAL COLLEGE HOSPITAL, SOUTHERN INDIA

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2017/446 ◽

2017 ◽

Vol 4 (38) ◽

pp. 2273-2279 ◽

Cited By ~ 1

Author(s):

Kannan V.P ◽

Babu Anand C ◽

Nehru D

Keyword(s):

Antiretroviral Therapy ◽

Care Center ◽

Tertiary Care ◽

Medical College Hospital ◽

Southern India ◽

Tertiary Care Center ◽

Therapy Outcomes ◽

College Hospital ◽

Medical College

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A retrospective observational study of poisoning and hanging cases during lockdown as a marker of emotional tide of COVID-19 pandemic in a tertiary care center in Northwestern India

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20213237 ◽

2021 ◽

Vol 8 (9) ◽

pp. 1354

Author(s):

Aradhana Singh ◽

C. L. Nawal ◽

H. L. Saini ◽

Khusboo . ◽

Abhishek Yadav ◽

...

Keyword(s):

Care Center ◽

Tertiary Care ◽

Public Health Emergency ◽

Behavioral Changes ◽

Tertiary Care Center ◽

Legal Cases ◽

Medical College ◽

Northwestern India ◽

Organophosphorus Poisoning ◽

The Impact

Background: In January 2020, WHO declared the outbreak of a new coronavirus disease COVID-19 to be a public health emergency of international concern. Worldwide lockdown led to panic, mass unemployment, poverty and domestic violence. The present study was designed to observe the impact of lockdown on the spectrum of medico-legal cases being admitted with drastic events of poisoning and hanging.Methods:In this retrospective, observational and comparative study, around 131 patients were recruited from the admitted patients in the medicine wards in SMS medical college and hospital during COVID-19 lockdown period from 23 March 2020 to 31 May 2020 after applying inclusion and exclusion criterias. Their clinical profile were noted and comparatively assessed with patients admitted in medicine wards during adjoining pre-lockdown period, that is, from 12 January 2020 to 22 March 2020.Results: Out of 131 cases recruited during lockdown period, hanging cases were 10 (8%) while it was 10 cases out of 213 (5% )during pre-lockdown period. Organophosphorus poisoning was 4.5% and 1.4%, celphos poisoning was 3.8% and 2.3%, rat killer poisoning was 3.05% and 1.4% during lockdown and pre-lockdown period respectively. Cases due to ingestion of other than the major group of poisoning were lower (3.8%) during lockdown period while it was 10.3% during pre-lockdown period.Conclusions:Extreme negative behavioral changes precipitated by corona and this might be aggravated further by complete lockdown, to which people resorted to the means which were easily available to them at home like hanging and common poisonings.

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Study of pattern of congenital anomalies at tertiary center in Maharashtra, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182885 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2802

Author(s):

B. B. Yadav ◽

S. B. Yadav ◽

P. K. Damase

Keyword(s):

Congenital Anomalies ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Second Trimester ◽

Community Based ◽

Common Pattern ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Tertiary Center

Background: To highlight common pattern of congenital malformation seen at hospital population of tertiary care center in Maharashtra.Methods: The study was a descriptive prospective study and conducted in the department of obstetrics and gynaecology of government medical college Latur, Maharashtra for a period of six months. Study includes all womens coming for 2nd trimester MTP due to congenital anomalies in foetus and women’s admitted in labour having anomalous foetus. Details of maternal age, parity, type of anomaly present and sex of fetus were noted.Results: Total babies born in the study period were 3482 (including the second trimester abortions). Total babies with congenital abnormality were 75, making the prevalence 2.15%. 10 cases (13.33) had multiple anomalies involving more than one system. The predominant system involved was central nervous system 40 (53.33%) followed by gastrointestinal system 15 (20%). In this study male babies affected more than females.Conclusions: Prevalence of the congenital anomalies will be definitely higher at tertiary care center and to know prevalence in community, more community based studies are required. Increased awareness about preventable risk factors may help in reducing the incidence of congenital anomalies.

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Epidemiological and clinical profile of various plant poisons in a tertiary care center in South Tamilnadu, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20193939 ◽

2019 ◽

Vol 7 (9) ◽

pp. 3517

Author(s):

Meena Kumari ◽

Pattu Swarna Latha ◽

Kalyanasundaram .

Keyword(s):

Care Center ◽

Tertiary Care ◽

Clinical Manifestations ◽

Tertiary Care Center ◽

Active Components ◽

Medical College ◽

Suicidal Intention ◽

History Of ◽

Plant Constituents ◽

Plant Poisoning

Background: Plant poisoning is a common scenario in a toxicology unit . Some of the plants contain active components used as medicines. However, some of the plant constituents are poisonous with wide variety of clinical manifestations. Authors aimed to study the pattern of various types of plant poisons and clinical presentations and complications of various plant poisons admitted in our toxicological unit.Methods: A total of 87 patients admitted with history of plant poison ingestion, in toxicological unit of Tirunelveli medical college were studied . It was a retrospective observational study and was done over a period of one year.Results: Out of 87 cases studied, 92%were due to consumption with suicidal intention. Plant poisoning ranks second only to pesticide poisoning . among the plant poisons encountered 66.6% were due to Oleander poison, followed by Datura (8%) and Glory lily(5.7%). Common parts of plant consumed by patients include seeds and plant oils . Vomiting and abdominal pain were the commonest presentations. Encephalopathy, dyselectrolytemia and arrhythmias were the notable complications in our study.Conclusions: Early admission and prompt first aid and monitoring at tertiary care center are key to the reduced mortality. The study throws light on various manifestations, toxic parts and complications of plant poisons.

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