scholarly journals Study of choices of contraception in postpartum women in a tertiary care institute in Mumbai, Maharashtra, India

2019 ◽  
Vol 9 (1) ◽  
pp. 348
Author(s):  
Aliya Farogh ◽  
Tushar Palve
Keyword(s):  
Postpartum Period ◽  
Economic Status ◽  
Tertiary Care ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
First Year ◽  
Postpartum Women ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Contraception Use

Background: This modern era talks about women strength and empowerment where they are working either equally or one step ahead of men. However, a fall back in making decisions for contraception use and family planning can still be observed. It is most frequently seen among women belonging to some village as they are exposed to a minimal health care. Keeping this in mind, this crucial period was considered as opportunity to test the issue regarding the various choices of contraception available. Objective of this study was to find out the criteria and methods of contraception selected by women in the postpartum period.Methods: A cross-sectional study in the department of obstetrics and gynaecology was conducted over a period of 11/2 years in which a total of 150 postpartum women were interrogated and counselled regarding various methods of contraception.Results: The contraceptive methods most commonly selected in postpartum period are PPIUCD, Barrier, tubal ligation and injectable contraception of which condom is the most common method adopted. The important factors responsible for the choice of contraception include parity, breast- feeding, education and socio-economic status of the women.Conclusions: Postpartum period is particularly important for initiating contraception as the largest proportion with unmet need of contraception is found among those in their first year after child birth. In order to space birth in a healthy manner postpartum contraception should be emphasized upon.

scholarly journals Long Acting Reversible Contraception use among postpartum women in Hossana Town, Southern Ethiopia: cross sectional study

2020 ◽  
Author(s):  
Biruktawit Fekade Woldu ◽  
Tadesse Lelago Ermolo ◽  
Lidiya Gutema Lemu ◽  
Negeso Gebeyehu Gejo
Keyword(s):  
Postpartum Period ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immunization Service ◽  
Contraception Use ◽  
Long Acting

Abstract Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women.Methods: Facility based cross sectional study was conducted among 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: Less than one fifth (18.1%) of participants intend to give birth within 2 years. The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using was fear of side effect and false information. Previous use of LARC n (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: Despite their lesser intention to give birth within 2 years, the utilization of LARC among postpartum women was found to be low in this study. Provision of health education and expanding access should be emphasized to enhance its utilization.

scholarly journals Use of Contraceptive among Postpartum Women of a Municipality: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (239) ◽  
Author(s):  
Mukta Singh Bhandari ◽  
Suresh Kayastha
Keyword(s):  
Confidence Interval ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Point Estimate ◽  
Postpartum Women ◽  
Sectional Study ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Contraception Use ◽  
The Future

Introduction: Contraception plays a key role in preventing unwanted births. It also decreases pregnancy and childbirth-related morbidities and mortalities, but many women don't use contraception particularly in the postpartum period. The main objective of this study was to find out the prevalence of contraception use among postpartum women in a municipality. Methods: A descriptive cross-sectional study was conducted among married women of reproductive age in Dhulikhel municipality of Kavrepalanchok from January to September 2019. Ethical approval was obtained from Institutional Review Committee and permission was taken from Dhulikhel Municipality before the study. The sample size was 332. A convenience sampling method was used. A semi-structured questionnaire pre-tested in Panauti municipality was used. Data entry and analysis were done using Statistical Package for Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated for descriptive analysis. Results: Out of total 332 women, 146 (40%) (34.73-45.26 at 95% Confidence Interval) used postpartum contraception. Injectable/Depot was used by 61 (42%) women. Total 97 (52%) of the non-users intended to use contraception in the future. The most common reason for contraception use was women not wanting the next child soon 91 (62%) and reason for non-use was feeling contraception as unnecessary 73 (39%). Conclusions: The use of postpartum contraception was poor, and only half of the non-users intended to use contraception in the future. Thus, contraception use should be encouraged during all possible contact times, and counselling should be made universal to improve postpartum contraception services' uptake.

scholarly journals Long Acting Reversible Contraception use and associated factors among postpartum women in Hossana Town, Southern Ethiopia: cross sectional study

2020 ◽  
Author(s):  
Biruktawit Fekade Woldu ◽  
Tadesse Lelago Ermolo ◽  
Lidiya Gutema Lemu ◽  
Negeso Gebeyehu Gejo
Keyword(s):  
Postpartum Period ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immunization Service ◽  
Contraception Use ◽  
Long Acting

Abstract Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women.Methods: Facility based cross sectional study was conducted from July 23-Aug 25, 2018. Systematic random sampling technique was employed to recruit a total of 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using LARC was fear of side effect and false information. Previous use of LARC (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: The utilization of LARC among postpartum women was found to be higher than other studies in Ethiopia. Provision of effective contraceptive counseling during Antenatal, delivery and postnatal care services with emphasis on LARC/Postpartum Intra-Uterine Device is important.

scholarly journals Long Acting Reversible Contraception use and associated factors among postpartum women in Hossana Town, Southern Ethiopia: cross sectional study

2020 ◽  
Author(s):  
Biruktawit Fekade Woldu ◽  
Tadesse Lelago Ermolo ◽  
Lidiya Gutema Lemu ◽  
Negeso Gebeyehu Gejo
Keyword(s):  
Postpartum Period ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immunization Service ◽  
Contraception Use ◽  
Long Acting ◽  
Realistic Information

Abstract Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women. Methods: Facility based cross sectional study was conducted from July 23-Aug 25, 2018. Systematic random sampling technique was employed to recruit a total of 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using LARC was fear of side effect and false information. Previous use of LARC (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: The utilization of LARC among postpartum women was found to be higher than other studies in Ethiopia. Increase women’s access to realistic information on LARC, mainly on IUCD need to be emphasized to enhance its uptake.

scholarly journals Factors influencing choice of career: A comparative study among medical, dental and pharmacy students in a private university in Malaysia

2020 ◽  
pp. 273-281
Author(s):  
Kingston Rajiah ◽  
Mari Kannan Maharajan ◽  
Pravinkumar Ingle ◽  
Lavinyaa Thiruchelvam ◽  
Raynugah Gunasagaram ◽  
...  
Keyword(s):  
Economic Status ◽  
Private University ◽  
Cross Sectional Study ◽  
Work Life ◽  
Pharmacy Students ◽  
Work Life Balance ◽  
First Year ◽  
Cross Sectional ◽  
Life Balance ◽  
Post Hoc

Background: Students choose their careers based on many factors, which vary for every country. Recent advancements in healthcare systems have made pharmacy one of the most pursued professions. Aim: To study the factors that influence students in Malaysia to choose pharmacy as their career. Methods: A cross-sectional study was conducted among first-year medicine, dentistry and pharmacy students in a private university in Malaysia. One-way analysis of variance followed by Tukey’s post-hoc test was used to determine the factors that influenced students’ career choices. Results: There were significant differences among medicine, dentistry and pharmacy students in the mean scores for the dimensions ‘economic status’, ‘personal background’, and ‘work-life balance’ which influenced their career choice. Conclusions: Economic status, personal background and work-life balance were the factors that significantly influenced students to choose pharmacy compared with students’ choice of dentistry and medicine.

scholarly journals Depression, Anxiety, and Stress among First-year Medical Students in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Priyanka Shah ◽  
Alisha Sapkota ◽  
Anjeel Chhetri
Keyword(s):  
Medical Students ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Early Years ◽  
First Year ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
First Year Medical Students

Introduction: Medical students are prone to develop stress, anxiety and depression owing to vastness of curriculum, hectic lifestyle, economic burden, and competitiveness of medical field. The study aims to find out the prevalence of depression, anxiety, and stress among first-year medical students. Methods: A descriptive cross-sectional study was conducted among 91 first-year students of Bachelor of Medicine and Bachelor of Surgery enrolled in a tertiary care hospital using depression, anxiety, and stress-42 scale along with a questionnaire regarding sociodemographic and stressors for their problems. Whole sampling was done and the study was conducted between June and July 2018 after taking ethical approval from the Research and Institutional Review Committee (Reference Number: 57-074/075). Results: The highest prevalence among undergraduate medical students was found to be anxiety 54 (59.3%), followed by stress 41 (45.1%) and depression 40 (44%). Conclusions: Almost half of the first-year medical students reported some level of depression, anxiety, or stress. It is important to implement programs in the early years of the medical school from the administrative level to help and identify students suffering from depression, anxiety, and stress.

scholarly journals Postpartum Depression and its Associated Factors: A Community-based Study in Nepal

2019 ◽  
Vol 17 (2) ◽  
pp. 200-205
Author(s):  
Anisha Chalise ◽  
Tulsi Ram Bhandari
Keyword(s):  
Postpartum Depression ◽  
Psychological Health ◽  
Postpartum Period ◽  
Associated Factors ◽  
Economic Status ◽  
Depression Scale ◽  
Family Care ◽  
Postpartum Women ◽  
Community Based ◽  
Cross Sectional

Background: Postpartum depression is a type of mental disorder associated with childbirth during pregnancy or within the first postpartum year. It is reported as a common psychological health problem affecting 10-15% of women worldwide. The duration of postpartum depression frequently depends on its severity and the time of initiation of treatment. This study assessed depression and its associated factors among postpartum period women of Godavari municipality, Lalitpur, Nepal.Methods: A community-based cross-sectional study was conducted using Edinburg Postpartum Depression Scale among 195 mothers who were within six months of the postpartum period. The chi-square and logistic regression were applied to establish the association between postpartum depression and associated factors. Results: Out of the total 195 postpartum women, 37(19%) women suffered from depression and out of those women 2.1% had suicidal thoughts. Among the associated factors, education, occupation, the intent of pregnancy, family support and pregnancy-related problems/complications were found to be significantly associated with Postpartum depression (p<0.05). Conclusions: Nearly one-fifth postpartum women suffered from some type of depression. It is one of the public health concerns which directly or indirectly corresponds to the socio-economic condition of the women. The improved education and economic status of women, intention of pregnancy, family care and support during pregnancy and the postpartum period and early diagnosis and management of health problems could reduce the magnitude of the postpartum depression. Keywords: Associated factors of postpartum depression; edinburg postpartum depression scale; Nepal; postpartum depression.

scholarly journals Unmet need for contraception and associated factors among women with cardiovascular disease having follow-up at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia: a cross-sectional study

2021 ◽  
Author(s):  
Negalign Mechal ◽  
Mustefa Negash ◽  
Hailemichael Bizuneh ◽  
Ferid A Abubeker
Keyword(s):  
Cardiovascular Disease ◽  
Associated Factors ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Contraception Use ◽  
Unmet Need For Contraception

Abstract Background Pregnancies complicated by cardiovascular disease carry a high risk of morbidity and mortality. Contraception offers a unique opportunity to avoid unintended pregnancy and/or optimize preconception cardiac health status. Such planning will also allow possible modification of medical therapy that can be detrimental to the growing fetus. However, unmet need for contraception can become a barrier to achieving these goals. This research was aimed to determine the rate of unmet need for contraceptives and associated factors among women with cardiovascular disease. Methods A facility-based cross-sectional study was conducted from February 1 – May 31/2020. A convenient sampling technique was used to enroll 284 reproductive age women with cardiovascular disease having follow-up at Saint Paul’s Hospital Millennium Medical College. Data was collected through an exit interview using a structured and pretested questionnaire. Descriptive, bivariate, and multivariate methods were used to analyze the level of unmet need and its associated factors. Results The overall unmet need for contraception was 36%. The majority of the respondents lack counseling on contraception use. The most common reasons for non-use of a contraceptive method was fear of drug side effects and drug interaction. Unmet need for contraception was found to be more likely among those who have not been counseled on contraceptive utilization (AOR 6.7, CI 1.8–24.7) and those who lack partner support on contraception use (AOR = 6.2, CI: 1.91–19.8). Unmet need was also found to be more likely among women who have never used contraception before (AOR = 3.2, CI 1.12–8.92). Conclusion Unmet need for contraception was high in this high-risk population group. Tailored counseling can alleviate fear and concerns about contraceptive use. Appropriate strategies that enhance male partner involvement should also be implemented.

scholarly journals Prevalence of Dunning Kruger effect in first year medical students in a tertiary care hospital

2021 ◽  
Vol 8 (11) ◽  
pp. 5283
Author(s):  
Novonil Deb ◽  
Poulami Roy
Keyword(s):  
Medical Students ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
First Year ◽  
Care Hospital ◽  
Metacognitive Skills ◽  
Cross Sectional ◽  
Medical College ◽  
First Year Medical Students

Background: Dunning Kruger (DK) effect refers to overestimation of one’s ability which is attributed to their inadequacy of metacognitive skills i.e., the low-performing individuals are often nescient of their incompetence which leads them to reach fallacious conclusions and make regrettable choices. Objectives of the study were to assess the degree of DK effect among the first-year medical students and to compare the associated socio-economic variables.Methods:  A descriptive cross-sectional study was conducted among the interested first-year medical students of North Bengal medical college and hospital from March 2021 to April 2021 using a questionnaire. Responses were recorded in Microsoft excel 2017, analysed, and presented in form of tables and charts following principles of descriptive statistics.Results: The overall prevalence of DK effect was found to be 78.38% among the first-year medical students. Higher prevalence was observed among females (80.28%) as compared to males (75%). Students having low study hours (79.13%), no academic achievements (77.5%), and greater hours of sleep (79.74%) manifested more predisposition to DK effect.Conclusions: In our research, we have noticed a higher DK effect among the first-year medical students, which might hamper the quality of treatment and patient care in the future. Proper orientation and counselling methods are required to overcome this phenomenon.

scholarly journals Blood Donation Practice among Undergraduate Students in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Pravakar Dawadi ◽  
Sabina Khadka ◽  
Milan Chandra Khanal ◽  
Raj Kumar Thapa
Keyword(s):  
Medical Students ◽  
Blood Donation ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
First Year ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College

Introduction: Voluntary blood donation is a reliable source of increasing the demand for blood transfusion. Medical students are the potential pool of blood donors. This study aims to find the prevalence of blood donation practice among medical students of a medical college in Nepal. Methods: This is a descriptive cross-sectional study conducted in a medical college of Nepal among students studying from the first year to final year MBBS. Ethical approval was obtained from the Institutional Review Committee of the Nepalese Army Institute of Health Sciences (Ref no. 245). A stratified random sampling technique was used to collect data. A self-administered pre-tested questionnaire was used to collect data. Data were analyzed using Microsoft Excel 2016. Results: The prevalence of blood donation practice among medical students of the medical college is 41 (22.20%) (17.35-27.05 at 95% Confidence Interval). The practice of blood donation is seen more among students of the final year 15 (35.71%) and the least among first year 3 (8.57%). Most of the donors, 24 (58.54%), have donated blood only once before. The most common reasons for donating and not donating blood before are ‘behavior of altruism’ 12 (29.27%) and ‘I am not fit/disapproved’ 44 (30.56%) respectively. Conclusions: This study shows less prevalence of blood donation practice among medical students. It points to the need for more extensive studies to explore the factors deterring medical students from donating blood. Definitive strategies are also needed to encourage medical students to increased voluntary participation in blood donation.

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