scholarly journals Abortion and contraception practices in COVID-19 era

2021 ◽  
Vol 10 (5) ◽  
pp. 1874
Author(s):  
Bharti Maheshwari ◽  
G. S. Manchanda ◽  
Preeti Sharma ◽  
Taniya Setiya
Keyword(s):  
Unwanted Pregnancy ◽  
Medical Abortion ◽  
Reproductive Age ◽  
Age Group ◽  
Barrier Method ◽  
Safe Abortion ◽  
Medical College ◽  
Extreme Stress ◽  
Real Risk ◽  
Post Abortion

Background: To protect the gains made in sexual and reproductive health in over the past several decades, care for childbearing women and newborn infant’s needs to continue during the pandemic. The provision of safe abortion and contraceptive services remains critical. When staff and services are under extreme stress there is a real risk of increasing avoidable harm. Aim and objectives were to determine the effect of COVID-19 on accessibility and acceptance of contraception and safe abortion care services.Methods: Questionnaire survey was Done among 500 women in 6 months from April to September 2020, on availability and utilization of safe abortion and contraception services during lock down in covid time from patients getting treatment by Department of Obstetrics and Gynecology, Muzaffarnagar Medical College and health care workers (paramedics and others staff) of reproductive age group working in the institute.Results: Majority (56%) of women were in the age group of 20-30 years. 70% of women have access to contraception at present while it was reduced to 60% during lockdown. Most commonly used method was barrier method (70%) followed by OCP’s which they could avail maximum from pharmacy (40%). 65% of women had access to post delivery and post abortion contraception with most common method adopted being injectables, in 3% cases IUCD was inserted, 1% ligation with LSCS. Among them 42 cases were covid positive who underwent caesarean section and adopted contraception thereafter with tubal ligation in 2 cases.  In this study 32% of women had unwanted pregnancy, among them 35% underwent surgical abortion 61% medical abortion and 4% continued pregnancy.Conclusions: The COVID-19 pandemic has impacted safe abortion and contraception services. Unwanted pregnancy increased to 32%. 62% subjects claimed for accessibility at government centre and door to door by health worker.

scholarly journals Effects of Educational Intervention among Reproductive Age Group Women on Safe Abortion

2013 ◽  
Vol 52 (192) ◽  
Author(s):  
Kalpana Silwal ◽  
Tumla Shrestha ◽  
Ram Krishna Dulal
Keyword(s):  
Educational Intervention ◽  
Unwanted Pregnancy ◽  
Abortion Service ◽  
Reproductive Age ◽  
Age Group ◽  
Post Intervention ◽  
Safe Abortion ◽  
Post Test ◽  
The Impact ◽  
Reproductive Age Group

Introduction: Many reproductive aged women needlessly die due to unsafe abortion even when they seek help to terminate their unwanted pregnancy. These deaths could have been prevented had they been aware that safe abortion service was available to them. The study aimed at finding out the effectiveness of the education intervention in improving knowledge among reproductive age group women regarding the safe abortion. Methods: An experimental intervention was carried out on safe abortion education among the reproductive age group women. The impact of pre- and post- intervention was evaluated by using a set of structured questionnaire in local language. The obtained data was analyzed by using the Excel and Statistical Package for the Social Sciences, version 12.0 for windows and result was interpreted. Results: The post intervention finding revealed a significantly higher (p= 0.001) mean on knowledge among participants about safe abortion compared to pre-observational test. The mean difference between the pre-test and post-test was 64.1% (Pre-test 11.18 ±12.88 Post-test 75.28 ±9.56). The research hypothesis was accepted with p value paired t-test at <0.001 (0.05). The result supports that the educational intervention was effective in increasing safe abortion awareness among reproductive aged group women. Conclusion: The safe abortion educational intervention program was instrumental to improve reproductive age women’s knowledge considerably about safe abortion service.  Keywords: educational intervention; knowledge; safe abortion; women.    

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.

scholarly journals Prevalence of Bacterial Vaginosis and Its Association with Risk Factors among Nonpregnant Women: A Hospital Based Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Eliza Ranjit ◽  
Bijendra Raj Raghubanshi ◽  
Smrity Maskey ◽  
Pramila Parajuli
Keyword(s):  
Risk Factors ◽  
Bacterial Vaginosis ◽  
College Teaching ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Coagulase Negative Staphylococci ◽  
Scoring Method ◽  
Medical College ◽  
Reproductive Age Group

Bacterial vaginosis (BV) is an ecological imbalance of the vaginal microbiota affecting mostly women of reproductive age group. This study was carried out among 160 nonpregnant women registered at the Outpatient Department of Gynaecology/Obstetrics of KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal, from November 2014 to May 2015. The aim of the study was to assess the association of the risk factors with BV and analyze the type of bacteria associated with BV. Nugent’s scoring method was used for diagnosis of BV in this study. The overall prevalence of BV was 24.4% among symptomatic patients. Douching was statistically related to BV(P=0.015). Also, BV was significantly associated with consistency(P=0.0001), odor(P=0.02), and amount of abnormal vaginal discharge(P=0.09). Contraceptives users on anatomical sites were found more prone to BV than those who did not use contraceptives on anatomical sites.Pseudomonasspp.,Escherichia coli, Acinetobacterspp., Proteusspp., Klebsiellaspp., Neisseria gonorrhoeae, Enterobacterspp., Citrobacterspp., Staphylococcus aureus,Coagulase-Negative Staphylococci (CoNS),andStreptococcus agalactiaewere associated with BV and out of thoseLactobacillusspp. was the predominant organism. The higher prevalence of BV among symptomatic patients indicates interventions should be applied to reduce the incidence of stillbirth, abortion, and sterility.

scholarly journals Sociodemographic determinants of medical termination of pregnancy along with contraceptive practices

2018 ◽  
Vol 7 (8) ◽  
pp. 3034
Author(s):  
Anand Karale ◽  
Kunaal K. Shinde ◽  
Neelesh Risbud
Keyword(s):  
Medical Condition ◽  
Unwanted Pregnancy ◽  
Termination Of Pregnancy ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Medical Termination Of Pregnancy ◽  
Medical Termination ◽  
Reproductive Age Group

Background: Though the most common reasons for medical termination of pregnancy (MTP) is unwanted pregnancy due to nonuse of contraceptives by the women of reproductive age group and other are pregnancy before marriage or due to rape. Several studies indicate that most abortions are sought to limit family size or space the next pregnancy. There is need to study relation of MTP with contraceptive practices.Methods: The present cross-sectional study was conducted at Smt. Kashibai Navale Medical College and General Hospital, Narhe, Pune, to study socio-demographic factors associated with medical termination of pregnancy and its relation with contraceptive practices. Total 1840 women seeking care for medical termination of pregnancy were interviewed after their informed consent during period of January 2015 to December 2017. A detailed history regarding age, religion, income, marital status, parity, history of previous MTP, indications for MTP, use of contraception, gestational age was taken.Results: Statistical analysis-chi square test of significance for qualitative data using SPSS software version 24.0. The proportion of women coming for MTP due to nonuse of contraceptives was 86% the other indications for MTP were medical condition (9%) and contraceptive failure (5%). The factors like age, religion, education and socioeconomic status were significantly associated with MTP.Conclusions: There is need to counsel women of reproductive age group that MTP is not a way to control unwanted birth.

scholarly journals TO STUDY EFFICACY OF AMISULPRIDE IN TREATMENT OF SCHIZOPHRENIA.

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Om Prakash Raichandani ◽  
Abhijeet Kadam ◽  
Sapna Raichandani
Keyword(s):  
Urban Population ◽  
Extrapyramidal Symptoms ◽  
Reproductive Age ◽  
Age Group ◽  
Female Ratio ◽  
Moderate Severity ◽  
Medical College ◽  
Male Female Ratio ◽  
The Mean ◽  
Reproductive Age Group

The study was performed at the Department of Pharmacology in collaboration with Department of Psychiatry, NSCB Medical College, Jabalpur. The maximum numbers of patients in were in reproductive age group that is in between 20 to 49 years. The mean age in Amisulpride group was 33.26(±10.23) years while in Olanzapine group it was 31.25 (±12.22) years. Schizophrenia was more common (80%) in younger (20-49years) age group. In our study the male /female ratio was 1.7. Our study supports the notion that Schizophrenia is more common in Married and Urban population. Only one patient from Olanzapine  Group suffered  Extrapyramidal  symptoms of  moderate severity requiring  withdrawal from study.2  patients  from Olanzapine group and 1 patient from Amisulpride group  had Tremors and Akathesia  of mild severity. There was no emergence of Extrapyramidal symptoms in rest of the patients (p>.05) Keywords: Efficacy, Amisulpride, Olanzapine & Schizophrenia.

scholarly journals Family planning practices of women working in the Cambodian garment industry: a qualitative study

2020 ◽  
Author(s):  
Chisato Masuda ◽  
Elisa Oreglia ◽  
Ly Sokhey ◽  
Megan McLaren ◽  
Caroline Free ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Medical Abortion ◽  
Garment Industry ◽  
Safe Abortion ◽  
Modern Contraception ◽  
Abortion Care ◽  
Garment Factories ◽  
Comprehensive Abortion Care ◽  
Post Abortion

Abstract Background: Women working in Cambodian garment factories have unmet needs for family planning (contraception and safe abortion) services, because of their background and living conditions. This study describes their experiences regarding abortion and contraception as part of a larger project to develop an intervention to support comprehensive post-abortion care.Methods: We conducted semi-structured interviews with women seeking abortion services at private health facilities. In addition, we interviewed the private providers of abortion and contraception services surrounding garment factories. Interviews lasted up to 60 minutes and were conducted in Khmer and later translated into English. A thematic analysis was undertaken, with medical abortion experiences coded according to the Cambodia comprehensive abortion care protocol.Results: We interviewed 16 women and 13 providers between August and November 2018. Most women reported being married and had at least one child. Among factory workers the major reported reasons for abortion were birth spacing and financial constraints. Family, friends, or co-workers were the major information resources regarding abortion and contraception, and their positive or negative experiences strongly influenced women’s attitude towards both. Medical abortion pills were not always provided with adequate instructions. Half of the participants had a manual vacuum aspiration procedure performed after medical abortion. While women knew the side effects of medical abortion, many did not know the adverse warning signs and the signs of abortion completion. Only three women started post abortion family planning, as most of the women expressed fear and hesitation due to concerns about side effects of modern contraception. Fear of infertility was particularly reported among young women without children. Conclusion: This research shows that in this setting not all women are receiving comprehensive abortion care and contraceptive counselling. Provision of accurate and adequate information about abortion methods and modern contraception was the dominant shortfall in abortion care. Future work to address this gap could involve the development of appropriate interventions and informative tools for women in the Cambodian garment industry such as through existing client contact-centres or social media, including creation of videos or posts on topics that come from clients questions.

scholarly journals Knowledge, attitude and practice of contraception complications among hospitalized women following self-induced medical abortion at tertiary hospital

2020 ◽  
Vol 9 (7) ◽  
pp. 2840
Author(s):  
Aparajita Pal ◽  
Jahar Lal Baidya
Keyword(s):  
Unplanned Pregnancy ◽  
Pregnancy Termination ◽  
Medical Abortion ◽  
Reproductive Age ◽  
Accurate Information ◽  
Emergency Laparotomy ◽  
Age Group ◽  
Over The Counter ◽  
Demographic Profile ◽  
Number Of Patients

Background: Unwanted pregnancies in women and complications of induced abortions are an important health problem in the world. There is recent trend of self-induced medical abortion pill use over the counter without knowing the recommendations. Objectives of this study were to study socio demographic profile, presentations, management of hospitalized women for medical abortion related complications. To explore out contraceptive practices in those women. To way out the reasons for choosing medical abortion by women.Methods: Women of reproductive age group (15-45 years) who admitted in department of Obstetrics and Gynaecology Medical College with the complications following self-induced medical abortion were enrolled. Patients’ demographic profile, socio-economic status, obstetric profile, KAP of contraception, logical reasons for self-induced abortion were studied. Management of each case was done according to hospital protocols.Results: The total number of patients that were enrolled for the study period was 100. 37% of hospitalized women were between 18-25 years age group and 45 % of them had marriage at early age (15-20 years) and 46% were belonged to lower middle-class group. Majority of women with single living child with their last child <1-year age had taken abortion pills for unplanned pregnancy (49%). 74% women had taken abortion pills over the counter for the first time and 88% women did have idea about contraception but never used. 70% of the women had to undergo surgical evacuation and six of them had undergone emergency laparotomy for ruptured tubal ectopic pregnancy. Post abortion counselling successfully convinced to accept combined oral contraceptive (31%), followed by IUCD and permanent sterilization and 16% of women by medical abortion pill refused to accept contraception.Conclusions: Pregnancy termination should be done by qualified medical personal with accurate information about safe medical abortion. Counselling of each couple is must to enhance continuous and consistent use of family planning methods. 

scholarly journals Awareness on Neonatal Care Among Rural Mothers of Reproductive Age Group Admitted in a Tertiary Level Hospital at Mymensingh

2018 ◽  
Vol 9 (1) ◽  
pp. 50-56
Author(s):  
Sazia Huq ◽  
Syed Mohammad Tanjilul Haque ◽  
Md Atiqur Rahman ◽  
Farzana Mahmuda ◽  
Maeda Mahjabein
Keyword(s):  
Mortality Rate ◽  
Breast Feeding ◽  
Reproductive Age ◽  
Age Group ◽  
Neonatal Mortality Rate ◽  
Exclusive Breast Feeding ◽  
Live Births ◽  
Medical College ◽  
Rural Mothers ◽  
Reproductive Age Group

Background: In Bangladesh the neonatal mortality rate is unacceptably high, at 48.4 per 1,000 live births and it is higher in rural areas while the neonatal mortality rate in Asia is 41 per 1,000 live-births, compared to 7 per 1,000 live-births in developed countries.Materials & Methods: This descriptive type of cross sectional study was carried out among 180 rural mothers of reproductive age in Mymensingh Medical College Hospital, Mymensingh from October 2013 to January 2014. Data were collected on a pretested questionnaire by face to face interview.Results: The study revealed that 50.6% of the respondents were housewife & education wise 42.2% had primary education with mean age 26.28±5.50 years. 61% respondents knew that cord should be cut by sterile blade and 65% respondents mentioned that cord should be cut immediate after delivery. Among them 44.4% knew about initiation of breast feeding within 1st hour of delivery, 71.1% believed the importance of colostrums feeding. Only 30% of the respondents knew about frequency of breast feeding to the baby should be 8-10 times in a day and 58% had knowledge on exclusive breast feeding. Of the respondents 52.2% went for exclusive breast feeding but others did not. 67% respondents immunized their baby whereas 33% did not. More than half of the respondents (59%) cleaned their breast before feeding and 80.6% respondents washed their hands before handling their newborn. A significant association was found between education and knowledge on immunization of newborn (P=0.000), education and exclusive breast feeding (P=0.003).Conclusion: The current study may boost up the awareness among rural mothers of reproductive age group on neonatal care which will further encourage them to be educated and thus neonatal morbidity & mortality may decline in some extent.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 50-56

scholarly journals Changes in the Contraceptive Practice among the Women of Reproductive Age in a Selected Hospital of Dhaka City

2016 ◽  
Vol 27 (2) ◽  
pp. 33-36 ◽  
Author(s):  
Kazi Shahnaz Begum ◽  
Shah Alam ◽  
Tahmina Tamanna
Keyword(s):  
Married Women ◽  
Fertility Rate ◽  
Reproductive Age ◽  
Barrier Method ◽  
Cross Sectional ◽  
Face To Face ◽  
Medical College ◽  
Collection Data ◽  
One Year ◽  
Structured Questionnaire

Family planning is an essential tool for reducing fertility rate. An increase in contraceptive prevalence rate results in reduction of population growth, which in turn contributes significantly to the improvement of people's health. This is a cross-sectional, descriptive type of study carried out among the married women attending in the gynaeout patient department of MARKS Medical College and Hospital. This study was conducted from 1st June 2013 to 31st May 2014. Sample size was 250 which were selected purposively.Reproductive history was used as research instrument for data collection. Data was collected by face to face interview using structured questionnaire. Among 250 married women 156(62%) women practicing contraceptives. Majority 45.6% of the respondents were in the age group of 25-29 yrs. Among the respondents housewives 36%, service holder 64% and 38.4% were educated. About 42.8% respondents had 2 child followed by 3 children 36% & only 1.6% had 4 children. 100% respondents had knowledge about oral pill and barrier method. Among the contraceptive users 35.8% respondents accepted OCP followed by barrier method 33.3%, IUCD users were 16.7%, 7.7% respondents used injectables, 6.4% were natural method user and only 1.2% used emergency pills. Maximum 59% respondents were using contraceptives for less than one year, only 4.5% were using contraceptive of different methods for 10 years. Fertility rate, menstruation regulation is lower among servicing women. Education, empowerment and social position of women help to reduce fertility.Medicine Today 2015 Vol.27(2): 33-36

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