scholarly journals Medical and social aspects of reproductive behavior and health of residents of Moscow region

2016 ◽  
Vol 24 (4) ◽  
pp. 25-31
Author(s):  
O E Konovalov ◽  
A K Haritonov ◽  
E E Zhiltsova

The results of the survey 596 women of reproductive age living in the service area of the Moscow Regional Perinatal Center are analyzed in the article. Among the women surveyed 91,2% had a positive attitude toward childbearing and they considered an important condition to create a happy family the presence of children. At that 58,4% of them would like to have in their family of two children and 25,7% - three or more. Only every second woman believes that she has a desired number of children in the family. Has been established that pregnancies in 10,3% cases ended artificial abortion and in 1,9% spontaneous abortion. Reliable differences have been revealed in the frequency of pregnancies depending on the level of education. It was established that with increasing ordinal number of pregnancy reliably reduced the proportion of births a living child. Each tenth of the women surveyed has reported about complications after abortion. 8,9% of respondents have been treated for infertility, 13,0% from the miscarriage. 56,4% of women used protection from pregnancy. With this purpose most often a condom was used and interrupted intercourse.

2021 ◽  
Vol 2 (4) ◽  
pp. 13-16
Author(s):  
M. M Asatova ◽  
◽  
S. M. Safoeva

PCOS occupies a leading place in the population of women with clinical manifestations of excessive androgen secretion and is detected in 72.1-82% of cases, while among women with anovulatory infertility-in 55-91% of cases (Lizneva D. (2016). The criteria, prevalence and phenotypes of PCOS. Fertil.Steril., 106 (1), 6-15). The article discusses the results of a study conducted based on the City Perinatal Center of Tashkent to study the frequency and nature of reproductive disorders in women with symptoms of hyperandrogenism. The study involved women of reproductive age with various menstrual disorders and infertility. The analysis of anamnestic, subjective and objective, clinical and laboratory data of patients was carried out


2021 ◽  
Vol 3 (1) ◽  
pp. 171-175
Author(s):  
Evelyne W. Lutainulwa ◽  
Larry O. Akoko ◽  
Amani Anaeli

Background: Reproductive and child health clinic attendance is vital in offering family planning health education among women of reproductive age in Tanzania. During these visits, group education sessions on modern contraception is offered to women before receiving the specific services they went for. Those who show interest with modern contraception proceed to individualized sessions on adopting one of the methods. Therefore, being satisfied during the group session is paramount to adopting modern contraception. This study therefore sought to assess the level of client satisfaction with the family planning health education among women of reproductive age from selected clinics in Dar es Salaam. Methodology: This was an observational study conducted in selected Reproductive Health clinics in three municipalities within Dar es Salaam region. Facilities were grouped by districts and ownership from which one third were systematically picked to provide 8 participants each. Interviewer led completion of the study tool was employed to assess satisfaction parameters. Analysis on satisfaction was all or none from a 5-point rating scale and association calculated with significance set at a p-value of less than 5% and 95% confidence interval. Results: There was a general higher satisfaction with the family health education offered during the visit period. Satisfaction with family planning health education was significantly higher among women with higher parity (p=0.009), employed (p=0.00001), and were attended to by a clinician (p=0.0006). A significant disparity within municipalities was also noted (p=0.005). Private facilities, shorter time in facilities, and non-cash payments did not significantly influence satisfaction. Conclusion: Family planning health education satisfaction is high among women of the reproductive age group in Dar es Salaam clinics. We need to explore how this satisfaction is translated to reduce the unmet needs for modern contraception in Tanzania. Furthermore, whether this high satisfaction translates into good knowledge remains unexplored.


2021 ◽  
Vol 4 (5) ◽  
pp. 1227-1236
Author(s):  
Nora Veri ◽  
Alchalidi Alchalidi ◽  
Dewita Dewita ◽  
Nuswatul - Khaira ◽  
T. Iskandar Faisal

ABSTRAK Pemerintah menggalakan program Keluarga Berencana (KB) untuk mengendalikan pertumbuhan penduduk. Salah satu program KB adalah dengan penggunaan kontrasepsi. Metode kontrasepsi yang saat ini yang paling banyak digunakan oleh Wanita Usia Subur (WUS) adalah suntikan Depo Medroxy Progesterone Acetate (DMPA) yang berisi hormon progesteron. DMPA memiliki efek samping yang merugikan organ reproduksi untuk penggunaan jangka panjang. Tujuan kegiatan pengabdian dilakukan untuk meningkatkan pengetahuan wanita usia subur tentang efek samping penggunaan kontrasepsi hormonal DMPA jangka panjang pada organ reproduksi. Metode pelaksanaan adalah dengan edukasi peningkatan pengetahuan tentang kontrasepsi DMPA dengan sasaran wanita usia subur akseptor KB DMPA sebanyak 60 orang. Hasil kegiatan diperoleh bahwa mayoritas pengetahuan wanita usia subur pada kategori kurang pada saat pretest sebanyak 41 orang (68,33%) dan pada saat posttest mayoritas berada pada kategori baik sebanyak 53 orang (88,33%). Adanya peningkatan pengetahuan setelah dilakukan edukasi tentang penggunaan kontrasepsi DMPA dan efek samping yang ditimbulkan akibat penggunaan jangka panjang terhadap kesehatan organ reproduksi. Kata Kunci :   Depo Medroxy Progesterone Acetate (DMPA), Wanita Usia Subur, Kontrasepsi, Keluarga Berencana  ABSTRACT The government is promoting the Family Planning (KB) program to control population growth. One of the family planning programs is the use of contraception. The method of contraception currently most widely used by women of reproductive age is the injection of Depo Medroxy Progesterone Acetate (DMPA) which contains the progesterone hormone. DMPA has adverse side effects on reproductive organs for long-term use. The purpose of this service is to increase the knowledge of women of reproductive age about the side effects of long-term use of DMPA hormonal contraceptives on the reproductive organs. The method of implementation is education to increase knowledge about DMPA contraception with the target of women of reproductive age DMPA to acceptors as many as 60 people. The results of the activity showed that the majority of knowledge of women of reproductive age were in the lack knowledge at the time of the pretest as many as 41 people (68.33%) and at the time of the posttest the majority were in the good knowledge category as many as 53 people (88.33%). There is an increase in knowledge after education about the use of DMPA contraceptives and the side effects caused by long-term use on the health of the reproductive organs. Keywords: Depo Medroxy Progesterone Acetate (DMPA), women of reproductive age, Contraception, Family Planning


2017 ◽  
Vol 13 (3) ◽  
pp. 114-128 ◽  
Author(s):  
Nilambar Jha ◽  
S Bhattarai ◽  
SN Niraula

Background: Today there has been a change in the perception of disease from germ theory to the involvement of multiple factors in the causation.Methods: With this notion, this cross sectional study made an effort to delineate the socio-cultural factors associated with health in six teaching districts of B.P. Koirala Institute of Health Sciences in the Eastern region of Nepal among the mothers of reproductive age surveying 1985 households.Results: This study revealed association of chronic disease and acute illness with various socio-demographic variables like religion, ethnicity, family size, number of children, respondent’s literacy and occupation. Number of jobholders in the family and poverty line were found to be associated with acute illness. Treatment of shaman healers and restrictions during pregnancy period showed association with health inequalities. Mortality in the family was associated with ethnicity, number of children, and literacy of respondent.Conclusion: As a consequence of these associated factors, the effective utilization of the modern health facilities may not be proper which may lead to ill health consequences. Multifaceted development program from the government along with effective awareness program can help out the people to combat the evil of health life. Health Renaissance 2015;13 (3): 114-128


2019 ◽  
Author(s):  
Dereje Zena Asrat ◽  
Anemaw Asrat Achamyeleh ◽  
Agumas Fentahun Ayalew

Abstract Background: One of the major problems in developing countries is the increasing growth of population which in fact is a serious threat for the global community. Modern Contraceptive use allows people to attain their desired number of children and determine the spacing of pregnancies. The main objective of this study is to assess the Prevalence of modern contraceptive utilization and associated factors among women of reproductive age from 36-49 years in Ethiopia. Methodology: A community based, cross-sectional study was employed from January 1 to June 30, 2016, among women of reproductive age from 36-49 years in all regions of Ethiopia. A multi-stage sampling procedure was used to select 3260 study participants. A pretested structured questionnaire was used to collect data, and data collectors who had completed high school were involved in the data collection process. A bivariate, multivariable logistic regression model was fit and statistical significance was determined with odds ratios and 95 % confidence level. Before preceding data analysis, the necessary assumptions for the application of multiple logistic regressions was checked by Hosmer and Lemeshow Test through forward LR method. Result: The overall modern contraceptive prevalence rate was found to be 17%. Being wealthy (Adjusted Odds Ratio=4.120 95%CI (2.853, 5.949), higher educated (Adjusted Odds Ratio =3.329, 95%CI (2.065, 5.368) and having more numbers of living children (Adjusted Odds Ratio =1.714, 95% (1.328, 2.212) was significantly associated with use of modern contraceptive methods. Conclusion: The utilization of modern contraceptive method was low. Contraceptive utilization was associated with some socio-economic and socio-demographic factors like age, educational status, women wealth index and number of children. Therefore, expanding contraceptive services confers substantial benefits on women, their families and society. All stakeholders, including the Ethiopian government and the private sector, should increase their investment in modern contraceptive services Keywords: modern Contraceptives use, Associated Factors and Women


Author(s):  
Немченко ◽  
Ulyana Nemchenko ◽  
Григорова ◽  
Ekaterina Grigorova ◽  
Ракова ◽  
...  

Pelvic inflammatory diseases occupy a special place in the structure of general morbidity, and are polymicrobial in nature with dominance of opportunistic microorganisms, in particular bacteria of the family Enterobacteriaceae.The aim was to study the composition of the vaginal microbiota in women of reproductive age with pelvic inflammatory diseases, as well as to determine the sensitivity of isolated microorganisms to antibiotics and bacteriophages.The study included 70women of reproductive age, among them 37were diagnosed with colpitis and cervicitis, 33women in the comparison group (women screened for a diagnosis). Isolated microorganisms were identified by abdominoperineal methods, including the disk diffusion method to determine the sensitivity of microorganism cultures of Enterobacteriaceae family to antibiotics, and the method of crosses (evaluation of lytic activity of bacteriophages by the number of crosses) to determine the sensitivity to specific therapeutic bacteriophages.Vaginal biocenosis was characterized by deficit of lactobacilli (<106CFU/ml in 100%), the presence of conditionally pathogenic microflora: bacteria of Enterobacteriaceae family, coccal flora and Candida fungi. From 60.0 to 89.3% of Enterobacteria strains were resistant to aminoglycosides and quinolones, but also had a low level of sensitivity to therapeutic bacteriophages.The obtained data indicate the reduction of colonization resistance of vaginal mucosa in pelvic inflammatory diseases and specify the need to use medicinal drugs only under medical supervision to prevent clinically significant drug resistance.


2002 ◽  
Vol 51 (2) ◽  
pp. 66-69
Author(s):  
V. A. Kulavsky ◽  
L. A. Dautova ◽  
Е. V. Kulavskv

In the article the medico-social and demographical tendencies in forming of reproductive health are minutely considered. Among them there are: mass prevalence of little number of children in the family, postponement of the date of the first childs birth, increase of illegitimate birth rate and change of optimal reproductive age coefficients of women groups may be mentioned. Changes of reproductive conducthave the great significance in the organization of obstetric- gynaecological care. Methods of dispensary observation includingpsychological training of married couples for delivery demand perfection. Pregnancy and delivery conducting of women incoming the groups of high risk of maternal and perinatal pathology also expects attention.


2021 ◽  
Vol 1 (4) ◽  
pp. 72-81
Author(s):  
Alexey Smirnov ◽  
Marina Khramova

The article presents the results of a sociological survey aimed at studying the impact of the pandemic of the new coronavirus infection COVID-19 on the reproductive attitudes of Russian women. The results of the survey showed that 19% of respondents postponed the birth of children due to the pandemic. 75% of respondents were not affected by the pandemic, since they did not plan to have a child, about 6% gave birth or will give birth to a child, as they wanted. Also, for 16% of respondents, the number of conflicts in the family has increased significantly, which may indicate the likelihood of a breakdown in relations, which will also negatively affect the demographic situation in the country. At the same time, about 63% of respondents noted that their incomes have become lower, for 31% of respondents, the income level has not changed, and for 6%, income has increased. Low family incomes also have a negative impact on the desire to have children. Since the beginning of a pandemic in Russia was announced in March 2020, due to physiological reasons, changes in the reproductive attitudes of women are likely to be noticeable only in statistics for 2021. since 2020, the number of births has decreased by 1%, the number of marriages has increased by 34%, and the number of divorces has increased by 33%. Thus, at the moment, the operational data of Rosstat do not agree with the results of our sociological survey. The reason could be that the survey was conducted on the Internet, and respondents who were more worried about the pandemic than the average Russian women of reproductive age showed an increased interest in it, so the proportion of women who postpone the birth of children due to the pandemic, according to the survey, may turn out to be higher. than the average in Russia.


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