Postpartum contraception: efficacy and safety

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (2) ◽  
pp. 5-8
Author(s):  
N M Nazarova ◽  
V N Prilepskaya ◽  
M E Nekrasova

Timely and reasonable selection of methods of contraception after childbirth from the standpoint of safety for the mother and the child, in addition to preventing unwanted pregnancy, preserves the reproductive health of the woman. When choosing a method of contraception in the postpartum period, it is necessary to take into account the impact of the method on lactation, the condition of the mother and child. Prenatal counseling allows to increase the commitment of women selected method of postpartum contraception.

2019 ◽  
Vol 81 (3) ◽  
pp. 491-498 ◽  
Author(s):  
Cyril P. STEPHEN ◽  
Walter H. JOHNSON ◽  
Stephen J. LEBLANC ◽  
Robert A. FOSTER ◽  
Tracey S. CHENIER

2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Ghaisani Humairah

Introduction : Postpartum contraception is defined as utilization of contraceptive within 42 days after a labor to prevent close interval of pregnancy. After a live birth, WHO recommended interval before attempting the next pregnancy is at least 24 months in order to reduce the risk of adverse maternal, perinatal, and infant outcomes. Several factors influence maternal in utilizing contraception after giving birth. Objective : To recognize factors influencing contraception utilization in postpartum period in Mother and Child Hospital Siti Fatimah Makassar. Study Method : The study was observational analytic study with cross sectional method. Seventy respondents were obtained with consecutive sampling technique. Chi square test was used to determine linkage value. Result : The result showed that factors affecting contraception utilization in postpartum period in Mother and Child Hospital Siti Fatimah Makassar were knowledge about contraception (p value 0.000, OR = 24.5 (2.995 – 200.437)), number of children (p value 0.004, OR = 4.182 (1.541 – 11.347)), education (p value 0.002, OR = 4.915 (1.770 – 13.646)), and husband encouragement (p value 0,000 ,OR=6,240 (2,211-17,608)). Resources variable was not related to this study. The most affecting variable was knowledge about contraception. Conclusion : Factors influecing contraception utilization in postpartum period were knowledge about contraception, number of children, education, and husband encouragement. The most affecting factor was knowledge about contraception. The most affecting factor is knowledge about contraception.


2019 ◽  
Vol 1 (2) ◽  
pp. 66-75
Author(s):  
Beatrice Palang Demon ◽  
Indriati A. T. Hinga ◽  
Amelya B. Sir

Good reproductive health will improve reproductive health and prevent reproductive health problems. The Indonesian Family Planning Association survey and On Track Media Indonesia (OTMI) found that around 29% to 31% of adolescents in East Nusa Tenggara had premarital sex. The impact of poor reproductive health behavior is unwanted pregnancy and sexually transmitted infection. This is a quantitative descriptive study that aimed to describe reproductive health behavior in high school students in Kupang City. The population in this study were high school students from grade XI and XII (6863 students) and a sample of 378 students taken by proportionate stratified random sampling technique. The results showed a description of Genital Personal Hygiene behavior in high school students in Kupang City as good is 249 students (66%), while less is 129 students (34%). The pre-marital sexual behavior of high school students in Kupang City was at a risk is 85 students (29%) and 293 students (71%) were not at risk. The behavior of watching porn videos for high school students in Kupang City is 217 students (57.4%) have watched and 161 students (42.6%) have not watched porn videos/movies. Behavior discussing reproductive health among high school students in Kupang City is 216 students (57%) discussing reproductive health and 162 students (43%) do not discuss reproductive health. The Schools can give information about reproductive health to students by optimizing the program of Information and Counselling Center (PIK) that already available.


2018 ◽  
Vol 13 (3) ◽  
pp. 125
Author(s):  
Lita Heni Kusumawardani ◽  
Muhamad Jauhar ◽  
Rasdiyanah Rasdiyanah ◽  
I Gusti Ayu Putu Desy Rohana

<p><strong>Introduction:</strong> The increase of adolescent population globally and nationally makes adolescent as vulnerable group to health problems, especially reproductive health. Adolescent has curiosities, like challenges, and dare to take risks. The impact is unwanted pregnancy, sexual transmition diseases, and abortion. Therefore, there is a need of KIE media for adolescent reproductive health based on information technology: <em>smart phone applications</em>.</p><p><strong>Objective:</strong> To identify research articles on smart phone use as KIE media for adolescent reproductive health.</p><p><strong>Method:</strong> Literature study in 20 journals through Google Scholar, Proquest, and EBSCO in the last 5 years, keywords<em> adolescent reproductive health, health education, smartphone application</em>. Data are analyzed in tables contain title, author, year, methodology, result, and recommendation.</p><p><strong>Result:</strong> Smartphone application as KIE media for adolescent reproductive health effectively increased the connection of adolescents with parents and health workers, improved sexual transmition diseases screening, was more attractive and innovative, took into privacy, was accurate information, wider reach, easy access, affordable costs, interactive, practical, and appropriate to the needs of today's adolescent.</p><strong>Conclusion:</strong> Smartphone applications such as text message, social media, and website can open adolescent access to get fast and accurate health information. The media development needs to focus on the characteristics and needs of adolescent and can be integrated with adolescent health programs.


2008 ◽  
Vol 10 (1) ◽  
pp. 63-75

The majority of epileptic disorders are not self-limiting over time, and therefore require a long-lasting and often even lifelong antiepileptic drug (AED) treatment. In women with epilepsy the influence of their disease on the possibility and course of pregnancies, as well as the potential impact of the AED treatment on mother and child, are crucial questions. This review addresses the clinically relevant knowledge concerning the impact of the disease itself and the AED treatment on fertility pregnancy, delivery, the postpartum period, and teratogenicity. Some of the new AEDs appear to have a favorable profile due to a lack of clinically relevant interactions and promising teratogenic profiles. However, the finding of decreases in lamotrigine serum concentrations during hormonal contraception and pregnancy is an instructive example, showing that ongoing studies are urgently needed to further investigate still-unanswered questions. Several prospective multinational surveys are currently being performed, and should add essential information


2016 ◽  
Vol 11 (2) ◽  
pp. 138-142
Author(s):  
Daniela POPESCU ◽  
◽  
Dumitru MATEI ◽  
◽  
◽  
...  

The active discovery of risk factors among pregnant women could lead to a decrease in premature births in Romania which are currently above the European average – 9% over 6.5%. Low addressability of the population towards primary medicine constitutes a major risk factor for premature birth. Unwanted pregnancy prevention among teenagers may become a priority from an economic standpoint or when one considers the social impact of a premature newborn. Daily costs for taking care of a premature baby are extremely high, the European average being somewhere around 100 euro/day. Therefore, given the impact and severe nature of ROP, it is highly recommended that a deep and careful research of risk factors, their rate of prevalence and a specific individualization of their causes be performed in order to establish the main areas of prevention. Assuring an analysis of adjustable factors corroborated with the importance of early discovery of retinopathy allow for a thorough evaluation of possible prognostic factors. Underlining the risk factors currently found on modern literature, a retrospective study has been made, which backs these conclusions. The basis for monitoring is represented by the clinical charts in IOMC (“Alessandrescu-Rusescu” National Institute for Mother and Child, Bucharest).


2019 ◽  
Vol 6 (01) ◽  
pp. 9-20
Author(s):  
Esa Risi Suazini

Teenagers are susceptible to falling into promiscuity. The impact of promiscuity is contracting Sexually Transmitted Diseases (STDs). Greater impact can be experienced by adolescents who have experienced menarche, other than contracting STDs can also unwanted pregnancy, abortion and young pregnancy. Adolescents need guidance in dealing with life, based on data from the Ministry of Health in 2015, amounting to 14% or about 6 million adolescents to have free sex. Adolescent reproductive health problems can continue to reproductive health problems in adulthood. The purpose of this study was to determine the perceptions of young women regarding reproductive advice when she experienced menarche in Garut. This research is useful as a reference for parents to pay more attention to adolescents and as input to the government in developing new strategies in increasing knowledge, forming adolescent attitudes and behavior in reproductive health. The research method used is the mix method by means of a later interview survey to get a generalization of the phenomenon from the perception of the respondent (grounded theory).The results of the study obtained answers that the majority of respondents did not get optimal reproductive advice, mothers as the main people who provide reproductive advice and advice that adolescents get when experiencing menarche are general interaction, attention to worship, cleanliness, types of food and drinks and advice in the form of myths or cultures that develop in the community


Patan Pragya ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 197-209
Author(s):  
Thuma Kumari Poudel

Access to reproductive health services saves women for safe sex, safe pregnancy and child birth. This paper intends to analyze the impact of pandemic on reproductive health services during one decade 1920-2020 B.S. To achieve the above mentioned objective, descriptive method is used. Data are collected from secondary sources and major biggest pandemic of one hundred years which have larger impact on public health including reproductive health and large scale of mortality. The history of pandemic shows that service delivery of reproductive health to women was seriously affected during pandemic period. There was difficult to achieve basic health facility to pregnant women during pandemic period, they also face problems to achieve reproductive health services. The influenza   affects to the pregnant women. They were severely ill during their pregnancy. There was a negative impression with health providers and pregnant women at health centre at the time of providing sexual and reproductive health services during the Ebola virus. The Zika virus effects on women's sexual and reproductive rights. The reproductive health services became at more serious cases at the time of HIV/AIDS pandemic. Pregnant women, infants and young children had serious impact of H1N1 virus. Women are facing problems to get reproductive health services like access of family planning, abortion care and other infectious diseases during Covid-19 periods. These problems also increased risk to unwanted pregnancy, risk of unsafe abortion and risk of STDs to the women. Women were facing lacking of sexual and reproductive health services due to the lockdown, physical distance, travel restrictions and economic slowdown during covid-19 pandemic.


Methodology ◽  
2007 ◽  
Vol 3 (1) ◽  
pp. 14-23 ◽  
Author(s):  
Juan Ramon Barrada ◽  
Julio Olea ◽  
Vicente Ponsoda

Abstract. The Sympson-Hetter (1985) method provides a means of controlling maximum exposure rate of items in Computerized Adaptive Testing. Through a series of simulations, control parameters are set that mark the probability of administration of an item on being selected. This method presents two main problems: it requires a long computation time for calculating the parameters and the maximum exposure rate is slightly above the fixed limit. Van der Linden (2003) presented two alternatives which appear to solve both of the problems. The impact of these methods in the measurement accuracy has not been tested yet. We show how these methods over-restrict the exposure of some highly discriminating items and, thus, the accuracy is decreased. It also shown that, when the desired maximum exposure rate is near the minimum possible value, these methods offer an empirical maximum exposure rate clearly above the goal. A new method, based on the initial estimation of the probability of administration and the probability of selection of the items with the restricted method ( Revuelta & Ponsoda, 1998 ), is presented in this paper. It can be used with the Sympson-Hetter method and with the two van der Linden's methods. This option, when used with Sympson-Hetter, speeds the convergence of the control parameters without decreasing the accuracy.


Author(s):  
Arip Ambulan Panjaitan

Introduction: Adolescent are at high risk of unwanted pragnency, including abortion, STIs, HIV/AIDS. Risky sexual behavior is one of the entrance transmissions of unwanted pregnancy. Such behavior can be influenced by various factors, beyond and within the individual factors. Teens need the support and motivation in deciding not to do risky sexual behavior. The purpose of this study was to investigate the determinants of adolescent behavior in the prevention of unwanted pregnancy.Methods: This research used cross-sectional design. The populations were students of senior high school in District Sintang. The were 123 respondents chosen by cluster sampling technique for this study. All data were collected using questionnaires and then analysed using bivariate (chi square) and multivariate analysis (logistic regression).Results: The results showed that the majority of respondents did not have good knowledge about the prevention of unwanted pregnancy. Related variable is the level of parental education (p=0.001), the support of parents/guardians (p=0.009), support teachers (p=0.005), peer support (p=0.039), residency (p=0.009), a pastime activity (p=0.000), knowledge of adolescents about reproductive health (p=0.016), perception ability of adolescents (p=0.006) and attitude of adolescents (p=0.049). Adolescent self-perception abilities are variables that most influence on the behavior of adolescents in the prevention of unwanted pregnancy.Conclusions: Efforts to improve reproductive health programs should be early and adolescent have responsibilities as well as healthy behaviors.


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