scholarly journals Intention to Use Contraceptive Methods among Women Undergoing Comprehensive Abortion Care (Cac) in Maternity Hospital Kathmandu, Nepal

2018 ◽  
Vol 4 (2) ◽  
pp. 10-13
Author(s):  
Rubina Shrestha ◽  
Pimsurang Taechaboonsermsak ◽  
Sulkontha Siri
Keyword(s):  
Side Effects ◽  
Unwanted Pregnancy ◽  
Maternity Hospital ◽  
Sufficient Information ◽  
Intention To Use ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Abortion Care ◽  
Comprehensive Abortion Care

INTRODUCTION: Unplanned and unwanted pregnancy is one of the leading causes of maternal mortality and morbidity and still continues despite availability of a range of modern and effective contraceptives. Comprehensive Abortion Care (CAC) is to provide safe, high quality services to women in an affordable and acceptable way. The study is intended to identify the proportion of the women who have intention to use contraceptive methods following CAC, in the future and to know the reason for current nonuse. MATERIAL AND METHODS: A descriptive cross-sectional study of women undergoing CAC in maternity hospital Kathmandu was conducted from 1st February to 21st  February 2011. Different factors affecting Intention to use contraceptives following CAC and their association were identified and analyzed. SPSS statistical software was used to perform analysis. RESULTS: Following CAC 61.5% had an intention to use contraceptives, injectables being the most common method followed by IUCD and pills. Side effects were the main reason for stopping and not having an intention to use. There was a significant association between duration of marriage,current use of contraceptive methods, attitude towards contraceptive method, subjective norm and intention to use contraceptive methods. CONCLUSION: The acceptance of contraceptives can be increased by having positive attitude, providing sufficient information to avoid fear related to side effects. Journal of Universal College of Medical Sciences (2016) Vol.04 No.02 Issue 14, page: 10-13 

scholarly journals Practices and Perceptions on Contraception Acceptance among Clients Availing Safe Abortion Services in Nepal

2012 ◽  
Vol 9 (3) ◽  
pp. 179-184 ◽  
Author(s):  
V Khanal ◽  
C Joshi ◽  
D Neupane ◽  
R Karkee
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Unwanted Pregnancy ◽  
Previous History ◽  
Maternity Hospital ◽  
Intention To Use ◽  
Abortion Policy ◽  
Cross Sectional ◽  
Safe Abortion ◽  
The Government

Background The Government of Nepal has implemented safe abortion policy since 2002. There are 245 approved sites providing safe abortion services to women across the country. Family planning counselling is one of the components of the safe abortion policy, which is important to reduce unwanted pregnancy, maternal morbidity and mortality due to the consequences of unsafe abortion and the service burden. Objectives This study explains the perceptions, practices and factors affecting the use of family planning among abortion clients attending safe abortion services in Nepal. Methods A cross sectional study was carried out on September, 2008 enrolling 58 women who were waiting in the dressing room for safe abortion services in Paropkar Maternity Hospital, Nepal. All women attending hospital clinic for receiving safe abortion services were approached for interview till the targeted number was fulfilled. A convenience sampling was applied to reach the sample size. Results Of the 58 respondents, majority of the respondents were Hindus (83%), residing in Kathmandu district (76%); of the age group 20-29 years (69%); and 98% were married. One fifth (20.68 %) of the respondents had previous history of spontaneous or induced abortion. The main reason for abortion did not want any more babies/complete family (45%). The knowledge of modern contraception was high (98.27%).The knowledge of emergency contraception was low (25.9%). Side effects was the main reason (48%, n=31) for discontinuation of contraceptives. Intention to use some modern family planning methods after the abortion was expressed by 83% clients. The major enabling factor for continued contraceptive use was the absence of side effects. The family planning counselling was acceptable for 91% clients. ConclusionKnowledge, acceptance of counselling service and intention to use family planning measure was high in the study participants. There is need to provide skills on adapting with the adverse effect of family planning measure through continuous education and reinforcement.DOI: http://dx.doi.org/10.3126/kumj.v9i3.6301 Kathmandu Univ Med J 2011;9(3):179-84 

scholarly journals Study of Contraceptive Use Among Comprehensive Abortion Care Clients in Family Planning Clinic of Tribhuban University Teaching Hospital

2014 ◽  
Vol 9 (2) ◽  
pp. 22-26
Author(s):  
B R Bhandari ◽  
R Jha ◽  
J Baral ◽  
R R Wagle
Keyword(s):  
Family Planning ◽  
Teaching Hospital ◽  
Unwanted Pregnancy ◽  
University Teaching ◽  
Modern Contraceptive ◽  
Family Planning Clinic ◽  
Contraceptive Methods ◽  
Abortion Care ◽  
Study Results ◽  
Comprehensive Abortion Care

Aims: This study was done to assess the use of family planning method among comprehensive abortion care clients in Tribhuvan University Teaching Hospital (TUTH).   Methods: A hospital based observational study was conducted in family planning clinic at TUTH from 14th April 2009 to 14th June 2010 among one hundred clients who opted for comprehensive abortion care (CAC) at the hospital CAC centre and met the inclusion criteria of this study.   Results: Around 98% women had knowledge of different types of modern contraceptive methods. Majority of CAC clients (91%) had ever used contraceptive methods in the past. Injectables were the most common method of contraceptive used by the CAC clients (55%). Almost 22% clients had come for repeat induced abortion. About 43% clients opted CAC service for complete family and 33% for contraceptive failure. Withdrawal method failure was seen in 17% of clients. Almost 86% women intend to use contraceptive after CAC service in future.   Conclusions: This study concluded that despite knowledge of modern contraceptive methods and ever uses of different family planning methods, majority of clients had no consistency in use of various contraceptives. Effective family planning counseling along with information of emergency contraceptive is required for each CAC clients to prevent unwanted pregnancy and abortion.DOI: http://dx.doi.org/10.3126/njog.v9i2.11740

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 Awareness regarding birth spacing family planning methods among antenatal mothers

2020 ◽  
Vol 10 (1) ◽  
pp. 93
Author(s):  
Vidhya Rajan ◽  
Saraswathi Kandasamy
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Birth Spacing ◽  
Cross Sectional Study ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
Planning Methods ◽  
Knowledge And Attitude ◽  
Family Planning Methods

Background: According to WHO, the ideal interval between two pregnancies is 24 months. In India the contraceptive needs of young couples especially in the area of spacing pregnancies is largely unmet. Hence this study is undertaken to know the pre-existing knowledge of our antenatal population regarding contraceptive methods available for birth spacing. Aim of the study was to the knowledge and attitude regarding birth spacing family planning methods among antenatal mothers.Methods: It was a cross sectional study. Antenatal mothers attending the antenatal outpatient department of SBMCH, who are intending to have another child are invited to participate in this study. With informed consent, they are asked to fill a questionnaire, with questions regarding their knowledge and attitude towards the advantages and disadvantages of various contraceptive methods for birth spacing. The results of the study were analyzed by statistical analysis inrespect to various demographic factors of the population.Results: Total 92%of antenatal mothers were aware of health benefits associated with birth spacing. Yet only 45% were willing to adopt a method of contraception. Condoms is the most commonly preferred method for contraception (33.3%) and fear for side effects (43%) is the most common reason for not accepting a particular method of contraception.Conclusions: Though the awareness regarding the need and methods available for birth spacing methods of are widely prevalent in our urban based population, there is still a high percentage of mothers with misconceptions regarding the side effects associated with the birth spacing methods. Hence health education and counselling would improve the acceptance of contraceptive methods for birth spacing.

Women's perceptions of factors contributing to unintended pregnancy and actions to prevent it in the Eruwa community, Oyo State, Nigeria

2019 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Morolake Ayanseeke Ayanlowo ◽  
Omolola Irinoye ◽  
Olayinka Olaitan Aremu
Keyword(s):  
Unintended Pregnancy ◽  
Peer Influence ◽  
Unwanted Pregnancy ◽  
Sampling Technique ◽  
Self Control ◽  
Reproductive Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Women’S Perceptions

Introduction: Unintended pregnancy, used synonymously with unplanned and unwanted pregnancy, contributes to a high health burden among women of reproductive age in many countries. This study focused on women's perceptions of factors contributing to unintended pregnancy and actions that can be taken to prevent it, in Nigeria. Objectives: To collect data that will inform preventive education and support for women and help to reduce the burden of unintended pregnancy, especially among women at a community level. Method: A descriptive cross-sectional design was used. 338 women of childbearing age were selected systematically from the town of Eruwa using a multistage sampling technique. A pre-tested self-structured questionnaire was issued to identify sociodemographic data of participants and their perceptions of factors contributing to unintended pregnancy and actions that can be taken to prevent this. The Chi squared test determined if sociodemographic characteristics were significantly associated with perceptions of effective actions. Results: Peer influence, rape, and lack of parental care were most commonly perceived as factors contributing to unintended pregnancy. Abstaining from sex, preconception counselling, and self-control were commonly identified as effective preventive measures. The perceptions that the use of arm implants or self-control are effective actions to prevent unintended pregnancy were significantly associated with the marital status of participants (P= 0.001 and 0.002, respectively). Several perceived methods for effective actions in preventing unintended pregnancy were significantly associated with the age of participants, including arm implants (P<0.000) and the calendar contraceptive method (P= 0.004). Conclusions: These findings highlight several factors that women in Nigeria believe contribute to unintended pregnancy. Efforts should be directed at ensuring victims of rape are treated fairly and without discrimination, as well as encouraging positive preventive actions, such as contraceptive use, to reduce unintended pregnancy and contribute to the reduction of maternal mortality and morbidity.

Frequency and Causes of Consuming Sports Supplements and Understanding their Side Effects Among Bodybuilders in Fitness Gyms of Kermanshah City

2019 ◽  
Vol 15 (7) ◽  
pp. 735-744
Author(s):  
Nadya Baharirad ◽  
Saeid Komasi ◽  
Alireza Khatooni ◽  
Farideh Moradi ◽  
Ali Soroush
Keyword(s):  
Side Effects ◽  
Female Athletes ◽  
Correlation Coefficients ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Sufficient Information ◽  
Chi Square ◽  
Cross Sectional ◽  
Sports Supplements ◽  
Significant Difference

Background: Nowadays, paying attention to sports nutrition, particularly focus on using supplements among athletes is increasing rapidly. Objective: This study has been carried out in order to investigate the frequency and causes of consuming supplements and understanding the side effects related to their consumption among bodybuilders in Kermanshah City. Methods: The samples of this cross-sectional study include teenagers and young adults who are the members of fitness gyms around Kermanshah City. 244 individuals were selected as samples using simple random sampling. In order to gather the required data, a four-sectioned questionnaire designed by the research team was used. The data analysis was done using chi-square, independent ttest, and Pearson's and Spearman's correlation coefficients by SPSS-20. Results: The majority of bodybuilders participating in the study (95.3%) have used supplements. The sources suggesting the consumption of supplements included other athletes, the coach, the media, nutrition specialists, and medical doctors, respectively. Generally, 37 types of sports supplements are used by the bodybuilders. Based on their rank, the supplements include vitamin C, Creatine, vitamin E, multivitamin, and iron. The most frequent reasons for consuming sports supplements included muscle building, increasing energy, and improving athletic performance. There is a significant difference between male and female athletes with regards to knowing the psychological and sexual side effects of consuming sports supplements (P<0.05). In general, the level of understanding and knowing the side effects of consuming sports supplements among athletes is not desirable. Conclusion: Since a significant percentage of athletes, particularly male athletes, have a history of consuming sports supplements, it is necessary that the people related to this issue including athletes, coaches, doctors, and nutrition specialists, get sufficient information about the ingredients, side effects, benefits, and applications of various nutritional supplements. Dysfunctional beliefs about the supplements consumption or non-consumption should be discussed.

scholarly journals Role of Pharmacist in Addressing the Adverse Drug Reactions and Improving the Knowledge of Patients Regarding Their Drug Therapy at Government Civil Hospital Khairpur, Sindh, Pakistan

2021 ◽  
pp. 104-110
Author(s):  
Zuheeb Ahmed ◽  
Marvi Metlo ◽  
Sajid Ali ◽  
Shahzad Ali ◽  
Hetesh Kumar ◽  
...  
Keyword(s):  
Side Effects ◽  
Adverse Drug Reactions ◽  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Drug Reactions ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Short Period ◽  
Before And After

Adverse Drug Reactions are among the major problems that cause mortality and morbidity in patients worldwide. In this study, Adverse Drug Reactions with common medicines were addressed, and the knowledge of pharmacist for prescribed medicine was also evaluated before and after educating the patients by pharmacist. The duration of this study was one year from October 2016 to October 2017. A descriptive cross-sectional study was designed and completed on 150 patients admitted to the hospital's medical ward. Patients whose ages were between 18-60 years, either male or female, who reported chronic diseases and took medication for a long time were selected for the study. Children or patients having < 18 years and taking medicine for a short period were excluded from this study. Selected patients were evaluated, and results were collected. Finally, the collected data was analysed with the 21st version of IBM’s Statistical Package for Service Solutions (SPSS v23). Of 150 selected patients, 61% were male, and 39% were female. Most patients were from the 18-30 age group, i.e., 28%. 60% of the patients hail from rural areas, and 40% from an urban areas. Of the 150 patient studied, 36.7% were illiterate, and only 4.7% of patients were above intermediate. Most of the patients were working in different government and private sectors. 8% of those taking the combination of Amoxicillin+Omeprazole+Salbutamol reported side-effects, whereas minimum side effects (2.0%) with Cholorothiazide+Atenolol+ Paracetamol. Reported adverse drug reactions (ADRs) in patients were Headache (14.9%), nausea (13.8%), vomiting (10.3%), abdominal pain (12.6%), constipation (8.0%), diarrhea (10.3%), skin rashes (5.7%), loss of appetite (4.6%), dizziness (6.9%), tiredness (6.9%) and confusion (5.7%). The knowledge of patients regarding therapy was compared before and after counseling that shows increased awareness in patients after counseling the patients. Before counseling average knowledge of patients was 27.5% that increased to 50.3% after counseling. After analyzing the results, it is concluded that pharmacist counseling and providing education to patients can significantly decrease the ADRs and increase the compliance of drugs that will ultimately enhance patients' quality of life. It was recommended that the hospital should appoint the pharmacist, especially a clinical pharmacist, and Hospital administration should arrange the programs for the awareness of patients on appropriate uses of drugs and their side effects.

scholarly journals Prevalence of long acting and permanent contraceptive methods among married population in a selected rural community

2015 ◽  
Vol 9 (2) ◽  
pp. 93-99
Author(s):  
Md Nasir Uddin ◽  
Rowshan Ara
Keyword(s):  
Side Effects ◽  
Rural Community ◽  
Contraceptive Method ◽  
Secondary Level ◽  
Armed Forces ◽  
Age Group ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Long Acting

Introduction: Contraception is an essential method for reducing fertility rate. The long-acting and permanent contraceptive methods can adversely affect the health of the mother and the child. Objectives: The study was conducted to assess the prevalence of long acting and permanent contraceptive methods among married population in a selected rural community of Gazipur District. Methods: This was a descriptive type of cross sectional study conducted to explore the prevalence of long acting and permanent contraceptive methods among the adult married population in the rural community of Mulaid village under Telihati union of Sreepur Upazilla under Gazipur District. Sample size was 372 and purposive sampling technique was followed for data collection which was done by face to face interview using semi structured questionnaire. The data was analyzed by SPSS 16 software. Results: Majority (64.5%) of the respondents were female. Highest number of male respondents (44.7%) were in 20 to 30 years age group and highest number of the female respondents (45.0%) were in 15 to 25 years age group. Maximum male respondents (18.9%) were educated up to secondary level and maximum female respondents (29.6%) were educated up to secondary level. Out of total 372 respondents, 92% (344) were aware about contraceptive methods and 74.2% (277) of them used different kinds of contraceptive methods. 93 JAFMC Bangladesh. Vol 9, No 2 (December) 2013 Among them 75% (209) used short acting contraceptives, while 17% (48) used long acting contraceptives and 8% (21) used permanent methods. Out of 48 long acting contraceptive method users, maximum (64.6%) used Injection, 29.2% (14) used Implants and 6.2% (3) used I.U.C.D. Among permanent contraceptive methods users, 81.0% (17) used tubectomy and 19% (4) used vasectomy. Out of all Long Acting and Permanent Contraceptive Methods (LAPM) users, percentage of injection was 45% (27), I.U.C.D 5% (3), implant 20% (12) tubectomy 23.33% (14) and vasectomy 6.6% (4). Among the long acting method users(n=48), percentage of injection and implant usage were highest (injection: 60%--18, implant: 26.6%--8) among the respondents having more than two children and percentage of I.U.C.D. usage was highest i.e. 7.6%(3) among the respondents with two or less than two living children. Regarding side effects, among 66.6%(32) of long acting contraceptive method users, maximum i.e. 37.5%(12) mentioned amenorrhea and rest of the respondent(20) mentioned different side effects such as excessive menstruation, irregular menstruation, weight gain etc. Conclusion: Use of long term and permanent contraceptive methods among people is increasing day by day and this use increases with higher level of education, awareness and social and economic status. Still there is a need to intensify information; education, communication activities and this motivate the people to adopt long term and permanent contraceptive methods. DOI: http://dx.doi.org/10.3329/jafmc.v9i2.21846 Journal of Armed Forces Medical College Bangladesh Vol.9(2) 2013

Relationship between the perceived severity of unwanted pregnancy and attitudes toward four contraceptive methods among unmarried university students in Korea: differences by gender and sexual experience

2020 ◽  
Keyword(s):  
University Students ◽  
Online Survey ◽  
Sexual Experience ◽  
Unwanted Pregnancy ◽  
Educational Interventions ◽  
Female Students ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Perceived Severity ◽  
Study Results

Background and objective: This study examined the relationships between the perceived severity of unwanted pregnancy and attitudes toward four contraceptive methods (condoms, oral contraceptive pills, the withdrawal method, and the rhythm method) according to gender and sexual experience among unmarried university students in Korea. Material and methods: A descriptive cross-sectional comparative study was conducted among 1,372 unmarried university students (men, n = 755; women, n = 617). This was a secondary analysis based on a prior online survey. Descriptive statistics, the Kruskal-Wallis test, pairwise comparisons using the Mann-Whitney U test with the Bonferroni correction, and logistic regression were used to analyze the data in this study. Results: Female students with sexual experience had the highest scores for the perceived severity of unwanted pregnancy. In each group defined according to gender and sexual experience, differences in attitudes toward contraceptive methods significantly influenced the perceived severity of unwanted pregnancy. Conclusion: Efforts should be made to increase the perceived severity of unwanted pregnancy among female students who have favorable attitudes toward the rhythm and withdrawal methods. Students with sexual experience who use the rhythm and withdrawal methods should be targeted for educational interventions aiming to strengthen the perceived severity of unwanted pregnancy.

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 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 were 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 side effects and misconceptions related to with 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 needs to address this gap by developing appropriate and effective interventions and informative tools for women in the Cambodian garment industry.

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