scholarly journals Post Abortion Choice and Acceptance of Contraception

2013 ◽  
Vol 8 (1) ◽  
pp. 14-17
Author(s):  
Ashis Shrestha ◽  
P Sharma
Keyword(s):  
Care Service ◽  
First Trimester ◽  
Contraceptive Device ◽  
Trimester Abortion ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
Comprehensive Abortion Care ◽  
Post Abortion

Aims: This study was conducted to find out choice and acceptance of contraceptives in clients coming for first trimester abortion. Methods: This was a cross sectional descriptive study carried out from the records of clients who received comprehensive abortion care service in first trimester at Kasthamandap health care centre from June 2008 to June 2010. Results: Total 707 clients came for abortion who fulfilled inclusion criteria. Contraceptive acceptance was 49.5%. Most frequently used contraceptives were injectable (depot medroxyprogesterone) 22.8%, oral contraceptive pills 19.6%, condom 6.1%, intra-uterine contraceptive device 0.8% and norplant 0.3%. Conclusions: This study showed a low acceptance rate of contraception. This suggests the need for reviewing the policy of post abortion contraception. The study also highlighted that depot provera was the most accepted contraception. Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 1 / Issue 15 / Jan- June, 2013 / 14-17 DOI: http://dx.doi.org/10.3126/njog.v8i1.8854

scholarly journals Awareness of contraception in post-partum women in a tertiary care centre

2017 ◽  
Vol 6 (9) ◽  
pp. 3850
Author(s):  
Rupali Atmaram Gaikwad ◽  
Shrinivas N. Gadappa ◽  
Sonali S. Deshpande
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Contraceptive Device ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Medical College ◽  
Contraceptive Pills ◽  
Intrauterine Contraceptive

Background: In this modern or scientific era even though women are working equally or one step ahead of men, in family planning decision they are still lagging behind. Postpartum period is very crucial for a woman especially for many of those belonging to the villages as this may be the only time she comes in contact with a health personnel and in a mood to listen health advice. Keeping this in mind, this crucial period was considered as opportunity to test the issue of awareness regarding contraception.Methods: We conducted a cross-sectional study in the department of obstetrics and gynecology of Govt medical college and hospital, Aurangabad between August 2016 to December 2016. A total 720 post-partum women were interrogated and counselled regarding various methods of contraception.Results: Only 55.69% were aware about various methods of contraception. Awareness was maximum for Sterilisation (91%) followed by Intrauterine contraceptive device (81%) and Oral contraceptive pills (41%). Women knew about contraception from health care system (45%) and mass media (36%). After counselling 97% patients ready to use.Conclusions: There is lack of awareness regarding contraception. Contraceptive services are to be strengthened by intergrating with antenatal sevices.

scholarly journals An Overview of Comprehensive Abortion Care at Tertiary care Teaching Hospital

2019 ◽  
Vol 2 (1) ◽  
pp. 149-154
Author(s):  
Sunita Bhandari ◽  
Yam Dwa ◽  
Smrity Maskey ◽  
Manisha Bajracharya ◽  
Minaxi Thakur
Keyword(s):  
Mental Health ◽  
Teaching Hospital ◽  
Maternal Mental Health ◽  
Care Service ◽  
First Trimester ◽  
Second Trimester ◽  
Total Study Population ◽  
Abortion Care ◽  
Comprehensive Abortion Care ◽  
Post Abortion

Introduction: With the beginning of comprehensive abortion care service in Nepal, since 2004, safe abortion services in the first trimester are available in all 75 district hospitals of Nepal. Nepal has expanded comprehensive abortion care into the second trimester in 2007. This study tries to investigate the reasons for using comprehensive abortion care service and to know the post-abortion contraceptive acceptance among women presenting at first and second trimester of gestation.Materials and Methods: This hospital-based prospective study was conducted among women seeking comprehensive abortion care service at first and second trimester of gestation in the outpatient department of Obstetrics & Gynaecology, KIST Medical College and Teaching Hospital from July 2017 to July 2018. Data collection was done by filling proforma and was analyzed.Results: There were a total of 171 clients, out of which 78.95% (n=135) were in the first trimester and 21.05% (n=36) in the second trimester of pregnancy. The reason in the first trimester was completed family (39.25%) and the main reason for the second trimester was maternal mental health (48.71%). Among the total study population, 16.37% (n=28) accepted contraception. The most common accepted contraceptive method was implant (n=14; 8.1%), followed by inj. depot medroxyprogesterone acetate (n=8; 4.6%).Conclusions: The prevalence of second-trimester abortion is high despite the availability of first-trimester comprehensive abortion care service. The main reason for induced abortion in first trimester was completed family and in second-trimester was maternal mental health. Post-abortion contraceptive acceptance among comprehensive abortion care clients was very low.

scholarly journals Descriptive Study Analyzing Medical and Surgical Methods of Terminating First Trimester Pregnancy

2018 ◽  
Vol 4 (1) ◽  
pp. 1-5
Author(s):  
Bhaktabatsal Raut ◽  
Shreedhar Acharya
Keyword(s):  
Failure Rate ◽  
First Trimester ◽  
Medical Sciences ◽  
Trimester Abortion ◽  
Surgical Methods ◽  
Education Status ◽  
First Trimester Of Pregnancy ◽  
One Year ◽  
Long Acting ◽  
Post Abortion

INTRODUCTION: This study was conducted to analyze the medical and surgical methods of first trimester of pregnancy. MATERIAL AND METHODS: A hospital based retrospective study done at Lumbini Zonal Hospital, Butwal over the period of one year, where all the women who had first trimester abortion services were analyzed. Age, parity, education status, failure rates and post abortion contraception were analyzed.RESULTS: There were total of 478 women who had abortion services, of which 244 women had medical method of abortion. Among them 4.89% were teenagers and 11.29% were primigravida and 6.9% were uneducated. The failure rate for medical method was 9% and for surgical method was 1.7%. Most women at their post abortion period asked for condoms, followed by DMPA, IUD and OCP as a method of contraception.CONCLUSION: Failure rate of medical method was high and acceptance of long acting post abortion contraception was low.Journal of Universal College of Medical Sciences (2016) Vol.04 No.01 Issue 13, page: 1-5

scholarly journals Patterns of contraceptive usage at family planning clinics in Ilorin, Nigeria

2016 ◽  
Vol 44 (3) ◽  
pp. 140-145
Author(s):  
Akinyosoye Ajiboye ◽  
Kikelomo T Adesina ◽  
Ishaq F Abdul ◽  
Grace G Ezeoke
Keyword(s):  
Family Planning ◽  
Information Dissemination ◽  
Contraceptive Use ◽  
Public Hospitals ◽  
Healthcare Personnel ◽  
Contraceptive Device ◽  
Oral Contraceptive Pills ◽  
Contraceptive Usage ◽  
Contraceptive Pills ◽  
Surgical Sterilization

This study was carried out to evaluate the pattern of contraceptive usage in family planning clinics of public hospitals within Ilorin metropolis, Nigeria. It was a retrospective study carried out between January 2010 and December 2012 involving a total of 10,002 contraceptive users attended family planning clinics in the centers within this period. Over a half of the clients (56.6%) were within the age bracket of 30-39 years, and 1.4% were less than 20 years. Majority (79.8%) of the users had two or more children while 0.9% were nulliparas. The most preferred contraceptive method was the hormonal injectable (59.5%); the percentage of users of oral contraceptive pills was 9.6% and utilization of the male condoms was 6.9%. The user rate for intrauterine contraceptive device was 17.3% while it was 6.6% for hormonal implant. Surgical sterilization was utilized by 0.1%. The commonest source of information was from healthcare personnel accounting for 41.9% followed by the mass media (21.6%). There was a low level of acceptance amongst teenagers; the level of acceptance of surgical sterilization methods was also low. There is need to improve on information dissemination regarding contraceptive use, via the internet and social media for teenagers who tend to be more internet-savvy. The number and age of clients were statistically significant factors for patterns of contraceptive usage at various family planning clinics in Ilorin metropolis.Bangladesh Med J. 2015 Sep; 44 (3): 140-145

scholarly journals Social inequalities in the use of contraceptives in adult women from Southern Brazil

2019 ◽  
Vol 53 ◽  
pp. 28
Author(s):  
Tonantzin Ribeiro Gonçalves ◽  
Heloísa Marquardt Leite ◽  
Fernanda Souza de Bairros ◽  
Maria Teresa Anselmo Olinto ◽  
Nêmora Tregnago Barcellos ◽  
...  
Keyword(s):  
Oral Contraceptive ◽  
Social Inequalities ◽  
Tubal Ligation ◽  
Social Classes ◽  
Adult Women ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Male Condom ◽  
Contraceptive Pills ◽  
Socioeconomic And Demographic Factors

OBJECTIVE: To describe the contraceptive methods used by adult women and the associated socioeconomic and demographic factors. METHODS: Population-based cross-sectional study with 20 to 49-year-old women from São Leopoldo, state of Rio Grande do Sul, in 2015. Three outcomes were considered to analyze the association with demographic and socioeconomic characteristics: use of oral contraceptive pills, tubal ligation and male condom. The crude prevalence ratios, stratified by age, and 95% confidence intervals (95%CI) were obtained using Poisson regression, taking the experimental error into account. RESULTS: A total of 736 women, aged from 20 to 49 years old, were evaluated. The prevalence of the use of oral contraceptive pills, tubal ligation and male condom were respectively 31.8% (95%CI 28.4–35.3), 11.1% (95%CI 9.0–13.6) and 10.9% (95%CI 8.7–13.3). In addition, 10.5% (n = 77) of the women reported making combined use of oral contraceptive pills and condom. In the stratified analysis, younger women with lower education level and from lower social classes reported less use of oral contraceptive pills. Tubal ligation was more prevalent among the lower social classes, but only in the age group from 30 to 39 years old. No differences were found in relation to male condom. CONCLUSIONS: The results indicated that differences persist in relation to contraception, which can be associated with both the difficulties of access to these inputs and the frailty of actions in reproductive health to achieve the needs and preferences of women who are more socially vulnerable.

scholarly journals Induced Second Trimester Abortion and Associated Factors in Amhara Region Referral Hospitals

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Amlaku Mulat ◽  
Hinsermu Bayu ◽  
Habtamu Mellie ◽  
Amare Alemu
Keyword(s):  
Associated Factors ◽  
First Trimester ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Second Trimester ◽  
Amhara Region ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Second Trimester Abortion

Background. Although the vast majority of abortions are performed in the first trimester, still 10–15% of terminations of pregnancies have taken place in the second trimester period globally. As compared to first trimester, second trimester abortions are disproportionately contribute for maternal morbidity and mortality especially in low-resource countries where access to safe second trimester abortion is limited. The main aim of this study was to assess the prevalence and associated factors of induced second trimester abortion in Amhara region referral hospitals, northwest Ethiopia.Methods. Institution based cross-sectional study was conducted in Amhara region referral hospitals among 416 women who sought abortion services. Participants were selected using systematic sampling technique. Data were collected using pretested structured questionnaire through interviewing. After the data were entered and analyzed; variables which havePvalue < 0.2 in bivariate analysis, not colinear, were entered into multiple logistic regressions to see the net effect with 95% CI andPvalue < 0.05.Results. The prevalence of induced second trimester abortion was 19.2%. Being rural (AOR = 1.86 [95% CI = 1.11–3.14]), having irregular menstrual cycle (AOR = 1.76 [95% CI = 1.03–2.98]), not recognizing their pregnancy at early time (AOR = 2.05 [95% CI = 1.21–3.48]), and having logistics related problems (AOR = 2.37 [95% CI = 1.02–5.53]) were found to have statistically significant association with induced second trimester abortion.Conclusion. Induced second trimester abortion is high despite the availability of first trimester abortion services. Therefore, increase accessibility and availability of safe second trimester abortion services below referral level, counseling and logistical support are helpful to minimize late abortions.

scholarly journals MONITORING PENGGUNAAN KONTRASEPSI PIL KB ORAL DENGAN KEJADIAN HIPERTENSI : LITERATURE REVIEW

2021 ◽  
Vol 1 (2) ◽  
pp. 19-25
Author(s):  
Putri Devy Septya ◽  
Martanty Aditya ◽  
Hendra Godeliva Adriani
Keyword(s):  
Oral Contraceptive ◽  
Literature Review ◽  
Birth Control ◽  
Google Scholar ◽  
P Value ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
Birth Control Pills

Abstrak Pil KB oral merupakan salah satu alat kontrasepsi paling banyak digunakan oleh para wanita untuk mencegah kehamilan. Namun pil KB juga memiliki efek samping yang dapat meningkatkan tekanan darah ?140 mmHg (sistolik) dan ?90 mmHg (diastolik) atau dikenal dengan hipertensi. Penelitian ini bertujuan untuk mengetahui apakah penggunaan kontrasepsi pil KB oral dapat menimbulkan resiko terjadinya hipertensi. Metode yang digunakan dalam penelitian ini adalah literture review dengan sumber data melalui pencarian secara menyeluruh dengan mesin pencari PubMed dan Google Scholar untuk menemukan artikel sesuai kriteria inklusi dan ekslusi dengan kata kunci tertentu dalam periode 2010-2020 kemudian dilakukan review. Hasil penelusuran yang didapatkan yaitu 3 artikel ilmiah secara observasional dengan menggunakan metode cohort dan cross sectional. Hasil dari literature review ini menunjukkan bahwa penggunaan kontrasepsi pil KB oral dapat menimbulkan risiko terjadinya hipertensi. Hal tersebut dibuktikan dari artikel ilmiah yang memiliki nilai p-value dibawah 0,05. Namun adapula yang membuktikan bahwa penggunaan kontrasepsi oral di usia muda tidak menyebabkan hipertensi pascamenopause serta terdapat artikel yang menyatakan bahwa tidak ada hubungan yang signifikan antara penggunaan pil KB kombinasi yang didapatkan dari klinik AS dengan penggunaan pil KB kombinasi yang didapatkan tanpa resep dokter tapi penggunaan pil KB perlu lebih di pantau agar tidak terjadi resiko yang diinginkan. Kata Kunci : Hipertensi, literature review, pil KB Abstract Oral contraceptive pills are one of the most widely used contraceptives for women to prevent pregnancy. However, oral contraceptive pills also have side effects, one of which is increasing blood pressure to ? 140 mmHg (systolic) and ? 90 mmHg (diastolic) or known as hypertension. This study aimed to determine whether the use of oral contraceptive pills poses a risk of developing hypertension. The method used in this study was literature review whose data were sourced from thorough searches with the PubMed and Google Scholar to find articles according to the inclusion and exclusion criteria with certain keywords in the 20102020 and then reviewed. The results obtained were 7 scientific articles observed using a case control and cross sectional methods. The results of this literature review indicate that the use of oral contraceptive pills can increase the risk of developing hypertension. This is evidenced by scientific articles with a p-value below 0.05. However, there is also evidence that the use of oral contraceptives at a young age does not cause postmenopausal hypertension and there is an article stating that there is no significant link between the use of combination birth control pills obtained from U.S. clinics and the use of combination birth control pills obtained without a doctor's prescription but the use of birth control pills needs to be monitored more so that there is no desired risk. Keywords: Hypertension, literature review, oral contraceptive pills

scholarly journals An exploratory study on knowledge and practice regarding family planning and immunization among women attending MCH clinic

2017 ◽  
Vol 3 (6) ◽  
pp. 156
Author(s):  
Dibya Sharma ◽  
Ramchandra Kafle
Keyword(s):  
Family Planning ◽  
Sampling Technique ◽  
Cost Effective ◽  
Reproductive Age ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Planning Methods ◽  
Knowledge And Practice ◽  
Family Planning Methods

<p class="abstract"><strong>Background:</strong> Globally, an estimated 300,000 maternal deaths occur annually owing to causes associated with pregnancy, of which nearly 75% were preventable. Each year, modern contraceptives help women prevent 215,000 pregnancy-related deaths (including 66,000 from unsafe abortions), 2.7 million infant deaths and the loss of 60 million years of healthy life. Vaccination is one of the most cost-effective health interventions available, saving millions of children from illness, disability and death each year. The burden of infectious diseases has been reduced primary due to immunization.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study regarding knowledge and practice of family planning and immunization was conducted in a Maternal and Child health (MCH) clinic of Western Regional Hospital, Pokhara. The sample consists of 100 married women of reproductive age group (15-49) years having under five children coming to the clinic using purposive sampling technique.  </p><p class="abstract"><strong>Results:</strong> Knowledge regarding family planning methods were oral contraceptive pills/depot/implant (84%) followed by intrauterine contraceptive device (77%), condom (65%), natural methods (80%), permanent method (92%). Condom was most commonly used among temporary methods. More than 4/5<sup>th</sup> of the respondents were aware about vaccines as per schedule of Nepal. But 5% of the respondents had neither given any vaccine to their baby and nor taken any dose of tetanus toxoid vaccine during their previous pregnancy.</p><strong>Conclusions:</strong> Still 14% of the respondents were not aware about any methods of family planning and 19% does not know about the vaccines as per schedule of Nepal. So there is a need to increase awareness about the different types of family planning methods and immunization.

scholarly journals Severe Neuroinflammatory Relapse After Extrauterine Pregnancy and Abortion: A Case Report on a Patient With Heterogenic Ms Phenotype Carrying Myelin Oligodendrocyte Glycoprotein Autoantibodies

2021 ◽  
Author(s):  
Katja Kulmala ◽  
Roosa Vaitiniemi ◽  
Helene Blad ◽  
Virginija Danylaite Karrenbauer
Keyword(s):  
Case Report ◽  
Pregnancy Termination ◽  
Dimethyl Fumarate ◽  
First Trimester ◽  
Myelin Oligodendrocyte Glycoprotein ◽  
Csf Biomarkers ◽  
Trimester Abortion ◽  
Disease Variant ◽  
Post Abortion ◽  
Surgical Abortion

Abstract Background. Pregnancy has disease-modifying effects in MS. First trimester abortion might be followed by increased MS activity. MS with myelin oligodendrocyte glycoprotein (MOG) autoantibodies is a rare and agressive disease variant. Objectives. This case illustrates severe inflammatory reactivation after surgical abortion in MS patient who carries MOG antibodies. Methods. Case-report. Patient provided written informed consent for information and images to be published. Results. MRI and CSF biomarkers indicated high inflammatory activity post-abortion. Conclusions. Pregnancy termination in combination with MOG antibody carriership and termination of dimethyl fumarate treatment just prior abortion have had contributed to extensive reactivation of MS.

scholarly journals Factors Associated with Unsafe Induced Abortion among Women who attended Fitche Hospital, Oromia, Ethiopia: Cross-sectional study

2019 ◽  
Author(s):  
Abebe Feyissa Amhare ◽  
Dereje Gobena Alemayehu ◽  
Alemtsehay Adam Bogale
Keyword(s):  
Care Service ◽  
Traditional Birth Attendant ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Induced Abortion ◽  
Sectional Study ◽  
Cross Sectional ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background Unsafe induced abortion is one of the most medical and public health problems in developing countries including Ethiopia. Ethiopia has permitted abortion in specific legal circumstances when the conception of the fetus is caused by rape, incest, when continuation of pregnancy endangers the mother’s life. The aim of this study is to assess the magnitude and associated risk factors of unsafe induced abortion among women who received post abortion care service in Fitche Hospital. Methods Institutional based cross-sectional study was carried out among women who received post abortion care service at Fitche hospital from November 30, 2017 up to May 30, 2018. The data was collected using pre tested questionnaire and entered to EpiData version 3.1 software and analyzed using SPSS version 24. Descriptive statistics, multivariate logistic regression analysis and chi-square test were conducted. Results Three hundred and eight respondents (100% response rate) with mean age of 30 ± 9 years were participated in this study. From respondents, 45% had history of unsafe induced abortion and 27% of them reported the abortion was performed in house by traditional birth attendant. Single women were more likely practice unsafe induced abortion than widowed women [OR: 9.71; 95%CI (1.30 – 72.42)]. Women who had low monthly income [OR: 6.72; 95%CI (2.15 - 20.97)] and house wives [OR: 12.29; 95%CI (1.70 - 88.63)] were more likely practice unsafe induced abortion than counterparts. Failure of contraceptive methods, place of interference, method used for interference, a person who induced the abortion, a condition after procedure, and reasons to induce abortion were identified as association factors of unsafe induced abortion at P < 0.001. Conclusion The study assessed the magnitude and reported a significant association between unsafe induced abortion and socio-demographic factors, contraceptive practice, and abortion related items. These findings are positive enough to warrant a large-scale study to better understand the unsafe abortion vulnerability factors in Ethiopia.

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