Pattern of contraceptive use among women of different ages: a hospital based study

Background: Contraceptives not only prevent unplanned pregnancy but also enhance the quality of life. Choice of contraceptive varies from person to person. Objectives: To observe the type of contraceptive chosen by women, to determine the sociodemographic status of women sought contraceptive and to detect the pattern of contraceptive selection by women of different age. Methods: It was a cross sectional, observational, descriptive type of study performed at Family Planning Unit of Dhaka National Medical College Hospital, Dhaka, between May 2005 and April 2006. No sampling technique was applied in the study. All clients sought contraceptive methods were recruited for the study purposively. A total 3392 respondents was included in the study. The socio-demographic status and obstetrical history and choice of contraceptives of the clients were recorded and data were analysed. Results: Age of the clients ranges between 16 to 49 years. Among the respondents 95.43% were parous. The educational status showed 44.30% were illiterate and 48.23%, 5.02% 2.41% has got primary, secondary, higher secondary and above education respectively. Among the available methods of contraceptives of this Family Planning Unit, Injectable Depot Medroxy Progesterone Acetate (DMPA) and Combined Oral Contraceptive (COC) pill were chosen by 50.65% (n= 1718) and 40.60% (n=1379) of respondents respectively. Intrauterine contraceptive Device (IUCD) and barrier method was chosen by 4.75% (n=160) and 3.98% (n=135) respondents respectively. It was observed that highest number of the clients was between the age 25 and 34 years. They were found at the top of using each type of contraceptive. The study reveals that a few older women (n=21) sought contraceptives and their choice of contraceptives were confined to COC and Barrier method only. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22704 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 109-113

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Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v14i2.45910 ◽

2020 ◽

Vol 14 (2) ◽

pp. 200-202

Author(s):

Feroz Ahmed Sohel ◽

Sanzida Jahan ◽

Saifullah Russel ◽

Farzana Zafreen

Keyword(s):

Unplanned Pregnancy ◽

Economic Status ◽

Armed Forces ◽

Tertiary Level ◽

College Hospital ◽

Cross Sectional ◽

Demographic Profile ◽

Medical College ◽

Number Of Patients ◽

Level Hospital

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment. Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh. Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications. Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life. Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202

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A Study on Gender Preferences and its Sociocultural aspects among Married Women (18-45years) in Rural Gurugram

International Healthcare Research Journal ◽

10.26440/ihrj/0305.08270 ◽

2019 ◽

Vol 3 (5) ◽

pp. 185-188

Author(s):

V K Singhal ◽

Shalini Ray ◽

Priyanka Sachdeva ◽

Vishesh Yadav

Keyword(s):

Sex Ratio ◽

Sampling Technique ◽

Educational Status ◽

Married Women ◽

Male Child ◽

Sociocultural Factors ◽

Contraceptive Device ◽

Gender Preferences ◽

Cross Sectional ◽

Contraceptive Usage

INTRODUCTION: Declining sex ratio is a major concern worldwide, especially in a developing country like India. The role of sociocultural factors in gender preference is known since ages. The skewed sex ratio in India is attributed to selective female feticides and misuse of technological advancements. This also has a strong influence on contraceptive acceptance among couples. OBJECTIVES: The present study was conducted to explore the contraceptive use, gender preferences and its determinants among married women in rural Gurgaon. MATERIALS AND METHODS: A cross-sectional study was conducted among married women (18-45years) residing in the rural field practice area of SGT medical college and hospital, Gurugram. The sample size was found to be 400. Systematic random sampling technique was used to recruit the study participants. Pre- tested, pre-designed questionnaire was used for data collection. RESULTS AND DISCUSSION: Among 400 married women, current contraceptive usage among study population was found to be 58.25%. The most common method of contraception used by the study subjects was intrauterine contraceptive device. The preference for male child was found among 49.5% women. The reasons cited for such preference were propagation of family name (48.2%), financial dependability in the old age (34%), social responsibilities are carried out by males (25.3%) and males are lesser economic liability (31%). Lower age group of mother, nulliparity, Hindu religion, lower educational status and lower socioeconomic status were found to be the determinants of male child preference in the present study. CONCLUSION: There is need of awareness and education amongst women and both the genders deserve equal respect without any preferences.

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

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20172507 ◽

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

Background: 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.Methods: 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. Results: 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 4/5th 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.Conclusions: 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.

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Knowledge about inhaler use among the chronic asthma patients in selected hospitals

Bangladesh Medical Research Council Bulletin ◽

10.3329/bmrcb.v37i2.8433 ◽

1970 ◽

Vol 37 (2) ◽

pp. 47-50

Author(s):

IA Parvin ◽

SA Ahmad ◽

MN Islam

Keyword(s):

Health Care Providers ◽

Educational Status ◽

Chronic Asthma ◽

Care Providers ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

Adequate Knowledge ◽

Asthma Patients ◽

Level Of Knowledge

This cross sectional descriptive study was conducted among the chronic asthma patients attending three Institutes of Dhaka city namely National Asthma Center, The National Institute of Diseases of Chest and Hospital (NIDCH), Mohakhali, and Dhaka Medical College Hospital to assess the level of knowledge regarding inhaler use. Convenient sampling was adopted. Data were collected using one semi-structured questionnaire through face-to-face interview. The patients were aged from 18 to 75 years with mean age being 40.68 years and sd ± 11.659 years. The mean monthly income of the respondents found was 8278.52 taka with standard deviation ± 3523.315 taka. Mean duration of bronchial asthma was 9.44 years with sd±4.862 years. Out of the total 298 respondents 103(35.8%) possessed “excellent knowledge” on inhalers. Ninety one (31.6%) had “adequate knowledge”, sixty nine (24.0%) had “poor knowledge” and thirty five (8.7%) respondents were found having “no knowledge” about inhalers. Males were seen having better knowledge than the females (χ2 =66.582, df=3, p<0.001). The respondents receiving treatment from the indoor possessed better knowledge than those from the outdoors (p<0.001). Level of Knowledge was also found to be associated with the educational status of the respondents. Respondents with higher education possessed more than the respondents with lower education (p<0.001). Though most of the physicians now prescribe inhalers, but many of them do not explain the proper use of inhaler. This may be corrected through training and motivation of physicians at Medical Colleges and Hospitals and during various medical conferences and other programs. To reduce the extent of suffering and economic burden of asthma patients and their families, active education program for the patients and training program for the health care providers, regarding “inhaler use technique” demands early consideration. DOI: http://dx.doi.org/10.3329/bmrcb.v37i2.8433 BMRCB 2011; 37(2): 47-50

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“Evaluation of Urosepsis and Bacteriuria in Patients Undergoing PCNL and URS”

International Journal Of Medical Science And Clinical Invention ◽

10.18535/ijmsci/v8i09.01 ◽

2021 ◽

Vol 8 (09) ◽

pp. 5584-5590

Author(s):

Bivash Boran Biswas ◽

Mousumi Malakar ◽

Sazzad Bin Shahid ◽

Sayem Hossain ◽

Khan Nazrul Islam ◽

...

Keyword(s):

Blood Culture ◽

Urine Culture ◽

Sampling Technique ◽

Cross Sectional Study ◽

Resistant Organism ◽

College Hospital ◽

Cross Sectional ◽

E Coli ◽

Medical College ◽

Sensitivity Pattern

Urosepsis usually develops from a community or nosocomial acquired urinary tract infection (UTI) or during the procedure of various urinary disease such ureterorenoscopy (URS) and percutaneous nephrolithotomy (PCNL). Urosepsis is associated with bacteriuria, Urosepsis due to manipulation during or after percuteneous nephrolithotomy (PCNL) or ureterorenoscopy (URS) or push bang stenting can be catastrophic despite prophylactie antibiotic coverage. This cross sectional study was carried out in Dhaka Medical College Hospital, Dhaka, Bangladesh during the period of July 2011 to June 2013. Sampling technique was purposive and sample size was 70. Among them 23 patients for PCNL and 47 patients for URS were selected by selection criteria. Data were collected by interview of the patients, clinical examinations and laboratory investigations using the research instrument. Data were processed and analyzed using software SPSS (Statistical Package for Social Sciences) version 11.5. Incidence of bacteriuria and urosepsis were measured according to urine and blood culture report. Sensitivity pattern was also observed. According to this study, the incidence of bacteriuria and urosepsis were 17.1% and 5.7% respectively, Of the 70 patients, 12(17.1%) exhibited bacterial growth on urine culture, These 12 patients were then subjected to blood culture and 4(33.3%) of them were found positive. Most (83.4%) of the urine and blood infections (75%) were caused by E. coli. Some widely used antibiotics like moxicillin, Cephalexin and Ciprofloxacin were found 100% resistant in urine culture. Few sensitive antibiotics were Tobramycin (100 %), Amikacin and Ceftazidime (75%). Almost same sensitivity pattern was found in blood culture. In urosepsis, as in other types of sepsis. Urosepsis after PCNL and URS is an important and potentially catastrophic complication. Percuteneous nephrolithotomy (PCNL), Ureterorenoscopy (URS) occurs frequently in this institution. Although the incidence of urosepsis and bacteriuria with resistant organism is low, but it is a burning issue in management in urology practice. The apparent increase in ciprofloxacin resistant organisms appears to be associated with the increased rate of ciprofloxacin resistant organisms are observed in the general population.

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Assessment of Gap Between Knowledge and Practice of PPES among Healthcare Professionals During Covid-19”

10.53350/pjmhs2115102736 ◽

2021 ◽

Vol 15 (10) ◽

pp. 2736-2738

Author(s):

Rizwan Sadiq ◽

Fazal Wadood ◽

Muhammad Faizan ◽

Muhammad Abubakar ◽

Naimal Fatima ◽

...

Keyword(s):

Healthcare Professionals ◽

Sampling Technique ◽

Cross Sectional Study ◽

Categorical Variables ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

Job Title ◽

Knowledge And Practice ◽

General Wards

Objective: To assess the gap between knowledge and practice of PPEs among healthcare professionals during COVID-19. Study design: Cross-Sectional study. Study setting: Sheikh Zayed Medical College/Hospital, Rahim Yar Khan. Study Duration: May-August 2020. Methodology: A total of 214 Healthcare professionals (including medical and paramedical staff) were included in this study using convenient sampling technique. Data was collected on pre-designed questionnaire. The questionnaire included information regarding age, sex, job title, working station, etc. then data was entered in and analyzed by using SPSS Version. 21. Numerical variables like age was presented as mean ± standard deviation. Categorical variables like sex, job title, working station were shown as percentages. Results: Our study included the subjects with 88 (41.1%) males and 126 (58.9%) females. Mean age of study subjects came out to be 26.6±3.954 years. It is observed that only 95 (44.4%) of the subjects have PPEs; only 85 (39.7%) were provided PPEs from their respective healthcare authorities and 137 (64%) can afford purchasing PPEs on their own. And there is a major gap seen between the knowledge about PPEs/ appreciation of their effectiveness and the practice of PPEs by these healthcare professionals. Regarding PPEs (which include gown, surgical mask, N-95 mask, gloves, goggles, head cover, shoe cover, social distancing, hand sanitizer and hand washing), this lag is seen majorly among the healthcare professionals working in general wards; less among emergency staff and least among the subjects working at flu filter clinic or isolation wards. Conclusion: Majority of healthcare professionals appreciate the effectiveness of PPEs against corona virus but don’t bring them into practice; either due to non-availability of PPEs or they have some attitude problem towards it. Keywords: Healthcare authorities, COVID-19, Knowledge, Practice, PPEs, Availability, Attitude

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Hubungan Dukungan Suami Dan Minat Wanita Usia Subur (WUS) dalam Penggunaan Kontrasepsi Intra Uterine Device (IUD) Di Wilayah Kerja Puskesmas Pekauman Banjarmasin

Proceeding Of Sari Mulia University Midwifery National Seminars ◽

10.33859/psmumns.v0i1.41 ◽

2019 ◽

pp. 188-196

Author(s):

Novita Dewi Iswandari ◽

Agnes Christie Rinda ◽

Euis Permatasari Sumantri

Keyword(s):

Family Planning ◽

Community Health Center ◽

Sampling Technique ◽

P Value ◽

Contraceptive Device ◽

Chi Square ◽

Cross Sectional ◽

The Government ◽

Husband Support ◽

Relationship Of

Latar Belakang : Salah satu program pemerintah untuk menyeimbangkan antara kebutuhan dan jumlah penduduk adalah Keluarga Berencana. Perencanaan jumlah keluarga dengan pembatasan dalam program Keluarga Berencana dilakukan dengan penggunaan kontrasepsi. Intra Uterine Device menjadi alternatif pilihan metode kontrasepsi yang ideal karena bersifat jangka panjang dan memiliki banyak keuntungan. Masalah utama yang dihadapi saat ini adalah masih rendahnya penggunaan Intra Uterine Device. Beberapa faktor dominan yang berpengaruh dalam penggunaan kontrasepsi Intra Uterine Device yaitu dukungan suami dan minat Wanita Usia Subur.Tujuan : Mengetahui Hubungan Dukungan Suami dan Minat Wanita Usia Subur Dalam Penggunaan Kontrasepsi Intra Uterine Device Di Wilayah Kerja Puskesmas Pekauman Banjarmasin.Metode : Penelitian menggunakan survey analitik dengan pendekatan cross sectional. Populasi dan sampel adalah seluruh Wanita Usia Subur yang berkunjung dan menggunakan kontrasepsi di wilayah kerja puskesmas pekauman Banjarmasin pada bulan Oktober 2018 yang berjumlah 54 orang, diambil menggunakan teknik Accidental Sampling. Data dianalisis menggunakan uji Chi Square.Hasil : Hasil uji statistik menunjukkan ada hubungan dukungan suami dalam penggunaan kontrasepsi Intra Uterine Device (p value=0,000alpa 0,05) dan ada hubungan minat Wanita Usia Subur dalam penggunaan kontrasepsi Intra Uterine Device (p value=0,005alpa 0,05).Simpulan : Ada hubungan dukungan suami dan minat Wanita Usia Subur dalam penggunaan kontrasepsi Intra Uterine Device. Kata Kunci : Dukungan Suami, Minat Wanita Usia Subur, Penggunaan Kontrasepsi Intra Uterine Device. ABSTRACT Introduction: One of the government programs to balance the needs and population is Family Planning. The planning of the number of families with restrictions in the Family Planning program is carried out by using the contraception. Intra Uterine Device becomes an alternative choice of ideal contraceptive method because it is used for long term and has many advantages. The main problem faced today is the low usage of Intra Uterine Device. Some of the dominant factors that influence the use of Intra Uterine Device contraception is the support of the husband and the interest of reproductive women.Objective: To know the Relationship of Husband Support and interest of reproductive women in the use of Intra Uterine Contraception Device in Working Area Puskesmas Pekauman Banjarmasin Methods: The study used an analytical survey with cross sectional approach. Population and sample were all women of reproductive who visited and used contraception in area Banjarmasin pekauman community health center in October 2018, amounting to 54 people who were, taken using Accidental Sampling technique. Data were analyzed using Chi Square test.Results: The result of statistical test shows that there is a relationship of husband support in use of Intra Uterine Device contraception (p value = 0,000 alpha 0,05) and there is relationship of interest reproductive woman in the use of Intra Uterine Device contraception (p value = 0,005 alpha 0,05)Conclusion: There is a relationship of husband support and interest of reproductive women in the use of Intra Uterine Device contraception. Keywords: Husband Support, Interest of reproductive women, Use of Intra Uterine Contraceptive Device.

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Study of relationship between age and body mass index on knee osteoarthritis in advanced aged females in a divisional city of Bangladesh

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211957 ◽

2021 ◽

Author(s):

Malay K. Roy ◽

M. Zakir Hossain ◽

A. H. M. Tanvir Hasan Siddiquee ◽

M. Alauddin ◽

Mohammad K. Islam ◽

...

Keyword(s):

Body Mass Index ◽

Knee Osteoarthritis ◽

Body Mass ◽

Sampling Technique ◽

Cross Sectional Study ◽

Advanced Age ◽

Age Group ◽

College Hospital ◽

Cross Sectional ◽

Medical College

Background: Knee osteoarthritis is a notable issue in senior citizens and is a burning problem worldwide. There are so many risk factors related to knee osteoarthritis but women's sex, age, and obesity are significant. The aim and objective of this study were to estimate the prevalence of knee osteoarthritis among women in the age group of 46 to 65 years and the effect of age and body mass index (BMI) on knee osteoarthritis.Methods: Cross-sectional study was conducted at outpatient department (OPD) in Mymensingh Medical College Hospital, a tertiary level hospital, among females of Mymensingh, a divisional city of Bangladesh in the age group of 46 to 65 years. Purposive sampling technique used to select study subjects. A total of 100 females participated in this study in one month (July 2019-August 2019).Results: 100 participants were enlisted in the study, in the age group of 46 to 55 years 39 (39%) and 56 to 65 years 61 (61%). Total 65 (65%) participants were affected with knee osteoarthritis. Among them, 19 (29.2%) participants were in the age group of 46-55 years and 46 (70.8%) participants were in the age group of 55-65 years, thus in the advanced age group, knee osteoarthritis is remarkably more. Participants affected with knee osteoarthritis with BMI ≥25 were significantly more affected 45 (69.2%) compared with participants with normal BMI 20 (30.2%).Conclusions: Knee osteoarthritis is significantly associated with advanced age and obesity. Advanced age and overweight were strongly associated with osteoarthritis in our population. Therefore, weight reduction and preventive measures can decrease the burden and will help in minimizing morbidity associated with OA.

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Unmet Need for Family Planning Among Women of Reproductive Age in Plateau State Nigeria

International Journal of Scientific Research and Management ◽

10.18535/ijsrm/v6i6.mp01 ◽

2018 ◽

Vol 6 (06) ◽

Author(s):

Amina Mohammed ◽

Esther Awazzi Envuladu ◽

Elizabeth Onyi Okoh ◽

Ize Anuwolapo Osagie ◽

Mustapha Abdulsalaam Danimoh ◽

...

Keyword(s):

Family Planning ◽

Group Discussion ◽

Unmet Need ◽

Sampling Technique ◽

Educational Status ◽

Cross Sectional Study ◽

Reproductive Age ◽

Cross Sectional ◽

Plateau State ◽

Study Participants

Family planning provides individuals and couples the ability to adequately space each pregnancy. Contraceptive uptake is still low in developing countries. This study aims to determine the proportion of women with unmet need for family planning in plateau State. Methods and materials: This was a cross sectional study, employing quantitative and qualitative data collection techniques. Multistage sampling technique was used to select 300 study participants across the three senatorial zones in Plateau State. A semi structured interviewer administered questionnaire was used to obtain information from study participants while a Focussed Group Discussion (FGD) guide was used to conduct FGDs among women. Data was analysed using SPSS version 23. Results: The mean age of respondents was 25.4 years. The proportion of women currently using any form of contraceptive was 36%. Fifty-six percent of the respondents had unmet need for family planning. Educational status and parity were statistically significantly associated with having unmet need for family planning. In the FDGs most women of lower parity narrated that they would like to limit and space their pregnancies but were not using family planning commodities for fear of infertility, back ache, headache and complication such as convulsion in pregnancy. Conclusion: The use of family planning commodities is low and unmet need for family planning high in Plateau State. Interventions such as health education targeting mothers may reduce the proportion of women with unmet need for family planning. This will enable women adequately space and limit their pregnancies and reduce maternal morbidity and mortality. Key words: family planning, unmet need, limiting pregnancy, spacing pregnancy.

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Magnitude of Family Planning Use in Gardi Village Development Committee of Chitwan district

Journal of Health and Allied Sciences ◽

10.37107/jhas.52 ◽

2019 ◽

Vol 3 (1) ◽

pp. 40-43

Author(s):

Dinesh Kumar Malla

Keyword(s):

Family Planning ◽

Health Management ◽

Age Groups ◽

Sampling Technique ◽

Educational Status ◽

Structured Interview ◽

Reproductive Age ◽

Cross Sectional ◽

Development Committee ◽

Village Development Committee

The estimated contraceptive prevalence rate of Chitwan is based on the data of health management and information system. Therefore, this study aimed to find out the actual magnitude of family planning use among different age groups, castes, educational status, etc. A cross-sectional descriptive study was conducted in Gardi village development committee of Chitwan district from June 15, 2012 to July 5, 2012. A total of 246 married women of reproductive age were studied, who were obtained from 410 households selected from the total households of the village development committee using stratified proportionate random sampling technique. Structured interview was done and data were analyzed using SPSS version 16. Percentages of the variables were calculated and cross-tabulations were done. The percentage of family planning use was 65%, increasing after the age of thirty years- 70% on average in each age group thereafter. More Dalits (76%) used family planning methods than Janajatis (58%). About three quarters of women were met with primary education and 69% of illiterates used family planning, with the least percentage (37%) among those with SLC and above education. Most common method was male sterilization (41%), followed by female sterilization (21%). The reasons for not using family planning were given as: no need of family planning (78%), feared side-effects (17%) and did not know any methods (5%). For an awareness program of family planning, couples with caste Janajati, those having education SLC and above and younger age groups should be given more priority. Key words: Family Planning, Magnitude, Chitwan

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