scholarly journals Determination of Awareness Knowledge and Acceptability of Family Planning Methods in Postpartum Women in Tertiary Care Centre

2021 ◽  
Vol 69 (2) ◽  
Author(s):  
Dr. Priyanka Singh ◽  
Dr. Girdhar Gopal Nagar ◽  
Dr. Khushboo Meena
Keyword(s):  
Contraceptive Use ◽  
Post Partum ◽  
Tertiary Care ◽  
Family Welfare ◽  
Common Source ◽  
Postpartum Women ◽  
Contraceptive Device ◽  
Barrier Method ◽  
Tertiary Care Centre ◽  
Planning Methods

Contraceptives unlock one of the most dormant, but potentially powerful assets in the development of women as the decision-maker. When women have the power to make choices about their families, they tend to decide precisely what demographers, economists and development experts recommend. They invest in the long-term human capital of their families…. Melinda Gates. India is the second most populous country in the world. There has been an increase in contraceptive prevalence and a reduction in total fertility rate since the launch of National Family Welfare Program in 1951. For better results, contraceptive use should start right from the postpartum period. Keeping it in mind, the study was conducted to determine the knowledge, attitude and practice of contraception among the postpartum women. It was prospective and observational study in the department of obstetrics and gynecology of Government medical college and hospital, Kota between 1 July 2020 to 31 December 2020. Study was conducted on 4480 postpartum women who delivered in this institution and came for follow-up. Women were interrogated and counselled regarding various methods of contraception using a preformed questionnaire. Their knowledge and attitude about contraception were assessed. Only 60.04% women were aware about various methods of contraception. This awareness increased with increasing education, parity and better socioeconomic class. Awareness was maximum for Sterilization (90%) followed by barrier method (80%) and intrauterine contraceptive device (76%). Health care system (43.86%) and media communication (34.57%) was most common source of awareness. After counselling 81.02% women had accepted contraceptive method. The main reason for non acceptance of contraception was desire of more children. Contraceptive services can be strengthened by incorporating with antenatal services and providing post-partum contraceptive counseling.

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 Study of knowledge, attitude, practices regarding PPIUCD among antenatal women at a tertiary care centre in Northern India

2019 ◽  
Vol 8 (3) ◽  
pp. 1111
Author(s):  
Mona Asnani ◽  
Anjoo Agarwal ◽  
Renu Singh
Keyword(s):  
Tertiary Care ◽  
Male Partner ◽  
Intrauterine Contraceptive Device ◽  
Family Welfare ◽  
Contraceptive Device ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Northern India ◽  
Intrauterine Contraceptive

Background: PPIUCD has been introduced in the national family welfare program since March 2010 in several states. AN IUCD can be inserted in 48 hours postpartum, referred to here as postpartum intrauterine contraceptive device. This study was done to assess the Knowledge, attitude and practice of postpartum Intrauterine contraceptive device in antenatal patients at a tertiary care centre in Northern India.Methods: This is a questionnaire based cross sectional observational study including 350 antenatal women attending antenatal OPD over a period of 6 months.Results: Out of these 350 women, 126 women (36%) had knowledge of PPIUCD. only 30 % of women had previous knowledge about PPIUCD however only 10 % of women practiced it in the past. After appropriate counselling 18% of women agreed for insertion of PPIUCD after this delivery.Conclusions: The study concludes that the antenatal women had poor knowledge regarding PPIUCD. Practices were even worse. This might be attributed to low education ,  refusal by family especially male partner, and religious beliefs. But once appropriate knowledge and information is provided, attitude gradually changes.

A STUDY ON PREVALENCE OF POST-PARTUM DEPRESSION IN TERTIARY CARE HOSPITAL OF NORTH INDIA.

2021 ◽  
pp. 31-33
Author(s):  
Nidhi Johri ◽  
Priti Kumar
Keyword(s):  
Postpartum Depression ◽  
Tertiary Care Hospital ◽  
Post Partum ◽  
Tertiary Care ◽  
Depression Scale ◽  
North India ◽  
Postpartum Women ◽  
Care Hospital ◽  
Health Seeking ◽  
Prevalence Of Depression

Background: Depression is the most common complication postpartum affecting 10%–15% of women, contributing greatly to maternal mortality and morbidity, but the care availed is very low among the women who suffer. Aim and Objectives: The current study aimed to study the prevalence and associated risk factors of postpartum depression among recently delivered women in a tertiary care hospital of North India. Material and Methods: This was a hospital based cross-sectional study done between May 2019 and January 2020. All women in the study area who had a pregnancy outcome during the past 6 months and have completed 42 days since their last delivery were included in the study. The data on postpartum depression were collected using the Edinburgh Postnatal Depression Scale (EPDS). Results: There were 300 postpartum women in the study area who participated in the study. Mean age of the study participants was 24.5 years. The deliveries were Institutional in 98% of women. The prevalence of depression among the study women (an EPDS score of 10 and above) was 10%. Among women with depression, a history of depression before the last delivery was given by 40% of women. Only 7.5% of women had sought some form of health care for their problem. Conclusion: The study shows that the prevalence of depression among postpartum women is quite high and the health seeking for depression is very low. Health professionals and workers have to be trained to raise awareness, detect, and treat depression among postpartum women promptly

scholarly journals Therapeutic plasma exchange for early aggressive management of post-partum hemolytic uremic syndrome: a tertiary care centre experience

2016 ◽  
Vol 6 (1) ◽  
pp. 300
Author(s):  
Vineet Mishra ◽  
Himani Agarwal ◽  
Sugandha Goel ◽  
Sumesh Choudhary ◽  
Rohina Aggarwal ◽  
...  
Keyword(s):  
Renal Failure ◽  
Hemolytic Uremic Syndrome ◽  
Plasma Exchange ◽  
Post Partum ◽  
Tertiary Care ◽  
Aggressive Treatment ◽  
Tertiary Care Centre ◽  
Severe Renal Failure ◽  
Hemolytic Uremic Syndrome Patient ◽  
Uremic Syndrome

Postpartum hemolytic uremic syndrome is an unusual condition of obscure origin that manifests with hemolytic anemia, thrombocytopenia and acute renal failure after delivery. We describe a case of 28 year old woman referred to our hospital in view of severe renal failure, 24 hours after the delivery by caesarean section for scar rupture and placental abruption. She was in a delirious state and had anuria, severe anemia and moderate thrombocytopenia. After many diagnostic dilemmas, a final diagnosis of hemolytic uremic syndrome was made. Aggressive treatment with plasma exchange in conjunction with hemodialysis was started. Fresh frozen plasma was used for replacement and four consecutive plasmapheresis sessions were instituted. Simultaneously steroids and anti-hypertensive drugs were given. Two weeks later, quick clinical and laboratory response was noted. There was significant improvement in renal functions along with resolution of signs of active hemolysis. This case collaborates with the ideal scenario involving prompt diagnosis and early aggressive treatment with plasma exchange in a postpartum hemolytic uremic syndrome patient.

scholarly journals Evaluation of safety, efficacy, acceptance and expulsion of post placental intrauterine contraceptive device in a tertiary care centre

2018 ◽  
Vol 7 (2) ◽  
pp. 542
Author(s):  
Geetha Mahadevan ◽  
Nithya Chandika B.
Keyword(s):  
Analytical Study ◽  
Intrauterine Device ◽  
Tertiary Care ◽  
Steady Increase ◽  
Contraceptive Device ◽  
Common Complication ◽  
Tertiary Care Centre ◽  
Obstetrics And Gynaecology ◽  
Intrauterine Contraceptive ◽  
Post Placental

Background: Postpartum intrauterine device provides an effective temporary method of contraception for the woman who needs birth spacing rather than birth limitation and also a quasi-permanent family planning method. The aim of this study was to study the efficacy, acceptance, safety and complication of PPIUCD insertion.Method: This a retrospective analytical study done in a tertiary care teaching institute, Institute of Obstetrics and Gynaecology Egmore for a six-year period from January 2010 to December 2015 with a sample size of 81204. Outcomes measured were safety, efficacy, acceptance (patients and professionals) and complications.Results: For the study period of six years the total number of women delivered were 81204. A steady increase was noted in the insertion of PPIUCD from 2010 (1.98%) to 2015 (58%). 50.5% had insertion following caesarean section and 49.5% following vaginal delivery. Primipara had a higher rate of acceptance amounting to 74.74%. Most common complication reported was missing strings 9.25% and a greater part of the patients (83%) did not have any complaints.Conclusions: Enthusiasm and conviction on the part of the health care provider goes a long way in improving the acceptance rate of PPIUCD. It is an indispensable contraceptive tool for our country since our women most often do not return for postnatal contraceptive options.

scholarly journals Comparative study of post-partum intra uterine contraceptive device insertion and interval intra uterine contraceptive device insertion in a tertiary care hospital

2017 ◽  
Vol 6 (7) ◽  
pp. 2760
Author(s):  
Manimegalai R. ◽  
Suganthi R.
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Family Health ◽  
Common Reason ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Medical College

Background: NFHS (National Family Health Survey) 2005-2006 in India revealed that the contraceptive prevalence rate is 53.5%. 10% of all pregnancies are mistimed and 11% of all pregnancies are unwanted in India. Objective of present study was to compare the benefits and complications of postpartum IUCD insertion (PPIUCD) over interval IUCD insertion in a tertiary care hospital.Methods: It is a retrospective study conducted in the Department of Obstetrics and Gynecology, Govt. Mohan Kumaramangalam Medical College, Salem from 2009-2014. The cases of interval IUCD for the year 2009-2014 and PPIUCD cases for the year 2012-2014 both vaginal insertion and intracaesarean insertion were taken for study. Complications, benefits and reasons for removal were compared between the two groups.Results: The total number of cases of IUCD insertion significantly increased after the introduction of PPIUCD programme in 2012. The acceptance of IUCD insertion was steadily increasing after the introduction of PPIUCD even though the follow up of PPIUCD cases was less (32%). The rate of removal in patients who came for follow up was less in PPIUCD group (18%) compared to interval IUCD cases (57%) when the reason was menorrhagia. The most common reason for removal was menorrhagia in interval IUCD patients. Abdominal pain was the most common reason for removal in PPIUCD patients. The rate of expulsion was higher in PPIUCD (6%) compared to interval IUCD patients (<1%). No cases of perforation and no cases of pregnancy in situ were reported in PPIUCD cases during the study period. Even though the rate of infection and missing strings were higher in PPIUCD patients when compared to interval IUCD patients who came for follow up the number of women with infection in PPIUCD patients is less and easily managed with appropriate antibiotics.Conclusions: In India PPIUCD insertion soon after delivery is a safe, effective, reversible and reliable method of long term contraception. Both vaginal and intracaesarean insertions are safe, efficacious and convenient even though there are few complications which are easily manageable. There are no incidences of perforations, pregnancy in situ, ectopic pregnancy and low rates of infection. Hence PPIUCD is a promising approach to decrease the fertility rate in the field of family planning.

scholarly journals Postpartum intrauterine contraceptive device (PPIUCD) insertion: practices and aftermath at tertiary care centre

2018 ◽  
Vol 7 (11) ◽  
pp. 4742 ◽  
Author(s):  
Kanchan Rani ◽  
Nirmal Kumar Pangtey ◽  
Garima Khanna ◽  
Mahima Rani
Keyword(s):  
Abdominal Pain ◽  
Family Planning ◽  
Tertiary Care ◽  
Unmet Need ◽  
Lower Abdominal Pain ◽  
Postnatal Period ◽  
Technical Committee ◽  
Contraceptive Device ◽  
Tertiary Care Centre ◽  
Expulsion Rate

Background: According to USAID/ ACCESS 2009 survey, in India, 65% of women in first year postpartum have an unmet need for family planning. Recommended spacing between birth to next pregnancy is at least 24 months and between abortion to next pregnancy is at least six months (WHO Technical Committee,2006). Pregnancy before 24 months of previous birth increase maternal and perinatal morbidity and mortality. So, during this postnatal period woman must be offered any form of reversible contraceptive. IUCD is most frequently use reversible method of family planning in the world. The aim of present study is to evaluate acceptability safety efficacy and complication of PPIUCD in tertiary care center.Methods: This is a retrospective study conducted at Government Medical College and Hospital in northern India over a period of 1 year from January 2016 to December 2016. Patients were followed up to 6 months period and their complaints and various parameters were analyzed.Results: 219 patients were inserted PPIUCD during 1-year period. Acceptance rate was higher in P2 (51.6%), between 20 to 25 years of age (47.49%) followed by 26 – 30 years of age (38.8%). On follow up 44.3% had no complaints. Most common complaints were lower abdominal pain (15%), missing thread (14.6%) and vaginal discharge (8.2%). 5.48% women came for removal of IUCD. Main cause of removal was pressure from family and lower abdominal pain. Expulsion rate was low (2.74%). There was no case of perforation or failure (pregnancy).Conclusions: During present study authors found that PPIUCD is highly effective, acceptable, safe and with fewer side effects. PPIUCD is especially beneficial in Indian population where accessibility for contraception is lower during interval period and women do not come for contraception during postpartum period.

scholarly journals Study on post partum intrauterine contraceptive device practices and causes for discontinuation of PPIUCD at follow up in a tertiary hospital

2018 ◽  
Vol 7 (6) ◽  
pp. 2299 ◽  
Author(s):  
Radhika Chethan ◽  
Anitha G. S. ◽  
Savitha C.
Keyword(s):  
Family Planning ◽  
Post Partum ◽  
Unmet Need ◽  
Tertiary Hospital ◽  
Contraceptive Device ◽  
Eligibility Criteria ◽  
Reversible Method ◽  
Planning Methods ◽  
The Government

Background: Post partum contraception is the best evidence based intervention in prevention of pregnancy and abortion related maternal morbidity and mortality in the developing countries. The unmet need for contraception among women in the postpartum period can be effectively fulfilled by post partum insertion of IUCD, in a single visit under the Government scheme of providing free maternity services during institutional delivery. Despite optimal efforts by family planning program, very few couples are opting for spacing methods and lack of awareness has resulted in discontinuation of family planning methods particularly PPIUCD. This study is designed to study the practices of PPIUCD and causes for discontinuation at follow up in our hospital. The objectives of the study were study PPIUCD practices at Vanivilas hospital; causes for discontinuation of PPIUCD.Methods: Prospective study done at Vanivilas hospital attached to Bangalore Medical College and Research Institute from January 2014 to December 2014. Women admitted and delivered at VVH, were counselled. CuT 380A was inserted in accepters who fulfilled the Medical Eligibility Criteria and had no contraindications for PPIUCD. They were followed up till June 2016.Results: There were 2072 PPIUCD insertions in one year, out of which 1244 were post placental, 139 were in immediate postpartum and 689 were intra caesarean insertions. Fifty four (54) women discontinued PPIUCD during follow up .Main causes for removal were menstrual abnormalities (19), pain abdomen (13), wanting sterilisation procedure (12) and marital disharmony.Conclusions: PPIUCD is an effective, safe, reversible method of long term contraception with high reported expulsion and low perforation rate, compared to interval insertion. More research is needed in the field of PPIUCD to enhance awareness and acceptance in the community. Awareness and counselling the eligible couples during ante natal care can improve acceptance and compliance of PPIUCD continuation rates.

scholarly journals Role of diagnostic hysteroscopy in evaluating patients with abnormal uterine bleeding in a tertiary care centre

2021 ◽  
Vol 10 (12) ◽  
pp. 4464
Author(s):  
Apeksha M. Mohite ◽  
Deepali S. Kapote ◽  
Michelle Fonseca
Keyword(s):  
Tertiary Care ◽  
Screening Method ◽  
Uterine Cavity ◽  
Abnormal Uterine Bleeding ◽  
High Sensitivity ◽  
Uterine Bleeding ◽  
Systematic Evaluation ◽  
Contraceptive Device ◽  
Tertiary Care Centre

Background: Abnormal uterine bleeding is one of the commonest conditions amongst patients attending gynaecology OPD which also leads to significant disruption in a normal lifestyle. The causes of abnormal uterine bleeding are heterogeneous and complex. A systematic evaluation with detailed history and physical examination is foremost important in reaching diagnosis. Hysteroscopy is not only safe, quick and observes entire uterine cavity but also helps in precision in sampling and increases accuracy of diagnosis. It is also curative in conditions such as polyps, fibroids, uterine synechiae, menorrhagia and lost intrauterine contraceptive device. The aim of the study is to evaluate the role of hysteroscopy as a screening method in patients with AUB & compare to their USG findings and to the histopathological reports of the endometrial biopsy.Methods: This is a prospective observational study conducted at a tertiary healthcare centre over a period of 18 months, in 50 females belonging to pre, peri and post-menopausal age group. Sampling was done based on selection criteria after obtaining valid consent from the study group.Results: Hysteroscopy has a definitive role in evaluation of patients presenting with abnormal uterine bleeding with high sensitivity, specificity, PPV and NPV with immediate results.Conclusions: The above study concludes that the accuracy of diagnosing the cause of abnormal uterine bleeding is more with hysteroscopy followed by D and C then USG combined with D and C.

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