scholarly journals Functional Ovarian cysts: Expectant management versus Oral contraceptives

2021 ◽  
Vol 12 (1) ◽  
pp. 03
Keyword(s):  
Oral Contraceptives ◽  
Ethinyl Estradiol ◽  
Expectant Management ◽  
Hormonal Treatment ◽  
Oral Contraception ◽  
Reproductive Age ◽  
Ovarian Cysts ◽  
P Value ◽  
Cyst Size ◽  
Chi Square

Background: Ovarian cyst is a common problem in females of reproductive age group. Objective: To compare the expectant management and use of oral contraceptives for the management of ovarian cysts. Methodology: This was a comparative study, conducted in the department of Obstetrics and Gynecology, Sheikh Zayed Medical College, Rahim Yar Khan, from January 2017 to December 2018. A total of 870 females were included through non-probability, purposive sampling. Informed verbal consent was obtained. Ultrasound was performed to measure the cyst size, site, and characteristics. The lottery method was used to divide the patients into two groups. Patients in group E received expectant treatment (placebo) and in group OC, patients were prescribed hormonal treatment with combined oral contraceptive (COCP) having ethinyl estradiol 0.03mg and levonorgestril 0.15mg. Then patients were counseled and followed up for one month. After one month, USG was performed again to measure success as cyst resolution. The collected data was analyzed into SPSS 16. Both groups were compared for success by using the chi-square test, taking p-value <0.05 as significant. Results: Mean age of females was 26.42±7.59 years. There were 488 (56%) married females while 382 (44%) were unmarried. Mean cyst size was 3.93±1.28cm. was achieved in 605 (69.5%) females, out of which 259 (59.5%) had expectant management while 346 (79.5%) had oral contraception. Success (Cyst resolution) was achieved in 605 (69.5%) females, out of which 259 (59.5%) had expectant management while 346 (79.5%) had oral contraception. (p=0.00). Conclusion: It was concluded that oral contraceptives are more effective and successful in the resolution of ovarian cysts as compared to expectant management.

scholarly journals Tingkat Pengetahuan PUS Tidak Berhubungan dengan Keikutsertaan KB di Desa Argomulyo, Sedayu, Bantul Yogyakarta

2016 ◽  
Vol 2 (3) ◽  
pp. 106
Author(s):  
Ardhiyani Muslimah ◽  
Nur Indah Rahmawati
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Reproductive Age ◽  
P Value ◽  
Knowledge Level ◽  
Planning Program ◽  
Object Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family

<p>Family Planning (FP) participation is the most important thing in the family planning program in Indonesia. Based on the baseline study, family planning participations in 6 in Argomulyo village covered 533 couples (59.22 %) of 900 total couple of reproductive age. Knowledge is one of the factors that causes reproductive age couples to join the family planning program. Knowledge is used as the basis of actions to solve problems and this was the result of knowing after the people recognice an object. Knowledge about family planning is expected to cause the participation of reproductive age couples in the family planning program. The purpose of this study was to analyze the relationship between the knowledge level of family planning participation in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta 2014. Study design was observational analytic with cross sectional aproach. Technique sampling used was total sampling of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta resulted on 907 respondents. Data was colected by interview using the questionnaire. The analysis used was chi-square. The result of chi-square test showed a p-value 0.318&gt;(0.05) and coefficients contingency of 0.05 so knowledge level had no relationship with FP participation. Knowledge level was 71.00% good, while the highest participation of family planning in the majority of with fair level enough was 68.8%, in addition, the highest proportion of couples who did not participate in FP program was 41.8%. In Conclusion, there was no significant relationship between the knowledge level about family planning and the participation of the family planning in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta year 2014.</p>

scholarly journals Women’s knowledge and participation in early detection of cervical cancer: a cross-sectional study

2020 ◽  
Vol 3 (1) ◽  
pp. 1-7
Author(s):  
Elia Ika Rahmawati ◽  
Dini Andriyani ◽  
Fathiyatur Rohmah
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Women Of Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Incidence And Mortality

Cervical cancer is a malignant disease that remains a major cause of morbidity and mortality among women in the world. In Indonesia, only 5% of women of reproductive age screen for cervical cancer. 76.6% of cervical cancer patients are detected with the disease when they entered the advanced stage. Early detection of cervical cancer is the key intervention in the reduction of incidence and mortality of cervical cancer. Other studies reported that the awareness of women of reproductive age to do cervical cancer screening is still very low due to a lack of knowledge about cervical cancer. This study aimed to determine the correlation of knowledge and participation in early detection of cervical cancer in women in reproductive age. This study used an analytical survey with a cross-sectional approach. The sampling technique used incidental sampling with a total of 36 women in reproductive age. Data analysis used Chi-Square test. Statistical results showed that there was a significant correlation between knowledge of women in reproductive age about cervical cancer and participation in early detection of cervical cancer, which is p value = 0.020 ( 0.05) and coefficient of contingency (r) = 0.423. The level of closeness of the correlation is medium. Therefore, there is a need for tailored services that could improve knowledge of women in reproductive age about cervical cancer to improve participation with a view to preventing cervical cancer by early detection.

scholarly journals Diagnosis, Management, and Therapy of Fetal Ovarian Cysts Detected by Prenatal Ultrasonography: A Report of 36 Cases and Literature Review

Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2224
Author(s):  
Takeya Hara ◽  
Kazuya Mimura ◽  
Masayuki Endo ◽  
Makoto Fujii ◽  
Tatsuya Matsuyama ◽  
...  
Keyword(s):  
Literature Review ◽  
Fetal Surgery ◽  
Expectant Management ◽  
Maximum Diameter ◽  
Ovarian Cysts ◽  
Prenatal Ultrasonography ◽  
Cyst Size ◽  
Ultrasound Findings ◽  
Perinatal Management

Background: Fetal ovarian cysts are the most frequently diagnosed intra-abdominal cysts; however, the evidence for perinatal management remains controversial. Methods: We retrospectively reviewed cases of fetal ovarian cysts diagnosed by prenatal ultrasonography at our institution between January 2010 and January 2020. The following were investigated: gestational age at diagnosis, cyst size, appearance, prenatal ultrasound findings, and postnatal outcomes. Prior to 2018, expectant management was applied in all cases; after 2018, in utero aspiration (IUA) of simple cysts ≥ 40 mm was performed. Results: We diagnosed 29 and seven simple and complex cysts, respectively. Fourteen patients had simple cysts with a maximum diameter < 40 mm, and two of them progressed to complex cysts during follow-up; however, when the diameter was limited to < 35 mm, no cases showed progression to complex cyst. Fifteen of the simple cysts were ≥ 40 mm; three progressed to complex cysts, and two of them were confirmed to be ovarian necrosis. In four patients who underwent IUA, the ovaries could be preserved. Conclusions: IUA is a promising therapy for preserving ovaries with simple cysts ≥ 40 mm in diameter; however, the indications for fetal surgery and the appropriate timing of intervention require further study.

scholarly journals The Effect of Antenatal Care During Covid -19 on Complications of Pregnant

2021 ◽  
Vol 9 (1) ◽  
pp. 111-125
Author(s):  
Ni Gusti Made Ayu Agung Budhi ◽  
Maryanah Maryanah
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Positive Influence ◽  
High School Education ◽  
Reproductive Age ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
And Child Health

Quality Antenatal Care (ANC) services can prevent complications during pregnancy, but during the Covid-19 pandemic, there is a policy for mothers to postpone ANC visits. The purpose of the study was to find out how the influence of ANC services during the Covid-19 pandemic on the incidence of complications in pregnant women. The research method used is an analytical survey with a Cross-Sectional approach. The number of samples is 110 pregnant women respondents. The statistical test used is the Chi-Square test. The results showed that the age of pregnant women was 92.1% of healthy reproductive age, high school education level was 90.4%, some pregnancies experienced by mothers 2 were 66.7%, work as housewives were 67%. The biggest complication that occurs in pregnant women is anemia (40%). The provision of quality ANC services with 10T has a positive influence on the incidence of complications in pregnancy during the pandemic (p-value <0.05), as well as understanding of the Maternal and Child Health (MCH) book (p-value <0.05) and the anxiety felt by the mother (p-value <0.05) influences the occurrence of complications. The conclusions obtained were the effect of providing quality ANC services with 10 T, understanding of the MCH handbook on the incidence of complications during the covid-19 pandemic.

scholarly journals Faktor Deteksi Dini Kanker Serviks Metode IVA pada Wanita Usia Subur

2018 ◽  
Vol 2 (2) ◽  
pp. 100
Author(s):  
Nur Asni Arti
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Active Role ◽  
Reproductive Age ◽  
P Value ◽  
Validity And Reliability ◽  
Women Of Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Probability Sampling

ABSTRAKMeningkatnya kejadian kanker serviks terutama disebabkan masih rendahnya perilaku wanita usia subur (WUS) untuk deteksi dini kanker serviks. Salah satu upaya pemerintah untuk mendeteksi kanker serviks secara dini adalah melalui metode inspeksi visual asam asetat (IVA). Cakupan IVA di Desa Payageli sangat rendah sebesar 2,8%, masih di bawah target nasional (80%). Tujuan penelitian: Menganalisis hubungan pendidikan dan pengetahuan dengan deteksi dini kanker serviks metode IVA pada WUS di Desa Payageli, Kecamatan Sunggal, Kabupaten Deli Serdang. Metode: Penelitian ini merupakan studi analitik dengan metode potong lintang yang dilaksanakan dari bulan Februari sampai Juni 2016. Cara pemilihan sampel ialah probability sampling dengan jumlah sampel sebanyak 65 orang wanita usia 20-45 tahun. Pengumpulan data menggunakan kuesioner yang disusun oleh peneliti dan telah diuji validitas dan reliabilitasnya. Data dianalisis dengan uji chi square. Hasil: Penelitian menunjukkan bahwa secara statistik faktor pendidikan dan pengetahuan berhubungan dengan deteksi dini kanker serviks metode IVA dengan nilai p0,05. Variabel pendidikan merupakan variabel yang paling dominan berhubungan dengan deteksi dini kanker serviks metode IVA. Diskusi: Rendahnya pengetahuan dapat memengaruhi WUS untuk melakukan deteksi dini kanker serviks. Kesimpulan: Peran petugas kesehatan untuk lebih aktif melakukan penyuluhan atau memberikan KIE (komunikasi, informasi, edukasi) kepada WUS tentang deteksi dini kanker serviks dengan metode IVA.Kata Kunci: IVA, kanker serviks, deteksi diniFACTORS RELATED TO EARLY DETECTION OF CERVICAL CANCER USING IVA METHOD AY PAYAGELI VILLAGE, SUNGGAL , DELI SERDANGABSTRACTThe increasing incidence of cervical cancer is primarily caused by low behavior of women of reproductive age towards early detection of cervical cancer One of the government’s efforts to detect cervical cancer early is through a visual inspection with acetic acid (VIA) method. The coverage of VIA at Payageli Village is very low by 2.8%, which is below the national target of 80%. Objective: To analyze the correlation of education and knowledge with early detection of cervical cancer using VIA method in women of reproductive age in Payageli Village, Sunggal Subdistrict, Deli Serdang Regency. Methods: This research is an analytic study using a cross sectional method which was conductedfrom February to June 2016. Samples were taken using probability sampling with a sample size of 65 women aged 20-45 years. Data were collected through in-depth interviews using questionnaires that was made by the researcher and its validity and reliability had been tested. Data was analyzed using chi square test. Results: The research indicated that statistically the factors of education and knowledge correlated with early detection of cervical cancer using VIA method with p value of <0.05. the education variable was the most dominant variables correlated with early detection of cervical cancer using VIA method. Discussion: Poor knowledge may affect women of reproductive age to perform early detection of cervical cancer. Conclusion: Healthcare workers should play more active role in giving counseling or providing communication, information and education to women of reproductive age about early detection of cervical cancer by using VIA method.Keywords: VIA, cervical cancer, early detection

scholarly journals HUSBAND'S SUPPORT AND PARITIES WITH SELECTION OF INJECTED CONTRACEPTION OF KB ACCEPTORS IN PUSKESMAS BALOI PERMAI

2021 ◽  
Vol 10 (3) ◽  
pp. 16
Author(s):  
Luis Luis Yulia ◽  
Bratasena Bratasena
Keyword(s):  
Family Planning ◽  
Health Workers ◽  
Reproductive Age ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
The Impact ◽  
The Relationship

Background : The increasing number of Indonesia's population is the impact of increasing birth rates. KB Injection is the most widely used family planning by women of reproductive age (WUS). The height of the 3-month injection family planning acceptors is influenced by several factors, namely age, education, occupation, income, and parietas. The purpose of this study was to determine the relationship between husband and parietas support with the choice of injection contraception. Method : The research method is analytical survey with cross sectional approach. Conducted at the Baloi Permai puskesmas, the study was conducted for 6 months, the population in this study were all injection family planning acceptors in the working area of the Baloi Pemai Puskesmas as many as 6,219 acceptors. With a sample size of 98 people, sampling using purposive sample with research instruments using a questionnaire and analyzed using Chi Square. Result : The results of the parity study of acceptors who chose the most injection contraceptive were the category of children 2-4 years as many as 57 people (58.2%). Contraceptive family planning acceptors who chose injection contraceptives the most were injection contraceptives for 3 months as many as 51 respondents (52.0%). with a p value = 0.025. Conclusion : Suggestions for agat acceptors can find out the advantages and disadvantages of contraceptives to be used and should ask for an explanation from health workers to provide assistance in choosing contraceptives so that the family planning used is truly safe to use even in the long term

scholarly journals Hubungan Tingkat Pengetahuan tentang ASI Eksklusif dengan Pemberian ASI Eksklusif pada Wanita Pekerja di Subang

2019 ◽  
Vol 1 (1) ◽  
pp. 45-48
Author(s):  
Annisa Aulia Listiani ◽  
Siska Nia Irasanti ◽  
Zulmansyah Zulmansyah ◽  
Eka Nurhayati ◽  
Budiman Budiman
Keyword(s):  
Exclusive Breastfeeding ◽  
Reproductive Age ◽  
Observational Research ◽  
P Value ◽  
Female Worker ◽  
Chi Square ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Chi Square Test ◽  
Chi Square Analysis

Peningkatan jumlah pekerja perempuan terutama berada pada usia reproduksi sering menjadi kendala bagi mereka untuk memberikan ASI eksklusif sehingga pemberian ASI eksklusif sering tidak tercapai. Tujuan penelitian ini adalah mengetahui hubungan antara tingkat pengetahuan tentang ASI eksklusif dan pemberian ASI eksklusif pada wanita pekerja pabrik di PT Taekwang Subang. Penelitian ini merupakan penelitian kuantitatif bersifat observasional analitik dengan pendekatan cross sectional. Pengumpulan data diambil dari hasil kuesioner yang telah tervalidasi. Subjek penelitian adalah wanita yang sedang bekerja di pabrik PT Taekwang bagian divisi produksi bottom (proses bagian bawah sepatu) dan produksi upper (proses bagian atas sepatu) yang mempunyai  bayi usia ≥6–24 bulan dengan jumlah subjek penelitian sebanyak 93 orang. Data penelitian dianalisis dan diuji menggunakan uji chi-square. Dari hasil penelitian didapatkan bahwa jumlah responden sebagian besar  memberikan ASI eksklusif sebanyak 51 responden (55%) dan yang tidak memberikan ASI eksklusif sebanyak 42 responden (45%) hal tersebut memiliki perbedaan yang tidak jauh berbeda. Hasil analisis chi-squre dengan statistical product and service solution (SPSS), nilai p yang didapatkan 0,48 lebih besar dari alpha yang telah ditentukan 0,05. Dari hasil penelitian ini dapat disimpulkan bahwa tidak terdapat hubungan tingkat pengetahuan tentang ASI eksklusif dengan pemberian ASI eksklusif pada wanita pekerja pabrik PT Taekwang Subang. RELATED BETWEEN EXCLUSIVE BREASTFEEDING KNOWLEDGE AND EXCLUSIVE BREASTFEEDING ON FEMALEWORKER IN SUBANGIncreasing numbers of female worker primarily in the reproductive age is often a constraint for them to give exclusive breastfeeding. Many of them then decide not to give exclusive breastfeeding for their babies. The purpose of this study was to assess the relation between knowledge about exclusive breastfeeding with exclusive breastfeeding behavior on female worker in PT Taekwang Subang. This study was a quantitative analytic observational research with cross sectional approach. Data collected by validated questionnaire. Subjects were women who work at bottom and upper production division (bottom and upper of shoe process) in PT Taekwang factor who  had babies aged ≥6–24 months, totally 93 subjects. Research data were analyzed and tested using chi-square test. The study showed that the respondents who gave exclusive breastfeeding (55%) with those who did not give exclusive breastfeeding (45%) had not spesific differences. chi-square analysis with statistical product and service solution (SPSS), p-value obtained 0.48 greater than the specified alpha 0.05. In conclution, there is no relation between mother’s about exclusive breastfeeding and exclusive breastfeeding on female worker in PT Taekwang Subang.

scholarly journals Present perception on gender related issues in tribal mothers of sub-urban region, West Bengal

2017 ◽  
Vol 8 (5) ◽  
pp. 48-53
Author(s):  
Gandhari Basu ◽  
Sujata Biswas
Keyword(s):  
Gender Bias ◽  
Gender Discrimination ◽  
Reproductive Age ◽  
Urban Region ◽  
P Value ◽  
Age Group ◽  
Tribal Community ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional

Background: In India, tribal communities and women remain marginalized and continue to suffer discrimination. The right to achieve gender justice is a cumbersome task. The perception on gender issues varies person to person.Aims and Objectives: This study is designed to find out the perception on the gender related issues, presence of gender bias and the associated factors among the reproductive tribal mothers.Materials and Methods: Research was carried in a tribal community under the service jurisdiction of the community medicine department. A cross sectional survey using pre designed proforma was used in reproductive age group mothers. Information on various aspects was collected by direct interview with mothers. Data was analysed with licensed statistical software. Mean, standard deviation, proportion, chi square value and P value was determined as per objectives.Results: A total of 110 mothers participated. The mean age was 28.18 years. Majority of mothers were between 26-36 years. Rate of illiteracy was 19.1%. Two child norms were practiced by most of the families (91). Thirty two mothers reported abortion. Self-desire was the main reason. One in every three practiced contraception. Gender bias towards boy child was reflected by responses on the desire for future child, giving playtime, mixing with others, sharing household work, providing pocket money, sharing of and allowing night job. Pre natal sex determination was still preferred by one third mothers. One breather was that majority (84.7%) were consulted in family matters. Age group, occupation and abortion history showed association with gender preference.Conclusion: Present study showed prevailing gender discrimination in modern India. Enactment of laws through stringent monitoring and government’s positive attitude may make the situation favourable.Asian Journal of Medical Sciences Vol.8(5) 2017 48-53

Optimization of treatment of patients with follicular ovarian cysts

2017 ◽  
pp. 124-126
Author(s):  
I.V. Lakhno ◽  
◽  
A.E. Tkachov ◽  
O.S. Segal ◽  
S.O. Zhdanyuk ◽  
...  
Keyword(s):  
Oral Contraceptives ◽  
Clinical Symptoms ◽  
Reproductive Age ◽  
Ovarian Cysts ◽  
Combined Oral Contraceptives ◽  
Group Iii ◽  
Group I ◽  
Group Ii ◽  
Ovarian Follicular Cysts ◽  
Follicular Cysts

The reason of tumor-like ovarian cysts are functional disorders of the hypothalamic-pituitary-ovarian axis which leads to hyperestrogenocity. Medical preparations containing indole-3-carbinol have an evident antiestrogenic effect. The objective: to study the efficacy of using Mastofemin for the treatment of patients with ovarian cysts. Patients and methods. The study involved 110 patients of reproductive age, 30 of them were healthy and were included in Group I. There were 38 women with follicular cysts in Group II whom 30 мg of ethinylestradiol-containing combined oral contraceptives in cyclic regimen for 3 months were prescribed. There were 42 patients in Group III who were additionally to combined oral contraceptives prescribed Mastofemin for 1 capsule 2 times daily. Results. The presence of combined breast pathology and clinical symptoms associated with hyperestrogenocity has been noted in patients with follicular ovarian cysts. The operative treatment due to the lack of effectiveness of the conservative approach was performed in 21.1% of patients in Group II and 7.1% of women in Group III. There was no recurrence of ovarian cysts during further observation within six months in the main Group of patients receiving Mastofemin. 10.5% of women have the reappeared ovarian retention cysts in the Group II. Conclusion. The use of Mastophemin in addition to combined oral contraceptives for treating women with follicular ovarian cysts contributed to increased compliance and therapeutic efficacy. Key words: ovarian follicular cysts, indole-3-carbinol, Mastofemin.

scholarly journals Health Systems Determinants of Occurrence of Postpartum Hemorrhage Among Women of Reproductive Age 15-49 Years - Kenya

2021 ◽  
Vol 9 (2) ◽  
pp. 8
Author(s):  
Adel W. Ottoman ◽  
Charles Angira ◽  
Jane Owenga ◽  
Japheth Ogendi
Keyword(s):  
Service Delivery ◽  
Human Resource ◽  
Health Systems ◽  
Postpartum Hemorrhage ◽  
Health Service Delivery ◽  
Reproductive Age ◽  
Health Determinants ◽  
P Value ◽  
Women Of Reproductive Age ◽  
Chi Square

Postpartum hemorrhage constitutes 73% of all the obstetric hemorrhage globally. Thirty-four percent of maternal deaths occurring in Kenya are due to postpartum hemorrhage. In Homa Bay County, postpartum hemorrhage is the leading cause of maternal mortality contributing 38% of all maternal deaths despite several strategies by the ministry of health to reduce occurrence. Previous studies attribute this to poor provision and utilization of essential health services. The possible contextual contribution of health systems determinants of occurrence of postpartum hemorrhage has not been explored in the County. The objective of this study was to establish the health systems determinants of occurrence of postpartum hemorrhage among women of reproductive age 15-49 years in Homa Bay County. The specific objectives were: to identify the quality of health service delivery determinants, and: to describe the human resource for health determinants. This was a cross-sectional study design in which qualitative and quantitative methods were used. The quality health service delivery determinants found statistically significant was level of attention with Pearson chi-square = 5.2872 (P-value = 0.021), while the human resource for health determinants were: change of work stations with Pearson chi-square 6.929 (P-value = 0.008), and increased number of health workers with Pearson chi2(1) = 4.1205 (P-value = 0.042) and skills. The findings have significant importance in constructing and reviewing programs for women of reproductive age focusing on quality service delivery on level of attention, human resource for health change of station, increased number, and skills.

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