scholarly journals Knowledge and practice of emergency contraceptives among married women: A community based cross sectional study

Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 108-116
Author(s):  
Hetal T Koringa ◽  
Jitesh P. Mehta ◽  
Roma S. Dadwani

Introduction: Emergency contraception (EC) serves as a backup in case regular contraception fails, can remarkablybring down the risk of a consequent unintended pregnancy and further complications. Objectives: To assess the knowledge and practice regarding EC among married women. To determine the association between knowledge regarding EC and socio demographic variables of married women. Methods: A cross-sectional study was conducted among urban slum areas of Jamnagar City with use of 30 cluster sampling techniquein the year 2012-13. From each cluster 15 women of reproductive age group(15-49years) were taken as study participants and total 450 married women were enrolled in the study. Statistical analysis was done by using appropriate statistical tests. Result: Out of total 450 study population,30.22% women ever heard of emergency contraception (EC) among them all were aware about E-pills, Majority considered EC safe(80.88%).very few women got knowledge from doctor (1.47%) and health workers (10.29%).only 31.23% women had ever used it. Women who were<30 years age old, well-educated and from upper socioeconomic status were more aware regarding EC. Nearly 50% women took E-pills because of timing was miscalculated (25.81%) or they were not using any contraceptives (22.58%).All the women who had practiced EC, revealed that it is 100% effective method for prevention of unwanted pregnancy in case of emergency. Conclusion: In this study, knowledge and usage rate of EC was found limited. Strategies to promote EC use should be focused on spreading accurate knowledge about it through information education and communication by health care providers and other audio-visual media.

Author(s):  
Praveena Daya A. ◽  
Prema Priya G. ◽  
Karthikeyan G.

Background: Unmet need for contraception is still high in developing countries because of various reasons and poses a great challenge to the success of family welfare programme Assessing the knowledge and filling the gap is essential for successful functioning of the programme and for reducing the unmet need.Methods: A cross-sectional study was conducted to assess the knowledge and practices on contraception among 100 married women in reproductive age group (15-49 years) residing in a Rural Health centre area of Tirunelveli district, Tamil Nadu, South India.Results: Among the 100 participants, common known methods of contraception were IUD (56%), permanent sterilization (38%), Pills (21%) and Condoms (14%). Out of 100 participants, only 38 were using contraception. Among the 62 who are not using any method of contraception, 30 are willing to practice contraception after motivation and among them 27 prefer to use temporary methods. Fear of side effects was most common reason stated for not using contraception.Conclusions: Knowledge and practice related to contraception among the participants were observed to be less. Health education campaigns emphasizing the need of family planning and about the services available in the government health facilities has to be organized regularly.


Author(s):  
Nisha Singh ◽  
Seema Patel ◽  
Anshuli Trivedi ◽  
Yogendra Chouhan

Background: Management of Sexually Transmitted Infections (STIs) is important in controlling STIs and to break the chain of infection and transmission.Syndromic case management is a standardized evidence-based approach which utilizes clinical management algorithms and flowcharts that are handy and can be consistently used across health care providers. The objectives of the study were to identify cases of vaginal discharge in Shaheed Nagar, Bhopal and to provide them treatment following syndromic approach.Methods: Prospective cross-sectional study carried out over a period of three months among reproductive age group females (15-45 years) in Shaheed Nagar, Bhopal. Purposive sampling by conducting door- to- door survey until 150 women fulfilling study criteria was interviewed. A pre-designed questionnaire used for data collection. Educational intervention given to all participants. 37 participants identified with vaginal discharge syndrome and were assisted by study team to gynecological OPD for obtaining treatment based on syndromic approach. Data entered in MS Excel 2007 and statistical analysis carried out using epi-info 7.2. Proportions and percentages were calculated. Chi-square was used to find out association between prevalence of vaginal discharge and qualitative variables. P value <0.05 considered statistically significant.Results: Prevalence of vaginal discharge was 24.67%. The most common presenting complaint was general weakness (52%). The most common diagnosis was cervicitis (8.67%) followed by vaginitis (4.67%). Statistically significant correlation was found between presence of disease (STI) and use of intra- uterine device (IUD), non-use of sanitary pads, marital status, occupation and socio- economic class.Conclusions: Abnormal vaginal discharge can both be the cause as well as the effect of pelvic inflammatory disease. 


Author(s):  
Mansi Mathur ◽  
Ranjan Das ◽  
. Vibha

Background: A women is always celebrated for child birth but gynaecological issues a stigma is attached. The fear of being ostracised by the society for gynaecological problems is deep set. Gynaecological morbidity is defined as “structural and functional disorder of genital tract not related to pregnancy, delivery or perpuerium”. This paper aims to study the pattern of gynaecological morbidity among married women residing in a resettlement colony of East Delhi.Methods: A community based cross-sectional study was conducted during 2014-2015 in the field practise area of Lady Hardinge Medical College, New Delhi. A self-designed, pre-tested questionnaire was used to collect data. All married women of reproductive age (15-49 years) who were willing to participate were included in the study.Results: The mean age of study subjects was 34.6±8.5 years with a range of 18-49 years. All women in study had menarche within normal range (mean age =13.1±1.01 years, range: 11-16 years). Mean age at marriage was 20.6±2.4 years, range: 15-25 years. Nearly 40% of women had 3 children and most women above 40 years of age had three or more children. The mean parity was 2.04±0.5. Mean age at first delivery for study subjects was 22.1±3.9 years. In the present study 722 (59.5%) of the 1214 study subjects had one or more symptom related to common gynaecological morbidities. Among symptomatic 594 out of 277 (82%) had one symptom. The commonest symptom was ‘lower abdominal pain during menstrual period’ 419 (34.5%) followed by symptoms of premenstrual syndrome [(such as ‘bloating’ 328 (27%) and ‘irritability’ 269 (22.2%) and ‘breast tenderness’ 218 (18%)]. Other symptoms observed were ‘scanty blood loss’166 (13.7%), ‘shortened duration of blood flow’ 149 (12.2%) and ‘something coming out of vagina’140 (11.5%).Conclusions: Gynaecological morbidities in spite of their preponderance and adverse health outcomes, have not attracted the attention due to it for two reasons: i) women in most patriarchal dominated societies do not speak out of their health problems and needs, more so if that is not connected to the birth process, ii) Health care providers and institutions had been so overwhelmed with the birthing process, and now the expanded reproductive health issues that attending to gynaecological morbidities was considered to be “luxury” in as far as public health was considered. 


2020 ◽  
Vol 18 (6) ◽  
pp. 658-661
Author(s):  
Mafalda Lemos Caldas ◽  
Miguel Julião ◽  
Ana João Santos ◽  
Harvey Max Chochinov

AbstractIntroductionThe Patient Dignity Question (PDQ) is a clinical tool developed with the aim of reinforcing the sense of personhood and dignity, enabling health care providers (HCPs) to see patients as people and not solely based on their illness.ObjectiveTo study the acceptability and feasibility of the Portuguese version of the PDQ (PDQ-PT) in a sample of palliative care patients cared for in primary care (PC).MethodA cross-sectional study using 20 palliative patients cared for in a PC unit. A post-PDQ satisfaction questionnaire was developed.ResultsTwenty participants were included, 75% were male; average age was 70 years old. Patients found the summary accurate, precise, and complete; all said that they would recommend the PDQ to others and want a copy of the summary placed on their family physician's medical chart. They felt the summary heightened their sense of dignity, considered it important that HCPs have access to the summary and indicated that this information could affect the way HCPs see and care for them. The PDQ-PT's took 7 min on average to answer, and 10 min to complete the summary.Significance of resultsThe PDQ-PT is well accepted and feasible to use with palliative patients in the context of PC and seems to be a promising tool to be implemented. Future trials are now warranted.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  

Abstract Background The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods In this cross-sectional study, 300 pregnant women in different trimesters (n = 100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of < 27, 27–34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results Mean (SD) total anxiety scores were 22.3 ± 9.5, 24.6 ± 9.3 and 25.4 ± 10.6 in the first, second and third trimesters of pregnancy, respectively. 9, 13 and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p = 0.045). Conclusion At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.


2012 ◽  
Vol 20 (01) ◽  
pp. 164-170
Author(s):  
SEEMA DAUD ◽  
RABIAH MAHWISH ◽  
HAJRA SHUJA

Background: WHO Guidelines recommends ‘‘My five moments for hand hygiene” for prevention of HCAI. Objective: Toassess the knowledge and practices of medical students about HCAI and hand hygiene. Setting: Lahore Medical & Dental College(LMDC), Lahore. Period: Four weeks, in January and February, 2012. Methods: Descriptive cross-sectional study was conducted usingWHO’s “Hand Hygiene Knowledge Questionnaire”, among MBBS students from 3rd to final years, 2012. Data was entered and cleaned inSPSS 19 and presented in tables and graphs. Descriptive statistics was used in the forms of numbers and percentages. Results: Among227 respondents, 63% were female, 67% were 20 to 22 years old, 38% were from 3rd year, 40% from 4th year and 22% from final year,61% never received hand hygiene training and 67% never used hand rubs. Few students named unclean hands as main route (42%) andsource of HCAI (21%). Hand hygiene was preferred before touching patients (76%) and after body fluid exposure (70%). It was perceivedto be rapid (63%), effective (66%), cause of skin dryness (57%) and it was supposed to be used concomitantly with hand washing (74%),before abdomen palpation (48%), giving injection (31%), after removing gloves (22%) and making patient’s bed (31%). Damaged skin(92%), artificial fingernails (78%) and jewelry (53%) were perceived to increase hand contamination. Conclusions: There were seriousgaps in knowledge of proper hand cleaning techniques and their importance in prevention of health HCAI. Hand hygiene, must be part ofcurriculum and training of all health care providers.


2019 ◽  
Vol 5 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Rajesh Kumar Yadav ◽  
Nand Ram Gahatraj ◽  
Dipendra Kumar Yadav ◽  
Sujan Babu Marahatta

Reproductive health rights ensure that people are able to have satisfying and safe sex life and that they have the capacity to reproduce with freedom to decide, when and how often to do so. This study aimed to assess the knowledge and practices on reproductive health rights among madhesi married women. A descriptive cross-sectional study was conducted among 384 madhesi married women of reproductive age in Sarlahi district conducted from July 2014 to December 2014. Data were entry in Epidata software and analyzed by SPSS 20 version. Of the total 384 respondents most of them (39.3%) were of age group 25-35 years from different ethnic groups. Most were simple illiterate (65.6%) and housewife (60.9%) very few of respondents were knowledge about reproductive health rights (37%) and not statistical significant relationship with level of knowledge and level of practice (χ 1 2 =2.036, p=0.154). Level of knowledge was statistically significant relationship with educational level (χ 4 2 = 43.983 p<0.001). Use of FP services have statistically significant relationship with Age group (p<0.001). The level of knowledge and level of practice on RHRs is still very low in Madhesi women. Keywords: Reproductive health rights; Madhesi women; practice


Author(s):  
Basmah Mohammed Alazmi ◽  
Shaikha Sulayyem Alsharari ◽  
Razan motawkel ◽  
Sara Alzahrani ◽  
Anhar Alfateel ◽  
...  

Background: Nowadays there are a lot of women using contraceptive oral combined pills for birth control and as we know VTE is one of the complications when it used for a long time, and here in this study our aim is to assess the awareness and knowledge of females who live in Saudi Arabia about COCP and its complications like VTE. A cross-sectional observational study based on a questionnaire conducted among females who live in Saudi Arabia. Data collection was done by using online survey which contains questions about the age, education and contraception. Methods: An observational cross-sectional study carried out during December 2020 in Saudi Arabia. We minimize our target population through inclusion criteria: 1- Female 2- Live in Saudi Arabia 3- Agree to participate. Sample size was 454 participants calculated by using survey system website through sample size calculator with Confidence Level 95% and margin of error 5%. Result: A total of 454 patients completed the survey questionnaire. The results showed that the vast majority of the study participants aged 20 years or more. Moreover, more than 90% of the study participants were Saudi females. The average body weight is around 95 kg and height 164.2 cm. The results also indicated that two-third of the study participants attained university education level compared to 16.1% obtained secondary education. Additionally, 36.6% of the study participants worked as a housewife, 18.1% working in health field. Moreover, 40% of the respondents reside in the western regions, 34% live in eastern regions compared to the lowest percentage in South region 3.3%. Conclusion: In summary, this study revealed that the internet was the main source of knowledge. Health care providers should perform their intended role in improving the female’s awareness regarding family planning. The criteria for preferable contraceptive method are that it has few or no side effects, also it depends on how much effective and convenient it is. Educational programs may be warranted to minimize the fear of side effects and to enhance the general knowledge about contraception.


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