Objective To analyse the impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio (MMR). Design Retrospective analysis of maternal mortality.
Introduction Contraception is an important intervention to reduce unwanted pregnancy and promote healthy and better living among women. As the population continues to rise, there will be overcrowding, a limiting of resources, and the quality of life will decline. India, as the first country in the world, initiated the National Family Planning program in the year 1951 with the objective of “reducing the birth rate to the extent necessary to stabilize the population at a level consistent with requirement of national economy.” Objectives (1) To study awareness, acceptance, and preferred method of contraception among postpartum women. (2) To identify the reasons for rejection of contraceptive methods. (3) To contribute to the development of knowledge in the area of family planning. Materials and methods The study is a community-based cross-sectional observational study. The study was conducted among postpartum women in reproductive age group who delivered in our hospital in the Department of Obstetrics and Gynecology of Netaji Subhash Chandra Bose Medical College & Hospital, Jabalpur, Madhya Pradesh, India. A total of 480 married women were interviewed in the local language using a pretested questionnaire. Their level of awareness, acceptance, and reason for acceptance/refusal was assessed. Results A total of 65.2% of women were aware of at least one method of contraception; 73.9% women were using a contraceptive at the time of study; 34.8% women were unaware of any health care facility providing contraceptives in the vicinity. Maximum number of women preferred intrauterine contraceptive device (IUCD; 38.8%) as their first choice. Knowledge and practice of emergency contraceptive was very low. Main reason for nonacceptance of contraceptive was lack of knowledge and fear of side effects. Health professionals were the main source of knowledge. Conclusion There is till date lack of awareness of contraception in some postpartum women. Regular counseling is a must to all pregnant women from every health care center in a village to superspeciality centers in cities. Information should be provided about various methods of contraception and patient should be able to choose a method of her choice. How to cite this article Sahu B, Tiwari P, Uikey V, Badkur P. Awareness and Acceptance of Contraception in Postpartum Women in Our Tertiary Hospital in Central India. J South Asian Feder Obst Gynae 2017;9(4):327-330.
Multiple myeloma (MM) is a proliferative disorder of plasma cells which produce abnormal immunoglobulin proteins. Skin involvement is rarely found in this disorder. They are either specific or nonspecific lesions. We report four such interesting patients who presented to us initially with common dermatoses such as leukocytoclastic vasculitis, pyoderma gangrenosum, and vesiculobullous disorders and were subsequently diagnosed to have MM. There were no skeletal involvements or renal function abnormality at the time of presentation. Unusual presentation, nonresponsiveness to conventional therapy, and abnormal blood parameters prompted us to suspect some underlying systemic conditions which were later confirmed to be MM after serum immunoelectrophoresis for M-band and bone marrow biopsy.
INTRODUCTION "It is from the womb of a woman that gives life to mankind into the world of light, a world in which to breathe and grow.'' Women are primary care takers, first educators, bearers and nurtures of the next generation. Women's health is basic to women's advancement in all folds of endeavour. The pregnancy related disabilities result not only in human suffering but also effect social and economic empowerment. For maintaining health, exercise has been shown to improve health prospect in various ways, reduce body fat and overall weight, reduces blood pressure, and ensures better digestion, respiration and efficient circulation. Routine exercise will enhance the health and reduce symptoms or complications (gestational diabetes, bladder and bowel problems, backache, fatigue, varicose veins) associated with pregnancy, labour and delivery. In addition, who maintains high level of fitness is more
Endometriosis is a relatively common entity among females presenting with abdominal pain and infertility. The endometriosis of broad ligament is a very rare yet interesting condition. In majority of the reported cases, endometriosis of broad ligament had recurrence after surgical excision. We are reporting one such case in a young nulliparous woman from Jabalpur Madhya Pradesh.
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