Background: Knowledge and access to contraception is the basic right of every woman. This is one of the goals of National family planning programme. This study gauges the knowledge of antenatal women about temporary contraceptive methods available in our outpatient department and their attitude towards its practice.Methods: This is a descriptive cross-sectional study carried out at Indira Gandhi medical college and research institute, Puducherry, between March 2019 to May 2019. 270 pregnant women were chosen and with their consent, using a predesigned questionnaire, their awareness regarding contraception was assessed. Then each participant was counselled regarding the various methods and their attitude towards choosing a temporary contraceptive method was assessed using a questionnaire. The data was entered in SPSS software and analyzed.Results: In this study, 88.8% belonged to 20-30 years, 77% had received school education and 80.3% were home makers. 72.9% were primigravidas. 55.8% of primis and 95.8% of multis knew about spacing. In primis, 67.5% knew about IUCDs. In multis, 95.8% knew about condoms. Knowledge of depo provera was poor. The most preferred contraceptive was condom followed by CuT and pills.Conclusions: This study shows that it is important to create awareness about temporary contraceptive methods and its free availability in the hospitals. Further pregnant women need to be given more information about oral pills, emergency and injectable contraceptive methods. The Government has to work in unison with hospitals and its staff along with the media to achieve this goal.
BACKGROUNDAs per data from WHO, 21.6 million unsafe abortions occurred globally in 2008, out of which 47,000 women died from abortionrelated complications, contributing to 13% of global maternal mortality. (1) Emergency contraceptive can be used after intercourse to prevent pregnancy in case of unprotected intercourse, contraceptive failure or sexual assault. A considerable proportion of these abortions can be prevented by the timely use of emergency contraception.
Background: An increase in the number of women undergoing hysterectomy especially in South India is of great concern. Whenever hysterectomy is performed, it is imperative that clinical diagnosis is accurate. The purpose of current study is to assess whether the histopathological diagnosis after surgery is correlated with the clinical diagnosis. Methods: This is a retrospective study conducted in the department of obstetrics and gynaecology at Indira Gandhi medical college and research institute Puducherry, from January 2018 to December 2018. Patients, who underwent hysterectomy for benign causes, were included in the study. Data was collected from the patients' case records. Whether the histopathological diagnosis was in tandem with the clinical diagnosis, was notedResults: Out of the 234 hysterectomies performed, 46.15% were by abdominal route and 53.84% were by vaginal route. 24.7% were TAH with BSO with mean age of 49.72 years. VH with PFR (46.5%) was the most common surgery done. Out of the 80 cases of fibroid, 66 (28.2%) were confirmed on histopathology. Histopathological diagnosis corroborated the clinical diagnosis in patients with ovarian cyst, fibroid with ovarian cyst and DUB. Adenomyosis was validated in 7 of 9 cases. Endometriosis of ovary was confirmed in 4 (1.7%) cases. In patients with pelvic organ prolapse, histopathology showed atrophic changes.Conclusions: Accurate clinical diagnosis, supported by in-depth preoperative evaluation and a sound clinical knowledge helps to avoid unnecessary hysterectomies. It is imperative to study the histopathology of the operated specimen and confirm the appropriateness of the clinical indication.
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