Introduction: Recurrent pregnancy with close child spacing can result from early resumption of sexual intercourse during the postpartum period. This would expose mothers to complications such as unsafe abortion, postpartum depression and premature birth. The aim of this study is to identify the factors associated with early resumption of sexual intercourse among postpartum Iban mothers. Methods: This is a cross sectional study conducted in Sri Aman Division, Sarawak between 1st July and 31st August 2006. A total of 265 Iban mothers agreed to participate in this study. They were interviewed face-to-face using structured questionnaire. Any postpartum sexual intercourse at 6 weeks or less is considered an early resumption of sexual intercourse. Results: Univariable analyses showed significant association between early sexual intercourse and use of contraceptive; mothers’ and husbands’ income; mothers who believed their husbands were sexually abstinent during their confinement period; mothers who stayed with their spouse after delivery; and those with high libido. Multivariable analysis showed only mothers’ and husbands’ income, use of contraceptive and those who believed their husbands practiced sexual abstinence during their confinement period were significantly associated with early resumption of sexual intercourse. Conclusions: Counselling on postpartum resumption of sexual intercourse among Iban mothers should focus on these determinants to ensure a more effective counselling outcome among Iban mothers. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000): 124-129
Plateletpheresis is a method used to remove platelet from the body either from random volunteer donors, patient's family members or HLA matched donors. A cross sectional study was carried out on 59 plateletpheresis donors aged between 18 and 55 years at National Blood Center (NBC), Kuala Lumpur. We compared the blood parameters before and after plateletpheresis and we found that the platelet count, FVIII, fibrinogen and thrombophilia markers anti-thrombin (AT), protein C and protein S were significantly reduced (p<0.05) with prolonged PT and APTT. There were significant changes in blood coagulation parameters but it is within acceptable range.
The World Health Organization (WHO) recommend that all donated blood are to be screened for at least three viral infections [human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV)]. The National Blood Centre, Kuala Lumpur (NBCKL) aims to reduce transfusion transmitted infections (TTI) as it still remains as one of the major risk for blood transfusion. A cross sectional study was conducted at the National Blood Centre, Kuala Lumpur from 1st January 2009 to 31st June 2010. Data from 581,020 donors were analyzed from year 2004 to 2008. All data were retrieved from NBCKL Blood Bank Information System (BBIS). A total of 201 repeat donors were included in the study based on the inclusion criteria but only 132 repeat donors agreed to participate. Information on sociodemographic, risk factors, knowledge of donors and high risk behavior were extracted from standardize questionnaire. Data were analyzed using SPSS version 14.0. The aim of this study was to determine the predictors of the seropositive infectivity among repeat blood donors at the NBCKL. The results showed Syphilis accounts for the highest and increasing seroconversion rate among other infections from 20. and Syphilis. This study found that the frequency of HCV seropositivity is higher among lapsed donor. Socio demographic factors such as male and working in the private sector predominates in all TTI markers. Majority of the respondents were aware about relation of high risk activities and risk of TTI.
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