Background: Intrauterine devices are an effective and increasingly popular from of reversible contraception and are most effective method of long-term contraception. Post placental intrauterine contraceptive devices insertion is done within 48 hours of birth which is ideal period ass women are strongly motivated to do so at this time. Aim was to understand knowledge, acceptance and complication of post placental intrauterine contractive device insertion.Methods: This was a prospective observational study conducted in obstetrics and gynecology department of a tertiary care centre from 1st September 2021 to 28th February 2022.Results: Total 84 patient were counselled out which 50 were willing for PPIUCD out of which 48 (58%) patients PPIUCD was inserted and 2 patients were deferred.Conclusions: PPIUCD was accepted in 50 (60%) of counselled total patients out which most of the patient were 20-29 years having graduate degrees and were mutipara most common cause of acceptance was that it is long term method of contraception most of the patient were counselled intrapartum and had vaginal method of delivery patient were minimum complications with most common complication of missing threads and expulsion.
Background: Food taboos have great effect on pregnant women through prohibited essential food and/or drinks. It is transferred from generation to generation and has negative effect on pregnant mothers' health. The objective was to assess magnitude of food taboo and associated factors among pregnant women attending antenatal care at Dhiraj hospital, Waghodiya, Vadodara.Methods: Institutional based cross-sectional study was conducted. 180 pregnant women were selected for the study. Multiple logistic regression analysis was conducted to identify independent predictors of food taboo.Results: Twenty-seven percent of pregnant mother encountered food taboos. Avoided food items by pregnant mothers were linseed, coffee, tea, cabbage, meat, wheat bread, banana, groundnut, salty diet, sugarcane, pumpkin, and coca drinks. Reasons mentioned for avoidance of this food items were plastered on the fetal head, making fatty baby which is difficult for delivery, fear of abortion, and fetal abnormality. Age of the mother AOR=2.97 (1.71-5.16), income AOR=0.28 (0.11-0.72), and previous antenatal care AOR=2.33 (1.89-5.47) were significantly associated with food taboo.Conclusions: Our study revealed that considerable proportion of food taboo exists during pregnancy in the study area. This can be improved by strengthening the nutrition counselling components of antenatal care follow-up.
Background: Preterm birth is considered as the most significant risk in infant morbidity and mortality. The number of preterm births can be reduced significantly if all of the risk factors for predicting preterm births were eliminated to maximum extent. The aim of this study was analysis of risk factors of preterm labour and its outcome through case control study.Methods: It was an observational case control study of 200 pregnant women divided into study group of 100 pregnant women who were admitted with signs and symptoms of preterm labour with gestational age between 28-36 weeks. Control group of 100 pregnant women having gestational age above 36 weeks and with spontaneous onset of active labour. Risk factors and other parameters of both the groups were analyzed along with their neonatal outcome.Results: It was found that premature rupture of membrane, previous abortion, previous preterm delivery, anemia and impaired body mass index (BMI) are significantly higher in cases with preterm labour (p value <0.05). Hyperbilirubinemia, birth asphyxia and respiratory distress syndrome are significantly higher in cases with preterm labour (p value <0.05).Conclusions: Preterm labour is a multifactorial problem. Preterm labour and delivery require early and prolonged hospitalization causing great financial and psychological burden on the society and the number of preterm births can be reduced significantly if all of the risk factors for predicting preterm births were eliminated to maximum extent.
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