Pregnancy among young pregnant women in Thailand was often unintended. Educational status, age, and age difference between the couple were independently associated with unintended pregnancy.
Objective: To evaluate the acceptance rate and patterns of contraceptive use among postpartum women. Subjects and Methods:The records of 1,009 postpartum women attending the Family Planning Clinic at Chiang Mai University Hospital, Thailand, during January to December 2009 were reviewed.Results: Mean age was 28.2 ± 5.7 years (range 15-48). Almost all 920 women (91.2%) practiced breastfeeding. The acceptance rate of contraception was 97.6%. The types of contraceptive used were: depot medroxyprogesterone acetate, 387 (38.4%); progestin-only pills, 262 (26.0%); tubal resection, 201 (19.9%); male condom, 78 (7.7%); oral combined pills, 49 (4.9%); intrauterine device, 5 (0.5%); implant, 3 (0.3%). Among women undergoing tubal resection, 29 (14.4%) were ≤24 years of age. Significant independent predictors for using long-acting reversible contraception were young age and little or no formal education. Conclusion:The acceptance rate of contraception in this study was high. However, the following issues need to be evaluated: compliance of women using progestin-only pills, awareness of long-acting reversible contraception as an alternative option in women considering sterilization, and interventions to promote the use of intrauterine devices and implants.
Objective: To find the correlation between waist circumference and other factors such as lipid profiles, fasting blood glucose and blood pressure in healthy menopausal women attending menopause clinic. Material and methods: A cross sectional study was carried out at the Menopause clinic, Faculty of Medicine, Chiang Mai University, Thailand. Four-hundred healthy menopause women who had no medication for hypertension, dyslipidemia, diabetes mellitus and other medical conditions were enrolled. Waist circumference, hip circumference, body weight, height, blood pressure were measured and their blood samples were taken for lipid profiles and fasting blood glucose level after 12 hours fasting. Results: The mean age of participants was 53.4 ± 5.8 years. Mean waist and hip circumference were 76.2 ± 8.0 and 95.9 ± 6.7 cm, respectively. Mean body mass index was 23.3 ± 3.1 kg/m<sup>2</sup>. Positive correlations were found between waist circumference and other factors: triglyceride level, fasting blood glucose and blood pressure. There was a negative correlation between waist circumference and HDL-Cholesterol level. The prevalence of metabolic syndrome among participants by modified National Cholesterol Education Program Adult Treatment panel III (NCEP ATP-III) with Asian waist circumference was 21.0%. Conclusion: Waist circumference had a positive correlation with triglyceride level, fasting blood glucose and blood pressure and a negative correlation with HDL-C
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