Background: The adoption of the Medical Termination of Pregnancy (MTP) Act has allowed for abortion on the grounds of medical and social reasons since 1972.The aim of the present study is to establish the demographic of women seeking abortion care services and to determine the role of different factors in the timing of seeking an abortion.Methods: A retrospective hospital record-based study was carried out among pregnant women seeking an MTP in a tertiary care hospital in Mumbai. The records of women seeking MTP over a 5-year period from January 2012 to December 2016 were accessed and data pertaining to their demographic and obstetric history was recorded. Statistical tests of significance and analysis were done.Results: A total of 803 women underwent an MTP from January 2012 to December 2016. The number of deliveries during the same time period was 13735. The most common age group was 25-30 years. Stratification in terms of the educational backgrounds showed that 45.7% had received only secondary school education while 12.7% had no schooling. Majority of the women (74.8%) availed an MTP in the first trimester, out of which, most of them (36.9%) had 2 previous pregnancies. Most women coming in the second trimester (43.6%) hadn’t conceived before.Conclusions: Education didn’t seem to be a significant factor in determining the timing of seeking an MTP. School education did not necessarily include exposure to sexual education. Experience in terms of parity was more relevant in identifying signs of pregnancy and seeking appropriate services in a timely manner.
Introduction: The COVID-19 pandemic and its associated lockdowns have affected the development of children negatively. The ARCH model is a parent-administered, home-based, psychological intervention model to improve the psychosocial well-being of children and their families. The model acts as a set of guidelines and a list of activity modules for parent-child interactions that will promote and enhance the child’s social skills and psychological health. Objective: The objective of the study was to study the effectiveness of a novel innovative psychological model and parenting strategy for promoting the psychosocial well-being of children. Materials and Methods: This is an open prospective single-arm study in a tertiary care hospital with pre-and post-intervention design. Patients aged 3–18 years visiting the outpatient department, admitted to the pediatric ward as well as their parents, and siblings, were enrolled in the study. Data were collected by self-reported questionnaires. The intervention was administered and 1–2 months later we checked for any changes in the psychosocial well-being scores. Results: Fifty participants were enrolled and eight were lost to follow-up. Statistical analysis showed an insignificant difference in the Ryff psychosocial well-being pre-intervention score (208.5±15.1) and post-intervention scores (208.4±14.8) (p=0.847) for parents. KIDSCREEN questionnaire score showed a significant improvement in “social service and peers” subcategory, between pre-intervention score (128.83±17.18) and post-intervention score (131.29±16.60) with a Z score=2.09 (p<0.05). KIDSCREEN questionnaire score also showed improvement in overall score in pre-intervention score (578.64±440.39) and post-intervention score (584.40±444.19) with a Z score=1.66 (p<0.05). Conclusion: Our study found that while the intervention did not have a major impact on the psychosocial well-being of the parents, there was a significant difference effected on the psychosocial well-being of the children.
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