Background: In this modern era where women have achieved the highest positions in politics, corporate world and conquered the moon, on the other side she is still fighting for her right, i.e. health. For this the women should become economically independent. The concept of waiting for a son preference by the society should be discouraged. Postpartum and post abortal period are very crucial for a women especially for many of those belonging to the villages as this may be the only time she comes in contact with a health personnel. Hence counseling should be given to all patients at this time. Methods: We conducted a cross-sectional study in the department of obstetrics and gynecology of sir Sunder Lal hospital between August 2013 to October 2013. 230 post-partum and post abortal women were interrogated and counseled about various methods of contraception. Awareness about emergency contraception pill and MTPill was also noted. Results: Only 69% had heard about various methods of contraception. IUCD and OCP were known to most patients. Most patients knew about contraception from television and doctors. After counseling 97% patients wanted contraception. Most patients opted for IUCD, Barrier method and DepoProvera. 20% patients knew about emergency contraception pill and 34.4% patients about MTPill. Conclusions: There is lack of awareness of contraception, emergency contraception and medical abortion in women under study. Regular counseling is a must to all post-partum and post abortal women. Information should be provided about various methods and patients should be given a choice to choose the method of contraception.
Marfan syndrome is a variable, autosomal dominant disorder of connective tissue whose cardinal features affect the cardiovascular system, eyes and skeleton. The minimal birth incidence is around 1 in 9800. About three quarters of patients have an affected parent; new mutations account for the remainder. The patient's prognosis depends on the severity of cardiovascular complications and is mainly determined by progressive dilation of the aorta. If signs of Marfan syndrome are recognized, it is important to refer to the correct health care professional for further testing to prevent associated complications. If not properly treated, premature death may be caused by the severe cardiovascular and pulmonary complications associated with Marfan syndrome. Therefore, it is important to identify this potentially life-threatening condition in general practice. This article reports two cases with a very typical features of Marfan syndrome.
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