Background of the Study In India, although a number of contraceptive choices are available, the usage of contraceptive methods among postpartum women is rather low. The current study intended to determine the impact of ''structured contraception counseling'' on women's decision making on selection of contraceptive methods and the reasons behind the selection of a contraceptive method. Methods One-hundred-and-seventeen postpartum women in the age group of 18-35 years, requesting contraception, were enrolled in the study. ''Structured contraception counseling'' was provided using a standardized protocol with balanced and comprehensive education material on the available hormonal and nonhormonal contraceptive methods. Questionnaires with information on the women's pre-and post-counseling contraceptive choice, her perceptions, and the reasons behind her postcounseling decision were filled by the participating women. Results Maximum women enrolled for the study were in the age group of 21-25 years. In pre-counseling, 36 % postpartum women selected a contraceptive method, 23.1 % a nonhormonal method, and 12.8 % a hormonal method. After ''structured contraception counseling, '' 92. Conclusion ''Structured contraception counseling'' using standardized protocol resulted in significant improvements in the selection of contraceptive methods by postpartum women.
Vivax malaria is in general described and considered as benign as it less likely causes severe illness, compared to malaria caused by Plasmodium falciparum (P.falciparum)species. Of late, there have been increasing evidences of Plasmodium Vivax (P.vivax) too causing severe disease and leading to poor outcomes.. We report a case of severe P vivax malaria in a 12 year old child complicated by Acute respiratory distress syndrome(ARDS)
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