Background: India is the second-most populous country in the world. Appropriate knowledge and usage of contraception are important. Objective: This cross-sectional observational study was done to assess the awareness and usage of different methods of contraception among women of reproductive age group. Material and methods: Six hundred women between age groups of 18-45 years, attending Gynae OPD at SIMS, Hapur were interviewed with the help of a predesigned questionnaire from May 2019 to January 2020. Women having medical disorders were excluded. Results: Among 600 women, 52.5% were between 21 to 30 years of age. 81.2% had parity equal to or more than two. 86% of women were of rural origin & 66.5% belonged to the Muslim community. 85.3% women were aware of barrier contraception, 81% were aware of natural methods, 47.7% knew about IUCD & 57.5% were aware of OCP’s. 78.2% were aware of permanent methods of family planning. 96.3% of women were aware of at least one method of contraception. Only 37.4% of women were using contraception. There was a statistical difference among the rural and urban populations for awareness and usage of contraception. Conclusion: Despite awareness of contraception, in our study population, the acceptance of contraception was low, in comparison to many studies. Fear of side effects is the most common reason for less usage.
Mullerian cysts are usually small, ranging from 0.1 to 2 cm in diameter. Rarely, they may be enlarged and mistaken for other structures such as uterovaginal prolapse/cystocele/rectocele or urethral diverticulum. Posterior vaginal wall cyst is a very rare case. We present a case of patient presenting with mass coming out from vagina, which, after clinical evaluation and USG, was diagnosed as a Gartner's cyst. Gartner's duct cyst is a derivative of Wolffian duct (mesonephric duct) in females. Assessment of the lesion via history taking and pelvic examination is important to confirm both the lesion's size and location, but appropriate clinical evaluation supported with investigations clinched the diagnosis easily.
Background: COVID - 19 infection was declared pandemic infection on March 11, 2020 by World Health Organisation. Pregnant women have a high propensity to acquire this infection due to their altered physiological and immunological function. Objective: To know the overall incidence of COVID positive obstetric patients and.assess presence of any co-morbidity or obstetric complications as well as maternal and perinatal outcome at our institute. Methods: This retrospective observational study was conducted at Saraswathi Institute of medical sciences(SIMS), Hapur Uttar Pradesh, India from April 2020 to December 2020. All Covid positive obstetric patients, antenatal and postnatal upto 6weeks postpartum were included from the hospital records. Their socio-demographic characters, period of gestation at the time of admission, presenting symptoms, any medical or obstetric complications as well as maternal and perinatal outcome were studied in the form of severity of symptoms, ICU admissions, requirement of mechanical ventilatory support and NICU admissions. Results: Total 95 obstetric patients were admitted , out of which 83 ( 87.36%) were antenatal and 12 ( 12.63%) were postnatal .16 patients delivered at SIMS, out of which 9 ( 56.25%) had cesarean delivery and 7 (43.75%) had vaginal delivery and 9 had preterm deliveries(56.25%). Among 12 postnatal patients , 5 (41.66% ) undergone cesarean delivery and 7 (58.33% ) had vaginal delivery. 20 (21.05%) patients needed ICU admission and 3 (3.15%) patients required ventilatory support. There were 2 (2.10%) maternal deaths and 2 ( 2.10%) neonatal deaths. Conclusion: The course of COVID-19 obstetric patients was mild in majority of cases, however increased rates of pregnancy complications and caesarean delivery was observed.
Background: Unsafe abortions occur when pregnancy is terminated by unqualified person or in an environment that do not conform to minimal medical standards or both. The aim of this study was to analyse the causes in referred patients of unsafe abortions, methods used and complications with which patients were admitted.Methods: A retrospective observational study conducted in the department of Obstetrics and Gynaecology, SIMS Hapur Uttar Pradesh, India from 1stJune 2019 to 29thFebruary 2020. Data was collected from previous hospital records. Total 150 women aged between 18-40 years, admitted with complications of unsafe abortions and who had taken advice for termination outside our institute, were included. The demographic profile, detailed history, first contact person for abortion advice, abortion service provider, method of termination and prior ultrasound were noted. Exclusion criteria was period of gestation more than 20 weeks and spontaneous abortions.Results: The study showed 92% contacted unqualified person, out of which 22.5%were uncertified doctors, 30.4% ANM’s, 16.7% Nurses, 12.3% consulted quacks and 10.9% Chemists. Among the abortion service providers 23.6% were uncertified doctors, 45.7% Chemists, 15% Nurses, 5.7% Quacks, 3.6% ANM’s and 6.4% had taken self-medication. Prior ultrasound was done in 28% cases. Method of termination was medical in 78.7% and surgical in 21.3% cases. Period of gestation was <8 weeks in 69.3%, 8-12 weeks in 27.3%, 12-16 weeks in 2%. 37.3% had parity 2 and 55.3% were Hindus.Conclusions: Despite availability of safe abortion services, unsafe abortion practices are still prevalent. Approved MTP centres, skilled and certified abortion providers must be easily accessible to women even in rural areas to safeguard their health.
Background: The most appropriate methods of abortion differ by the duration of pregnancy. First trimester medical abortion is a safe non surgical procedure in which drugs are used to induce abortion from four weeks up to seven or nine weeks of pregnancy. This study was called out to evaluate the effectiveness and safety of MTP pill in rst trimester abortion under medical supervision to prevent unsafe abortion This is a Method: prospective study of 100 cases that were divided into two groups, Group A (50 cases) - gestational age up to 49 days and Group B (50 cases) - gestational age up to 63 days. Conducted at obstetrics and gynaecology department, SIMS, Hapur, Uttar Pradesh from December 2020 to June 2022 Results: In present study, successful expulsion without surgical intervention was achieved in 90% of group A and 78% in group B.Side effects were also less in group A participants as compared to group B. Medical methods of abort Conclusions: ion are safe,effective and acceptable in rst trimester of pregnancy but lesser gestation age is a good predictor for successful abortion
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