Background: Postpartum anaemia often leads to multiple clinical complications in mother as well as infant and iron supplementation with parenteral iron is the preferred treatment modality. The present study was planned to compare the efficacy and tolerability of IV iron sucrose and IV ferric carboxymaltose in treatment of postpartum iron deficiency anaemia.Methods: This randomized, parallel, open label, prospective 4-weeks study was conducted from June 2019 to December 2020 in women with postpartum anaemia admitted to obstetrics and gynaecology inpatient department of a tertiary care hospital. Women with postpartum iron deficiency anaemia (N=60) were randomly divided into two groups; receiving Injection iron sucrose (N=30, maximum dose 500 mg) or Injection ferric carboxymaltose (N=30, maximum dose 500 mg). Change in haemoglobin and serum ferritin levels from baseline to the end of 2 and 4 weeks of treatment were evaluated.Results: The results showed early, sustained and significant increase in the haemoglobin levels in both the groups. However, the difference was not significant between groups (p=0.2). Evaluation of replenishment of iron stores (serum ferritin) showed improvement in both the groups, however in FCM group the rise was found to be significant (p<0.05).Conclusions: FCM in a lower dose of 500mg was found to be safe and effective in significantly improving haemoglobin concentration as well as in replenishing iron stores in patients with postpartum anaemia.

BACKGROUND Contraceptive use among HIV positive women plays a crucial role in meeting their reproductive health needs. This is a study with the primary aim to estimate the magnitude of unmet need for family planning among HIV seropositive women of reproductive age in central India and to identify the various socio-demographic factors and reasons associated with unmet need for family planning. MATERIALS AND METHODS The study is an institutional cross-sectional study. The unmet need of 400 women with HIV positive status in reproductive age group (15-49 years) attending Anti-Retroviral Therapy (ART) clinic in a tertiary care center in central India was evaluated on the basis of their age, living region, type & size of family, education, duration of marriage, occupation, religion and by Modified BG Prasad sociodemographic class. The use of contraceptives and the reasons for not using any temporary or permanent method of family planning was evaluated. RESULTS The prevalence of unmet need of contraception in study population was found to be 28%. There is a significant association between age, education, socioeconomic status, type of family, duration of marriage, parity and HIV status of partner, duration of antiretroviral treatment with met and unmet needs of contraception. Little perceived risk of pregnancy was the most common reason for not willing to use contraception. Opposition from partner or family members, cultural & religious opposition (13%) also constitutes the major causes of not using contraception. Lack of awareness (1.8%) was the least common cause for reasons for not using contraception. CONCLUSION Efforts to integrate the family planning services and HIV care services, strengthening the traditional family programmes and expanding the access of contraception are prerequisites to reduce unmet needs.

BACKGROUND Women with unmet need are those who are fecund and sexually active but are not using any method of contraception, and report not wanting any more children or wanting to delay the next child. The concept of unmet need points to the gap between women's reproductive intentions and their contraceptive behaviour. In this study, an attempt has been made to find out the unmet need of contraception in urban and rural women population and a comparative study to understand the different factors affecting this unmet need of contraception. MATERIALS AND METHODS This study was conducted in Rural & Urban field practice areas under the administrative control of Department of Community Medicine, Indira Gandhi Government Medical College, Nagpur from a period of January 2014 to June 2014. It was a community based cross sectional study. Women were interviewed in a house to house survey from adopted villages of urban and rural health training centres by a pre-tested structured questionnaire. Data was analysed using statistical software Epi Info version 6, year 2009. Total 290 women were enrolled in the study.

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