ABSTRACT Objective: To assess the experience (during and post procedure) of women after immediate postpartum and post placental Insertion of intrauterine contraceptive device (IUCD), a long acting reversible contraceptive (LARC). Methods: This prospective and longitudinal study was conducted during February 2019 to September 2019 in Gynae and Obstetrics department Unit 1 at Abbasi Shaheed Hospital. All 141 booked and non-booked patients who delivered in the hospital and received immediate postpartum intrauterine contraceptive device (PPIUCD),either post placental, intra cesarean or within 48 hours after delivery were included in the study regardless of the mode of delivery either intra-cesarean or spontaneous vaginal delivery. Written consent was taken for the contraceptive device insertion and verbal consent was taken to fill the proforma which included basic demographic information, their overall experience with postpartum intrauterine contraceptive device. Immediate experience was measured by assessing the pain during procedure and post insertion period. Further all participants were followed at six weeks and 6 months to collect information about any complains removal of IUCD and overall experience. Results: The mean age was 27.3 years with a standard deviation (SD) of 4.42. Among all the participants, 77(54.6%) had Cesarean section and 64(45.4%) had vaginal delivery. During procedure only 5(3.5%) had complain of mild pain and no immediate post procedural complains was recorded. 86(73.5%) participants at 6 weeks and 78(69.03%) participants at 6 months had no complained. Overall experience was found satisfactory in 86(73.5%) participants. Conclusion: Postpartum intrauterine contraceptive device (PPIUCD) provided satisfactory experience to majority of the women. So we recommend its use for better maternal and child health.
Metabolic syndrome is a congregation of central obesity, dyslipidemia, raised bloodsugar levels, increasing the individual’s susceptibility to Type II Diabetes and cardiovasculardiseases. Objectives: (1) To determine the prevalence of metabolic syndrome in young, urban,female population. (2) To determine the risk factors in poor, urban, female population. StudyDesign: This was a descriptive cross sectional study. Setting: The department of Gynae/Obst Unit II KMDC/Abbasi Shaheed hospital. Period: One year starting from January 2016 toDecember 2016. Material and Method: Approval was taken from ESRC of KMDC. All healthyasymptomatic married/single women between 18-49 years of age were included while women<18 or >50 years of age, diabetic, hypertensive or having bleeding disorders were excludedfrom study. Laboratory data included blood sugar, triglycerides, HDL-cholesterol, collected byphlebotomist from the participants in fasting state through venipuncture. A Chi-square test wasapplied to evaluate the association of demographic group variables and metabolic syndrome.P-value <0.05 was considered as statistically significant. There was no conflict of interest. Result:A total of 343 participants were recruited. The socio and demographic data is summarized inTable-I. The prevalence of Metabolic syndrome was found to be high. 227(66.2%) of participantswere having Metabolic syndrome according to NCEP ATP III criteria. 63(18.4 %) had history ofPIH while 52(15.2%) had family history of hypertension and 126(36.7 %) had family historyof both Hypertension and Diabetes. 232 (67.6 %) of women had sedentary life style and only3(0.9%) practiced aerobic exercises. 287(83.7%) had their waist circumference of >80cm, themean systolic blood pressure was 127.5 +-23.76 while the mean diastolic blood pressure was86.99+-57.36. The mean of BMI was at higher level 30.97+-6.41. Obesity is the most commonrisk factor for Metabolic syndrome. The mean of fasting blood sugar was 105.08+-42.16which was on higher side. The mean of Triglycerides 142.43+-61.12 and HDL 39.04+-12.45were within normal limits. Increased prevalence was observed in women who had PIH duringpregnancy and childbirth 25.1% v 5.2%(p value=0.001). Conclusion: Prevention and treatmentof metabolic syndrome is a big challenge. Lifestyle interventions should begin from the earlychildhood to reduce weight and to prevent development of obesity and metabolic syndrome.
Metabolic syndrome is a congregation of central obesity, dyslipidemia, raised blood sugar levels, increasing the individual's susceptibility to Type II Diabetes and cardiovascular diseases. Objectives: (1) To determine the prevalence of metabolic syndrome in young, urban, female population. (2) To determine the risk factors in poor, urban, female population. Study Design: This was a descriptive cross sectional study. Setting: The department of Gynae/ Obst Unit II KMDC/Abbasi Shaheed hospital. Period: One year starting from January 2016 to December 2016. Material and Method: Approval was taken from ESRC of KMDC. All healthy asymptomatic married/single women between 18-49 years of age were included while women <18 or >50 years of age, diabetic, hypertensive or having bleeding disorders were excluded from study. Laboratory data included blood sugar, triglycerides, HDL-cholesterol, collected by phlebotomist from the participants in fasting state through venipuncture. A Chi-square test was applied to evaluate the association of demographic group variables and metabolic syndrome. P-value <0.05 was considered as statistically significant. There was no conflict of interest. Result: A total of 343 participants were recruited. The socio and demographic data is summarized in Table-I. The prevalence of Metabolic syndrome was found to be high. 227(66.2%) of participants were having Metabolic syndrome according to NCEP ATP III criteria. 63(18.4 %) had history of PIH while 52(15.2%) had family history of hypertension and 126(36.7 %) had family history of both Hypertension and Diabetes. 232 (67.6 %) of women had sedentary life style and only 3(0.9%) practiced aerobic exercises. 287(83.7%) had their waist circumference of >80cm, the mean systolic blood pressure was 127.5 +-23.76 while the mean diastolic blood pressure was 86.99+-57.36. The mean of BMI was at higher level 30.97+-6.41. Obesity is the most common risk factor for Metabolic syndrome. The mean of fasting blood sugar was 105.08+-42.16 which was on higher side. The mean of Triglycerides 142.43+-61.12 and HDL 39.04+-12.45 were within normal limits. Increased prevalence was observed in women who had PIH during pregnancy and childbirth 25.1% v 5.2%(p value=0.001). Conclusion: Prevention and treatment of metabolic syndrome is a big challenge. Lifestyle interventions should begin from the early childhood to reduce weight and to prevent development of obesity and metabolic syndrome.
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