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Restrictive cardiomyopathy (RCM) is a relatively rare form of cardiomyopathy with high mortality which is characterized by impaired filling of the ventricles in the presence of normal wall thickness and systolic function. RCM is generally seen in association with infiltrative, storage, or systemic diseases. We present a rare case of familial RCM with pregnancy which was successfully managed.

INTRODUCTIONInfertility is a worldwide problem affecting 8-12 percent couple (50-80 million) during their reproductive lives (WHO, 1991). 1 The WHO estimates the overall prevalence of primary infertility in India to be between 3.9 and 16.8 per cent.2 Infertility has stigmatised women from time immemorial. Women who are deemed to be infertile are often excluded from religious practices and face many such social difficulties. In fact, the ease with which women can be labelled infertile or resist the label, the experiences of childless women and the process of seeking solutions for infertility all go beyond the biological fact of reproductive impairment.3 Further, male factor of infertility is a taboo subject and is less often discussed in the society. This constrains the relationship of the couples resulting in divorces. Even if the couple seek treatment, women are often blamed for childlessness and she alone is expected to undergo the diagnostic procedures to know the cause of infertility. Moreover, people in developing countries when faced with infertility resort to folk medicine, tantric practices and avail the help of quacks instead of seeking medical attention. The prohibitive cost, inadequate availability of health services pertaining to infertility have further aggravated the situation. Hence it becomes important to understand the perceptions of these couples regarding infertility and its management in order to be able to provide more effective solutions. The aim of our study was to assess the knowledge and attitudes of participants regarding infertility, its causes, health seeking behaviour and the source of the knowledge gathered. METHODSThis cross-sectional study was conducted in the rural field practice area of Ramaiah medical college at Kaiwara village, in the Chintamani taluk of Chickaballapur district of Karnataka, India. Married women between the age of 18 and 65 years, capable of effectively communicating in their local language were included in the study, while women with mental impairment and other difficulties in ABSTRACT Background: Objective of present study was to evaluate the knowledge, attitude and practice of rural women regarding infertility. Methods: A field tested semi-structured questionnaire was administered to 100 rural women in Kaiwara village, Karnataka, India to study their knowledge, attitude and practice regarding infertility. Results: Majority (84%) did not know the reason for infertility. 7% felt that the cause of infertility was due to problems with eggs, 6% felt it to be tubal factors and only 3% felt it to be due to male factor. Conclusions: The findings of this study highlight the importance of spreading the awareness and inculcating the right attitude and approach to infertility.

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