Urinary tract infections in pregnancy are common in the form of cystitis and pyelonephritis. Rarely patients may have pyonephrosis. Some of these patients may respond to antibiotic therapy. However those who do not, can be treated by drainage of pus under USG guided percutaneous nephrostomy. Though invasive procedures are generally avoided in pregnancy, however if required, it should be undertaken judiciously or the primary condition may aggravate which may lead to adverse pregnancy outcome. These cases are being presented to highlight that appropriate intervention in the form of percutaneous nephrostomy, is associated with favorable maternal and fetal outcome.Asian Journal of Medical Sciences Vol.7(2) 2015 109-111
Background: The key health indicators pertaining to maternal health are TFR, contraceptive usage and MMR. As per the NFHS V, the use of any contraceptive method is 27.4% and total fertility rate is 2.9 in Meghalaya, which reflects on the poor performance of the state towards achieving the goals set by the National Health Policy 2017. The current MMR of Meghalaya is 211/1 lakh live birth, one of the highest amongst the Indian states. The two most important causes of maternal mortality in Meghalaya are post-partum haemorrhage and anaemia- both avoidable causes of maternal mortality related to higher order pregnancies and lack of adequate spacing between two consecutive pregnancies, thereby increasing the importance of contraceptive use. The aim of the study was to identify factors associated with poor uptake of contraceptive measures and their implications on maternal health in a matrilineal society.
Methods: A cross sectional study was conducted in the department of obstetrics and gynaecology, NEIGRIHMS where 200 patients, indigenous to Meghalaya, were recruited over a period of one year and were interviewed using a validated questionnaire pertaining to family planning practices.
Results: Factors such as number of live births, religion and residence were seen to influence the utilization of contraceptive methods.
Conclusions: There is still a wide gap to be filled- more sincere and dedicated efforts are needed to empower women to make informed decisions by increasing awareness about the importance of family planning and its implications on maternal health.
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