Age Of Last Child Research Articles

Knowledge, Attitude and Associated Factors Towards Vasectomy Among Married Men in Arba Minch Town, Southern Ethiopia, 2021; A Cross-Sectional Study.

Vasectomy is a safe and effective permanent contraceptive method. In Ethiopia, this method underutilized since the focus has been on contraceptive methods available for women rather than men. Few studies have examined this method in Ethiopia so far, so it is important to note that there is a lack of data about the method in the study area regarding married men's knowledge and attitudes toward vasectomy. A community-based cross-sectional study conducted from May 2 to June 2, 2021, at Arba Minch town. A simple random sampling technique used to select 624 study participants. Data collected via the face-to-face interview technique using a semi-structured and pretested questionnaire. Data entered in EpiData 3.1, cleaned, and analyzed using SPSS for Windows version 25.0. Descriptive statistics and bivariable and multivariable logistic regression analyses were performed. An adjusted odds ratio (AOR) with 95% CI and a p-value < 0.05 estimated to identify statistically significant variables associated with knowledge and attitude towards vasectomy. From the total of 624 study subjects, 600 had completed the questionnaire, giving a response rate of 96.2%. From those who heard about vasectomy (36.8%), only 60.6% of men had good knowledge, and 48.4% had a positive attitude towards vasectomy. Men's knowledge of vasectomy was significantly associated with college or university attendance (AOR = 4.05, 95% CI: 1.720-9.521), age 31-40 years (AOR = 2.308, 95% CI: 1.081-4.929), and age ≥41 years (AOR = 2.671, 95% CI: 1.159-6.156). Age ≥41 years (AOR=4.735 95% CI 2.015-11.129), age of last child (AOR=3.868 CI 1.554-9.632) and discussing family planning with wife (AOR=2.821 95% CI 1.559-5.105) were significantly associated with attitude of men towards vasectomy. In this study area, six out of ten and half of the married men had good knowledge and a positive attitude towards vasectomy, respectively.

KARAKTERISTIK AKSEPTOR KB DALAM PEMILIHAN METODE ALAT KONTRASEPSI DI DESA OILIT RAYA KABUPATEN KEPULAUAN TANIMBAR

The family planning program must consider the issue of gender equality in formulating its priority activities. The choice of using contraceptive methods is influenced by perceptions or previous experiences, knowledge, beliefs, influence factors, social factors and other factors, before making a decision the acceptor seeks information first by considering risk factors, choices and communication. The purpose of this study was to determine the characteristics of family planning acceptors in the selection of contraceptive methods in Olilit Raya village, Tanimbar Islands Regency. The method of this research is descriptive quantitative research with the type of research is retrospective. The study was conducted to determine the characteristics of the respondents, namely age, number of children, JKN participation, desire to have children, age of last child. The population in this study was used as a sample (total sampling), namely all the target family planning acceptors as many as 126 family planning acceptors. The results showed that 73 respondents (57.9%) of family planning acceptors chose to use injectable contraception, 92 respondents (73%) were aged 20-35 years, the highest parity of family planning acceptors was mothers who had multiparous children (90.5%) with the number of children between 2 to 4 people, 102 respondents (81.0%) family planning acceptors have National Health Insurance (JKN), 41 respondents (32.5%) family planning acceptors have children under five, children and adolescents. It is hoped that efforts to increase family planning participation need to be carried out on an ongoing basis with advocacy and KIE/Counseling for family planning services.

Determinants of non-exclusive breastfeeding practice during the first 6 months after an elective caesarean birth: a prospective cohort study

BackgroundCaesarean birth is associated with higher rate of non-exclusive breastfeeding (non-EBF) than vaginal birth. Non-EBF refers to providing food or fluid besides breast milk, excluding drugs and vitamins, to infants before six months of age. This study determined the prevalence and factors associated with non-EBF during the first six months after an elective Caesarean birth.MethodsThis prospective cohort study recruited 171 mothers who underwent an elective caesarean birth at two tertiary hospitals in Kelantan, Malaysia. Face-to-face interviews were conducted two days after the birth to obtain information on the variables of interest. Follow-up phone calls were made at one, three and six months after birth to determine the prevalence of non-EBF. Simple and multiple logistic regressions were used for data analysis.ResultsThe prevalence of non-EBF was 19.9%, 40.4% and 57.9% at one, three and six months, respectively. Women who perceived that they had no breast milk, or their breast milk was inadequate were more likely to practise non-EBF at one month [Adjusted Odds Ratio (AOR) 4.83; 95% CI 1.06, 21.96], three months (AOR 4.97; 95% CI 1.67, 14.85) and six months (very often / often AOR 10.06; 95% CI 2.41, 41.99; sometimes / seldom AOR 3.27; 95% CI 1.46, 7.32). Women with at least one child were less likely to practise non-EBF at one month (age of last child ≤ 2 years old AOR 0.10; 95% CI 0.02, 0.66; 3–5 years old AOR 0.10; 95% CI 0.02, 0.53; and > 5 years AOR 0.15; 95% CI 0.02, 0.92).ConclusionPerceived breast milk insufficiency was the only factor associated with non-EBF at all time points. The issue of perceived breast milk insufficiency therefore needs to be explored further and addressed by lactation consultants and other maternal and child health professionals. Strategies may include breastfeeding education prior to the surgery and provision of a helpline to provide information and emotional support to the mothers following delivery. The important roles of lactation support groups in early detection and intervention of the problem cannot be emphasised enough.

Abstract P142: Number Of Children Three Or More And Having First Child Before Age 22 Are Linked To Increased Risk Of All-cause Dementia

Introduction: Evidence on the association between number of children and risk of all-cause dementia has been discordant, and whether timing of birth and span of birth are related to the risk of dementia is unclear. Hypothesis: Estrogen level maintains high during pregnancy and declines dramatically after giving birth. More times of giving birth means more times of drastic fluctuations of endogenous estrogen. We hypothesized that the times of dramatic estrogen fluctuations in a woman’s life course (indicated by number of children) might be associated with risk of dementia. Methods: We used cohort data from UK Biobank, a large population-based prospective cohort study that recruited 502 649 individuals ages 40– 69, between 2006 and 2010. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CI) for the associations between number of children (categorized as zero, one, two, three or more) and incident all-cause dementia. We also examined the role of timing of birth and span of birth in the association with dementia. Timing of birth included age of first birth (categorized as &lt;22, 22-25, 26-29, and ≥30 years) and age of last birth (categorized as &lt;26, 26-29, 30-33, ≥34 yeas). Span of birth (the span between age of first birth and age of last birth) was categorized as ≤2, 3-4, 5-6, and &gt;6 years). All HRs were adjusted for race/ethnicity, education level, income, body mass index, smoking status, physical activities, number of leisure activities, hypertension status, diabetes status and baseline age. Results: Overall, 253 169 women were included, and we identified 2426 women with dementia. The median follow-up was 11.9 years. Compared to women with no child, the HRs (95% CI) with incident dementia in women with one, two, three or more children were 0.97 (0.83, 1.13), 0.95 (0.84, 1.07) and 1.17 (1.03, 1.33) respectively. Compared to women who had their first child after age 30 years, those first birth before age 22 years had elevated risk of dementia (HR: 1.25, 95%CI: 1.09-1.44), even after parity was further adjusted (1.19, 1.03-1.37). No association was observed between age of last child, span of birth and incident dementia. Nevertheless, subgroup analysis found that the elevated risk between number of three or more children and dementia was only observed in women with age of last birth less than 30 years (1.31, 1.12-1.53), or span of birth less than seven years (1.24, 1.07-1.44). Conclusions: Women with three or more children was linked to 17% higher risk of dementia compared to those with no child, and women who had their first child before age 22 years had around 20% higher risk of dementia compared to those with first child after age 30. Age of last child and span of birth may moderate the relationship between number of children and risk of dementia.

Post-traumatic stress disorder among rural widows in Nsukka: risk factors and wellbeing domains

Losing a spouse to death is recognized as the most adverse life event that may increase the risk of depression, post-traumatic stress disorder, and other psychopathology with studies demonstrating that widows experienced more post-traumatic stress disorder symptoms than their non-widowed counterparts. Although the adverse effect of post-traumatic stress disorder may be stronger for widows in rural areas, the existing literature has shown the need for greater research on post-traumatic stress disorder experiences among vulnerable Igbo rural widows in Nsukka, South Eastern Nigeria. Against this backdrop, this study examined factors that predict post-traumatic stress disorder and the effect of post-traumatic stress disorder on the wellbeing domains of Igbo rural widows. Among the 177 participants, partner intimacy (β = .300, p &lt; .001), cause of husband’s death (sudden vs. anticipated) (β = .183, p &lt; .01), perceived social support (β = –.300, p &lt; .001), number of surviving children at the time of husband’s death (β = .210, p &lt; .01), and age of last child as at the time of husband’s death (β = .355, p &lt; .01) all significantly predicted post-traumatic stress disorder. Domains of wellbeing most negatively affected by post-traumatic stress disorder included general life satisfaction (66.10%), family relationship (62.71%), and overall functioning (61.02%). The findings suggest that post-traumatic stress disorder among Igbo rural widows is a serious health concern that requires mental health professionals identifying high-risk rural widows early for intervention and developing programs aimed at educating and training rural community members on post-traumatic stress disorder and where to seek help on onset.

Correlates of Inter-Rectus Distance in Nigerian Parous Women

ABSTRACT Background: Diastasis Recti Abdominis (DRA) or increased inter-rectus distance (IRD) is among the most common pregnancy-related physical disorders in women. Studies are scarce on its correlates in an African population. Objectives: The aim of this study was to determine anthropometric and maternal correlates of DRA in Nigerian parous women. Materials and Methods: Eighty nine (89) consenting parous women (20–45 years) participated in this observational study. The IRD was measured with an electronic digital caliper at the umbilical level alongside other anthropometric measurements (weight, height, waist circumference (WC), hip circumference (HC)). Information on participants’ age, mode of delivery (MOD), parity, and age of last child (AOLC) was obtained. Data were analyzed with descriptive statistics and inferential statistics of Pearson’s and Spearman’s rank correlations, respectively, with subsequent linear regression analysis at an alpha level of P &lt; 0.05. Results: The IRD significantly correlated with WC (r= 0.213, P = 0.045) and waist-to-hip ratio (WHR), (r = 0.357, P = 0.001). Significant regression equations were determined for the prediction of IRD based on WC and WHR. However, the other variables studied showed no significant (P &gt; 0.05) correlation with IRD. Conclusion: WC and WHR are predictors of IRD in parous women, and these should be considered as important variables in the management of DRA associated with pregnancy.

Jadelle implant acceptance amongst women in Western Health Region 1, The Gambia

The reproductive health hazards of unwanted pregnancies and unsafe abortions have been reduced with modern contraceptive use. The study aimed to highlight the Jadelle Implant acceptance rate amongst women in The Gambia. A descriptive correlational (retrospective) study design was employed. Family planning records were reviewed from January 2015 to December 2015. Data was analyzed using SPSS version 21. Ethical approval was granted by the Regional Health Office, Ministry of Health & Social Welfare, and the Bundung Maternal & Child Health Hospital. Results indicated that out of 3439 acceptors of family planning methods for the year 2015, 660 women went in for the Jadelle implant representing an overall acceptance rate of 19.19%. The mean age was 29.5 years (SD ± 6.3). Mean parity was 4.5 (SD ± 2.4), the average number of alive children was 4.2 years (SD ± 2.1) and most acceptors were housewives 638 (96.7%). A positive relationship existed between age of the last child delivered and Jadelle uptake (p < 0.05). The age of last child delivered was able to predict about 26.1% of Jadelle uptake (p < 0.05). Therefore, the Jadelle implant is a highly accepted contraceptive amongst women attending these health facilities, thus, reducing unintended pregnancies, unsafe abortion, and short birth intervals amongst women in Western Health Region1, The Gambia.

Pattern of ICU Patients Referred From Obstetric and Gynaecology Wards

Background: Management of critically ill obstetric patients in intensive care unit is a challenge. Pregnancy, delivery and puerperium can be complicated by severe maternal morbidity necessitating Intensive Care Unit (ICU) admission. So the objectives of the present study was to see the patterns of ICU referral from the obstetrics and gynaecology wards. Materials and methods: The study was conducted in Department of Obstetrics &amp; Gynecology, of a tertiary Medical College Hospital and some Private Hospitals, Chittagong between January 2011 and December 2016. The antenatal patients (From 28 weeks onwards) and postnatal patients (Up to six weeks) who were referred to ICU were the study population. After collection data were analyzed by SPSS-20. Results: A total of 50 records kept in Gyne &amp; Obstetrics ward. The mean age of the subjects was 27.8 ± 5.9 years and the lowest and highest ages were 18 and 40 years respectively. Majority were from rural resident (86%). Over 82% of the patients were poor and 18% middle class. The mean duration of married life of the patients was 6 ± 0.7 years and the minimum and the maximum duration were 1 year and 22 years respectively. The mean age of the last child was 2.8 ± 0.4 years and the lowest and the highest age of last child was 1 and 13 years respectively. Most (80%) of patients had a history of being pregnant 2–4 times and 18% 5–8 times and only 2% was primigravida. In terms of parity 38% of patients was primipara, 44% had 1–3 live-birth and rest 18% between 4–7 live-birth. The main causes of admission to ICU were Post Partum Haemorrhage (PPH) (42%) hypertensive disorder of pregnancy (40%) coincidental cardiac disease 4%, sepsis 6%, post cardiac arrest 4% and shock with postpartum dilated cardiomyopathy 4%. Respiratory failure and hemodynamic instability were the indication for ICU admission. Two-third (66%) of the patients was admitted in intensive care unit for respiratory failure and 46% for hemodynamic instability. For nine (98%) of 50 patients admitted to the ICU required mechanical ventilation. Conclusion: Maternal morbidity and mortality in such cases can be minimized by early assessment and aggressive intervention by a team work involving obstetricians, intensive care specialists and anesthetists.&#x0D; JCMCTA 2017 ; 28 (1) : 67 - 71

Current Practice and Determinants of Family Planning Methods among Married Females in the Reproductive Age Group (15-49yrs) in a Rural Setting, Kerala

Background and objectives: Contraceptive prevalence rate is an indicator of health, population, development and women’s empowerment. Contraceptive choice and use will vary according to the socio-cultural factors of that geographical area. This study was done to find out the percentage of married females who is currently using contraceptives as well as various factors associated with its use and along with that, assessed their current knowledge regarding various contraceptive methods. Methods: A community based cross sectional study done in Mulamkunnathukavu panchyat of Thrissur district in Kerala among 203 married females in the 15-49 age group using a pre-tested questionnaire. Results: The prevalence of current use of family planning methods was 48.8% with 95% CI was (47.8 - 49.8). In various contraceptives 16.7% were using Female sterilization, followed by IUD (14.8%) and rhythm method (7.9%). Mean age (SD) at marriage is 21.67(5.67) years. Contraceptive prevalence was shown statistically significant association with age of female (p=0.036) number of child (p=0.03), male preference (p=0.031), age of last child (0.013). Age of the female (p=0.005), spouse education (0.046) and spouse occupation (p=0.04) number of child (p=0.0001), male preference (p=0.001) were the statistically significant factors associated with pattern of use of contraceptive. Majority of study participants were aware about Copper T (80.8%), followed by Condom (73.9%), Rhythm method (72.9%) and female Sterilization (71.9%) Health workers played a big role in disseminating information regarding family planning (68%). Conclusion: Current use of family planning method and female sterilization was started to decline but knowledge and acceptance of Intra Uterine Device increased .Male participation in family planning method was very poor. So we have to think about the new initiatives to improve the male involvement in family planning practice. Intensify the measures to improve permanen

PENERAPAN REGRESI LOGISTIK MULTINOMIAL PADA PEMILIHAN ALAT KONTRASEPSI WANITA (Studi Kasus di Desa Tonggara Kecamatan Kedungbanteng Kabupaten Tegal)

The development of a growing population, causing many problems within national development, so the program necessary to reduce the population of family planning program, one of the programs is Contraceptive Services. A variety of contraceptive choices provided by the government especially for women, including: pill, injection, IUD, implant, tissue KB, tubectomy, cream, jelly, and foam. The selection of contraceptives for women have to weigh various factors. So we want to know the factors which influence women in choosing a particular contraceptive. By testing the significance of the multinomial logistic regression model through the G test statistic can be shown there are four factors that influence contraceptive use, namely maternal age, number of living children, age of last child, and pregnancy plans. Keywords : Contraception, Multinomial Logistic Regression

Uterine Myoma: A Profile of Nepalese women

Objectives: To determine the most common age and parity for the development of myoma uteri. To find out any relation between age of the last child and the development of myoma uteri. To determine the treatment protocal and outcome of treatment. Materials/methods: This study was carried out at Nepal Medical College Teaching Hospital from Jan 2001 to 31st June 2006. All cases of myoma uteri admitted in Gynaecological ward was included.. Histological evidence of myoma confirmed the diagnosis. Age, parity and age of the last child, clinical features, surgical procedures and outcome of surgery were considered. Results: A total of 137 cases of myoma uteri was operated during five and half years period. This represented 38.5 %of all abdominal hysterectomy performed during the same period. The mean age was 43.3 years with median parity at 1-3 and the mean age of last child at 12years. Excessive menstrual bleeding 73.0%, abdominal mass and pain 58.4%, dysmenorrhea 18.2% and infertility 7.3% were the common symptoms. Total abdominal hysterectomy was the mainstay of treatment. Patients were happy with the treatment specially those with severe and multiple symptoms Postoperative complications were not significant. There was one death due to pulmonary embolism who had mesothelioma of pleura diagnosed by pleural biopsy before operation. Conclusion: Early marriage and early completion of the family is the social trend in Nepalese society. Myoma is common in 4th-5th decade of life in multi parity with the age of last child around 12years. This long standing secondary infertility may be an underlying risk factor in the development of myoma uteri. doi:10.3126/njog.v1i2.2397 N. J. Obstet. Gynaecol Vol. 1, No. 2, p. 47-50 Nov-Dec 2006