Family Planning Methods Research Articles

The CONTINUITY MIDWIFERY CARE OF MRS. M, MRS.I, AND MRS. N IN MIDWIFERY INDEPENDENT PRACTICE LANGGENG SRI ASIH, S.ST AT DISTRICT OF PAGELARAN, PRINGSEWU REGENCY IN 2023

Lower back pain or low back pain in pregnancy is an unpleasant condition due to the growing uterus and increased body weight causing the muscles to work harder so that it can cause stress on the muscles and joints. Pregnancy exercise can provide benefits for maintaining and improving the physical health of pregnant women, improving blood circulation, reducing complaints of aches and pains including back pain during pregnancy, and preparing breathing, muscle and pelvic activity to face the birth process. Based on the above, the authors take the formulation of the problem in this report whether pregnancy exercise in third trimester pregnant women can reduce back pain in pregnant women? This final project report is in the form of a case study using the SOAP method of documentation. The subjects of this study were third trimester pregnant women, childbirth, postpartum, newborns, so that mothers can decide on family planning methods. In collecting data, it is done by using anamnesis, physical examination, cases are processed and analyzed. The results of the study showed that pregnancy care was provided by providing pregnancy exercise care to 3 pregnant women who experienced back pain during pregnancy. Of the three pregnancies that were followed, all patients were given intervention by doing pregnancy exercise to show a decrease in back pain. This was stated by the results of interviews with patients that back pain was reduced after doing pregnancy exercise and one patient said that sleep became better after doing pregnancy exercise.

Long-acting family planning switching and associated factors among revisit women in Toke Kutaye district of West Shoa Zone, Oromia Region public health facilities, Ethiopia: a mixed methods study

BackgroundSwitching from a long-acting family planning (LAFP) method to another could lead to an unintended pregnancy. However, the proportions of LAFP method switching and predictable factors are not well addressed. Therefore, the aim of this study was to determine the magnitude of LAFP method switching and associated factors among revisit women. The study also explored the reasons for the LAFP method switching among the revisited women.MethodA mixed methods study was conducted among 377 reproductive age women attending public health facilities in Toke Kutaye district, West Shoa, Zone, Ethiopia, from 20 May 2021 to 28 July 2021. A systematic random sampling for quantitative and purposive sampling technique for qualitative study was used to select the study participants. A pretested structured questionnaire and in-depth interview were used to determine and explore long-acting family planning switching among revisit women. Data were analysed by Statistical Package for the Social Sciences (SPSS) version 21. Binary logistic regression was conducted to identify the dependent and independent variables at p-value < 0.05 along with 95% Confidence Interval (CI) and Adjusted Odds Ratio (AOR). The qualitative data were analysed using thematic analysis.ResultsThe magnitude of long-acting family planning method switching was 53.3%. Switching from an implant to other short-acting method was 39.8%, and switching from an intrauterine contraceptive device (IUCD) to other short-acting method was 13.5%. A formal education (AOR, 10.38, 95% CI: 3.48, 30.95), birth spacing (AOR, 5.52, 95% CI: 1.31, 23.33) and perceived infertility (AOR, 11.16, 95% CI: 5.55, 22.45) were factors associated with LAFP switching. The qualitative findings revealed that fear of side effects, lack of adequate information, religion, and misconceptions hinder users from maintaining the LAFP.ConclusionsThe study finds that the proportion of women switching from long-acting family planning was relatively higher than in other studies. The main reasons for LAFP switching were fear of side effects, lack of adequate information specific to LAFP and misconceptions. Therefore, the provision of quality contraceptive counselling by the service providers may mitigate the concern of IUD and implant switching. Furthermore, future prospective research at a larger sample size is needed.

Syrian refugee women’s access to family planning services and modern contraception during overlapping crises in Bekaa, Lebanon

BackgroundPolitical, financial, and pandemic crises in Lebanon have affected both provision of reproductive health services including family planning and modern contraception methods as well as women’s interest and ability to seek those services. This study aims to explore the impact of the compounding crises on the provision and use of family planning services including modern contraception methods for Syrian refugees in Lebanon focusing on the perspectives of Syrian refugee women.MethodsWe carried out 12 Focus Group Discussions (FGDs) with 119 Syrian refugee women recruited from two cities in West Bekaa, Lebanon from inside and outside the informal tented settlements. We used Skype video calls to moderate the FGDs due to the limited mobility at the time of the study because of Covid-19. We used thematic analyses to analyse the data.ResultsThe crises seemed to exacerbate supply side barriers, which influenced provision of family planning services and women’s demand for them. These included Covid-19 regulations and maltreatment by staff at public health facilities, disruption of outreach reproductive health services that provide family planning and modern contraception, and reduced supply of modern contraception methods. On the demand side, women reported financial limitations in accessing and paying for services, concern over being infected with Covid-19, and concerns about insecurity.ConclusionsWe suggest possible interventions to address these challenges and better reach these populations. These include using mobile health technology (mHealth) that may provide contraceptive counselling and/or can inform refugee women about where they may receive family planning and modern contraception. These services may also support Syrian refugees to access care they are entitled to receive and may also address disruptions in service provision due to overlapping crises, including availability and rising costs of contraceptives. These can be coupled with mobile outreach reproductive health services that provide family planning. We also suggest considering the provision of Long Acting Reversible Contraception (LARC) for Syrian refugee women, which would reduce a barrier of needing to revisit health facilities to obtain an additional supply of contraception pills.

Postnatal Mothers’ Perceptions on the Uptake of Intra Uterine Contraceptive Device (IUCD) Family Planning Method among Women at Mpilo Maternity Postnatal Ward, Bulawayo, Zimbabwe: A Case Study Approach

Basic right to decide freely and responsibly when and how many children to have are realized through family planning methods which are abundant in Zimbabwe. Notwithstanding the high contraceptive use prevalence in Zimbabwe women of child bearing age, there still exists an unmet need for contraception. Intrauterine contraceptive device (IUCD), is a widely available, highly effective, long term family planning method which is reversible and safe. However, in Zimbabwe the uptake of intrauterine contraceptive device as a method of family planning among women has remained low. This study sought to explore the barriers to intrauterine contraceptive device adoption as a family planning method of choice from women in the postnatal who posed as possible users of the device in the near future having observed a low uptake despite proven efficacy.

Perception and Attitude towards Involvement of Males in Family Planning Practices in Nigeria

Aim: The study is designed to assess the perception and attitude towards the involvement of males in family planning practices in Nigeria.&#x0D; Methodology: This study design was a descriptive cross-sectional design, whose population were males (15-55 years), and selected via the convenience sampling technique. The research instrument was a semi-structured questionnaire on male involvement in family planning and was subjected to face and content validity (Cronbach Alpha = 0.673). The study data (responses) were analysed using simple frequency, percentages, and means, with the Statistical Packages for Social Sciences (SPSS) V 21.&#x0D; Results: Most of the men (n=267; 96.4%) have good knowledge of family planning, and there is a medium level of men’s involvement (n=141; 50.9%) towards family planning practices. Furthermore, regarding their behaviours towards family planning methods involvement, 208 (75.1%) men disagreed that family planning is meant for only females and that contraceptives are not working for males, while all the men (n=277; 100 %) disagreed that family planning is meant for the literate only. More so, half of the men (n=147; 53.1%) rejected that family planning delay pregnancy, while 208 (75.1%) men accepted that it prevents pregnancies. These results proved that the men do not believe only the literate utilize family planning methods.&#x0D; Conclusion: Most males are knowledgeable about family planning and many adopted condoms as their methods of family planning, which implies that men could be effectively involved in family planning with proper and effective education.

Potential biomarkers to predict return to fertility after discontinuation of female contraceptives-looking to the future.

Nowadays there are multiple types of contraceptive methods, from reversible to permanent, for those choosing to delay pregnancy. Misconceptions about contraception and infertility are a key factor for discontinuation or the uptake of family planning methods. Regaining fertility (the ability to conceive) after contraceptive discontinuation is therefore pivotal. Technical studies to date have evaluated return to fertility by assessing pregnancy as an outcome, with variable results, or return to ovulation as a surrogate measure by assessing hormone levels (such as progesterone, LH, FSH) with or without transvaginal ultrasound. In general, relying on time to pregnancy as an indicator of return to fertility following contraceptive method discontinuation can be problematic due to variable factors independent of contraceptive effects on fertility, hormone clearance, and fertility recovery. Since the ability to conceive after contraceptive method discontinuation is a critical factor influencing product uptake, it is important to have robust biomarkers that easily and accurately predict the timing of fertility return following contraception and isolate that recovery from extrinsic and circumstantial factors. The main aim of this review is to summarize the current approaches, existing knowledge, and gaps in methods of evaluating return-to-fertility as well as to provide insights into the potential of new biomarkers to more accurately predict fertility restoration after contraceptive discontinuation. Biomarker candidates proposed in this document include those associated with folliculogenesis, cumulus cell expansion, follicular rupture and ovulation, and endometrial transport and receptivity which have been selected and scored on predefined criteria meant to evaluate their probable viability for advancement. The review also describes limitations, regulatory requirements, and a potential path to clinically testing these selected biomarkers. It is important to understand fertility restoration after contraceptive method discontinuation to provide users and health providers with accurate evidence-based information. Predictive biomarkers, if easy and low-cost, have the potential to enable robust evaluation of RTF, and provide potential users the information they desire when selecting a contraceptive method. This could lead to expanded uptake and continuation of modern contraception and inform the development of new contraceptive methods to widen user's family planning choices.

Improving Reproductive and Maternal Healthcare Uptake in India: An Evaluation of Project Ujjwal Public-Private Partnership Program

Background and Objective: Project Ujjwall was a public private partnership established to improve maternal and child health (MCH) outcomes in Bihar and Odisha in India. This paper examines whether Project Ujjwal meaningfully increased the usage of family planning methods and maternal health services to determine whether the Ujjwall program model should be expanded in India. This is the first attempt to establish the causal impact of Project Ujjwal on access to reproductive healthcare in India. Methods: Data were obtained from the National Family Health Survey of India. A difference-in-differences strategy and linear probability models were used to estimate the likelihood of ever having encountered family planning information or ever having used contraceptives, antenatal care, etc. Results: The sample size for Odisha was 4,540; the sample size for Bihar was 3,818; the total sample size for all states in the control group was 24,922. Within Odisha and Bihar, Project Ujjwal increased the likelihood of ever having used any contraceptive by 8.9%, increased the likelihood of having ever accessed antenatal care from a licensed doctor or nurse by 2.5% and increased the likelihood of having ever encountered family planning media by 5.1%. However, most results seem differentially driven by the success of the program in either Odisha or Bihar: among all results, only the odds that a woman received delivery assistance (2.8%) and the odds that a woman will have used oral contraceptives by (9.3%) increased statistically significant in both states. Conclusion and Implications for Translation: These results are promising and show Project Ujjwal may have been more effective than existing government programs. Limitations of this analysis include a lack of information about the demand generation tactics and an inability to include state-level fixed effects due to over-specification concerns. Disparities in the impact of Project Ujjwal on Bihar and Odisha and the lack of specific information about latent demand both suggest the need for further investigation. Copyright © 2023 Lokhande. Published by Global Health and Education Projects, Inc.This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

Sexual and reproductive health problems among women with mental illness attending tertiary care psychiatric outpatient clinic in India: A cross-sectional study.

Sexual and reproductive health (SRH) is a vital concern among women with mental illness (WMI) due to the increased risk for unplanned pregnancy, sexually transmitted infections (STIs), and poor obstetric outcomes. Objective of the study was to explore the current use of family planning (FP) methods, symptoms of STIs and sexual dysfunction among WMI. This descriptive study involved 404 WMI of reproductive age (18-49 years) attending tertiary care psychiatric outpatient clinics in India. During face-to-face interviews, centers for disease control and prevention (CDC)-reproductive health assessment toolkit-FP questionnaire, STI questionnaire and Female sexual function index (FSFI) were used to collect the data. Of 404 WMI, 261(64.6%) were users, and 137 (33.9%) were non-users of FP methods. About 6(1.5%) WMI did not respond FP methods question. Female sterilization was the highest among the users, 244(93%). Among non-users, 100 (73%) were unaware of choosing the effective method of FP. Most of the WMI, 377(93.3%), were unaware of STIs. The symptoms of STI reported include unusual genital discharge 62(15.3%) and genital ulcers/ sores 58(14.4 %). Most of them, 76(63.3%), were not on any treatment. The most common reason for not taking treatment was feeling ashamed 70(92.1%). Female sexual dysfunction was reported in 176(43.6%). Most of the WMI had difficulties in the arousal domain 288(71.3%), followed by low desire 233(57.7%) and dissatisfaction 186(46%). Most WMI underwent sterilization. Non-users of FP methods were not aware of choosing the effective method. Awareness about STIs was poor, and feeling ashamed was the primary reason for not availing of medical help. Nearly half of the WMI reported sexual dysfunction, among which arousal difficulties, low desire and dissatisfaction were common. Health professionals need to increase awareness about FP methods and symptoms of STIs among WMIs. Women require appropriate counselling regarding SRH and treatment for sexual dysfunction.

Willingness to use novel reversible methods of male birth control: a community-based survey of cisgender men in the United States

BackgroundThere is high global demand for new methods of male birth control (MBC). However, contemporary evidence regarding men’s method-specific attitudes and their determinants is sparse.MethodsNon-sterilized cisgender men ages 18–45 with recent history of female sex partners were surveyed at a large community event in the Midwestern US. We examined variation in participants’ willingness to use MBC by method (gel, pill, injection, implant, and vas occlusion), potential side effects, and potential barriers. We estimated crude and adjusted prevalence ratios (aPRs) for associations between participant characteristics and willingness to use ≥ 1 MBC method.ResultsOverall, 72% of participants (n = 187; mean age, 29) were very willing to use ≥ 1 MBC method although support for individual methods ranged widely from 62% (pill) to 24% (vas occlusion). In bivariate analysis of sociodemographic and health characteristics, few demonstrated associations with MBC willingness. In a multivariable model, willingness was independently related to age (30–39 vs. 18–29 years old, aPR = 1.24, 95% CI 1.04–1.48) and having ever been tested for HIV (aPR = 1.27, 95% CI 1.07–1.51). Willingness to tolerate side effects was < 10% for most items. The most commonly endorsed barriers to MBC use were high cost (77%) and side effects (66%).ConclusionsEnthusiasm for MBC was high but waned in the context of potential side effects and barriers. Additional research on MBC attitudes in socioeconomically and culturally diverse populations worldwide is sorely needed.

Factors that Influence Reproductive Health Decisions Among Low-Income Males Enrolled in an Anti-poverty Government Initiative in an Urban Community: A Qualitative Study Based on Thematic Analyses of Focus Group Discussions in Pasig, Philippines

Poor family planning greatly impacts both maternal and child health outcomes. While legislation of the 2012 Responsible Parenthood and Reproductive Health Law increased the access and use of contraceptives, there is still an unmet need for family planning in terms of limiting and spacing of births especially in the lower economic quintiles within densely populated urban communities. Meanwhile, while other studies have shown that male involvement in family planning yields beneficial reproductive health outcomes, local reproductive health policies by the government targeting men have remained very minimal. Therefore, this qualitative study explored the factors that influence the reproductive health decisions among low-income males which may augment the local government in creating reproductive health policies that extend to these demographics. Using a modified qualitative knowledge, attitudes and practices framework, low-income 18-45 year-old males enrolled in an anti-poverty government initiative, the Pantawid Pamilyang Pilipino Program (4Ps), in Barangay, Pinagbuhatan Pasig City were included in this study. Four FGDs with 3-5 members recruited through purposive sampling were conducted between June 1-July 31, 2019. Thematic analysis was done using NVIVO software (ver. 11) and five themes emerged as the key factors that influence reproductive health decisions. Men enrolled in the 4Ps in Barangay Pinagbuhatan, Pasig City decide the contraceptives to use while their female partners use these contraceptives. (1) Safety issues and (2) compatibility on a contraceptive, (3) control over sex, (4) possible infidelity in marital dynamics, and (5) hegemonic masculinity are the five factors that influence their choice of family planning methods.

Decomposing the Gap in Contraceptive Use Among Female Adolescents and Young Women Aged 15-24 in India: An Analysis of Appended Datasets of NFHS-4 and 5.

Owing to the reproductive health needs of the budding adolescent and young population, the present study aims to determine the factors associated with and decomposing the gap in contraceptive use among adolescents and young women in India. Cross sectional design.SettingThe present study is based in India using the appended datasets (IV and V rounds) of the Indian Demographic Health Survey (DHS), also known as National Family Health Survey (NFHS) conducted in 2015-16 and 2019-21. The adequate sample size was 475,294 adolescents and young women in NFHS-4 and 229,705 in NFHS-5, totaling 704,999 adolescents (appended for NFHS-4 and 5) for the present study. Sociodemographic, sexual and reproductive history and contraceptive measures. Descriptive statistics, chi-square tests, and a binary logistic regression model were executed. Additionally, a decomposition technique called Fairlie decomposition was employed to identify the primary causes of the difference in the prevalence of contraceptive use between the two survey periods. Almost 96% of young women aged 15-24 knew about contraception, but only 12% used it. Regression analysis revealed that contraceptive use was associated with higher age (AOR 1.09), higher education (AOR 1.28), married adolescents (AOR 4.08), richest wealth quantile (AOR 2.95), joint decision making (AOR 4.40), knowledge of ovulatory cycle (AOR 1.47), interaction with a health worker about any methods of family planning (AOR 3.29) and three and above children ever born (AOR 18.54). Decomposition analysis showed that factors like decision-making of contraception, age, interaction with family planning worker, the intention of last pregnancy, place of residence and age at first sex contributed to increasing the probability of contraceptive use from NFHS-4 to 5. A target-based approach dedicated to understanding the mindset of adolescents and keeping up with their unique needs is the need of the hour.

Longitudinal Examination of Which Married Young Women Use Contraception to Delay a First Pregnancy in Bihar and Uttar Pradesh, India.

Early marriage and childbearing put young women and their babies at risk of poor health and well-being. This study uses two rounds of longitudinal data from young women ages 15-19 in 2015-2016 and followed in 2018-2019 to determine factors associated with contraceptive use before a first pregnancy among young, married women in Bihar and Uttar Pradesh, India. Discrete time hazard models were used to analyze time to first use starting from the month of marriage. Overall, use of contraception prior to a first pregnancy was low in this sample (between 12 to 20% used before a first pregnancy). Young women who reported that someone discussed the importance of delaying a first birth at the time of marriage were significantly more likely to have used a method of family planning (FP) before a first pregnancy than those who did not receive this information. Further, women who discussed FP with their husband before a first pregnancy were more likely to use contraception. Finally, among recently married young women, those who experienced pressure to have a child were less likely to use before a first pregnancy. As young women recognize the advantages of delaying a first birth and adopt FP to meet their needs, social norms around early childbearing will slowly adjust and early use to delay a first pregnancy will become more normative.

Predictors of neonatal mortality in Ghana: evidence from 2017 Ghana maternal health survey

BackgroundNeonatal mortality contributes about 47% of child mortality globally and over 50% of under-5 deaths in Ghana. There is limited population level analysis done in Ghana on predictors of neonatal mortality.ObjectivesThe objective of the study was to examine the predictors of neonatal mortality in Ghana.MethodThis study utilizes secondary data from the 2017 Ghana Maternal Health Survey (GMHS). The GMHS survey focuses on population and household characteristics, health, nutrition, and lifestyle with particular emphasis on topics that affect the lives of newborns and women, including mortality levels, fertility preferences and family planning methods. A total of 10,624 respondents were included in the study after data cleaning. Descriptive statistical techniques were used to describe important background characteristics of the women and Pearson’s Chi-squares (χ2) test used to assess association between the outcome (neonatal death) and independent variables. Multivariate logistic regression analysis was done to estimate odd ratios and potential confounders controlled. Confidence level was held at 95%, and a p < 0.05 was considered statistically significant. Data analysis was done using STATA 15.ResultsThe prevalence of neonatal mortality was 18 per 1000 live births. ANC attendance, sex of baby, and skin-to-skin contact immediately after birth were predictors of neonatal mortality. Women with at least one ANC visit were less likely to experience neonatal mortality as compared to women with no ANC visit prior to delivery (AOR = 0.11; CI = 0.02–0.56, p = 0.01). Girls were less likely (AOR = 0.68; CI = 0.47–0.98; p = 0.03) to die during the neonatal period as compared to boys. Neonates who were not put skin-to-skin contact immediately after birth were 2.6 times more likely to die within the neonatal period than those who were put skin-to-skin contact immediately after birth (AOR = 2.59; CI = 1.75–3.83, p = 0.00).ConclusionNeonatal mortality remains a public health concern in Ghana, with an estimated rate of 18 deaths per 1,000 live births. Maternal and neonatal factors such as the sex of the newborn, the number of antenatal care visits, and skin-to-skin contact between the newborn and mother immediately after birth are the predictors of neonatal mortality in Ghana.

Comparison Between the Effect of the Information-Motivation-Behavioral (IMB) Model and Psychoeducational Counseling on Sexual Satisfaction and Contraception Method Used Under the Coercion of the Spouse in Iranian Women: A Randomized, Clinical Trial.

Women play an essential role in maintaining the family's health, and family planning is part of women's and families' health. The couple's mutual understanding of family planning methods is essential in selecting contraception. Acceptance of and satisfaction with different contraception methods can impact sexual satisfaction. The present study aimed to compare the effect of the information-motivation-behavioral (IMB) model and psychoeducational counseling on sexual satisfaction and contraception methods of women referring to health centers in Kerman. This trial was conducted on 81 women aged 18 to 45, in Kerman health centers, from 2021 to 2022. Participants were randomly divided into 3 groups of 27 people (control, psychoeducational counseling, and IMB method). Three online counseling sessions were held for the psychoeducational group, and four were held for the IMB group. The control group received routine care. The IBM SPSS Statistics for Windows, version 22 (IBM Corp. Armonk, NY, USA) was used for data analysis using nonparametric Friedman and Kruskal-Wallis tests. The mean age of participants was 32.59 ± 7.04, and the majority of them had university degrees and were homemakers. The mean sexual satisfaction score significantly increased immediately after the intervention and 1 month later in the 2 interventional groups (p < 0.0). Changes in contraception methods after intervention were significant in the psychoeducational group (p = 0.0) CONCLUSION: The results indicate the positive impact of psychological counseling on women's sexual satisfaction and contraception method. The IMB method also impacted men's sexual satisfaction but did not lead to any changes in the contraceptive method.

A Study to Assess the Effectiveness of Planned Teaching Programme on Knowledge Regarding Family Planning Methods among Eligible Couple in Selected Urban Area of Gwalior City (M.P.)

Family planning is critical for limiting population increase and promoting family well-being. However, there is a dearth of awareness and information about various family planning options among eligible couples in many urban areas. The purpose of this study is to determine the efficacy of a planned training programme on understanding of family planning methods among eligible couples in a designated urban region of Gwalior City, Madhya Pradesh. Purpose of The Study-The purpose of this study is to assess the efficacy of a planned education programme in improving eligible couples' awareness of family planning methods. Methodology- For this investigation, a pre-experimental one-group pretest-posttest design will be used. A handy sample of eligible couples dwelling in Gwalior City's specified urban region will be included. The planned teaching programme, which will include structured sessions on various family planning methods, their benefits, risks, and proper use, will be executed. A systematic questionnaire will be used to collect data before and after the instructional programme. The data will be analysed statistically using relevant methodologies. Results: This study's findings will shed light on how well the proposed teaching programme will go in educating eligible couples about family planning options. The degree of knowledge increase will be shown by comparing the pretest and posttest results. Conclusion-The study's findings will help comprehend how a planned training programme would affect how well-informed eligible couples in an urban area are about family planning options. The findings can be used to guide the creation of focused educational initiatives and regulations that support family planning and reproductive health in contexts like these.

Video Edukasi Kontrasepsi Islami Dalam Meningkatkan Pengetahuan PUS Tentang Metode Kontrasepsi Islami Di PMB Nenden Kopo Bandung

Information on Islamic contraception in ripe-age couples is still extremely low. The number of couples of childbearing age who are unaware of the Islamic Family Planning (KB) method is influenced by a number of factors, including education. One technique that can give information to fruitful age couples is utilizing the Varying media Strategy Wellbeing. This study was conducted at the Midwifery Clinic "Bidan Nenden" to ascertain the impact of audiovisual health education on knowledge of Islamic contraception among couples of reproductive age. The examination strategy utilizes Trial One Gathering Pretest-Posttest Plan Without Control. The proposed sampling method was used to select 45 participants for the study's sample. The findings demonstrated that prior to receiving the Audiovisual Method Health Education, respondents with less knowledge had the highest level of knowledge—21 (46.7%)—while those who received it had the highest level of knowledge—23 (51.1%). Based on the results of the paired t-test, P value of (0.000) (0.05) was found to be the effect of audiovisual health education on knowledge of Islamic contraception among couples of reproductive age, Ho is rejected. Conclusion: there is an impact of well-being instruction about contraception as indicated by Islam on the information on Discharge about contraception as per Islam. The idea is the decision of the Birthing assistance Facility 'Bidan Nenden' and well-being authorities can further develop medical care administrations in aiding Rich Age Couples by giving great Varying media Strategy Wellbeing Training.

Exploring the prevalence of abortion and its characteristics in Perú

ObjectivesOur paper presents the analysis of a nationwide survey that explored induced abortion among women using a ballot-box technique. Our objective was to determine the prevalence of abortion and the main characteristics of the procedure. Study designWe conducted surveys in households with 2400 women aged 18–49 from urban areas nationwide, between October 15 and 29, 2018. Data collection was overseen by the Instituto de Opinión Pública de la Universidad Católica del Perú. We performed a probabilistic, multistage, and socioeconomic level-stratified sampling. Our study used the “ballot-box technique” to ensure anonymity and reduce the risk of social desirability. ResultsWe visited 15,433 houses nationwide. Among those households where surveys could not be conducted, it was due to abandoned or inaccessible property, unwilling to participate, absent members, out of quota, or inconclusive survey. On average, 19.0% of Peruvian women at all socioeconomic levels reported having had at least one abortion in their lifetime. Induced abortion is reported at all socioeconomic levels and reported age of the abortion is concentrated between 19 and 29 years old. In 57.7% of cases, women sought healthcare personnel for their last induced abortion. Among them, procedure abortion (45.3%) stands out over medical abortions (34.0%). Thirty-three percent of women who reported having had at least one induced abortion in their lifetime were admitted to a hospital after their last abortion. ConclusionsThe illegality of abortion has not prevented its occurrence in Peru. Our results suggest that, in Peru, legal restrictions on induced abortion create an unfavorable context for women's health, exposing them to services whose safety is not guaranteed. Efforts should be made to increase awareness and education about contraception and family planning methods to prevent unwanted pregnancies and reduce the need for abortion. ImplicationsThese findings should be considered in public policy discussions regarding abortion, since they might have a great impact for better decision making. They demonstrate that legal restrictions have not prevented the occurrence of abortion but has only created unsafe conditions around it.

Effect of WhatsApp's counseling on improvement usage of family planning methods among postpartum women

Effect of WhatsApp's counseling on improvement usage of family planning methods among postpartum women

Legal medicine aspects of female sterilization: our experience.

The most frequent sterilization procedures include postpartum tubal ligation, laparoscopic tubal disruption or salpingectomy, and hysteroscopic tubal occlusion. It may be performed via laparoscopy, mini-laparotomy, or hysteroscopy. Safety, efficacy, short-term complications, long-term complications, and non-contraceptive benefits of sterilization are different for each procedure. Female sterilization has become an important professional liability problem in obstetrics and gynecology. We analyzed 6 cases of surgical sterilization that have been the subject of civil proceedings. We review indications, contraindications, and complications associated with each sterilization procedure. In our small number of cases, women who have undergone sterilization performed negligently are entitled to recover damages for wrongful conception, negligence, and wrongful birth. We also consider the issue of female sterilization of minors. Tubal sterilization can be performed with different techniques, chosen in light of the various situations involved, with the goal of reducing as many as possible any failures. Thorough and complete communication of information is of primary importance. Sterilization is the most widely used birth control method around the world. The procedure is generally safe and highly effective. As reported in the literature, the decision concerning method depends on the setting, the surgeon's experience, the country's economic development, and the woman's preference, but we think that some techniques present a greater risk of failure and expose the surgeon to malpractice litigation.

AWARENESS REGARDING DIFFERENT FAMILY PLANNING METHODS AMONG MARRIED WOMEN OF REPRODUCTIVE AGE GROUP IN URBAN SLUMS OF BERHAMPUR, ODISHA: A CROSS SECTIONAL STUDY

Background: Family planning services have the potential to improve the quality of the lives of people and their economic welfare. Objectives: To determine knowledge and practice of contraception and to find out the association between contraceptive practices and different variables. Methods: A cross-sectional, community-based study was conducted among 300 married women of 15–49 year age group of urban slums of Berhampur, Odisha, using a pretested and predesigned schedule. Results: Majority of women (93%) were aware of different types of FP methods but only 79.7% of females had known where the services are available. Health worker females (77.3%) act as the most influential source of information about contraceptive practices followed by the ASHA (71.6%). The contraceptive prevalence rate was 78.7%. Out of 236 Current users, temporary methods were being adopted by 65.3% and permanent methods by 34.7% respectively. Among the temporary method users, 24.1% of women used oral contraceptive pills, IUCD and injectables were being used by 6.4% each and condoms were being used by the partners of 28.4% of women as a means of contraception. Acceptance of family planning methods was significantly associated with variables such as increasing age, nuclear family, and level of literacy. Conclusion: The prevalence of contraceptive use was high among the study population, but the use of a modern and safe method of contraception was low. Continuous IEC activities by the service providers such as ASHAs, AWWs, and HWFs with support from the supervisor matters for better adherence to contraceptive methods.