oalib
Search Results: 1 - 10 of 100 matches for " "
All listed articles are free for downloading (OA Articles)
Page 1 /100
Display every page Item
Women’s experiences of unwanted pregnancy  [PDF]
Foroughossadat Mortazavi,Maryam Damghanian,Zahra Mottaghi,Mohammad Shariati
Behbood , 2012,
Abstract: Background: Despite expanded coverage of family planning in Iran, unwanted pregnancy is a common problem. The aim of this study was to explore women’s experiences of unwanted pregnancy in Shahroud public health centers.Methods: Purposive Sampling was conducted by means of focus group discussions (FGDs) and in-depth interviews and by a semi-constructed questionnaire in this qualitative research. Five (FGDs) with 23 women in third trimester in pregnancy and 4 in-depth interviews with women with history of induced abortion were done. The method of Content analysis was used to analyze the data. Results: Results of the study can be divided into 4 categories: causes of naming pregnancy as an unwanted pregnancy, causes of unwanted pregnancy; husband, family and relatives’ reaction to unwanted pregnancy and the process of acceptance of unwanted pregnancy. Not planning for pregnancy due to physical, emotional and financial non-readiness for pregnancy and believe in two child policy were the main causes of naming pregnancy as unwanted by women. Process of adapting to pregnancy included not accepting pregnancy, trying abortion, accepting fetus and finally negative emotions towards past thoughts about abortion. Fathers and mothers had important roles in acceptance and continuation of pregnancy.Conclusion: Women with unwanted pregnancy face emotional and psychological problems. Health care providers need to support couples to combat this critical period.
TERMINATION OF PREGNANCY
UZMA HUSSAIN
The Professional Medical Journal , 2009,
Abstract: Objective: To compare the efficacy of vaginal misoprostal with that of sublingual misoprostol in 2nd trimester of pregnancy by comparing the induction-expulsion interval between two groups of patients induced with vaginal and sublingual misoprostol. Study design: Interventional, quasi experimental study. Settings: Obstetrics & Gynaecology Unit 1, Sir Ganga Ram Hospital, Lahore. Duration of study: Thirteen months from October 2006 to November 2007. Subjects and Methods: Sixty women at 12-26 weeks of gestation which were selected for termination of pregnancy were assigned into two groups. Thirty women received sublingual misoprostol and thirty women received vaginal misoprostol. Dosage regimen was tablet Misoprostol 200μg 4 hours apart till expulsion of fetus (maximum 5 doses). Main outcome measures were: 1. Induction-expulsion intervals 2. Maternal side effects 3. Fever 4. Nausea/vomiting 5.Diarrhea. Results: Mean induction-expulsion interval in vaginal group was 11.8±8.3 hours and in the sublingual group was 12.8±8.5 hours. Percentage of complete expulsion was 53.3% in both groups. Cases of failed induction in vaginal group were 10% and in sublingual group were 13.3%. One case ( 3.3%) of fever and two cases (6.6%) of vomiting were observed in sublingual group and one case (3.3%) of vomiting was observed in vaginal group. Conclusion: Both routes appear to be equally efficacious for mid trimester pregnancy termination, without significant side effects.
Secondary School Students Perception on the Causes and Effects of Unwanted Pregnancy among Adolescents in South West Nigeria
Olaitan Olukunmi Lanre
Research Journal of Medical Sciences , 2012, DOI: 10.3923/rjmsci.2011.336.339
Abstract: The study investigated the causes and effects of unwanted pregnancy among adolescents in South West Nigeria. A total of 600 secondary school students were chosen as subjects from 6 South Western states of Nigeria using a multistage sampling technique. A purposely structured questionnaire was used as the tool for collecting data from the respondents. Research hypotheses formulated were analysed using inferential statistics of Chi-square (χ2) at α = 0.05 level of significance. The findings were that unprotected sexual intercourse and poor parental care are the causes of unwanted pregnancy while termination of educational programme and medical complications for both the mothers and children are the effects of unwanted pregnancy. Abstinence and adequate teaching of sex education have been seen as measures to prevent unwanted pregnancy among the adolescents. It was recommended among others that sex education should taught as a subject at the secondary level and government should enact laws to compel parents to take proper care of their children to avoid all forms of immorality among the adolescents.
Congenital Anomalies and Termination of Pregnancy in Iran  [PDF]
Bahram Samadirad,Zhila Khamnian,Mohammad Bager Hosseini,Saeed Dastgiri
Journal of Pregnancy , 2012, DOI: 10.1155/2012/574513
Abstract: The aim of this study was to document some epidemiological features of termination of pregnancy for birth defects in Iran. We studied 603 pregnant women who were diagnosed/recommended for the termination of pregnancy as having a fetus with some types of birth defect(s). Most women (87.2 percent) had at least one ultrasound examination. The proportion of other screening tests including amniocentesis and genetic tests were 2.8 and 4.6 percent, respectively. Of 603 women, 201 terminated the pregnancy giving a prevalence rate of 33.3 percent (CI 95%: 29.6–37.6). The remaining 402 subjects were unable to get the permission for abortion because of untimely diagnosis/application for termination (20th week of pregnancy and/or later). Forty-eight percent of termination of pregnancies was performed before the 18th week of pregnancy. Neural tube defects, limb deformation, hydrops fetalis, hydrocephaly, and chromosomal anomalies including Down syndrome accounted proportionally for about 65 percent of defects eligible for abortion in the region. Although the rate of termination of pregnancy for birth defects is acceptable at the current situation in the country, more efforts should still be made to convince the community authorities to give more possibility and ease for the termination of pregnancy for congenital anomalies.
Termination of pregnancy and reasons for delayed decisions  [cached]
Ali Gedikba??,Ahmet Gül,Kaz?m ?ztarhan,Mustafa Ali Ak?n
Journal of the Turkish-German Gynecological Association , 2010,
Abstract: Objective: To assess the indications and distribution of cases chosen for termination of pregnancy and reasons delaying until third trimester termination.Methods: Retrospective study of cases between 2002 and 2006 in the hospital council. Cases were divided in two groups , as early termination (<23 weeks of gestation) and late termination (≥23 weeks of gestation). All pregnant women who underwent termination were classified according to related systemic pathology and chorionicity. Reasons for delaying until third trimester termination were evaluated in four groups.Results: During this five year period 1.449 complicated pregnancies were counseled and in 713 cases termination was offered. Of 677 cases (94.95%) with termination, 412 cases (60.09%) had early and 265 cases (39.91%) late termination. The most frequent indications were central nervous system abnormalities (51.7%), chromosomal abnormalities (11.7%), and urogenital abnormalities (8.4%). The main reason for delaying termination was failure of screening by ultrasound (65.6%).Conclusion: Systematic screening for fetal anomalies is the main step for prevention of affected pregnancies. Information given to parents for TOP is important, but the decision for TOP is influenced by many factors.
Misoprostol alone for the termination of pregnancy
M C Torriente, F L Ballona, G Joubert, M Duma, M Metula
South African Family Practice , 2007,
Abstract: The administration of mifepristone, a powerful antiprogestin, coupled with a prostaglandin, is a highly effective medical method of terminating pregnancy. Of the most widely used prostaglandins, namely gemeprost and misoprostol, the latter shows the greater promise for developing countries, since it can be administered orally and is inexpensive, stable at ambient temperatures and widely available. South African Family Practice Vol. 49 (3) 2007: pp. 16
Medical abortion: Modern method for termination of pregnancy  [PDF]
Kapamad?ija Aleksandra,Vukeli? Jelka,Bjelica Artur,Kopitovi? Vesna
Medicinski Pregled , 2010, DOI: 10.2298/mpns1002063k
Abstract: Introduction. Modern methods of medically induced abortions are being used in many countries all over the world. These methods are safe and effective when used in an appropriate way. Drugs used for medical abortion. The most widely used regimens for drug induced abortions include antiprogestogen mifepriston followed by administration of a synthetic prostaglandin analogue - gemeprost vaginally or misoprostol orally or vaginally. When used for abortions up to 9 and 7 weeks of pregnancy, this method has efficacy up to 98%. The regimen between 9 and 12 completed weeks is still under investigation. Methods for medical abortion after 12 completed weeks since last menstrual period include several regimens and medications - combination of mifepriston and repeated doses of misoprostol, misoprostol or gemeprost alone, methotrexate, synthetic prostaglandin analogues, oxytocin and some others. Medical abortions at our Department of Obstetrics and Gynecology, Novi Sad, Clinical Center Vojvodine, Serbia. Medical abortions in the second trimester were introduced at our Department of Obstetrics and Gynecology Novi Sad, Serbia, in early 1980s using prostaglandin analogues. This method was improved in year 2000 introducing two dinoprostone gels intracervically/extraamnially instead of just one, for cervical preparation before intramuscular application of carboprost thrometamine, which led to significantly shorter abortion interval. During the years 2003/2004 we took part successfully in one of the multicentric WHO projects for investigating new regimens on early medical abortions with mifepriston and misoprostol. Conclusions. Modern methods of medical abortions are safe and effective for termination of unwanted pregnancies in the first and second trimester.
Applicdation of Logistic Regression Model in Surveying Effective Causes of Unwanted Pregnancy  [cached]
F Amani
Qom University of Medical Sciences Journal , 2012,
Abstract: Background And Objectives: Unwanted pregnancy is one of the major problems in the society which endangers both mother and infant safety conditions and imposes heavy costs on health and treatment systems. Researchers have shown that more than1/3 of pregnancies in the world are unwanted of which 95% take place in developing countries. The aim of this study was to survey effective causes on unwanted pregnancy in the city of Ardabil, Iran. Methods: This study was a cross-sectional one, carried out on 328 women who had referred to health centers in Ardabil. Data were gathered via face to face interviews and were then analyzed using descriptive- inferential statistical methods and logistic regression in SPSS package. Results: The mean age of women was 28.2±6.7 years, and most of them were between 20-30 years old (55.3%). 45.3% of the population was housekeepers and most of their husbands were workers (53.8%). The mean of number of children was 1.6±1.5 out of all women under the study. 199(60.7%) had unwanted pregnancy of which 70.7% was unwanted by both couples. Most women (35.6%) used Synthetic Tablets as the contraceptive method. According to the results of logistic regression model, variables such as husband’s age, number of pregnancies and deliveries, number of abortions, the use and kind of contraceptive method had significant effect on unwanted pregnancy. Conclusion: According to the high rate of unwanted pregnancy in Ardabil compared to other places, it is necessary and important that suitable policies be made regarding the literacy, optimal pregnancy age, consultation and training about correct contraceptive methods, the importance of training men in contributing to family planning programs and qualitative promotion of family planning services.
Applicdation of Logistic Regression Model in Surveying Effective Causes of Unwanted Pregnancy
Amani F,Bashiri J,Nahan Moghaddam N,Tabarraie Y
Qom University of Medical Sciences Journal , 2010,
Abstract: Background And Objectives: Unwanted pregnancy is one of the major problems in the society which endangers both mother and infant safety conditions and imposes heavy costs on health and treatment systems. Researchers have shown that more than1/3 of pregnancies in the world are unwanted of which 95% take place in developing countries. The aim of this study was to survey effective causes on unwanted pregnancy in the city of Ardabil, Iran. Methods: This study was a cross-sectional one, carried out on 328 women who had referred to health centers in Ardabil. Data were gathered via face to face interviews and were then analyzed using descriptive- inferential statistical methods and logistic regression in SPSS package.Results: The mean age of women was 28.2±6.7 years, and most of them were between 20-30 years old (55.3%). 45.3% of the population was housekeepers and most of their husbands were workers (53.8%). The mean of number of children was 1.6±1.5 out of all women under the study. 199(60.7%) had unwanted pregnancy of which 70.7% was unwanted by both couples. Most women (35.6%) used Synthetic Tablets as the contraceptive method. According to the results of logistic regression model, variables such as husband’s age, number of pregnancies and deliveries, number of abortions, the use and kind of contraceptive method had significant effect on unwanted pregnancy.Conclusion: According to the high rate of unwanted pregnancy in Ardabil compared to other places, it is necessary and important that suitable policies be made regarding the literacy, optimal pregnancy age, consultation and training about correct contraceptive methods, the importance of training men in contributing to family planning programs and qualitative promotion of family planning services.
Adolescent students' attitude towards premarital sex and unwanted pregnancy  [PDF]
Dharma Nand Bhatta,AK Koirala,N Jha
Health Renaissance , 2013, DOI: 10.3126/hren.v11i2.8222
Abstract: Background: In Nepal, as in other Asian countries, the issue on sexuality still remains a taboo. Despite this, there are increasing numbers of sexual activities reported among Nepalese adolescents. Objective : To know the attitude towards premarital sex and unwanted pregnancy of adolescent students. Methods : Three higher secondary schools were randomly selected and students of those schools were taken purposively with structured self administered questionnaires. Cross-sectional study design was adopted and significance levels were observed with 95% confidence level (pd.0.05 for significant). Descriptive and inferential analyses were done with the sample size 324. Results: Among the total respondents, 32.4% mentioned premarital sex is appropriate and 25% had premarital sex. One third (33.3%) of the total respondents. peers were taking alcohol, 37.7% had smoking habit and 8.3% had drug dependency. Among the respondents having experience of premarital sex, 61.7% had the first sex at the age of mean ± SD 17.72 ± 0.849 years. Among the boys 32.6% and among the girls 13.7% had the premarital sexual intercourse. Majority of boys and girls had first sex with girl friend and boy friend respectively. Among the total respondents who had premarital sex, 16% faced the problem of unwanted pregnancy. Among them, 53.8% managed the unwanted pregnancy by surgical abortion procedure and remaining 46.2% managed by taking medicine (medical abortion). Conclusion: Sexual and reproductive health of the adolescents is now growing concern for many developing countries due to increasing trend in sexual activities and unwanted pregnancies among the adolescents. Health Renaissance, January-April 2013; Vol. 11 No.1; 145-149 DOI: http://dx.doi.org/10.3126/hren.v11i2.8222
Page 1 /100
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.