ABSTRACT
Background: Recurrent pregnancy loss (RPL) is an important reproductive health issue, affecting 2%–5% of couples. Research into why miscarriage happens is the only way we can save lives and prevent future loss. In this study we estimate the percentage of babies who survived beyond the neonatal period in a RPL clinic and to identify associated factors.Methods: A retrospective cohort study including 128 women seen at a clinic for RPL in loss group between 2016 and 2018 and a control group including 180 pregnant women seen at a low-risk prenatal care unit. Reproductive success rate was defined as an alive-birth, independent of gestational age at birth and survival after the neonatal period. All the date was statically reviewed and analyzed.Results: Out of 115 who conceived, 105 (91.3%) had reproductive success rate. There were more full-term pregnancies in the control than in the loss group (155/180; 89.6% versus 67/115; 58.3%; p<0.01). The prenatal visits number was satisfactory for 97(84.3%) women in the loss group and 112(62.2%) in the control (p<0.01). In this, the beginning of prenatal care was earlier (13.5 ±4.3versus 18.3±6.1weeks). During pregnancy, the loss group women increased the weight more than those in the control group (57.4% versus 47.8% p=0.01). Although cervix cerclage was performed in 41/115 (35.7%) women in the loss group, the pregnancy duration mean was smaller (34.6±5.1 weeks versus 38.2±2.5 weeks; p<0.01) than in the control group. Due to gestational complications, cesarean delivery predominated in the loss group (71/115; 61.7%versus 69/180; 38.3%, p<0.01).Conclusions: A very good reproductive success rate can be attributed to greater availability of healthcare services to receive pregnant women, through prenatal visits scheduled or not, cervical cerclage performed on time and available hospital care for the mother and newborn.
ABSTRACT
Human population is very much dependent on the natural resources for the fulfilment of the basic needs of their lives. It is the ethical duty of every human being to protect it. Biodiversity conservation and management of the use of natural resources are the ways, by which major environmental issues can be solved up to certain limits. In recent times many efforts have been made to conserve the biodiversity. But the understanding of indigenous people in the biodiversity conservation cannot be ignored, especially the role of women. Women have always been accountable for the food and nutritional needs of their families as they play an essential role in the household. They are also being involved in almost all aspects of farming, from seed selection and plantation to harvesting, weeding, winnowing and grain storage. As they remain in direct contact with nature, they possess detailed knowledge about the species and ecosystem. It is near to impossible to manage and conserve the biodiversity without involvement of women power. And for this it is very essential to make them aware and educate on the ethics, management and sustainability of natural resources. This article focuses on women’s basic understanding and their role in biodiversity conservation.