ABSTRACT
Background: Postnatal period is a vulnerable time, because most maternal and new born deaths occur during this period, especially immediately after childbirth. Postnatal care in the first hours and days after childbirth could prevent the great majority of these deaths. The objective of study was to assess the utilization of post-natal care and associated factors for low utilization in urban area of Jabalpur district.Methods: A community based cross-sectional study was carried 360 mothers who delivered in last one year in urban area of Jabalpur district. Sampling method was multistage sampling method. A total 36 wards with 10 mothers from each ward was selected. The questionnaire included information related to mode of delivery, post-natal checkups and visits of health care providers.Results: Among 360 mothers, 93.9% mothers received first postnatal check-up within 24 hrs. 1.11% of mothers between 2-3 days and 1.67% of mothers received first postnatal check-up between 4-7 days while 3.33% of mothers didn’t receive any postnatal check-up. Regarding number of post-natal visits, 58.33% mothers received 3 or more postnatal visits, 35% of mother received 2 PNC visits, while 3.3% did not receive a single postnatal visit. The education of mothers, joint type of family, high socioeconomic status, early registration of pregnancy, minimum 4 ANC visits and institutional deliveries were found significantly associated with utilization of postnatal check-up.Conclusions: Utilization of postnatal services is still poor in the urban areas even though the physical accessibility was adequate. In the present study, it was concluded that the role of education, especially of female education, is important contributing factor associated with utilization of postnatal care.
ABSTRACT
Background: An effective contraception is the only way to stop this population explosion. There are too advantages and side effects associated with the IUCD, But most of side effects are effectively controlled by proper selection of clients and counseling process. Objective: To know the pattern of side effects and reason for removal among beneficiaries. Methods: A cross sectional study was conducted in 400 beneficiaries selected using systematic random sampling. Study sites included both urban and rural area. Data was entered and analyzed using MS excel sheet. Results: In this study maximum client 348 (87%) belonged to age group of 21 to 30 years. 47 (11.8%) clients were illiterate and 285 (71.3%) clients were unemployed/housewife. Most common side effect was pain with heavy bleeding in 30.6% clients, pain in 23.8% clients and pain with light spotting in 18.4% clients. Most common reasons for removal were pain with heavy bleeding in 42.6% clients while 10 (12.8%) clients removed due to husband’s insistence. Conclusions: After ICUD insertion 36.8% clients had side effect. Pain with heavy bleeding, pain with light spotting and only pain are the most common type of side effects. Removal of ICUD was 19.25%. Most common reason for removal was pain with heavy bleeding.
ABSTRACT
Background: As year passes, numbers of vehicles on road are increasing at the same time numbers of accidents are increasing. One of the major contributors for these accidents is the distraction created by headphone use during driving. Youngsters which are the major contributor for any nation’s development are lost due to these accidents. Aims: To estimate prevalence of headphone use while driving among medical graduates and find out felt problems associated with headphone usage while driving. Methods: Setting and design: An observation (Cross-sectional) study was conducted in government medical college situated in urban area. Technique: 260 medical under graduate were selected for study. A semi structured questionnaire was used as study tool for observation. Written informed consent was obtained from all the participants. Statistical analysis used: The data was analyzed using appropriate statistical software (MS excel). Results: In this Study out of 260 medical undergraduates, 192 (73.85%) boys and 68 (26.15%) girls participated. 37.30% students were using headphone during driving out of which 20.77% were always using with every drive and 16.53% were occasionally using headphone. Only 71 (27.31%) student were not using helmet during driving. 37.11% students used headphone for both talking and listening songs, they prefer to listen songs in high volume (21.65%). 65% students had knowledge about health hazards associated with headphone usage. Conclusions: Prevalence of headphone usage during driving among medical undergraduates was found to be 37.3%. Despite of the awareness of health hazards associated with headphone usage, most of the students prefer headphone over helmet.