ABSTRACT
Background: This study was conducted to evaluate the acceptance, safety, efficacy, complications and expulsion rate of post-partum intrauterine contraceptive device (PPIUCD) insertion among post-partum pregnant women in a rural tertiary care center. Objective of this study was assessment of the efficacy and safety of post-partum IUCD insertion. Comparing the complications and client satisfaction in both groups (intra caesarean insertion versus vaginal route of insertion).Methods: This is a prospective study conducted at one of the rural tertiary care teaching institution. A total of 150 patients with caesarean or vaginal deliveries had PPIUCD insertions and they were followed up for a period of one year. The outcome measures analyzed were menstrual irregularities, vaginal discharge, pelvic infection and perforation and efficacy measures - failure, expulsion and removal. Data are expressed in frequency and percentage. Chi square test was used for comparison and P value <0.05 was considered significant.Results: The study shows that PPIUCD is an effective intervention in both caesarean and vaginal delivery with non-significant differences in safety and efficacy depending on the route of insertion. There was no case of perforation and no significant risk of infection in either caesareans or delivery. Spontaneous expulsion occurred in two cases inserted by vaginal route. Missing string incidence is high in the caesarean group compared to vaginal insertion.Conclusions: PPIUCD is a safe, effective and long term reversible method of contraception and should be encouraged by public awareness and community acceptance.
ABSTRACT
Background: Pertaining to increasing incidence of HIV/AIDS among youths, it becomes a need of the hour to make them aware about every aspects of disease. Students of secondary and higher secondary school can be targeted for achieving this goal. The objective of the study was to assess the knowledge about HIV/AIDS among the school students before and after giving educational intervention.Methods: An educational interventional study was carried out among school going adolescents of one of the school situated in the field practice area of one of the rural teaching hospitals of Gujarat. Pre-designed and pre-tested proforma was used for pre and post test study. Educational intervention in the form of power point presentation was conducted on various aspects of HIV/AIDS.Results: Around 163 students participated in the study. Mean age of the students were 16.6±0.7 yrs. Among them, 148 (90.8%) have heard about HIV/AIDS and only 26.3% could tell correctly about full form of HIV/AIDS before intervention. After giving educational intervention this percentage was raised to 89.2% which was significant statistically. Knowledge on almost all the aspects viz. modes of transmission and preventive aspects were significantly raised among the student after giving educational session.Conclusions: Correct knowledge about etiological and preventive aspects were lacking among the students before intervention. Various misconceptions which were prevalent among them were cleared by giving educational intervention. Secondary and Higher secondary schools can be selected as a platform for raising overall awareness about HIV/AIDS.