RESUMEN
OBJECTIVES: To find out feasibility, acceptability and Patient satisfaction with vaginal hysterectomy performed as 24 hour hospital stay case
Study settings:- This study was carried out at Gynae Obs. Unit-IV of Liaquat University Hospital Jamshoro [tertiary care hospital] from Feb 2011 to july 2012
METHODOLOGY: This is a descriptive observational studyin which women with utero vaginal prolapse, non-obese, with adequate home support and telephonic accessibility are included. Patients with un-controlled co-morbidities like hypertension, diabetes,obstructive lung disease etc requiring monitoring were excluded from the study, along with the women having adnexal pathology requiring removal vaginally. All parameters of post-operative recovery and satisfaction of patients were noted, compiled and presented
RESULTS: Out of 57 suitable candidates for vaginal hysterectomy as 24 hour hospital stay surgery only 20 gave consent for participation in study and one refused to go after surgery because of vomiting .None of the19 patient returned back before their first follow up visit that was 9th post-operative day .Three [15%] complained about offensive vaginal discharge,1 [.2%] woman had an episode of heavy bleeding after reaching home but that was controlled by the instructions given on phone. Four [20%] patients, who initially agreed for 24 hour stay, did not want a discharge. Seventeen [85%] patients were not satisfied because lot of apprehension for post-operative home care,and multiple visits to out-patient-department before admission causing financial burden on the family
CONCLUSION: Vaginal hysterectomy can safely be performed as short hospital stay surgery but lack of infra-structure and awareness of community as well as of primary healthcare provider make it less acceptable, less satisfying and costly at receivers end
RESUMEN
Objectives: To assess knowledge and need for of emergency contraception among the women coming to Liaquat university hospital
Methods: A questionnaire based survey was conducted among 200 married women presenting at department of obstetrics and gynecology, Liaquat University Hospital Hyderabad, Sindh during the period of September to December 2009. The administered questionnaire served to find the status of knowledge and need for emergency contraceptives among these women. Ethical consideration and confidentiality was ensured. The data entry, processing and analysis were done using SPSS version 11
Results: Out of 200 women 172 [84.3%] were aware of contraception but only 47 [23%] had knowledge about emergency contraception. Eighty-seven [42%] women were without any formal education. Lady health workers and doctors were source of contraceptive knowledge in 104 [52%] cases. Unplanned pregnancy was observed in 134 [65.7%] women but unwanted was only in 39 [19.1%] women. Drugs were used to get rid of pregnancy by 12 [5.9%], and 13 [6.4%] went for termination of pregnancy
Conclusion: Contraceptive knowledge among 84% women is partial; as knowledge regarding emergency contraception is seen in only 23% and this indicate lack on part of knowledge provider. Lady health worker have been the main source of contraceptive knowledge among the community according to our findings. A prevalence of 67% of unplanned pregnancies is liable to increase acceptance of emergency contraception. The unmet need for emergency contraception is demonstrated by 13% who tried termination. Quality training of community health care workers to ensure complete knowledge will be helpful in increasing use of emergency contraception