RESUMO
To study knowledge, attitudes and practices oft he patients of induced abortion. Descriptive analytical study. This study was conducted from July 2004 to March 2005 in the department of obstetrics and gynecology, Islamic International Medical College, Railway General Hospital, Rawalpindi and Federal Government Services Hospital, Islamabad. The patients who were admitted in the Obstetrics and Gynecology with a history of induced abortion were included in the study. A special questionnaire was designed to explore the reasons which compelled them to undergo this illegal and dangerous procedure rather than using some contraception before. The patients were interviewed by a single post graduate trainee on a pre- designed Performa. The data collected was entered on SPSS- 10 and analyzed. The results were shown in percent. Most of the abortions [66%] were done by dais at their homes, while 28% terminations were done by doctors at their clinics. Majority of the patients [90% and 60% and respectively] were aware of not only the religious and legal implications of abortion but also knew that it could cause great harm to their health, including the fact that it could be fatal. Majority of women [74%] were not using any contraceptive measure for no specific reason.ln majority of patients [92%] it was an unwanted or unintended pregnancy which was terminated. Only 14% of patients showed reservations in using some contraceptive measure like religious position, husband's disapproval or fear of side effects. The problem of induced abortion is not merely a medical problem to be resolved through medical means. Rather it falls into the social norms of people. The physician is supposed to understand the deep seated psychological inhibitions and motives which lead the patient to have [or not have] abortion
RESUMO
Genital tuberculosis is a common entity in gynecological practice particularly among infertile patients. It is rare in developed countries but is an important cause of infertility in developing countries. The present study has investigated the prevalence of female genital tract tuberculosis [FGT] among infertile patients, which was conducted at the Obstetrics and Gynecology Unit-I, Allied Hospital, affiliated with Punjab Medical College, Faisalabad, Pakistan. 150 infertile women who were referred to infertility clinic were selected randomly and enrolled in our study. Patients were scanned for possible presence of FGT by examination and relevant investigation. We evaluated various aspects [age, symptoms, signs, and socio-economic factors] of the patients having tuberculosis. Very high frequency of FGT [20%] was found among infertile patients. While, a total of 25 patients out of 30 [83.33%] showed primary infertility and the remaining 5 cases [16.67%] had secondary infertility. Among secondary infertility patients, the parity ranged between 1 and 2. A total of 40% of patients [12 cases] were asymptomatic but infertile. Evidence of family history was found in 4 out of a total of 30 patients [13.3%], respectively. According to histopathological and bacteriological examination of endometrial biopsy and laparotomy, tuberculous endometritis was found in 20 out of a total of 25 [80%] cases, while tuberculous salpingitis and tuberculous oophoritis were found both in 2 [8%] of the cases, respectively. Only one case [4%] of tuberculosis cervicitis was found in the present study. Although infertility is not a disease in classical sense, but it is an extremely important personal concern for many couples and a significant health problem for our profession. So, it is worthwhile to identify and evaluate the factors contributing to infertility