Impact of socio-cultural aspects on parity.

ABSTRACT

Objectives: To study socio-cultural aspects for 3 or more pregnancy after 2 live issues. Methods: it is a prospective study of 1321 cases that had third or more pregnancy after having two live issues done over a period of 1 year(01/01/2009 to 31/12/2009) at SSGH, Vadodara. Two groups of women were included – the group of women who came for the termination of the pregnancy after having two live issues (57.15%) and the other group who came in the labor room either for delivery or spontaneous abortion. Women were interviewed in detail. Results: the incidence of the study cases was 23.46% with 57.15% cases for termination. 89.63% were from lower socio economic. In MTP group husband was decision maker in 65.96%, where in laws were decision maker in 59.36% cases in second group. Mistimed conception was seen in 63.29% cases and the most common reason being negligence of contraception(33.97%) against planned conception in only 36.71%. 63.70% cases had wanted pregnancy for son preference. Conclusion: a small planned family has many advantages. Unintended and unwanted pregnancies add to population’s burden or the need for pregnancy termination. Every pregnancy should be planned and every baby should be wanted. The solution of all women’s problems lies in empowering them by education, employment and better health care & informed choice of contraception.