Are unhygienic practices during the menstrual, partum and postpartum periods risk factors for secondary infertility?
Article
in English
| IMSEAR
| ID: sea-792
ABSTRACT
This study was aimed at identifying practices during the menstrual, partum and postpartum periods posing possible risk factors contributing towards secondary infertility in women of a selected population in Karachi, Pakistan. A matched case-control study was conducted from April 2003 to March 2004. Four hundred cases were selected from five infertility clinics affiliated with tertiary-care hospitals, and 400 age-matched controls were recruited from the neighbourhood of each case. After taking written consents, trained interviewers conducted interviews using a pretested structured questionnaire. Factors found to be independently associated with secondary infertility were previous delivery' at an unclean place (adjusted odds ratio [AOR]=1.7, 95% confidence interval [CI] 1.1-2.6), delivery by a birth attendant without washing hands with soap (AOR=4.2, 95% CI 2.36-7.47), use of unclean material for absorption of lochia (AOR=3.1, 95% CI 1.5-6.5), non-washing of perineal area after urination/defaecation (AOR=7.1, 95% CI 1.4-35.7), and insertion of home-made vaginal medications (AOR=2.5, 95% CI 1.3-4.7). Since these factors are preventable/modifiable to a great extent, public-health interventions are, thus, recommended to address these risk factors at various levels.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Pakistan
/
Female
/
Humans
/
Confidence Intervals
/
Odds Ratio
/
Hygiene
/
Risk Factors
/
Adolescent
/
Adult
/
Postpartum Period
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Qualitative research
/
Risk factors
Country/Region as subject:
Asia
Language:
English
Year:
2007
Type:
Article
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