ABSTRACT
BACKGROUND: Antenatal care is essential to reduce morbidity and mortality among newborn babies and pregnant women. AIMS: To study the pattern of utilization of antenatal services and to find out the potential predictors, their distributions and their association with antenatal care utilization and pregnancy outcomes. SETTINGS AND DESIGN: A prospective longitudinal study was conducted in Deoli, a rural teaching area of a medical college of Wardha district, Maharashtra state. MATERIALS AND METHODS: Medical social workers contacted all the registered 305 pregnant women in 1 month. A total of 274 women were included in the study. The response rate was 89.83%. STATISTICAL ANALYSIS USED: Percentages, rate ratio. RESULTS: Mean age at marriage was 19.8+/-3.6 years, and the average age at first pregnancy was 21.6+/- 4.5 years. Of the 274 pregnant women, 156 (56.9%) were pregnant for the first time (gravida 1), and the remaining 118 (43.1%) pregnant women, gravida 2 and above, had an average of 2.1 living sons and 1.9 living daughters. Only 92 (33.6%) women had undergone the minimum recommended antenatal checkup during their current pregnancy, and 188 (68.6%) women had institutional deliveries. A large proportion of women in Deoli do not receive proper health care during pregnancy and childbirth. CONCLUSION: In Deoli, antenatal services, in spite of being essential to the care of pregnant women, are being poorly delivered.
Subject(s)
Infant Mortality/trends , Maternal Welfare/statistics & numerical data , Pregnancy Outcome/epidemiology , Prenatal Care/statistics & numerical data , Rural Health Services/statistics & numerical data , Adolescent , Confidence Intervals , Female , Health Knowledge, Attitudes, Practice , Humans , India , Infant, Newborn , Logistic Models , Pregnancy , Pregnancy Complications , Prospective Studies , Risk Factors , Social Work , Surveys and Questionnaires , Young AdultABSTRACT
Disability experience of persons with HIV illness has shifted from issues related to physical well-being to those concerning performance of daily life activities. This study aimed to find out the nature of self-care among people living with HIV/AIDS (PLWHA) in rural tertiary care center. The objectives were to determine reported self-care by performance qualifier of PLWHA and to find out reported self-care by capacity qualifier of PLHIV. A cross sectional study was conducted among the 194 PLHIV in rural tertiary care hospital. The Self-Care (d5) component of Activities and Participation domain (d) of the International Classification of Functioning, Disability and Health (ICF) was used. Among the 194 PLHIV patients studied, 82% were male. The average age was 36.87 years (SD+/-9.01) with a median of 35 years, varying from 15 to 65 years. Over 65% of the study group experienced one or more impairments. As HIV disease has become a more lifelong, unpredictable, but medically manageable condition, there is a need for more collaboration with other disability groups in order to identify commonalities in their experiences and to share collective concerns.
Subject(s)
Activities of Daily Living , HIV Infections/nursing , Rural Health Services , Self Care , Adolescent , Adult , Aged , Anti-Retroviral Agents/therapeutic use , Cross-Sectional Studies , Disability Evaluation , Disease Progression , Female , HIV-1 , Health Status , Humans , Male , Middle AgedABSTRACT
An unusual case of a PUJ obstruction in the upper moiety of a duplex kidney is presented. PUG obstruction in duplex moieties is commonly seen in the lower moiety ureter and is usually due to extrinsic compression by a crossing vessel. In our case there was a long stenotic segment of the ureter draining a functionally insignificant and infected segment of the kidney. The opposite kidney was hypoplastic and non functional. An upper polar hemi nephrectomy was performed.
