ABSTRACT
The objective of this study was to determine the causes of rejection to intrauterine device postpartum (IDP) in puerperal patients before they left the hospital. Two hundred puerperal patients who accepted IDP and two hundred patients who rejected IDP were studied. They received a questionaire to know the motives to accept or not IDP and degree of knowledge about it. There was not statistical differences between groups in relation to age, scholarity, religion, marital status, occupation and degree of knowledge, 51% had prenatal control, 62% of puerperal patients who rejected IDP did not have information about this contraceptive method, in 17% husband did not accept it and 9.5% have been influenced by negative rumors about IDP. In conclusion puerperal patients reject IDP mainly for lack of knowledge in relation to IDP and because their husbands did not accept it.
Subject(s)
Intrauterine Devices , Patient Acceptance of Health Care/statistics & numerical data , Postpartum Period , Adult , Female , Humans , PregnancyABSTRACT
Several macrophage-like tumor cell lines of murine origin were exposed to phase I and phase II Coxiella burnetii, and the subsequent fate of the parasites was determined by electron and bright-field microscopy. Phase I C. burnetii proliferated within and established a persistent infection of P388D1, J774, and PU-5-IR cell lines but not of WEHI-3 and WEHI-274 cell lines. Phase II C. burnetii, however, entered into and persistently infected all five cell lines. The parasites proliferated within vacuoles. Macrophage cell lines persistently infected with phase I and phase II C. burnetii were maintained for over 200 and 100 days, respectively. Within P388D1 cells, the phase I C. burnetii converted, in part, to phase II; phase II organisms remained in the phase II state. The differential fate of the two rickettsial phases after exposure to the WEHI-3 and WEHI-274 cells may be attributable to surface differences such as lipopolysaccharide content.
