ABSTRACT
PIP: Massive publicity campaigns may have increased knowledge of the methods and usefulness of family planning but they have not been able to motivate people to start practicing it. The root cause is felt to be an Indian attitude of stoic complacency, accepting whatever life has to offer. Indians find it difficult to relate to something that brings no immediate benefit or relief and which requires continued motivation. The idea of family planning must be related to the cultural pattern of the people. Perhaps the best place to start is through an increase in female education so that a woman's place in society will be enhanced. She in turn should then realize that since she is the one to bear a child, she should have the right to decide if she wants one.^ieng
Subject(s)
Health Planning , Motivation , Asia , Asia, Southeastern , Behavior , Developing Countries , Family Planning Services , India , PsychologySubject(s)
Ovarian Neoplasms , Adult , Age Factors , Female , Humans , Menopause , Middle Aged , Ovarian Neoplasms/drug therapy , Palliative Care , Parity , Thiotepa/therapeutic useSubject(s)
Intrauterine Devices , Postpartum Period/physiology , Female , Follow-Up Studies , Humans , PregnancyABSTRACT
PIP: In this study in India 347 cases with a history of Lippes loop insertion up to 18 months previously were seen with an absence of threads. It has been found that the absence of the threads is not a reliable guide to the absence of the device. At the Safdarjang Hospital in New Delhi an x-ray examination was done on all of these women to determine the presence of the IUD and its position. In 228 cases the loop was in place in the uterus. In 3 cases the loop was in the peritoneal cavity. In 100 cases the loop had been expelled. Based on clinical and x-ray studies, 16 women were pregnant. Of the 228 cases with the loop in place, 113 had some symptoms, mostly bleeding. The incidence of bleeding increased as the loop had moved from normal to an inverted position. The 30 mm loop tended to remain in better position than smaller or larger ones. Displacement had increased with the progress of time. Of 616 cases of loop insertion at the hospital, absence of threads was noted in 40 cases without awareness of expulsion. Of these 21 had actually unknowingly expelled the loop, a total 3.4% of all insertions during an 18-month period at the hospital. The need for regular follow-up and verification of the presence of threads is emphasized.^ieng
