RESUMO
BACKGROUND: The infection with Trichomonas Vaginalis is one of the most common sexually transmitted diseases (STDs) in humans. The prevalence of this infection has been reported to be between 2 to 8%, depending on the different socio-cultural conditions. This study aimed to determine the prevalence of T. vaginalis in the women who were referred to the gynaecologic clinics at the MVJ medical college, Bangalore, India. METHODS: This descriptive, cross-sectional study was conducted on 750 women who were referred to the gynaecologic clinics from October 2010 to September 2012. Vaginal samples were obtained from them and they were examined by wet mount and culture methods for the detection of T. vaginalis. RESULTS: Sixteen out of the 750 vaginal swab specimens (2.1%) were culture positive for T. vaginalis and 13 among these positive specimens (1.7%) were wet mount positive. Only 12 of the 42 patients who were clinically diagnosed as having the T. vaginalis infection, were confirmed by the culture method. Five hundred and fifty of the participants (73.3%) had at least one of signs and symptoms of trichomoniasis. No statistical correlation was observed between the clinical manifestations and the parasitological results (p>0.05). CONCLUSION: This study showed a low prevalence of the T. vaginalis infection in the study population. Since the clinical signs of trichomonal vaginitis are the same as those of other STDs, a confirmatory laboratory diagnosis is necessary. Wet smears, as well as culture, are sensitive for the detection of T. vaginalis.
RESUMO
OBJECTIVE: To assess the attitude to, the knowledge and practice of contraception and medical abortion in women attending the family planning clinic at the mvj medical college , hosakote , Bangalore, India. MATERIALS AND METHODS: Between 1(st) of August, 2011 and 31st of July, 2012 200 women attending family planning clinic of the mvj medical college, hosakote, Bangalore India of which 105 requested for medical termination of pregnancy (mtp), 95 for family planning advice, were interrogated on a structured questionnaire. The age of women ranged in between 20-45 years, 71 (35.5%) were illiterate, 30 (15%) had primary school education and 99 (49.5%) had diplomas from high school and above. Patients were grouped into low and high socio-economic status according to modified kuppuswamy socio-economic status scale: (i). upper class, (ii). Upper middle class, (iii). Middle class, (iv). Lower middle class, (v). lower class.consent of both husband and wife was taken. They were counseled about the various contraceptives available and allowed to choose whichever suited them best. RESULTS: Among the 200 women 85 (42%) did not use contraception; 51 (25.5 %) were on the barrier method; 49 (18.31%) used intrauterine devices (iud); 12 (6%) used oral pills and and 3 (1.5%) used other methods. the request for mtp was on grounds of unplanned pregnancy in 55.25% cases or failure of contraception in 44.7%. there was no eugenic indication of the women, 3 (1.5%) had heard about emergency contraceptives, however none had used them; 20 (10%) had heard of medical abortion and 12 (6%) had previously undergone mtp with satisfaction. the various methods of contraception accepted by the women post abortion were ocps by 11 (10.47%), iuds by 54 (51.5%) and female sterilization by 26 (24.71%). in the other group, 23 (24.2%) had iuds removed and reinserted; 37.8% had iuds inserted; 26 (27.36%) women underwent sterilization operation; and 6 (6.31%) had iuds removed opting for pregnancy. statistical analysis was done using spss software (Chicago) with χ(2) test taking p value of 0.05 as significant. CONCLUSION: There is lack of awareness of emergency contraception and medical abortion in the women community under study.
