The Trends of Using Different Contraceptive Agents and its Drawbacks: A Multicenter Observational Study | Chapter 1 | Advanced Concepts in Medicine and Medical Research Vol. 2

 The purpose concerning this study was to path changing patterns of diaphragm use, particularly long-term actions and their disadvantages. Bangladesh is a country accompanying a high mass of population, accompanying 1260 people living per square kilometer. Due to the chance of free contraceptive methods provided by the Bangladeshi Ministry of Health and various non-governmental institutions (NGOs), our total fertility rate (TFR) has happened decreased to 2.3. However, the use of birth control is still subpar, particularly for long-term and irreversible methods; as a result, the number of surprising as well as random pregnancies is rising fast. Due to the over-the-counter (OTC) chance of abortifacient medications in our country with its own government, such as misoprostol and mifepristone, nation are ingesting them unsupervisedly at the wrong dosage and gestational age. Despite the fact that most of these wives are aware of the miscellaneous forms of conventional diaphragm techniques, unsafe abortions are so on the rise. The study design was accepted for one Ethical Review Committee of the Combined Military Hospital (CMH) of Bogura. In total, 32629 women were registered in the present study. This reverting observational study was transported from July 2017 to June 2019 in four hospitals/hospitals- Combined Military Hospital (CMH) of Bogura, Thengamara Mahila Shobuj Shangha (TMSS) Medical College and Hospital, Mary Stopes Clinic (MSC), and Shurjer Hashi Clinic (SHC). These centers were selected purposively as they have apparent family planning divisions as well and they claim well-structured dossier. Different parameters were distinguished between 2017 and 2018. Statistical study was done using SPSS (form 10), and the result, which is inferior or equal to 0.05 has happened signified as “statistically important”. Among the different birth control like short-acting methods (oral contraceptive medicine (OCP), condom, and injectable hormones) and long-acting procedures (intrauterine contraception tool (IUCD), and implant) and constant methods (tubectomy and pregnancy prevention), the study observed that in Bogura CMH the number of OCP and contraceptive users significantly raised in 2018 compared to that of 2017 and the p-worth is 0.047 and 0.039, respectively. In 2018 IUCD consumers were reduced significantly (p=0.0001) in CMH Bogura compared to the prior year whereas in added hospitals/hospitals, the outcome was non-important. In the case of implant consumers, the number is almost analogous in all the centers (for TMSS p=0.063; SHC p=0.25; MSC p=0.71), but unusually in CMH Bogura, no users were found in two together years. For the injectable consumers, although it was considerably increased in MSC (p= 0.005), but considerably reduced in TMSS (p=0.043) inasmuch as slightly reduced in CMH Bogura (p= 0.13) & SHC (p=0.226). The use of OCP was raised dramatically in MSC (0.01) and CMH Bogura (p=0.047); inasmuch as significantly decreased in SHC (p=0.008). In TMSS and CMH Bogura the condom consumers were increased significantly (p=0.035 and p=0.039, respectively). In the case of tubal connection, no change was observed in some center, whereas in the case of male sterility, it was observed that it was missing in three centers but in MSC, it increased unexpectedly in the second year. The number of persuaded abortions after using misoprostol oral contraceptive pill was increased. They are acknowledged to the hospital accompanying excess haemorrhage and contamination. Preference for these agents is on account of quick operation and short dose. It is important to focus the long-acting hormone campaign. Family planning officers concede possibility be well-trained. Abortion-encouraging medications bear only be available by medicine from a doctor or other healthcare professional, with limits on their availability buyable without a prescription.

Author(s) Details:

Umme Ruman,
Infertility and ART, Indira IVF Bangladesh Ltd., Bangladesh.

Masudur Rhaman,
Department of Biology (Biotechnology), College of Staten Island, NY, USA.

Monowara Khatun,
Department of Obstetrics and Gynaecology, TMSS Medical College, Bogura, Bangladesh.

Please see the link here: https://stm.bookpi.org/ACMMR-V2/article/view/12262

Determining the Efficacy and Acceptability of Outpatient, Single-visit, Medical Abortion during Gestational Period | Chapter 1 | Research Developments in Medicine and Medical Science Vol. 4

 The aim concerning this study was to ensure more productive utilization concerning this important advancement to blow up the reproductive strength of women and maintain mothers’s right to high quality health management services. Surgical evacuation is the established method. However, this approach has difficulties, including need for admission to emergency room, administration of sleep, instrumentation, immediate procedural depression, absence from work and loss of he- power, and complete consequences affecting future gestation. This prospective cross-localized study was conducted in women pursuing termination of gestation up to 59 days of gestation and was completed activity between January 2007 and May 2008 in the Green Cross Hospital and Sakriti Clinic in Lucknow, India.  Follow-up sonography was acted two weeks later. The reasons patients chose this procedure were to avoid treatment, preference for a everyday and noninvasive method, and confidentiality (55%). Side effects were primarily mild intestinal cramps (45%) and prolonged bleeding (2.4%). The achievement rate of complete abor- tion was 98.12%, with 1.25% of these inmates needing a second vaginal dose to complete the situation. The single-visit healing abortion method is agreeable and efficacious for daughters in developing countries.

Author(s) Details:

Manisha Agarwal,
Department of Obstetrics and Gynecology, Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam, Pondicherry, India.

Please see the link here: https://stm.bookpi.org/RDMMS-V4/article/view/9830

Determination of Foley`S Bulb for Cervical Ripening in Induction of Second Trimester Abortion | Chapter 18 | Recent Developments in Medicine and Medical Research Vol. 12

 The efficacy and safety of Foley's bulb in conjunction with Misoprostol in the management of second trimester abortion, with a special focus on cervical injury, were investigated in a trial including 56 women who came for termination of pregnancy between 14 and 20 weeks of gestational age. An inflated Foleys bulb was used with traction pressure applied to the internal cervical os and Misoprostol 400 mcg was given vaginally every four hours. The duration of the induction abortion, the doses utilised, the extra techniques used, the adverse effects, and the problems encountered were all recorded. With little side effects, no major complications, and no cervical injury, the procedure was a complete success. The findings are compared to other studies in the literature.

Author(S) Details

Alla Satyanarayana Reddy
Department of Obstetrics and Gynaecology, Vinayaka Missions Medical College and Hospital, Karaikal, Puducherry, India.

B. G. Harish Babu
Department of Obstetrics and Gynaecology, Vinayaka Missions Medical College and Hospital, Karaikal, Puducherry, India.

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Intrauterine Fetal Demise - A Tragic Event: An Approach to its Epidemiology, Causes and Methods of Induction | Chapter 19 | New Frontiers in Medicine and Medical Research Vol. 1

 Fetal death is a tragedy that brings enormous anguish to parents and caregivers. Although the majority of infants are healthy, something can go wrong and a baby can die while still in the womb. The researchers wanted to understand more about the prevalence, epidemiology, and causation of intrauterine foetal mortality. Misoprostol and dinoprostone's efficacy as inducing agents in these cases should also be explored.

The patients' demographic and clinical features were recorded. Inducing agents' induction delivery intervals were compared.

The rate of IUFD was determined to be 50 per 1000 deliveries at our centre. Unbooked cases, primigravidas, and preterm with abruption were the most common causes, with a high prevalence in poor socioeconomic groups. Misoprostol was found to be more effective at terminating the pregnancy in these conditions. The induction delivery interval for misoprostol was 9.64 hours, while the induction delivery period for dinoprostone was 12.63 hours.

Conclusions: Many causes of intrauterine deaths can be averted with good antenatal care, such as abruption hypertensive diseases. Low socioeconomic position, teenage pregnancy, poor nutrition, and a lack of health education are all socio-demographic characteristics that should be recognised as predisposing factors for prenatal fatalities. Misoprostol is less expensive and has a shorter induction delivery interval; it is safe to use in cases of IUFD.

Author (s) Details

Anupama Dave
MGM Medical College Indore MP, India.

Ranjana Patidar
MGM Medical College Indore MP, India.

Sonam Goyal
MGM Medical College Indore MP, India.

Atisha Dave
Sri Aurobindo Institute of Medical Sciences, Indore, MP, India.

View Book :- https://stm.bookpi.org/NFMMR-V1/article/view/2929