O109 expulsion rates and satisfaction levels among immediate postpartum iucd users in peri-urban lusaka, zambia

Diagnosis and management of premenstrual syndrome

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Impact of an Acquisition Advanced Practice Provider on Home Hospital Patient Volumes and Length of Stay

Background: The knowledge, awareness and acceptance regarding contraceptives are variable in different parts of world. Family planning is still considered a stigma in most parts of the world. Contraceptive use for family planning is a key to understand the profound changes in fertility and to improve reproductive health worldwide. Objective: To evaluate the awareness and acceptance of the post-partum intrauterine contraceptive Device Insertion (PPIUCD) among the pregnant women visiting the Outdoor Department of Obstetrics and Gynecology in a tertiary care Hospital Malir Cantt Karachi. Study design and setting: A cross sectional study was conducted during the period January 2022- June 2022. Material and Methods: This cross sectional study was conducted at the Tertiary care Hospital, Malir cantt, Karachi, for six months from (January 2022-June 2022) Data were collected using interviewer administered structured questionnaire was filled after the informed consent. The inclusion criteria: were the women agreed to participate the study and agreed to fill the questionnaires Urdu version, who visited outdoor department. The exclusion criteria were the women who refuse to ill the questionnaire. Results: This study shows the acceptance rate of PPIUCD is 12% of 200 women who participated this study. The commonest reasons for their denial were the inadequate information or knowledge of PPIUCD. The acceptance rate of PPIUCD was associated with their awareness and the long term effectiveness. Women who have completed their secondary or higher education were more informed and accepted than uneducated women. (AOR = 3, CI = 11.81, 53.91). The age group ranging from 25-30 years showed positive acceptance for PPIUCD. Conclusion: The rate of acceptance for postpartum intrauterine contraceptive device turns out to be low in this study, though this is an effective and safe method of postpartum family planning. The perceived concerns and fears about the PPIUCD are due to lack of awareness regarding its use among women attending the antenatal clinics. Keywords: PPIUCD, Contraception, Postpartum FP, awareness.

Awareness and Acceptance of Post-Partum Intrauterine Contraceptive Device Insertion (PPIUCD) among Patients Attending a Tertiary Care Hospital Karachi

Background: PMS is very common among female university students that may cause in physical and psychological problems. The most important ways that can help females in self- care to manage PMS symptoms is to increase full awareness to alleviate PMS.. The study aimed to: Evaluate the effect of electronic booklet use on self-care among university students regarding premenstrual syndrome in Banha University. Research design: A Quasi experimental research design was used to conduct the study. Setting: study was conducted at faculty of Education and faculty of Arts Banha university, Sample: A multi stage sample technique was used to recruit students suffering from PMS according to certain criteria and o nly 300 students out of 405 met the research critetia from the selected faculties. Tools: 1) Structured interviewing questionnaire sheet 2) questionnaire sheet about premenstrual syndrome experience among study sample 3) students Management of premenstrual syndrome. Results: Findings of the present study showed that about 66% of the studied females had unhealthy habits pre intervention compared to 10.7% had unhealthy habits after using electronic booklet. There was highly statistically significant difference between total physical changes, total behavioral changes, and total psychological changes after using electronic booklet (p<0.001). Recommendation: Health education programs regarding PMS and other menstrual problems could be included in the curriculum of secondary schools Further study: A similar study can be replicated on large sample size of populations and wider geographic scope to emphasize conclusion.

Effect of Electronic Booklet use on Self Care For premenstrual syndrome among Students in Banha University

Background: Premenstrual Syndrome (PMS) is one of the most common disorders of reproductive age. PMS is a set of physical and psychological symptoms that occurs during the luteal phase of menstrual cycle (14 days before menstrual period), resolved with the onset of menstruation and with a symptom-free interval afterwards. Aim: To assess the knowledge, most commonly reported symptoms, effects on educational activities and interpersonal relationships, treatment options and attitude of female university students towards PMS.

Methods: This cross-sectional study was conducted among 130 female students of a Private University of Delhi NCR. A pretested, self-administered questionnaire was used to collect the information. The data was compiled in Microsoft excel and analysed using SPSS 25 version. P-value <0.05 was considered statistically significant.

Results: The majority (80%) of female participants knew about PMS while only (43.8%) knew about PMDD. The most common affective and somatic symptoms among participants were irritability (74.6 %) and abdominal bloating (48.5%). More than half (53.8 %) of the female participants reported PMS impaired their College/work efficiency/ productivity and Concentration and (49.2 %) reported PMS impaired their Social life activities. The majority (90%) of female participants think that PMS is an important issue that should be discussed but (40.8%) did nothing to relieve their premenstrual symptoms. The female participants of age group between 23 and 30 years showed higher proportion of knowledge of PMS (n=52, 89.7 %) when compared to female participants of age group between 17 and 22 years and this association was statistically significant (P<0.05). The female participants who did exercise showed higher proportion of knowledge of PMS (n=82, 84.5 %) when compared to female students who did not exercise and this association was statistically significant (P<0.05).

Conclusion: Based on the findings of the present study, it can be said that: PMS is a common problem affecting the educational activities and interpersonal relationships of females significantly. Despite of the positive response of female participants towards PMS in our study, there is lack of knowledge about the necessity to consult a doctor or seek treatment for their symptoms.

A Study on Premenstrual Syndrome among Female Students of a Private University of Delhi NCR

Unmet needs for contraception have been a major hurdle to achieve desirable family planning goals in India. According to national family health survey (NFHS) 4 data, the contraceptive prevalence rate in India is 56.3% and more than 40% of the couples are not using any method of contraception. Family planning if effectively accepted can avert nearly one-third of maternal deaths and 10% of child mortality when couples space their pregnancies more than two years apart. Short intervals between births are linked with higher maternal and child mortality and morbidity. Postpartum period is a highly vulnerable period for unintended pregnancy as there are limited contraceptive options for breastfeeding mothers. Immediate postpartum is the ideal time to begin contraception as women in this period are more receptive to the family planning advice. Postpartum family planning (PPFP) is the prevention of unintended and closely spaced pregnancies through the first twelve months following childbirth. Postpartum women need a range of effective contraceptive methods to be able to prevent an unplanned pregnancy, within a short interval. ABSTRACT

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A retrospective study of post-partum intrauterine contraceptive devices in a government maternity home of Delhi

Introduction In the year 2019, the whole world witnessed the COVID-19 pandemic. The pandemic has negatively impacted the health care delivery system. This has risen the necessity among health systems across the world to deliver health care services through telemedicine. This systematic review would assess the level of patient satisfaction with telemedicine health services during the time of the COVID-19 pandemic. Methodology The literature search was conducted in June 2022 using “PubMed” “Google Scholar” and “Embase” databases. A total of eight articles were included. ROBVIS Analysis was performed for the assessment of bias. Descriptive statistics were performed using Microsoft Excel. Results All included studies were conducted in seven countries/states/cities: India (n = 2), Philippines (n = 1), Saudi Arabia (n = 1), UAE (n = 1), Los Angeles (n = 1), Iran (n = 1), and New York City (n = 1). Most used telemedicine tools were voice calls, video calls and messaging/email. Maximum patients used video for consultation (5 out of 9 studies) followed by voice call (4 out of 8 studies), messaging/emails (2 out of 8 studies) and other telemedicine Apps (2 out of 8 studies). Overall, the level of satisfaction was found highest amongst studies conducted in developed countries/states/cities such as New York City (94.9%), Los Angeles (82.7%), UAE (81%) and Saudi Arabia (77.9%) in contrast to studies conducted in developing countries which includes Philippines (82%), India (73.9; 51.3%) and Iran (43.4%). Conclusion Most of the participants were found to be satisfied with the quality of telemedicine they were offered. This systematic review will help to improve telemedicine services which will eventually improve the health care delivery system. Systematic review registration https://www.crd.york.ac.uk/prospero/#myprospero.

Patient satisfaction for telemedicine health services in the era of COVID-19 pandemic: A systematic review

The healthcare system is critical to the country's overall growth, which involves the healthy development of individuals, families, and society everywhere. This systematic review focuses on providing an overall assessment of the quality of healthcare delivery during COVID-19.The literature search was conducted from March 2020 till April 2023 utilising the databases "PubMed," "Google Scholar," and "Embase." A total of nine articles were included. Descriptive statistics was performed using Microsoft Excel. PROSPERO registration ID- CRD42022356285.According to the geographic location of the studies included, four studies were conducted in Asia [Malaysia(n = 1); India (Madhya Pradesh) (n = 1); Saudi Arabia(n = 1); Indonesia (Surabaya) (n = 1)], three in Europe [U.K. (n = 1); Poland (n = 1); Albania (n = 1)] and two in Africa [Ethiopia(n = 1); Tunisia (n = 1)]. Overall patient satisfaction was found highest among studies conducted in Saudi Arabia (98.1%) followed by India (Madhya Pradesh) (90.6%) and the U.K. (90%).This review concluded five different aspects of patients satisfaction level i.e. reliability, responsiveness, assurance, empathy, and tangibility. It was found that the empathy aspect had the greatest value of the five factors, i.e., 3.52 followed by Assurance with a value of 3.51. 

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Quality assessment of global health care system in the shadow of COVID-19: - a systematic review

ABSTRACT Introduction Organ donation can be a life-saving opportunity for patients with severe organ failure. In India, the rate of organ donation of the deceased Indian population is exceptionally low. This necessitates enhancing awareness regarding organ donation among health care professionals and students, which can motivate the general population. Aim To assess and analyze the awareness level of healthcare professionals and students on organ donation in order to suggest potential strategies regarding improvement of awareness and willingness towards organ donation. Materials and methods A cross-sectional online and offline survey was conducted at the national level between July 2022 and September 2022. Indian healthcare professionals as well as students of various fraternities were included. The Snowball sampling technique was used for data collection. Statistical analysis was undertaken using the statistical package for the social sciences (SPSS) software, version 25. Results A total of 1,303 respondents were enrolled in this study. The majority of the participants were students (66.5%) residing in southern India (89.6%) pursuing medical profession (88.9%). The predominant age group was 18–24 years (73.9%). The awareness level regarding organ donation among healthcare professionals and students was 69%. Healthcare professionals and respondents aged 40 years and above had better awareness levels regarding organ donation which was reported as statistically significant (p < 0.001). Conclusion Healthcare professionals and students awareness about organ donation need to be improved. Strategies including but not limited to prioritizing employment and education to the first relatives of the deceased organ donor should be implemented by the government to legally improve organ donation willingness. How to cite this article Chandrasekaran S, Chandrasekaran VP, Nandi D, Setty RS, Srinivasan O, Kaur KN. Assessment of Awareness Level Regarding Organ Donation among Healthcare Professionals and Students in India. Indian J Crit Care Med 2023;27(1):57–63.

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Karuna Nidhi Kaur

Papers

A Study on Premenstrual Syndrome among Female Students of a Private University of Delhi NCR

A retrospective study of post-partum intrauterine contraceptive devices in a government maternity home of Delhi

Patient satisfaction for telemedicine health services in the era of COVID-19 pandemic: A systematic review

Quality assessment of global health care system in the shadow of COVID-19: - a systematic review

Assessment of Awareness Level Regarding Organ Donation among Healthcare Professionals and Students in India