International journal of reproduction, contraception, obstetrics and gynecology 

About: International journal of reproduction, contraception, obstetrics and gynecology is an academic journal published by Medip Academy. The journal publishes majorly in the area(s): Pregnancy & Medicine. It has an ISSN identifier of 2320-1770. It is also open access. Over the lifetime, 6604 publications have been published receiving 13845 citations.

Effect of transcutaneous electrical nerve stimulation on labour pain relief among primigravida and multigravida mothers

Abstract: Background: TENS by neuro-physiological means seems to help in relieving labour pain. Most of the pregnant women are not aware of the coping strategies for labour pain. As a result they tend to be restless and stress themselves by shouting or screaming due to pain. By using TENS, women in labour can save their energy without stressing themselves and make use of the saved energy for pushing the fetus during the second stage of labour. The objective was to analyze the effect of TENS on relieving labour pain among the postnatal mothers who had used TENS to cope up with the labour pain. Methods: Data collected from 1041 women [Primipara (n=702) and Multipara (n=339)] who used TENS to cope up pain throughout the labour was used for this retrospective study. Results: 88% of women had vaginal delivery and only 12% of women had cesarean section. More than 50% of both primiparous and multiparous women who had normal and vacuum assisted vaginal delivery experienced excellent pain relief using TENS. Almost 40 % of both primiparous and multiparous women who had forceps delivery and lower segment cesarean section experienced excellent pain relief using TENS. Except 2% of women with normal vaginal delivery, none of them stated that there was no relief of pain using TENS. Conclusions: TENS had a very good effect in coping up the labour pain and could be used during the first and second stages of labour.

Quality of life among menopausal women

Abstract: Background: The transition through menopause is a life event that can profoundly affect quality of life. More than 80% of women report physical and psychological symptoms that commonly accompany menopause, with varying degree of severity and life disruption. The aim of this study was to assess the menopausal related symptoms and their impact on the women’s quality of life. Research questions: Are the menopausal symptoms impacts on the women’s quality of life? Methods: A descriptive design was used. A convenient sample composed of 90 women at range of age between 40-60 years was recruited from gynecological department. An interviewing sheet was designed by the researchers and menopause specific quality of life questionnaire were used to collect the data. Results: The present study showed that the most severe symptoms of vasomotor, psychosocial, physical and sexual domains were, hot flushes (29%), experiencing poor memory (48.3%), being dissatisfied with their personal life (44.8%), Low backache (41.9%), and change in sexual desire (36.8%). The overall scores of menopausal quality of life for each domain are indicated that the highest mean score in sexual domain (3.19 ± 1.99), followed by psychosocial (2.94 ± 1.45). Conclusions: It can be concluded that the most severe symptoms of vasomotor, psychosocial, physical and sexual domains were, hot flushes, poor memory, dissatisfaction with personal life, low backache, and change in sexual desire. While the mean scores of each domain suggest that menopausal symptoms were associated with decrease in women quality of life.

Enhancing contraceptive usage by post-placental intrauterine contraceptive devices (PPIUCD) insertion with evaluation of safety, efficacy, and expulsion -

Abstract: Background: More than 100 million women in developing countries would prefer to avoid a pregnancy; but they may not be using any form of contraception. The study was conducted to assess the safety, incidence of perforation /pain/bleeding/foul discharge and expulsion rates at 6 week follow-up and willingness to continue when Cu T 380 A inserted within ten minutes of placental expulsion both in vaginal and C-section deliveries. Methods: This was an open label, prospective, and longitudinal study. The study was approved by the ethics committee of FOGSI. Results: The insertion of Intrauterine Contraceptive Devices (IUCD) at KIMS, Hubli was easy in 99.52% of subjects after normal delivery and 100% in all subjects after assisted vaginal deliveries. The position of the CuT was in situ in 94.78% of subjects, ultra sonogram was used in 24.76 % to confirm location where threads were not visible in the vagina and in 6.19% of subjects the tip of IUCD was in the cervix which was pushed back into the uterus using artery forceps. It was expelled in 5.23% of patients. There was no case of perforation in this series and no other major complications. Conclusions: Inserting CuT 380 A at 10 minutes after placental delivery is safe leading to the expanding of the usage of IUCD meeting the unmet needs. The expulsion rates would be minimal if it was inserted by a trained provider and placed at the fundus.

Evaluation of PPIUCD versus interval IUCD (380A) insertion in a teaching hospital of Western U. P.

Abstract: Background: Comparative evaluation of PPIUCD and interval IUCD in terms of incidence of failure, expulsions, bleeding P/V and other complications. Methods: Total 300 willing women after counselling in antenatal, early labor or postnatal period were inserted PPIUCD after excluding chorioamnionitis, PROM >18hrs, Unresolved PPH, Puerperal sepsis. Another 150 willing women were inserted interval IUCD after excluding contraindications. All were followed up for 6 months. Results: Expulsion rate was significantly higher in PPIUCD as compared to interval insertions (4.3% v/s 2.0%; p value< 0.05). Number of removal of IUCD was almost similar in both groups(5.6% v/s 6.0%) but bleeding as a cause of removal was significantly more in interval group(23.5% v/s 88.5%). Common causes of PPIUCD removal were social. Conclusions: Postpartum insertion of IUCD is safe effective, feasible and reversible method of contraception.

Evaluation of post-placental intrauterine device (PPIUCD) in terms of awareness, acceptance, and expulsion in a tertiary care centre -

Abstract: Background: The study was conducted to assess the awareness, acceptance in terms of age, parity, education, residence and expulsion rates of post-placental intrauterine contraceptive device (PPIUCD) at 6 weeks follow-up in vaginal deliveries. Methods: This was a prospective longitudinal study. After counseling, 397 willing women were inserted PPIUCD. Outcomes were studied at 6 weeks. Results: Awareness about post-placental IUCD was significantly low as compared to interval IUCD (5.79% versus 73.55%). Acceptance of PPIUCD was higher in the age group of 21-25 years (50.88%), para-2 (35.76%), and educated (65%) clients. Expulsion rate was 10.5%. There was no case of perforation or any other major complication. Conclusion: Post-placental insertion IUCD is a safe, highly effective, long acting, cost effective method of contraception. The expulsion rates can be reduced if trained medical personnel insert the device and IUCD is inserted high up at the fundus.