Dr. Umesh Sabale

Description:OBJECTIVE: To review the referred obstetric cases for reason of referral and to study the maternal and perinatal outcome. DESIGN: Prospective Observational study. STUDY POPULATION: 380 cases referred from periphery to tertiary care institute in one year duration. METHODS: INCLUSION CRITERIA: All referred ANC cases to our tertiary care institute >20 weeks gestation. The total number of deliveries during this period were 11106. The total number of referred cases in above study period was 1980. Out of these 1520 met the inclusion criteria & according to the sample size calculated 380 cases were selected for the study. Selection of cases were done by systematic sampling technique. RESULTS: The proportion of referral cases to the tertiary care institute is 17.83%. Majority (42.37%) of referred cases were from district level hospitals showing lacunae in the emergency obstetric care given at the district level hospitals. In present study, there was unavailability of ambulance in 65.26% of cases for transport. Most (92.89%) of the patients were not accompanied by any medical assistance during transport. Major complication during immediate postpartum period was postpartum hemorrhage (19.99%). In our study, 31.84% of the patients required blood/blood products transfusion. There were 3(0.79%) maternal mortalities in present study & behind these there were total 70(18.42%) near miss cases which provide valuable information on the quality of antenatal care at the periphery. 54.87% of all neonates had low birth weight in this study. In present study, 45.90% babies were preterm. Total NICU admission rate was 14.36%. Neonatal mortality documented in present study was 5.38%. CONCLUSION: The present study has shown that improper antenatal & intranatal care at the periphery level is responsible for poor maternal & perinatal outcome. Rural women have very poor access to MCH services. There is lack of Transportation facilities for referral patients & they have to travel a longer distance to seek emergency obstetric care. Even today, obstetric hemorrhage is the leading cause of maternal mortality.

Description:Introduction: India is currently the world’s second most populated country, accounting for over 20% of all births. Despite the fact that India was the first country to establish a National Family Planning Program in 1952, 13% of married women still have unmet family planning needs. The study also calculated the rate of unwanted pregnancy in India, finding that approximately half of the 48.1 million pregnancies in 2015 were unintended. Family planning is widely regarded as a woman’s issue in many regions of the world, including India. So this study has been carried out to understand the awareness of males about family planning methods. Material and methods: This is a cross-sectional study conducted over a span of 3 months, including married men for at least 5 years. The data collection was done using a pretested semistructured validated questionnaire that consists of sections on knowledge, attitude, and practices of family planning of the men. Results: In this study, we studied awareness of family planning methods among 200 men. It was observed that 56% of men were of the opinion that primarily females are responsible for use of contraceptive methods. In this study, we observed that 84% of men were of the opinion that vasectomy causes loss of sexual desire and impotence. When asked about the future choice of permanent sterilization, out of 180 men, 97.2% of men chose female sterilization. Conclusion: So, it was observed that the rate of male participation in family planning was low among the studied sample. There was a significant lack of knowledge, attitude, and practice about family planning methods among the studied population. Clinical significance: There is a need to strengthen the awareness and practices of males about their role in family planning. This study serves as a benchmark to identify the areas needed for further improvements. Keywords: Awareness, Contraception, Family planning