Rani Kumari Limmala

Abstract

Introduction: Teenage pregnancy is a global problem and is a high-risk group. Adolescent pregnancy occurs when a teenager or underage girl, usually between the ages of 13 and 19, becomes pregnant. Adolescent pregnancies are more likely to occur in the marginalized communities commonly driven by poverty, lack of education and employment opportunities. Adolescent mothers aged 10-19years face higher risk of anemia, eclampsia, puerperal endometritis and systemic infections than women aged 20-24 years, as they have not completed their own development to give birth to another life. Materials and Methods: A retrospective study was undertaken in department of obstetrics and gynecology of Gandhi Medical College during period of April 2019 to April 2022. Results: Out of the 38 cases, 18 cases were admitted during the year 2021 which was post COVID period these cases were the after effect of the consequences patients faced during the COVID season. The minimum age recorded during study period was 12 years, and maximum number of patients belonged to age group of 17 years (21%) and 19 years (21%). 17 Cases (45%) reported to the hospital during the second trimester. 22 cases were aborted.8 cases delivered at term. Complications like anemia were seen in few patients. Conclusion: Sex education for adolescent, support by talking about sex, with education about HIV, STI, contraception is cornerstone to prevent teenage pregnancies. Brining families and communities together to address topic on sexuality without any socio cultural resistance, talk about health risks of unprotected sex and teenage pregnancies is needed. An additional cause of unintended pregnancy is sexual violence, which is widespread with more than third of girls in some countries reporting that their first sexual intercourse was coerced which is still only the tip of the iceberg which is a serious issue to be addressed. Keywords: Teenage pregnancy, Maternal mortality, Sex education, Adolescent, Maternal morbidity, Sexual violence.

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Abstract

Introduction: Infertility exists across all strata of people, but the treatment of infertility is limited to only the few who can afford the expensive treatment. A center was set up in the Government Medical Hospital for the treatment of infertility and a study was conducted to see the utilization of services after its initiation. Objectives: To study the utilization and pattern of patients who attend the infertility OPD in Gandhi Hospital. Materials and Methods: All patients who attended the infertility clinic in Gandhi Hospital during the period January 2019 - September 2019 (9 months). Results: 3549 patients attended the infertility clinic during the study period. 75% of the patients were in the 20-30-year age group. Only 11% of clients had knowledge of the fertile period in the < 20> group. In the other 2 groups 42-50% of patients had knowledge of the fertile period. Drugs were given to patients to conceive prior to coming to Gandhi, but many patients did not know what exactly was given to them. Husband semen analysis was done only in 25%. Most of the cases were in the primary infertility group Conclusion: There is need for Infertility cases to be treated in the public sector and the treatment has to be standardized Keywords: Infertility India public and Private sector

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