Prospective study to analyse effectiveness of Samartharam suction canula as a preventive strategy for postpartum haemorrhage in high-risk mothers at a teaching hospital over a period of one year

Background: To analyse the effectiveness of Samartharam suction canula as a preventive strategy along with routine Active management of third stage of labour (AMTSL) in women who are high risk for pph. Incorporating SR canula along with routine AMSL might help in reducing the incidence of postpartum haemorrhage (PPH).   Methods: This is a hospital based comparative prospective cross-sectional study, carried out among 150 high risk women for PPH who delivered vaginally in department of obstetrics and gynaecology, govt. Theni medical college and hospital, Theni between October 2020 to October 2021. All the women received 10 units of oxytocin IM at the appearance of anterior shoulder, or uterine massage and controlled cord traction. SR cannula was applied in 75women and in another 75 women all other uterotonics (oxytocin, misoprostol and tranexamic acid) for preventing PPH were used. Results: Mean age of the patients was observed in the age group of 21-30 years (SR suction canula=49, medical management=50). Comparison between SR suction canula and medical methods. In this study it was observed, in higher number of cases the bleeding stopped immediately and there was a significant reduction in the amount of blood loss and the need for blood transfusion. Whereas, bleeding stopped immediately only in lower numbers, in whom medical management alone was used. Conclusions: This study provides a promising insight, as a prophylactic strategy for prevention of atonic PPH for high-risk mothers

Awareness of contraception and the reasons for having more than two children: a survey among antenatal women

Background: India accounts for 2.4% of world's total surface area, yet it supports 17.5 % of the world's population. 42 % of population increase is contributed by birth beyond two children per family. Even though variety of safe and effective methods of contraception available, many women are not using any method of contraception.Methods: A cross sectional study was conducted in 130 antenatal women with two or more living children attending antenatal OPD in Government Theni medical college Hospital. They were interviewed with predesigned questionnaire after getting informed consent.Results: 96.9% of women were aware /heard about any one method of contraception, whereas only 12.3% of women had ever used contraceptives. The main reason for not using contraception was lack of knowledge about the benefits of contraceptive methods, husband’s opposition and fear of side effects. The most common reasons to conceive after two or more living children were desire to have male baby (58.5%) and unintended pregnancy (23.1%).Conclusions: The study reveals that more efforts are required to motivate couples for contraceptive usage and educate them about gender equality, to encourage girl child education so that avoiding too many pregnancies, thus to achieve reduction in maternal and perinatal mortality and morbidity along with population stabilization