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J. Infertil. Reprod.
Biol. Volume 3, Issue 2, 2015 |
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Contraceptive practice among married women – A
hospital based KAP study Journal of Infertility and reproductive Biology, 2015, Volume 3, Issue 2, Pages 165-168, | Full Text in PDF (71 KB)
Tabassum Kotagsti Department of Ilmul Qabalat
wa Amraze Niswan (OBG), National Institute of Unani
Medicine, Bangalore, India Abstract Women usually
desire to have wider birth intervals, hence adopt family planning methods
such as oral pills, Intrauterine device, Injections, barrier methods,
sterilization etc. which are most commonly practiced in the country. Among
these tubectomy is one of the safest permanent
operative procedure; complications are rare and occur in less than 1% of all
female sterilization operations. Tubectomy gives
almost absolute protection against unwanted childbirths as compared with
temporary methods. The objective of this study was to find out the choice for
the acceptance of tubectomy as permanent method of
contraception. This study was carried
out in the Gynaec OPD of NIUM Hospital during the
year of 2014-2015. Total 600 women were enrolled in the study and detailed
history was obtained regarding the issues and type of family planning method
adopted. The collected data was recorded and analyzed. Out of 600 women 344
(57.33%) women adopted temporary methods, whereas 256(42.66%) adopted
permanent sterilization (tubectomy). Among
temporary methods 137(22.83%) were on OCP, 70 (11.66%) were on IUCD, 62
(10.33%) were on barrier methods and 52 (8.66%) were not used any methods,
whereas 256 (42.66%) had tubectomy. Most of the women
i.e. 108 (42.18%) had tubectomy operation after two
children and least women i.e. 50 (19.53%) had tubectomy
operation after five children. It was observed in Bangalore city
that the most of women accepted tubectomy operation
especially after two or three children. It may be due to sensitivity of women
towards financial status, better education or carrier of their children or
better health. Keywords: Family
planning methods, Permanent Sterilization, Tubectomy,
Acceptance and Parity Predictive model for blastocyst
stage in in vitro fertilization Journal of Infertility and reproductive Biology, 2015, Volume 3, Issue 2, Pages 169-173, | Full Text in PDF (91 KB)
Andon Hestiantoro1,
Cynthia Agnes Susanto1, Eliza Mansyur1, Putri Deva Karimah2 1.
Division of Reproductive Immunoendocrinology,
Department of Obstetrics and Gynecology, Faculty of Medicine, University of
Indonesia – Dr. Cipto Mangunkusumo
National Hospital, Jakarta, Indonesia 2. Yasmin Reproductive and Infertility Clinic – Dr. Cipto Mangunkusumo National
Hospital Kencana, Jakarta 10430, Indonesia Abstract This study aims to determine predictive model for blastocyst stage development in In
Vitro Fertilization (IVF). We retrieved embryos upon day five in January 2012
to October 2012. Categorical variables were compared using chi-square test
and continues variables were analyzed using independent t-test, while
p<0.05 was considered statistically significant. To identify the
relationship between statistically significant variables with occurrence of blastocyst, multivariate logistic regression analysis was
done. We identified 302 embryos from 37 subjects whom at least one embryo
achieved blastocyst stage. Among which, we found
154 blastocysts (51%) and 148 embryos (49%) which
did not achieve blastocyst stage. Two variables
were statistically significant in influencing the formation of blastocyst, which are symmetrical pro nucleotide
morphology with OR 4.08 (95% CI 2.30-7.25, p<0.001) and number of cells in
day-2 with OR 2.20 (95%CI 1.33-3.64, p=0.001). Logistic regression analysis
revealed that symmetrical pro nucleotide morphology and four cells number
gave good chance of blastocyst prediction.
Predictive model was Z = -1.236 + 1.203 (pro nucleotide score) + 0.732 (four
cells score). This study reveals the symmetrical pro nucleotide morphology
and four cells score as predictive model for blastocyst
stage in IVF. Keywords: Blastocyst stage,
Embryo, IVF, Morphology Psychosocial wellbeing and coping strategies of
infertile women seeking infertility treatment Journal of Infertility and reproductive Biology, 2015, Volume 3, Issue 2, Pages 174-178, | Full Text in PDF (66 KB) D’Souza Vinitha1, Noronha Judith Angelita2,
Kamath Shobha3 1. Manipal College of Nursing, Manipal
University, Manipal, India 2.
Department of Obstetrics and Gynecological Nursing, Manipal
College of Nursing, Manipal University, Manipal, India 3.
Department of Obstetrics and Gynecological Nursing, Manipal
College of Nursing, Manipal University, Manipal, India Abstract Infertility
refers to the inability of a couple to produce a child even after a year of
repeated unprotected intercourse. It has great impact on people’s lives and their
psyche. The objectives of this study were to assess the psychosocial
wellbeing and coping strategies, to examine its relationship and to find the
association with selected demographic variables. A cross sectional survey
(n=180) design was used to assess the psychosocial wellbeing and coping
strategies of infertile women (aged 20-40 years) seeking infertility
treatment in selected infertility clinics of Udupi
District Karnataka. Study results showed that majority of the study
population (146, 81.1%) had moderate level of psychosocial wellbeing and
coped with seeking social support (65.7%). There was a difference in mean
scores and standard deviation in sub areas of psychological wellbeing
(42.5±5.95), social wellbeing (45.37±5.7). Women with good psychosocial
wellbeing used less coping strategies(r = -0.2, p<0.01). There was a
significant association between psychosocial wellbeing and educational status
of infertile women (p=0.001) and coping strategies with type of the family
(p=0.01). Study findings concluded that infertile women do have disturbed
psychosocial wellbeing. So counseling sessions is needed to improve their
psychosocial wellbeing and to get focus on their treatment. Keywords: Infertile women, Infertility,
Infertility treatment, Psychosocial wellbeing, Coping strategies |
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Evaluation of polycystic ovary syndrome patients
treated for OHSS Journal of Infertility and reproductive Biology, 2015, Volume 3, Issue 2, Pages 179-183, | Full Text in PDF (86 KB)
Şafak Hatirnaz1,
Servet Gençdal2, Melahat
Atasever3, Emre Ekmekçi4,
Murat Bakacak5, Sefa Kelekçi4 1. Trabzon
Clinart IVF Center Trabzon,Turkey
2. İzmir Atatürk Research and
Education Hospital, Gynecology and Obstetric Department, İzmir,
Turkey 3. Giresun University Medicine Faculty, Gynecologyand
Obstetric Department, Giresun , Turkey 4. İzmir Katip Çelebi University Medicine Faculty, Gynecology and Obstetric
Department, İzmir, Turkey 5. Kahramanmaraş
Sütçü İmam
University Medicine Faculty,
Gynecology and Obstetric
Department, Kahramanmaraş, Turkey Abstract We aimed to present the
management, hospitilizationtime, pregnancy rates
and complications of our polycystic ovary
syndrome (PCOS) patients
that we treated
for OHSS in
our clinic. Therefore this
study is designed
by analyzing of retrospectively collected data of 31 PCOS patients who
were treated for OHSS. Diagnosis of PCOS is based on Rotterdam criteria that is published in 2003 and OHSS diagnosis is
based on classification that is formed by Golan et al. GnRH
(Ovitrelle® 250 mcg subcutan)
is used for final maturation of oocytes. Same
protocol is used for all patients at hospitalization. Results showed that GnRH agonist protocol is used for 23 patients and GnRH antagonist protocol is used for 8 patients. 8
patients (%25) were mild, 19 patients (%61) were moderate and 4 patients (%1,2) were severe OHSS. 13 patients (%42) were early onset
OHSS and 18 patients (%58) were late onset OHSS. Mean oocyte
counting was 21±6,3. Total freezing is used for 13
patients (%42) pregnancy is resulted for 13 patients. Mean total transvaginal aspiration liquid volume was 4800cc ±1786 cc
in hospitalization. Abortion is not induced for any patient. Require for
intensive care or mortality isnot resulted at any
patient. Mean hospitalization time was 7±2,6 days.
We concluded that altough a lot of strategiesare performed recently to prevent OHSS, it is
still a problem. Early diagnosis and prevention of severe OHSS is very
important to prevent fatal complications. Keywords: OHSS,
PCOS, Dopamin agonist, Cabergoline,
Assisted Reproductive Techniques Y chromosome microdeletion
analysis reveals predominant AZFc deletions and
absence of germline specific deletions among
idiopathic infertile males in a south Indian population Journal of Infertility and reproductive Biology, 2015, Volume 3, Issue 2, Pages 184-191, | Full Text in PDF (188 KB)
Venugopal Satidevi Vineeth1, Sreenivasa
Gopalappa1, Suttur Srikantanaik
Malini1 1.
Molecular Reproductive and Human Genetics Lab, Department of Studies in Zoology, University of Mysore, Manasagangothri, Mysore,
Karnataka, India Abstract Y chromosome microdeletions
in any of the three azoospermia factor loci AZFa, AZFb and AZFc affects spermatogenesis causing irreversible male
infertility. In the present study Yq deletion
frequency, deletion types and associated infertile conditions were analyzed
among240 idiopathic infertile males (102 severe oligospermic
and 138 azoospermic) and 100 fertile control
individuals ofa south Indian population previously
not assessed.Polymerase chain reaction analysis for
Yq microdeletions was
performed using genomic DNA employing eight sequencetagged
sites markers. Germ line specific Yq deletions werealso assessed among 86 severe oligospermic
males using sperm DNA. Apart from these, sperm sex chromosomal aneuploidies were analyzed among 20 severe oligospermic and oligoasthenospermic
infertile individuals through fluorescence in situhybridization
technique. Among 240 infertile individuals assessed 13 (5.4%) men were
identified to harbour interstitial Y chromosome microdeletions. AZFc region
deletions involving DAZgene cluster was observed to
be predominant (69.2%) followed by AZFb deletions
(15.4%) and AZFbc deletions (15.4%). Statistically
significant difference was observed in the Yq
deletion frequency between the severe oligospermic
and azoospermic individuals (χ2 = 4.13, df =1,p=0.042). Germ line
specific deletions were observed to be completely lacking among severe oligospermic individuals. Insignificant difference was
observed in sperm sex chromosomal aneuploidy rates
between the oligospermic and control individuals.
Influence of genetic and environmental factors, sampling and methodological
differences can be attributed to the differences in Yq
deletion frequency observed within Indian populations. Germ cell specific Yq deletions and sperm sex chromosome aneuploidy
may not be always associated with severe infertility. Keywords: Azoospermia, Oligospermia, Azoospermia
factor regions, Sequence tagged sites, Microdeletions Journal of
Infertility and Reproductive Biology Copyright 2013,
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