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PubMed2001

[How do Ivorien rural populations perceive family planning?].

The government of Côte d'Ivoire has recently adopted its population policy. One of the objectives of this policy is to reduce the high rate of population growth through family planning. The success of the family planning program will depend not only on the strength of effort to be deployed, but also on the acceptability of the idea of family planning to the population, given the pronatalist nature of the society, especially in rural areas. The aim of this study is to assess the acceptability of family planning to the rural population. The study is based on a survey conducted in rural areas of the country on various issues including the social representation of family planning. Analyses rely on simple methods such as frequency tables and cross tabulation. The results show that rural populations, somehow, have an open mind towards family planning. They are interested in using family planning services if they are provided with them. However, implementation of family planning programs in rural areas requires some precautions--birth limitation should not be included among the objectives, at least at the beginning of the program; a preliminary advocacy program at the level of rural community leaders is required; there is need to adapt program strategies to the level of infrastructural development of the villages; etc.

Adult↗
PubMedDate not supplied

Contraceptive use in Matlab, Bangladesh in 1990: levels, trends, and explanations.

The results of a 1990 knowledge, attitudes, and practice survey in Matlab, Bangladesh, indicate that contraceptive prevalence has risen to 57 percent in the maternal and child health/family planning project area. Between 1984 and 1990 significant increases were registered in the proportions of women using contraceptives for the purposes of spacing and limiting births. By 1990 fertility control in the intervention area had become so widely diffused that educational differentials in contraceptive practice were no longer evident. Although significant gains in contraceptive use were also evident in the neighboring comparison area during this period, at 27 percent, prevalence there still remained substantially below the levels in the intervention area. The disparity in contraceptive use between the two areas is adequately explained neither by differences in socioeconomic conditions nor in the demand for family planning, but rather by differences in the intensity, coverage, and overall quality of their family planning programs.

Adolescent↗
PubMed1992

Contraception for the postpartum woman.

The postpartum woman has the full array of contraception options available to her to prevent a subsequent pregnancy. Two factors may influence the choice of the method and the timing of the onset of use (when pregnancy risk increases): the infant feeding mode chosen and the reproductive involution process. The major controversial area regarding contraception postpartum is the use of oral contraceptives if the mother is breastfeeding (ie, if and how do steroids affect the lactation process or infant health). This article reviews the physiologic and hormonal changes that occur after birth, examines the data available in relation to the influence of steroidal contraceptives on lactation, and presents postpartum implications of the use of the spectrum of contraceptive choices. The nurse can provide an important role in counseling postpartum women regarding contraceptive alternatives and supporting families in attaining their childbearing goals.

Breast Feeding↗
PubMed2006

Childbirth in modern Athens: the transition from homebirth to hospital birth.

The transition of birthing practices in Greece from a homebirth culture, in which women deliver at home surrounded by family and under the supervision of a typically female birth attendant, to a biomedical birth model, in which women deliver in a hospital with numerous forms of medical intervention and under the control of a physician, has been unusually rapid. Today, Western biomedicine not only dominates the health care system in Greece but has an essential hegemony on women's health care. My research examines whether the pervasive utilization of biomedical environments for birthing can be explained by a lack of alternatives or by women's satisfaction with the technology and care available in hospitals. I also examine how women retain control over their experience of pregnancy and childbirth within the biomedical context and attempt to explain the emerging construction of a "natural" discourse on pregnancy and childbirth in Athens. Major themes that emerged from interviews with Athenian women were the lack of consent for medical intervention during birth, limited infrastructure to support women who seek non-medical alternatives, and limited emotional support and collective education for mothers in the urban environment of Athens. Also, women described choosing the right caregiver as essential to maintaining a sense of control over their pregnancy and, more generally, over their life. In light of women's apparent interest in improving women's experience of pregnancy and childbirth in Athens, it is recommended that researchers further explore the interaction of medical and non-medical discourses on pregnancy and childbirth.

Delivery, Obstetric↗
PubMedDate not supplied

[Fertility and health in Mexico].

Fertility, health, and family planning are not independent factors, but rather involve a series of biological and social mechanisms in close interaction with one another. The impact that a high fertility rate has on health is reflected mainly in a rise in the rates of maternal and child mortality. Similarly, fertility has a greater negative effect upon the health of groups characterized by high reproductive risk, high parity, short intergenesic intervals, and unwanted pregnancies. On the other hand, family planning -and specifically the use of contraceptive methods-helps to achieve a lowering of the fertility rate and also has a positive effect on maternal-child health. This situation can be observed in the case of Mexico, where fertility rates and tendencies, as well as maternal and child mortality, have been reduced during the past decade.

Family Planning Services↗
PubMed1989

[Perinatal growth. A practical perinatal growth curve].

A linear perinatal growth curve, covering the period from 28 weeks gestation to 18 weeks after term birth is presented. The curve was first presented 15 years ago, and is now supported by Danish data, both cross-sectional and longitudinal. It may be used for classification of birth weight in relation to gestational age and at the same time for monitoring of postnatal growth, regardless of gestational age at birth. Limitations of empirical curves are pointed out. The postnatal growth potential of preterm infants is stressed.

Denmark↗
PubMedDate not supplied

Characteristics of ovulation method acceptors: a cross-cultural assessment.

Five programs of instruction in the ovulation method (OM) in diverse geographic and cultural settings are described, and characteristics of approximately 200 consecutive OM acceptors in each program are examined. Major findings include: the religious background and family size of acceptors are variable, as is the level of previous contraceptive use. Acceptors are drawn from a wide range of socioeconomic and religious backgrounds; however, family planning intention was similarly distributed in all five countries. In sum, the ovulation method is accepted by persons from a variety of backgrounds within and between cultural setting.

Adult↗
PubMed1987

Logarithmic normal distribution of incubation times for canine diseases (Sartwell's model).

The distribution of incubation periods for most infectious diseases follows a logarithmic normal distribution (Sartwell's model). The same is true for human neoplastic diseases of known cause and for genetic diseases, when the age at onset of the disease was used as a surrogate measure of the incubation period. In this study, a similar distribution was observed when Sartwell's model was applied to canine diseases of known genetic cause, but not to diseases of an environmental cause. The model was also applied to canine diseases of suspected multifactorial causes for the purpose of distinguishing between the relative importance of genetic and environmental factors that act before or after birth. Limitations of this method were discussed.

Animals↗
PubMed1986

Preparation methods for light microscopic and ultrastructural studies of fetal rat bladder.

Little is known about in utero urinary bladder embryogenesis and the development of the urothelium of laboratory animals. Previous scanning and transmission electron microscopy studies in rats and mice have indicated that the highly specialized superficial cells of the urothelium complete their differentiation at a very late stage of fetal development or shortly after birth. Limitations in methodology in the past have precluded extensive examination of earlier stages of bladder development. Innovations in preparatory procedures of the bladder of rat fetuses have been developed which make possible detailed scanning and transmission electron microscopic and light microscopic examination of cloaca and urinary bladder as early as day 11 of gestation.

Animals↗
PubMedDate not supplied

The role of traditional fertility regulation in Sri Lanka.

Among the countries of South Asia, Sri Lanka, with a birth rate of 26 per 1,000, has achieved by far the lowest fertility level. The research reported here shows that at least half of all fertility control there is still practiced by means other than those offered by the national family planning program. This paper reports on an investigation carried out by the Sri Lankan Department of Census and Statistics, employing a micro-approach to demographic research, on the levels of "traditional" methods of family planning and attitudes toward the practice of both modern and traditional contraception. It is shown that knowledge of rhythm was diffused throughout society as the cost of raising children increased during a period when other methods of family planning were not easily accessible. These traditional methods were employed efficiently and their high level of continued use arises from strong cultural resistance to the pill and IUD, based upon local interpretations of how these methods function. Thus, any programmatic effort to reduce dependence on traditional family planning might well result in higher fertility levels. In addition, low fertility among Indian Tamil workers on the Tea Estates, as early as the 1950s, probably resulted from a desire (manifested by lower levels of sexual activity and some abortion) to avoid frequent pregnancies, since pregnancy interrupts work that the female Estate workers cannot afford to miss.

Attitude↗