Speakers: Angelica Mercedes Lozano Rivera, Marlene Magallanes Corimanya & Lalescka Araceli Soria Gonzales
Facilitator: Marcela Mendoza
Introduccion: La anticoncepción postaborto es vital para reducir embarazos no deseados y prevenir la mortalidad materna.
Objetivo: Determinar si la nacionalidad y la edad están asociadas con el uso de anticonceptivos prescritos en el postaborto, tras un seguimiento de seis meses.
Metodos: Se realizaun estudio observacional analitico con mujeres que aceptaron un mettodo anticonceptivo inmediatamente despues de un aborto en un hospital publico peruano (N = 399). De ellas, se contactó telefónicamente a 175 participantes seis meses después.
Resultados: Solo el 39,42% de las mujeres mantuvo el uso del método anticonceptivo. Se hallo una asociacion significativa entre la edad (p = 0,049) y la nacionalidad venezolana (p = 0,043) con el uso de metodos anticonceptivos seis meses despues del aborto.
Conclusion: Seis meses después del alta hospitalaria, se observa una asociación entre el uso de métodos anticonceptivos postaborto y las variables edad y nacionalidad.
Introduction: Post-abortion contraception is vital to reduce unwanted pregnancies and prevent maternal mortality.
Objective: To determine whether nationality and age are associated with the use of prescribed contraceptives in the post-abortion period, after a six-month follow-up.
Methods: An analytical observational study was conducted with women who accepted a contraceptive method immediately after an abortion in a Peruvian public hospital (N = 399). Of these, 175 participants were contacted by telephone six months later.
Results: Only 39.42% of the women continued using the contraceptive method. A significant association was found between age (p = 0.049) and Venezuelan nationality (p = 0.043) with the use of contraceptive methods six months after the abortion.
Conclusion: Six months after hospital discharge, an association was observed between the use of post-abortion contraceptive methods and the variables age and nationality.
Check time in your country https://bit.ly/VIDM25-session-05
Speaker: Melese Siyoum
Facilitator: Indri Astuti Purwanti
Back ground: Pelvic organ prolapse (POP) is a common condition that can significantly impact a woman’s quality of life. Pelvic floor muscle training (PFMT) is recommended as a first-line conservative treatment for prolapse, but evidence from low-resource settings is limited.
Objectives: This study aimed to assess midwife-led pelvic floor muscle training on prolapse symptoms and health-related quality of life (HRQoL) among women with mild to moderate prolapse in Ethiopia, 2024.
Methods: A community-based, parallel, two-arm cluster randomized controlled trial was conducted in Dale and Wonsho districts of Sidama Region, Ethiopia. Women with symptomatic POP stage I-III were randomized by cluster to receive either midwife-led PFMT plus lifestyle counseling (intervention group) or lifestyle counseling alone (control group). The primary outcomes were change in prolapse symptom score (POP-SS) and prolapse quality of life (P-QoL). Mixed-effects generalized linear model was used to determine the effect size at 99% confidence level.
Results: A total of 187 women were randomized (intervention = 89 and control = 98). At sixth month, the intervention group showed significantly greater improvements with a mean change difference of: -4.1 (99% CI: -5.38, -2.83) in prolapse symptoms; -11.48 (99% CI: -15.9, -7.1) in physical domain, -12.65 (99% CI: -19.3, -6.1) in psychological domain and -9.47 (99% CI: -15.5, -3.5) in personal relationship domain of P-QoL. A significantly higher number of women in the intervention group perceived their condition as ‘better’ after the intervention. Women with earlier stages of prolapse (stage I and II) experienced higher benefits compared to stage III.
Conclusions: A midwife-led PFMT combined with lifestyle counseling significantly improves prolapse symptoms and quality of life in mild to moderate POP. This strategy can be integrated into the existing maternal and reproductive health programs to address POP in low-income settings where access to trained specialist is limited.
