Giant vesical calculus associated with migrant IUCD: a case report

Background Intrauterine copper devices are a popular type of contraceptives, being in use for a long time. Migration of IUCD into the bladder is one of the many side effects of this contraceptive measure. Though a rare phenomenon, IUCD acting as a foreign body can cause stone formation in the bladder. Case presentation We present a 42-year-old female patient who presented with increased urinary frequency, dysuria, and suprapubic pain. Examination showed mild tenderness in the suprapubic region. On X-ray pelvis, she was found to have a giant stone covering IUCD in the bladder. She ultimately underwent cystolithotomy, and her IUCD with stone was removed. Consequently, she was discharged on the 4th postoperative day with a satisfactory condition. Conclusion Vesical calculus can form following migration of IUCD in the bladder. This article highlights the importance of careful insertion and follow-up investigation of IUCD. Radiological modalities like X-rays pelvis provide excellent visualization of the IUCD and can be used to confirm the accurate location of the contraceptive device.

Awareness and acceptance of contraceptives among the mothers of infants attending an immunization session at a field practices area of a tertiary care hospital

Background: India was the first country in the world to have launched a National Programme for Family Planning.Methods: A cross-sectional descriptive study was carried out in the in Vaccination unit of rural field practice area of Shri Ram Murti Smarak institute of Medical Sciences (SRMSIMS) Bareilly (U.P). Objective of the study was to assess knowledge and practice of postpartum contraception and factors affecting the usage of contraceptives in Rural area. All females who delivered within last one year were included in the study. A pre-structured questionnaire was used. A total of 98 females were included. The appropriate statistical analysis was done to present the results.Results: 28.57% females had adopted one or the other postpartum contraceptive measure. Condom was the most common method used. Usage of postpartum contraception was significantly associated with women’s and husband’s education, type of delivery and availing of antenatal and postnatal visits.Conclusions: Overall usage of postpartum contraception was low there is need to focus at every step to contact of these women with health facility or health workers.

An analysis on choices of contraception

Background: Contraception is a matter of choice by the end users. The choice varies time to time. Present study tries to find out which type of contraceptive measure people prefer nowadays.Methods: This is a retrospective observational study conducted at College of Medicine & JNM Hospital, WBUHS, Kalyani, India. The contraceptive performance data of the hospital are collected from the computerised data entry register. The study period was from January 2015 to December 2017. Total number of different contraceptive methods (OCP, condom, IUCD, MTP, tubal ligation etc.) accepted by the people were found out. Data was then analysed in comparison to total number of contraception with each other by student ‘t’ test and chi square test.Results: It is found that condom use is significantly increased from 2015 to 2017 (p<0.00001). OCP use is significantly decreased from 2015 to 2017 (p<0.00001). IUCD insertion significantly increased from 2015 to 2017 (P<0.00001) and tubal ligation significantly decreased from 2015 to 2017 (p<0.00001).Conclusions: Contraception choice preference is shifting towards LARCs (long acting reversible contraceptives).

Ulipristal acetate. An emergency contraceptive?

Il forte aumento delle gravidanze e degli aborti negli adolescenti sembra giustificare l’adozione di misure per prevenirli. Sebbene la giusta soluzione al problema è senza dubbio l’educazione dei giovani ad un uso corretto della sessualità, e soprattutto in una considerazione di quest’ultima come parte fondamentale di qualcosa di molto più ampio come l’amore umano, alcuni intendono risolvere il problema implementando l’uso della contraccezione d’emergenza come unica misura contraccetiva. Uno degli ultimi farmaci in commercio per questo scopo è Ulipristal acetato, che ha cominciato ad essere distribuito in alcuni paesi europei dal novembre del 2009. Questo articolo fa riferimento alla composizione chimica di Ulipristal acetato, la sua efficacia contraccetiva, gli effetti collaterali, che non sono molto significativi, e in particolare al meccanismo d’azione con cui questo farmaco impedisce le gravidanze indesiderate, giungendo alla conclusione che per almeno il 60% del tempo esso agisce secondo un meccanismo antiimpianto, anche se ciò dipende in larga misura dal giorno in cui la donna lo assume entro il suo ciclo riproduttivo, e dal tempo trascorso dal rapporto sessuale. ---------- The large increase in pregnancies and abortions in adolescents appears to justify taking measures to prevent them. Although the right solution to the problem is undoubtedly through educating young people in the proper use of sexuality, and especially in considering it as a fundamental part of something much wider like human love, certain classes advocate resolving it by implementing the use of emergency contraception as the only contraceptive measure. One of the latest drugs marketed for this purpose is Ulipristal acetate, which began to be distributed in some European countries in November 2009. This paper refers to the chemical composition of Ulipristal acetate, its contraceptive efficacy, the side effects, which are not very significant, and especially to the mechanism of action by which this drug prevents unwanted pregnancies, concluding that at least 60% of the time it acts by an anti-implantation mechanism, although this depends to a large extent on the day on which the woman takes it, within her reproductive cycle, and on the time from sexual intercourse until she takes the drug.