Interventions for intra-operative pain relief during postpartum mini-laparotomy tubal ligation.

Background: Postpartum mini-laparotomy tubal ligation (PPTL) is a contraceptive method that works by interrupting the patency of the fallopian tubes. Several methods are used for intraoperative pain relief, such as systemic administration of opioids or intraperitoneal instillation of lidocaine.

Objectives: To evaluate the effectiveness of and adverse effects associated with interventions for pain relief in women undergoing PPTL.

Immediate versus delayed postpartum insertion of contraceptive implant for contraception.

Background: The spacing of pregnancies has a positive impact on maternal and newborn health. The progestin contraceptive implant, which is a long-acting, reversible method of contraception, has a well-established low failure rate that is compatible with tubal sterilization. The standard provision of contraceptive methods on the first postpartum visit may put some women at risk of unintended pregnancy, either due to loss to follow-up or having sexual intercourse prior to receiving contraception.

Contraceptive practices and pregnancy intendedness among pregnant adolescents.

Background: Adolescent pregnancy is a major health problem in many developing countries.

Objective: To assess contraceptive practices and pregnancy intendedness in pregnant adolescents.

Materials And Methods: This study was prospectively conducted from September 2013 to June 2014.

Low prevalence of contraceptive counseling at Srinagarind hospital, Thailand among women of reproductive age with systemic lupus erythematosus.

Objective: Unplanned pregnancy in women with SLE can have grave complications both for the child and the woman. We studied the prevalence of contraceptive counseling among women of reproductive age with SLE at a university hospital in Northeast Thailand.

Methods: Recruited: 125 women with SLE, between 15 and 50 years, followed up at the Rheumatology Clinic.

Evaluation of female sterilization and tubal tissue confirmation at Srinagarind Hospital.

Objective: To determine the prevalence of unconfirmed uterine tube tissue and to compare the prevalence between medical staff and residents.

Material And Method: The authors recruited 693 women who underwent tubal resection at Srinagarind Hospital between January 1 and December 31, 2010. The authors recorded (a) the types of tubal resection, (b) the position of the surgeon, and (c) the result of the tubal tissue confirmation examination if conducted.

Intraperitoneal lidocaine for decreasing intra-operative pain during postpartum tubal resection in Srinagarind Hospital.

Objective: To evaluate the effectiveness and determine the minimal dosage of intraperitoneal lidocaine for pain relief during postpartum tubal resection in Srinagarind Hospital.

Material And Method: Sixty postpartum women, undergoing postpartum tubal resection performed by residents at the Department of obstetrics and gynecologic, were included in this randomized, double-blinded, placebo controlled study. They were randomly assigned to one of three groups.

A modified LAVH to reduce urinary tract injuries: 102 consecutive case-series at Srinagarind Hospital, Khon Kaen University.

Objective: To describe the technique and results of modified laparoscopically assisted vaginal hysterectomy (LAVH), especially, on the urinary tract injury.

Material And Method: One hundred two patients scheduled for modified LAVH between November 2007 and December 2010 were enrolled.

Results: The majority of patients were middle-aged.

Risk factors for bacterial vaginosis incidence in young adult Thai women.

Objective: To determine risk factors for incident bacterial vaginosis (BV) in young Thai women.

Study Design: Prospective data from a cohort of 1522 women aged 18 to 35 years, who were enrolled in a study of hormonal contraception and HIV acquisition, were used to evaluate potential risk factors for BV, as diagnosed by Amsel criteria.

Results: The median prevalence of BV from 3 to 24 months of follow-up visits was 2.

Evaluation of female sterilization at Srinagarind Hospital.

A retrospective study of female sterilization at Srinagarind Hospital since 1978 until 2002 revealed 35,094 cases those were in the period of 25 years. These operations were performed by physicians, medical students and trained nurses in 21,383; 8,465 and 5,246 cases respectively. The presented cases were post partum tubal resection, interval tubal resection and cesarean section with tabul resection in 25,706; 4,4244 and 4,964 cases respectively.

Maternal knowledge, attitude and practice of safety belt use during pregnancy at Srinagarind Hospital.

From January 2002 to July 2002, 260 pregnant women of more than 20 weeks gestation at the antenatal care unit of Srinagarind Hospital, who fulfilled the criteria and had signed consent forms, and had answered the structured questionnaires. This cross sectional study showed that 230 women (88.5%) had an acceptable level of knowledge.