Enquete aupres de medecins et d'infirmieres sur leur opinion a propos de la meilleure alimentation pour le nouveau-ne
Focus is on the knowledge and attitude of indigenous dais (traditional midwives) in the area covered by the Rural Health Training Center Naila. This is the field practice area of the Department of Preventive and Social Medicine, S.M.S. Medical College, Jaipur. Services are provided to a population of about 35,000 spread over 54 villages. 38 dais are operating in these villages. They have no formal education. 22 of the midwives (57.89%) had a favorable attitude towards family planning; 6 had an unfavorable attitude and 10 were indifferent. A majority of those who had a favorable attitude were in the 31-40 year age group. 2 of the dais had been instrumental in motivating cases for tubectomy. 10 of the dais were unaware of any birth control methods. 73.69% had knowledge of at least 1 birth control method. 11 knew about sterilization and 1 knew about IUDs and conventional contraceptive methods. 4 knew about abortion. 20 dais were interested in training.
A brief review of India's population figures and recent studies of oral contraceptives concludes that most side effects are not due to the medication, but are symptoms normally present in the population or are of psychogenic origin. The problems of the lack of cooperation of patients on oral contraceptives in conducting research is discussed.
A study of 30 patients with reported absence of Lippes loop thread i n the vagina was done in Kota's Divisional Hospital beginning in 1966. Dvisision of the group into 3 include: group A consisting of 10 women whose strings were unlocatable upon routine examination. Subequent X-rays or screening showed that in 5 cases the loop had been spontaneously expelled. In 1 case the loop was located high in the uterus while pregnancy developed, and in the remaining 4, the loops were in place but removed. In group B, consisting of 13 patients complaining of excessive vaginal bleeding and abdominal pain, 6 loops were located and removed, 6 were removed after loop disturbance was observed and 1, found in the peritoneal cavity, was removed from the pouch of Douglas via laparotomy. In 6 of 7 patients in group C who were unable to palpate their strings, the loops were removed. Problems associated with the loss of loop threads include the loop's entrance into the uterus, its change of axis or shape, loss of tone and the thread's entrance into the cervical canal. Symptoms of loop relocation include excessive pain, discomfort, loop displacement via X-ray or screening. Other etiological factors for loop relocation include injury to the uterine wall and migration through Fallopian tubes.
