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Papers by Prachi Renjhen

Journal of the Turkish-German Gynecological Association, Jun 1, 2010

To assess the knowledge, attitude and practice of contraception among the college students. Mater... more To assess the knowledge, attitude and practice of contraception among the college students. Materials and Methods: A cross sectional study was conducted in the Government College, Gangtok, Sikkim, during the month of April 2009 to evaluate the knowledge, attitude and practice of contraception among 156 students enrolled in the first year bachelor course. Descriptive statistics was used for data analysis. Results: 98% (153/156) of the students had knowledge about family planning and 86% (134/156) of them had heard about contraceptives. Most of them knew about condoms (85%) and contraceptive pills (40%) but knowledge about permanent methods and CuT was poor (average 12%). Most students thought contraceptives were to be used to prevent unwanted pregnancy (35%) and for birth spacing (30%). 11% of students had used some form of contraceptive in the past and 7% were currently users. The most commonly used contraceptives were condoms, followed by combined use of OCP and condom. Conclusion: The study highlights the need to motivate the youth for effective and appropriate use of contraceptives when required and arrest the trend towards unwanted pregnancy.

South African journal of obstetrics and gynaecology, Nov 6, 2019

Background. Awareness of the natural course of cervical cancer, screening and timely intervention... more Background. Awareness of the natural course of cervical cancer, screening and timely intervention can help to reduce morbidity and mortality associated with this disease. Objective. To assess the awareness about cervical cancer and the uptake of screening among adult women in northern Delhi, India. Methods. A cross-sectional observational study (N=401) was conducted at a tertiary-care teaching hospital over a period of 3 months. A questionnaire was used to collect sociodemographic data and probe participants' awareness of cervical cancer, preventive measures and sources of information. Data were analysed using an independent t-test, with a significance level of p<0.05. Results. The majority of participants (45%) were between 18 and 25 years old. Approximately a third (34%) were illiterate and 39.4% were educated only up to Grade 10. Almost all participants (99%) were married and 85.3% were unemployed. Only 31.9% of participants knew about cervical cancer, and of these only 26 (20.3%) were aware that cervical cancer is a preventable disease. Only 8.5% of the participants knew about Pap smears and only 1.6% had heard about the human papillomavirus vaccine. Participants indicated that health professionals were the main source of information. Only 2.2% of the entire sample reported having had a Pap smear before. Conclusion. Low awareness of cervical cancer and its prevention was found among the study population. A national education and communication strategy is recommended to improve awareness.

Journal of Nepal Medical Association, May 1, 2003

Australasian Medical Journal, 2016

Australasian Medical Journal, 2012

International journal of reproduction, contraception, obstetrics and gynecology, Feb 26, 2019

Background: Emergency contraceptive pills (ECs) are a safe female-controlled method of post-coita... more Background: Emergency contraceptive pills (ECs) are a safe female-controlled method of post-coital contraception; however, the knowledge about them is low among general population. Methods: This cross-sectional study was done among the adult females, aged 18 years and above, who visited the various outpatient departments (OPD) of a tertiary care hospital in July 2017. A total of 640 adult females, who visited the OPDs of medicine, surgery, orthopedics and gynecology were included in this study. Data were entered and analyzed using SPSS ver 16. Chi-square test was used to test association. A p-value of less than 0.05 was considered as significant association. Results: Of the 640 participants, mostly were Hindu, aged between 20-29 years, married and had more than one child. Only, 52% females were aware of the term 'contraception' and 17.7% about 'emergency contraception'. The only method of ECs they were aware of was i-pill. Commonest source of their knowledge was friends, relatives and spouse. Only 70 women knew that it can be used after unprotected intercourse and 25 knew that it can be used after failure of barrier method. Just 41.2% women used any kind of contraceptive and 5.3% women have ever used an EC. Around 28% women reported not using contraception due to lack of knowledge. Conclusions: Despite of their availability since many years, awareness about emergency contraception is low. More efforts are required to generate awareness about regular use of effective contraception and emergency contraception if required.

International journal of clinical obstetrics and gynaecology, Nov 1, 2018

Cervical carcinoma is the only preventable cancer but still ranks as the second most common cance... more Cervical carcinoma is the only preventable cancer but still ranks as the second most common cancer in the reproductive age group, A study was undertaken to know the prevalence and predictors of awareness cervical cancer and its screening among women residing in north Delhi. A cross sectional prospective study was carried out in randomly selected 401 women, attending tertiary care hospital in north Delhi, over three months. Structured questionnaire was used to collect the data. Only 31.92% of women had heard about cervical cancer and 20%of these were aware that cervical cancer was preventable. 8.5% had heard about pap smear and 1.5% had heard about HPV vaccine. Age and working status were positive determinants for awareness about cervical cancer. Age and Education status were considered as positive determinant for awareness of prevention of cervical cancer. There is still a need to educate and motivate women about cervical cancer and its prevention.

Australasian Medical Journal, Jun 1, 2016

Background Young people's vulnerability to risky or unwanted sex and other unhealthy behaviours i... more Background Young people's vulnerability to risky or unwanted sex and other unhealthy behaviours is tied to host of individual, family, and community factors and is closely related to economic and educational opportunities. Aims This study aimed to identify factors determining the sexual activity, awareness and use of contraception among college students in Malaysia. Methods A cross-sectional study was conducted among students aged 17-24 years in four colleges of Malaysia. Data were collected via a self-administered multiple response questionnaire. Data analysis was performed on 552 completed questionnaires. Results The mean age of the participants was 19.7±1.6 years. The majority of the respondents were females, Malays, residing in rented accommodations. Contraceptive awareness, sexual activity and use of contraception increased significantly with age of the respondents and were more in males. Better contraceptive awareness was found in those staying away from parents and those studying in colleges with urban exposure. Almost 40 per cent respondents had indulged in sexual activity but only 37 per cent reported use of contraception. A significantly higher proportion of respondents who did not use contraception were females, those in the age group of 19-20 years old and those who were studying in colleges with rural exposure. Male students were more likely to engage in sexual activity and use contraception compared to females. Conclusion There is a need to impart sexual and reproductive health knowledge during the adolescent period so that young people can make informed choices and be motivated to use of contraceptives effectively.

International Journal of Medical Research and Health Sciences, 2021

Indonesian Journal of Obstetrics and Gynecology

Background One of the common practices in modern obstetrical care is labour induction when foeta... more Background One of the common practices in modern obstetrical care is labour induction when foetal and maternal complications arise. We endeavoured to compare the efficacy and safety of the inexpensive mechanical method of induction Foley’s catheter to the more established pharmacological agent Intracervical Prostaglandin E2 gel Method The present prospective randomised control study was carried out on 200 women with a term singleton pregnancy in cephalic presentation, with an unfavourable cervix and a valid indication for induction of labour. The patients were randomly allocated using the chit method to either Foley’s catheter [group A, n=100] or PGE2 gel [group B, n=100] . Augmentation with oxytocin was done if required and labor was closely monitored till delivery and the perinatal outcome and maternal side effects was recorded Quantitative variables were compared using unpaired t-test/Mann-Whitney Test and qualitative variables were compared using Chi-Square test /Fisher’s exac...

Objectives: To assess the reliability of the admission cardiotocogram in detecting fetal hypoxia ... more Objectives: To assess the reliability of the admission cardiotocogram in detecting fetal hypoxia already present at admission and to correlate the results of the admission test with the perinatal outcome in low risk obstetric population. Methods: This was a cross‐sectional study conducted during the period 2008 to 2010. The study included 192 low risk pregnant women, admitted to the emergency department or through the outpatient department with period of gestation ≥37 weeks, in first stage of labor with fetus in cephalic presentation. All of them were subjected to an admission test, a 20 minutes recording of fetal heart rate and uterine contractions on cardiotocograph machine at the time of admission. Results: The results of the admission test were 'reactive' in 88%, 'equivocal' in 5.7% and 'ominous' in 6.3% women. Women with the reactive admission test had low risk of intrapartum fetal distress (2.9%) as compared to 36.4% in the equivocal and 83.3% in the om...

International Journal of Clinical Obstetrics and Gynaecology

Placenta percreta, a rare complication of pregnancy, is associated with significant postpartum he... more Placenta percreta, a rare complication of pregnancy, is associated with significant postpartum hemorrhage often requiring emergency hysterectomy. Majority of these cases are seen in patients with history of previos LSCS with anterior low lying placenta. Here we present the case of fundal placenta percreta in a woman with previous one LSCS.

International Journal of Medical Research and Health Sciences, 2021

Introduction: Polycystic ovarian syndrome(PCOS) is a rapidly emerging endocrine disorder affectin... more Introduction: Polycystic ovarian syndrome(PCOS) is a rapidly emerging endocrine disorder affecting women of all ages. Simple lifestyle modifications can help women to combat the disorder.Objective: To assess the knowledge among reproductive women regarding the risk factors, symptoms, complications, and management of PCOS and their source of knowledge to develop an educational tool to be used at the community level.Results: A total of 334 women participated. The mean age was 28.70±6.29 years. Around 9.3% of the participants were already diagnosed with PCOS. Around 43.4% of women have heard about PCOS. The Source of their information was a doctor (26.6%), internet (6.28%), teachers (5.6%), and friends (4.7%). Knowledge regarding risk factors revealed that obesity (33.5%), unhealthy dietary habits (35%), and genetic predisposition (40.7%) were thought as risk factors. Regarding complications participants were aware that PCOS is associated with increased risk of subfertility (40.1%), ab...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019

Background: Emergency contraceptive pills (ECs) are a safe female-controlled method of post-coita... more Background: Emergency contraceptive pills (ECs) are a safe female-controlled method of post-coital contraception; however, the knowledge about them is low among general population.Methods: This cross-sectional study was done among the adult females, aged 18 years and above, who visited the various out-patient departments (OPD) of a tertiary care hospital in July 2017. A total of 640 adult females, who visited the OPDs of medicine, surgery, orthopedics and gynecology were included in this study. Data were entered and analyzed using SPSS ver 16. Chi-square test was used to test association. A p-value of less than 0.05 was considered as significant association.Results: Of the 640 participants, mostly were Hindu, aged between 20-29 years, married and had more than one child. Only, 52% females were aware of the term ‘contraception’ and 17.7% about ‘emergency contraception’. The only method of ECs they were aware of was i-pill. Commonest source of their knowledge was friends, relatives an...

European journal of scientific research, 2010

Journal of the Turkish-German Gynecological Association, Jun 1, 2010

To assess the knowledge, attitude and practice of contraception among the college students. Mater... more To assess the knowledge, attitude and practice of contraception among the college students. Materials and Methods: A cross sectional study was conducted in the Government College, Gangtok, Sikkim, during the month of April 2009 to evaluate the knowledge, attitude and practice of contraception among 156 students enrolled in the first year bachelor course. Descriptive statistics was used for data analysis. Results: 98% (153/156) of the students had knowledge about family planning and 86% (134/156) of them had heard about contraceptives. Most of them knew about condoms (85%) and contraceptive pills (40%) but knowledge about permanent methods and CuT was poor (average 12%). Most students thought contraceptives were to be used to prevent unwanted pregnancy (35%) and for birth spacing (30%). 11% of students had used some form of contraceptive in the past and 7% were currently users. The most commonly used contraceptives were condoms, followed by combined use of OCP and condom. Conclusion: The study highlights the need to motivate the youth for effective and appropriate use of contraceptives when required and arrest the trend towards unwanted pregnancy.

South African journal of obstetrics and gynaecology, Nov 6, 2019

Background. Awareness of the natural course of cervical cancer, screening and timely intervention... more Background. Awareness of the natural course of cervical cancer, screening and timely intervention can help to reduce morbidity and mortality associated with this disease. Objective. To assess the awareness about cervical cancer and the uptake of screening among adult women in northern Delhi, India. Methods. A cross-sectional observational study (N=401) was conducted at a tertiary-care teaching hospital over a period of 3 months. A questionnaire was used to collect sociodemographic data and probe participants' awareness of cervical cancer, preventive measures and sources of information. Data were analysed using an independent t-test, with a significance level of p<0.05. Results. The majority of participants (45%) were between 18 and 25 years old. Approximately a third (34%) were illiterate and 39.4% were educated only up to Grade 10. Almost all participants (99%) were married and 85.3% were unemployed. Only 31.9% of participants knew about cervical cancer, and of these only 26 (20.3%) were aware that cervical cancer is a preventable disease. Only 8.5% of the participants knew about Pap smears and only 1.6% had heard about the human papillomavirus vaccine. Participants indicated that health professionals were the main source of information. Only 2.2% of the entire sample reported having had a Pap smear before. Conclusion. Low awareness of cervical cancer and its prevention was found among the study population. A national education and communication strategy is recommended to improve awareness.

Journal of Nepal Medical Association, May 1, 2003

Australasian Medical Journal, 2016

Australasian Medical Journal, 2012

International journal of reproduction, contraception, obstetrics and gynecology, Feb 26, 2019

Background: Emergency contraceptive pills (ECs) are a safe female-controlled method of post-coita... more Background: Emergency contraceptive pills (ECs) are a safe female-controlled method of post-coital contraception; however, the knowledge about them is low among general population. Methods: This cross-sectional study was done among the adult females, aged 18 years and above, who visited the various outpatient departments (OPD) of a tertiary care hospital in July 2017. A total of 640 adult females, who visited the OPDs of medicine, surgery, orthopedics and gynecology were included in this study. Data were entered and analyzed using SPSS ver 16. Chi-square test was used to test association. A p-value of less than 0.05 was considered as significant association. Results: Of the 640 participants, mostly were Hindu, aged between 20-29 years, married and had more than one child. Only, 52% females were aware of the term 'contraception' and 17.7% about 'emergency contraception'. The only method of ECs they were aware of was i-pill. Commonest source of their knowledge was friends, relatives and spouse. Only 70 women knew that it can be used after unprotected intercourse and 25 knew that it can be used after failure of barrier method. Just 41.2% women used any kind of contraceptive and 5.3% women have ever used an EC. Around 28% women reported not using contraception due to lack of knowledge. Conclusions: Despite of their availability since many years, awareness about emergency contraception is low. More efforts are required to generate awareness about regular use of effective contraception and emergency contraception if required.

International journal of clinical obstetrics and gynaecology, Nov 1, 2018

Cervical carcinoma is the only preventable cancer but still ranks as the second most common cance... more Cervical carcinoma is the only preventable cancer but still ranks as the second most common cancer in the reproductive age group, A study was undertaken to know the prevalence and predictors of awareness cervical cancer and its screening among women residing in north Delhi. A cross sectional prospective study was carried out in randomly selected 401 women, attending tertiary care hospital in north Delhi, over three months. Structured questionnaire was used to collect the data. Only 31.92% of women had heard about cervical cancer and 20%of these were aware that cervical cancer was preventable. 8.5% had heard about pap smear and 1.5% had heard about HPV vaccine. Age and working status were positive determinants for awareness about cervical cancer. Age and Education status were considered as positive determinant for awareness of prevention of cervical cancer. There is still a need to educate and motivate women about cervical cancer and its prevention.

Australasian Medical Journal, Jun 1, 2016

Background Young people's vulnerability to risky or unwanted sex and other unhealthy behaviours i... more Background Young people's vulnerability to risky or unwanted sex and other unhealthy behaviours is tied to host of individual, family, and community factors and is closely related to economic and educational opportunities. Aims This study aimed to identify factors determining the sexual activity, awareness and use of contraception among college students in Malaysia. Methods A cross-sectional study was conducted among students aged 17-24 years in four colleges of Malaysia. Data were collected via a self-administered multiple response questionnaire. Data analysis was performed on 552 completed questionnaires. Results The mean age of the participants was 19.7±1.6 years. The majority of the respondents were females, Malays, residing in rented accommodations. Contraceptive awareness, sexual activity and use of contraception increased significantly with age of the respondents and were more in males. Better contraceptive awareness was found in those staying away from parents and those studying in colleges with urban exposure. Almost 40 per cent respondents had indulged in sexual activity but only 37 per cent reported use of contraception. A significantly higher proportion of respondents who did not use contraception were females, those in the age group of 19-20 years old and those who were studying in colleges with rural exposure. Male students were more likely to engage in sexual activity and use contraception compared to females. Conclusion There is a need to impart sexual and reproductive health knowledge during the adolescent period so that young people can make informed choices and be motivated to use of contraceptives effectively.

International Journal of Medical Research and Health Sciences, 2021

Indonesian Journal of Obstetrics and Gynecology

Background One of the common practices in modern obstetrical care is labour induction when foeta... more Background One of the common practices in modern obstetrical care is labour induction when foetal and maternal complications arise. We endeavoured to compare the efficacy and safety of the inexpensive mechanical method of induction Foley’s catheter to the more established pharmacological agent Intracervical Prostaglandin E2 gel Method The present prospective randomised control study was carried out on 200 women with a term singleton pregnancy in cephalic presentation, with an unfavourable cervix and a valid indication for induction of labour. The patients were randomly allocated using the chit method to either Foley’s catheter [group A, n=100] or PGE2 gel [group B, n=100] . Augmentation with oxytocin was done if required and labor was closely monitored till delivery and the perinatal outcome and maternal side effects was recorded Quantitative variables were compared using unpaired t-test/Mann-Whitney Test and qualitative variables were compared using Chi-Square test /Fisher’s exac...

Objectives: To assess the reliability of the admission cardiotocogram in detecting fetal hypoxia ... more Objectives: To assess the reliability of the admission cardiotocogram in detecting fetal hypoxia already present at admission and to correlate the results of the admission test with the perinatal outcome in low risk obstetric population. Methods: This was a cross‐sectional study conducted during the period 2008 to 2010. The study included 192 low risk pregnant women, admitted to the emergency department or through the outpatient department with period of gestation ≥37 weeks, in first stage of labor with fetus in cephalic presentation. All of them were subjected to an admission test, a 20 minutes recording of fetal heart rate and uterine contractions on cardiotocograph machine at the time of admission. Results: The results of the admission test were 'reactive' in 88%, 'equivocal' in 5.7% and 'ominous' in 6.3% women. Women with the reactive admission test had low risk of intrapartum fetal distress (2.9%) as compared to 36.4% in the equivocal and 83.3% in the om...

International Journal of Clinical Obstetrics and Gynaecology

Placenta percreta, a rare complication of pregnancy, is associated with significant postpartum he... more Placenta percreta, a rare complication of pregnancy, is associated with significant postpartum hemorrhage often requiring emergency hysterectomy. Majority of these cases are seen in patients with history of previos LSCS with anterior low lying placenta. Here we present the case of fundal placenta percreta in a woman with previous one LSCS.

International Journal of Medical Research and Health Sciences, 2021

Introduction: Polycystic ovarian syndrome(PCOS) is a rapidly emerging endocrine disorder affectin... more Introduction: Polycystic ovarian syndrome(PCOS) is a rapidly emerging endocrine disorder affecting women of all ages. Simple lifestyle modifications can help women to combat the disorder.Objective: To assess the knowledge among reproductive women regarding the risk factors, symptoms, complications, and management of PCOS and their source of knowledge to develop an educational tool to be used at the community level.Results: A total of 334 women participated. The mean age was 28.70±6.29 years. Around 9.3% of the participants were already diagnosed with PCOS. Around 43.4% of women have heard about PCOS. The Source of their information was a doctor (26.6%), internet (6.28%), teachers (5.6%), and friends (4.7%). Knowledge regarding risk factors revealed that obesity (33.5%), unhealthy dietary habits (35%), and genetic predisposition (40.7%) were thought as risk factors. Regarding complications participants were aware that PCOS is associated with increased risk of subfertility (40.1%), ab...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019

Background: Emergency contraceptive pills (ECs) are a safe female-controlled method of post-coita... more Background: Emergency contraceptive pills (ECs) are a safe female-controlled method of post-coital contraception; however, the knowledge about them is low among general population.Methods: This cross-sectional study was done among the adult females, aged 18 years and above, who visited the various out-patient departments (OPD) of a tertiary care hospital in July 2017. A total of 640 adult females, who visited the OPDs of medicine, surgery, orthopedics and gynecology were included in this study. Data were entered and analyzed using SPSS ver 16. Chi-square test was used to test association. A p-value of less than 0.05 was considered as significant association.Results: Of the 640 participants, mostly were Hindu, aged between 20-29 years, married and had more than one child. Only, 52% females were aware of the term ‘contraception’ and 17.7% about ‘emergency contraception’. The only method of ECs they were aware of was i-pill. Commonest source of their knowledge was friends, relatives an...

European journal of scientific research, 2010