A Study to Assess the Knowledge regarding Management of Infertility among Infertile women at selected urban areas in Mehsana District with a view to develop Information Booklet on Management of Infertility

Mrs. Bhoomika Patel¹, Ms. Palak Patel²

¹HOD of Obstetricas and Gynecology, Nootan College of Nursing, Visnagar, Dist: Mehsana.

²Student, Nootan College of Nursing, Visnagar, Dist: Mehsana.

*Corresponding Author E-mail: palpatel5194@gmail.com

ABSTRACT:

Introduction: Infertility is the failure of a couple to become pregnant after one year of regular, unprotected intercourse. In both men and women the fertility process is complex. Infertility affects about 10% of all couples. Even under ideal circumstances, the probability that a woman will get pregnant during a single menstrual cycle is only about 30%. And, when conception does occur, only 50 - 60% of pregnancies advance beyond the 20th week. About a third of infertility problems are due to female infertility, and another third are due to male infertility. In the remaining cases, infertility affects both partners or the cause is unclear. Although this brochure specifically addresses infertility in women, it is equally important for the male partner to be tested at the same time. Method And Material: quantitative non experimental descriptive research design was used. by using Purposive sampling technique. This study was also done on 60 samples; data was collected by semi structured questionnaire to assess the knowledge regarding management of infertility among infertile women. Results: In this study overall the highest percentage in the demographic data including the Age group 45% (26-30), Religion 90% (Hindu), Educational qualification 58% (Primary education), Type of the family 41% (Joint family), No. of woman in family 32% (1), Residence 45% (Rented homes), Income of the family 54% (5001 - 10,000), Duration of Marriage 48% (4 to 6 year), sources of information 40% (Newspaper), Any past history of diseases 40% (no any past history) And 85% of the sample had inadequate knowledge (score 0-10), 15% of them had Moderate knowledge (score 11-16) and 0 of them had adequate Knowledge (above 16) regarding management of infertility. chi square value of Age, Religion, Education regarding management of infertility was less than tabulated value of chi square so it was statistically significant at0.05 Level of significance Conclusion: the finding of the study reveal that samples has inadequate knowledge about management of infertility.

KEYWORDS: Assess, Knowledge, Management, Infertility, Women, Urban.

INTRODUCTION:

Infertility means not being able to get pregnant after one year of trying or six months, if a women in 35 or older. Woman who can get pregnant but are unable to stay pregnant may also be infertile.¹

Infertility is the failure of a couple to become pregnant after one year of regular, unprotected intercourse. In both men and women the fertility process is complex. Infertility affects about 10% of all couples. Even under ideal circumstances, the probability that a woman will get pregnant during a single menstrual cycle is only about 30%. And, when conception does occur, only 50 - 60% of pregnancies advance beyond the 20^th week. About a third of infertility problems are due to female infertility, and another third are due to male infertility. In the remaining cases, infertility affects both partners or the cause is unclear. Although this brochure specifically addresses infertility in women, it is equally important for the male partner to be tested at the same time.²

The women or couple facing infertility exhibits behaviors of the grieving process and have impaired self-concept. Intrauterine insemination technique has been providing hope infertile couple and when in-vitro fertilization is either not possible or has repeatedly failed, surrogacy may be viewed as an alternative.

Infertility is categorized as primary if there has been no prior conception and secondary if there has been previous pregnancy irrespective of the outcome. Approximately one-third of cases of infertility involve problems with both partners. Percentage of women 15-44 years of old, who have received any infertility services 2016(11.9%) (7.3 million) in India data collected by National Survey of Family growth.⁴ Advices (6.1%), Medical help (4.8%) Test on woman (4.8%) Ovulation drugs (3.8%) Artificial insemination (1.1%)³

NEED OF THE STUDY:

Researches indicate that the level of fertility in India is beginning to decline. The total fertility rate has declined from 3.6 in 2015 to 2.8 in 2016. The total fertility rate in rural areas has declined from 5.4 in 2014 to 3.1 in 2012. Whereas the corresponding decline in urban areas has been from 4-1 to 2.0 during the same period. There are inter-state variations in total fertility rate, so the infertility rate is increasing. Whatever the national rates within each state, infertility in strongly associated with social, behavioral and cultural factors that are known to put women at risk, for sexually transmitted diseases and other reproductive tract infection, most closely associated with clinical infertility.

General advice regarding life style factors such as smoking and alcohol should be given to both partners and weight control advice for the female partner if appropriate. The couple should be advised that sexual intercourse every 2-3 days optimizers the chances of pregnancy. Women with regular menstrual cycles, are likely to be ovulating but women with regular cycles and a history of more than two years infertility should have measurement of serum progesterone levels to confirm ovulation.

Evidences from a US study which was conducted in 2012 reports that the impacts of life style choices of female infertility. The study aimed to inform the physicians about the relationship between lifestyle choices and infertility, so that they can use this knowledge to educate their patients and encourage changes in behaviour. Effectiveness of this study proved that, life style choices can influence the reproductive ability of the women, it is worthwhile for the physicians to use the information on the above aspects.

STATEMENT OF THE PROBLEM:

A study to assess the knowledge regarding management of infertility among infertile women at selected urban areas in Mehsana district with a view to develop information booklet on management of infertility

OBJECTIVES:

— To assess the level of knowledge regarding management of infertility.

— To Prepare an information booklet regarding management of infertility

— To find out the association between the level of knowledge and demographic variables among infertile women.

ASSUMPTION:

1. Infertile women may have inadequate knowledge regarding management of infertility.

2. Information booklet will give awareness about treatment of infertility among infertile women and to take better decision to solve the problem.

MATERIAL AND METHODS:

Quantitative non-experimental descriptive survey research design was used. By using Purposive sampling technique. This study was also done on 60 samples, data was collected by self-structured knowledge questionnaire to assess the knowledge regarding management of infertility.

RESULTS:

Demographic data was analyzed using frequency and percentage. Frequencies, percentage, mean, mean percentage and standard deviation was used to determine the knowledge score. Chi-square test was done to determine the association with the knowledge of infertile women with selected demographic variables.

Finding related to demographic data:

In this study overall the highest percentage in the demographic data including the Age group 45% (26-30),Religion 90% (Hindu), Educational qualification 58% (Primary education), Type of the family 41% (Joint family),No. of woman in family 32% (1), Residence 45% (Rented homes), Income of the family 54% (5001 - 10,000), Duration of Marriage 48% (4 to 6 year), sources of information 40% (Newspaper), Any past history of diseases 40% (no any past history)

Knowledge score of infertile women regarding management of infertility. (N=100)

Knowledge Score	Frequecy	Percentage
Inadequate (0-10)	51	85%
Moderate (11-16)	9	15%
Adequate (above 16)	0	0%

Table showed that 85% of the people had poor Inadequate knowledge (0-10), 15% of them had Moderate knowledge (score 11-16) and 0% of them had adequate Knowledge (above 16) regarding management of infertility.

CONCLUSION:

The present study aims is to assess the level of knowledge regarding management of infertility Among infertile women. The study was conducted by using Quantitative non-experimental descriptive survey research design. The sample size was 60 infertile women. Non-Probability purposive sampling technique was used.

REFRENCE:

1. Fraser DM, Cooper MA, Fletcher G. Myles textbook for midwives. 14^th edn., Churchill livingstone Publication, Eninburgh, London New York Oxford Philadelphia St. Louis Sydney Toranto 2003: pg.174

2. K. Park textbook of Preventive and social medicine, 20^th edn., M/s Banarsidas Bhanot Publishers, 1167, Prem Nagar, Jabalpur – 482001 (MP), India, 2009.

3. D.C. Dutta; Textbook of Gynaecology, 5^th edition, New Central Book Agency, Delhi, Page 55-61.

Received on 10.02.2021 Modified on 04.03.2021

Int. J. Nur. Edu. and Research. 2021; 9(3):291-293.

DOI: 10.52711/2454-2660.2021.00068