KAP Study on Contraception in Teenage Pregnancy at Antenatal Care Clinic and Delivery Room in Chulalongkorn Memorial Hospital

Objective: To assess knowledge, attitude, and practice about contraception in pregnant teenagers.Materials and Methods: This was a cross-sectional descriptive study. Data collection started from September 2009 to March 2010. Pregnant teenagers, aged 12-19 years old, attending ANC clinic or delivery room at King Chulalongkorn Memorial Hospital were enrolled. The questionnaire consists of four parts; demographic data, contraceptive knowledge, attitudes about pregnancy and contraception, and past contraceptive practices. Data were analyzed using descriptive statistics, chi square test, t-test and Pearson correlation.Results: A total of 150 complete questionnaires from 285 cases of teenage pregnancy in this study period were collected and analyzed. The mean age of subjects was 17.7 years. Only 52.7% used any contraception at first intercourse. Contraceptive pill was the most common method used (59.5%) and only one-fourth chose condom. Up to 74% of participants were pregnant for the first time and 72% informed that their current pregnancies were unintended. The mean contraceptive knowledge score was 70.0 ± 9.7%. Their knowledge short-acting contraception was significantly more than long-acting contraception (P<.001). There was a correlation between knowledge and use of contraception at first intercourse (P=.012) and a trend of correlation between knowledge and attitude although not significant. Most of teenagers decided to use contraception by themselves. When they had any problems, only 19% went to see a doctor. Sources of contraceptive information were mainly from school teaching and mass media.Conclusion: Knowledge on contraception in pregnant teenagers was in average level. There was a correlation between knowledge and the use of contraception at first sexual intercourse. Most cases decided to use contraception themselves (63.5%). Pills was the most common contraceptive method (63.5%)

Thai Interest Group for Endometriosis (TIGE) consensus statement on endometriosis-associated pain

This consensus statement has been developed by the Thai Interest Group for Endometriosis (TIGE) for use by Thai clinicians in the diagnosis and management of endometriosis. TIGE is a group of clinical and academic gynaecologists with a particular interest in endometriosis. Endometriosis is an oestrogen-dependent inflammatory disease which causes chronic symptoms such as dysmenorrhoea, chronic pelvic pain, dyspareunia and subfertility, and it is common in reproductive-age women. There is limited overall data on its prevalence in different clinical settings in Thailand, but it is clear that the disease causes significant problems for patients in terms of their working lives, fertility, and quality of life, as well as placing a great burden on national healthcare resources. Decisions about selecting the appropriate treatment for women with endometriosis depend on many factors including the age of the patient, the extent and severity of disease, concomitant conditions, economic status, patient preference, access to medication, and fertility need. Several hormonal treatments are available but no consensus has been reached about the best option for long-term prevention of recurrence. Bearing in mind differences in environment, genetics, and access to the healthcare system, this treatment guideline has been tailored to the particular circumstances of Thai women