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Sri Lanka College of obstetricians and Gynecologists

Sri Lanka College of obstetricians and Gynecologists. Role of contraception. Family Planning Association started in 1953 Initiated 200 Family Planning Clinics Handed over to Family Health Bureau Intensive sterilization programmers in ’70s

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Sri Lanka College of obstetricians and Gynecologists

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  1. Sri Lanka College of obstetricians and Gynecologists

  2. Role of contraception • Family Planning Association started in 1953 • Initiated 200 Family Planning Clinics • Handed over to Family Health Bureau • Intensive sterilization programmers in ’70s • Achieved Present National Contraceptive Prevalence rate of 83%

  3. Contraceptive Prevalence Sri Lanka

  4. Pregnancies Too Many In 1969 Third or higher pregnancies Among the Women who died 69% P.H.Amarasinghe C. M.J.1969 In 1996 24% Maternal Mortality Estimates s.L.C.O.G.

  5. Total Fertility Rate and Maternal Mortality Rate • 20 yrs 1952-1972 fell from5.3 –4.1 • Same drop in the next 10 yrs • Over the next14 yrs to 2.1

  6. Unmet Need of Contraception.. • Unmet need of contraception has decreased from 24.7% in 1953 to16.2% in 2000-Sri Lanka Demographic Survey 2000 • Couples seem to fill this unmet need by resorting to illegal abortion

  7. Abortion Illegally Induced 26(11.6%) • 30 deaths • 11.6 % direct obstetric deaths • 8.6 % all deaths Five deaths under 19 years

  8. Indirect Causes • 74 deaths • 24 % of all deaths • Commonest heart disease One in four maternal deaths is from indirect causes

  9. Complications of LSCS and Anaesthesia • 12 deaths • 4 % of all deaths • 8 of 12 due to emergency LSCS

  10. CS rates

  11. Conclusion • Sri Lanka has done well in reducing maternal mortality • However much needs to be done • Different strategies need to be considered and implemented at this period. • This is a bigger challenge Sri Lanka has to face.

  12. Thankyou

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