Open Access Original Research Article

An Assessment of Women’s Experiences and Challenges Faced with Post Abortion Care (PAC) Services in Buea

Teng Esther Mbong, Dickson S. Nsagha, Niba Clinton Ambe, Micheal Okunlola, A. Oladokun Sina

Journal of Complementary and Alternative Medical Research, Page 1-10
DOI: 10.9734/jocamr/2021/v15i430271

Background: Unsafe abortion is one of the commonest causes of maternal mortality and post-abortion care services have been acclaimed as the best remedy for this situation. Yet, high maternal mortality still prevails pointing to issues with the quality of services. The paper was designed to investigate women's motives for engaging in unsafe abortion; assess women's experiences on the quality of PAC services and identify the challenges women faced in accessing PAC services in Buea.

Methods: This study recruited 10 participants in Buea. Using a structured interview, data was collected on women's motives for engaging in unsafe abortion; assess women's experiences on the quality of PAC services, and identify the challenges women faced in accessing PAC services in Buea. Thematic and grounded theory analytical techniques were used to organize and interpret the data.

Results: Majority of women in Buea did not use contraceptives for different reasons ranging from personal, spousal consent, ignorance, and the fear of side effects of contraceptive use. The low contraceptive use accounts highly for unwanted pregnancy cases which results in the decisions to induce. Most of these women involuntarily engage in induced abortion, highly driven by second party influence like the request from spouse/partner, disappointment from the spouse, and fear of parents’ reactions; while some occur as a result of missed abortion. The quality of PAC services received by most of these women were merely emergency treatments without proper PAC activities like family planning counseling, provision of modern contraceptive methods, linkages to other reproductive health care services. Women in Buea encounter some challenges in the use of PAC services, pains associated with the procedure, the cost, the absence of some family planning methods, the absence of counselling before PAC and above all, non constant availability of blood in the bood bank for transfusion.

Conclusion: This study concluded that most women in Buea engage in induced abortion on account of the pressure to terminate an unwanted pregnancy; resulting from low contraceptives use; desire to avoid problems from their spouses/partners as well as to pursue career ambition. Moreover, the quality of PAC services offered to women in Buea was emergency treatment; void of important aspects like family planning services, linkage to other reproductive health care services, and facilitating their social reinsertion and preventing future induce abortion.

Open Access Original Research Article

A Pilot Testing of the Effect of Guided Meditation on Anxiety, Depression and Sleep Quality among COVID-19 Patients Admitted in a Tertiary Care Facility

Devanshi Chowdhary, Suman Dabas, . Vanita, Poonam Joshi, Anjan Trikha

Journal of Complementary and Alternative Medical Research, Page 11-21
DOI: 10.9734/jocamr/2021/v15i430272

Hospitalization of COVID- 19 patients may lead to the development of varied levels of anxiety, depression, and sleep disturbances. The present study was conceptualized to investigate the effect of guided meditation on anxiety, depression, and sleep quality among the hospitalized Covid-19 patients in a tertiary care facility.

Materials and Methods: A total of 60 COVID-19 patients were conveniently enrolled and randomized to experimental (30) and control arms (30) using a computer-generated random table and opaque sealed envelope technique in a selected COVID unit of a tertiary care facility. The subjects were enrolled in accordance to the inclusion criteria.

Intervention: The guided meditation was an audio recording of Sri Sri Ravi Shankar of 20 minutes duration. The intervention was provided twice a day to the experimental group for consecutive 5 days. A close watch was kept on the vital signs of the subjects during the intervention using a pulse oximeter. At the same time, the control group continued to receive the standard routine care.

Results: There was a significant difference observed in the post-test anxiety and depression scores in the experiment and control groups (4.83±3.68 vs. 12.37±3.9 p=0.001 and 7.90±2.41 vs.12.67±2.65 p=0.001). A significant difference was also observed in the global sleep quality index (median (IQR)) in the experimental and control groups (11(9-14) vs. 15(10.75-17) p= 0.01).

Conclusion: The guided meditation was effective in improving the global sleep quality index and alleviating the anxiety and depression to great extent as compared to the standard routine care provided to COVID-19 patients admitted in a tertiary care facility.

Open Access Original Research Article

Effect of Warm Foot Bath on Heart Rate Variability in Hypertension

Abhay Kumar, Sujatha K. J., Prashanth Shetty

Journal of Complementary and Alternative Medical Research, Page 22-28
DOI: 10.9734/jocamr/2021/v15i430273

Aims: Warm foot bath is a simple, cost-effective, efficient treatment modality used in Naturopathy in the management of hypertension, a preventable and treatable global public health issue. This study was done to assess the effect of warm foot bath on heart rate variability and blood pressure and thereby to substantiate the clinical understanding of its effect in hypertensive individuals.

Methodology: From the inpatient department of Shri Dharmasthala Yoga and Nature cure hospital Shantivana, hundred subjects diagnosed with hypertension belonging to the age group of 30 to 60 years were recruited for the study and warm foot bath was given to all the patients. Subjects were assessed for Blood Pressure (BP) and Heart Rate Variability (HRV) before and after the intervention of 15 minutes.

Results: The data analysis shows a significant reduction in SBP (p<0.001) and DBP (P<0.001). Result showed there is significant reduction seen in MEAN RR, RMSSD, NN50, PN50, VLF and significant increase in LF, HR, LF/HF ratio p value of (p<0.001). There is no significant change in MEAN HF (p>0.005).

Conclusion: The result of the study shows that warm foot bath reduces the sympathetic tone and shifts the Sympatho-vagal balance in favour of parasympathetic dominance and hence, it can be concluded that warm foot bath can be effectively used in the management of hypertension.

Trial Registration: Clinical Trial Registry - India (CTRI), CTRI Reg. No.- CTRI/2020/01/022640.

Open Access Review Article

Review: Pharmacological Activity, Chemical Composition and Medical Importance of Leonotis nepetifolia R.Br.

Pranjal C. Tidke, Nikhita Chambhare, Milind J. Umekar, R. T. Lohiya

Journal of Complementary and Alternative Medical Research, Page 29-43
DOI: 10.9734/jocamr/2021/v15i430275

India is perhaps the most unique country in the world, with the richest tradition of indigenous and health care medical practices. Most of these practices are unique and known to very few individuals or communities. Leonotis nepetifolia Family (Lamiaceae) commonly known as ‘Klip dagga’ which has a long history of several traditional medicinal uses in many countries in the world. A huge number of phytoconstituents have been reported from the plant are allenic acid, iridoids, glycosides, terpenoids, and many more. This plant exhibited various biological activities and has been attributed to a variety of physiological effects like antifungal, antidiabetic, anxiolytic, arthritic, and many more activities. This literature review presents important species covering phytochemistry and pharmacological activities aspects systematically.

Open Access Review Article

Historical, Botanical and Medicinal Perspectives on Ginger (Zingiber officinale)

Adetutu Adewale, Adegbola Peter Ifeoluwa, Owoade Abiodun Olusoji, Aborisade Abiodun Bukunmi, Oyekunle Olubunmi Simeon

Journal of Complementary and Alternative Medical Research, Page 44-67
DOI: 10.9734/jocamr/2021/v15i430274

Ginger is one of the most valuable culinary medicinal spice with inestimable economic uses. Because it is, a well acknowledged plant both in folkloric and advanced medicine, there are no paucity of information on the many important uses of ginger in the literature. In this review, we conveyed important details on the chemistry, pharmacology, toxicity and clinical uses of ginger. Our review of over 171 articles showed that ginger use has a worldwide coverage. Randomized clinical trial studies on ginger are most prominent on the alleviation of pregnancy-induced nausea and vomiting with fascinating outcome. In addition, the prospective use as anti-inflammatory, thrombolytic, and anti-diabetic agent were well noticed. Although the dependent on plant as source of drug in the search for disease remedy is premised on their acclaimed effectiveness and safety, available data have showed plants may possess some toxic potential, overall, our review showed that ginger might be safe with no adverse effects when investigated in normal rodent and human.