Awareness of menstrual cup among reproductive age group women
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20232726Keywords:
Attitude, Awareness, Knowledge, Menstrual Cups, Menstrual sanitary management, Practice, ReusableAbstract
Background: The first type of menstrual cup having a bullet-shape was patented in 1932 by the midwifery group of McGlasson and Perkins. The first medical grade silicone menstrual cup was manufactured in 2001 by Mooncup UK. Menstrual cups are considered as environmentally friendly and inexpensive alternative to expensive disposable pads. The capability to reuse the cups with a service life of 10 years is a significant advantage of menstrual cups. Menstrual cups have been in use since a long time but very limited studies are conducted about their awareness among Indian women. Hence, in this present study, the awareness of menstrual cup among reproductive age group women was evaluated.
Methods: Data was collected from the eligible and chosen women in reproductive age through a pre-developed questionnaire and completed in the presence of the interviewer. It was a descriptive cross-sectional study conducted over a period of 1 month in Srinivas Institute of Medical Sciences and Research Centre, Mangalore, Karnataka, India.
Results: In this study, total of 508 participants were included. The maximum number of participants was in the age group of 21 years to 25 years (58.46%). The educational status of the participants was mostly in the category of undergraduate level (69.88%). The marital status of most of the participants was unmarried (89.37%). Most of the participants belong to low-income group (<Rs.20000-72.44%). 465 participants (91.5%) have heard about menstrual cups but only 1.57% of them were using menstrual cups alone whereas around 9.8% use them occasionally along with other methods.
Conclusions: Menstrual sanitary management is difficult in low-income reproductive aged women due to conventional way of life, lack of knowledge on best sanitary practices, and restricted access to suitable and reasonably priced menstrual hygiene products. As an alternative to sanitary napkins, menstrual cups can be effectively used to contain the menstrual flow. Even though it is observed that the awareness about menstrual cups is very good among the reproductive aged women in India, the usage is very limited. As menstrual sanitary management is a more and more important issue and as India is facing a major threat in the form of managing the soiled napkins waste which results in multiple complications, the usage of menstrual cups must be promoted.
References
African Population and Health Research Center. Attitudes towards, and acceptability of, menstrual cups as a method for managing menstruation: Experiences of women and schoolgirls in Nairobi, Kenya. An Evidence-Based Policy Brief. Afr Popul Health Res Cent. 2010;(21):1-8.
Meghana S, Gomathy E. Knowledge, attitude, and practices regarding menstrual cup among reproductive women in a rural tertiary care Hospital. Int J Clin Obstet Gynecol. 2021;5(2):211-4.
Kakani CR, Bhatt JK. Study of adaptability and efficacy of menstrual cup in managing menstrual health and hygiene. Int J Reprod Contracept Obstet Gynecol. 2017;6(7):3045-53.
Balamurugan SS, Shilpa S, Shaji S. A community-based study on menstrual hygiene among reproductive age group women in a rural area, Tamil Nadu. J Basic Clin Reprod Sci. 2014;3(2):83-7.
Arenas-Gallo C, Ramírez-Rocha G, González-Hakspiel L, Merlano-Alcendra C, Palomino-Suárez D, Rueda-Espinel S. Acceptability and safety of the menstrual cup: a systematic review of the literature. Rev Colomb Obstet Ginecol. 2020;71(2):163-76.
Howard C, Rose CL, Trouton K, Stamm H, Marentette D, Kirkpatrick N, et al. FLOW (finding lasting options for women): Multicentre randomized controlled trial comparing tampons with menstrual cups. Can Fam Phys. 2011;57(6):e208-15.
Ballal SK, Bhandary A. Menstrual cup: awareness among reproductive women. Int J Reprod Contracept Obstet Gynecol. 2020;9(4):1382-7.
Juma J, Nyothach E, Laserson KF, Oduor C, Arita L, Ouma C, et al. Examining the safety of menstrual cups among rural primary school girls in western Kenya: Observational studies nested in a randomised controlled feasibility study. BMJ Open. 2017;7(4):1-10.
Gayathri R, Sivanandam M. Menstural cup: an unexplored women’s hygiene product. J Nov Physiother. 2017;7(4):1-3.
Stewart K, Greer R, Powell M. Women’s experience of using the Mooncup. J Obstet Gynecol. 2010;30(3):285-7.
Averbach S, Sahin-Hodoglugil N, Musara P, Chipato T, van der Straten A. Duet® for menstrual protection: a feasibility study in Zimbabwe. Contraception. 2009;79(6):463-8.
Van Eijk AM, Zulaika G, Lenchner M, Mason L, Sivakami M, Nyothach E, et al. Menstrual cup use, leakage, acceptability, safety, and availability: a systematic review and meta-analysis. Lancet Public Health. 2019;4(8):e376-93.
Mason L, Nyothach E, Alexander K, Odhiambo FO, Eleveld A, Vulule J, et al. “We keep it secret so no one should know”- a qualitative study to explore young schoolgirls attitudes and experiences with menstruation in rural western Kenya. PLoS One. 2013;8(11):1-11.
McMahon SA, Winch PJ, Caruso BA, Ogutu EA, Ochari IA, Rheingans RD. “The girl with her period is the one to hang her head” reflections on menstrual management among schoolgirls in rural Kenya. BMC Int Health Hum Rights. 2011;11(7):1-10.
Van Eijk AM, Laserson KF, Nyothach E, Oruko K, Omoto J, Mason L, et al. Use of menstrual cups among school girls: Longitudinal observations nested in a randomised controlled feasibility study in rural western Kenya. Reprod Health. 2018;15(139):1-11.
Mathiyalagen P, Peramasamy B, Vasudevan K, Basu M, Cherian J, Sundar B. A descriptive cross-sectional study on menstrual hygiene and perceived reproductive morbidity among adolescent girls in a union territory, India. J Fam Med Prim Care. 2017;6(2):360-5.
International Institute for Population, Mumbai. National Family Health Survey (NFHS-4), 2015-2016: India. 2017. Available from: http://rchiips.org/nfhs/nfhs4.shtml. Accessed on 3 March 2023.
Aishwarya N, Tharani S. Can menstrual cups become an alternative to sanitary napkins? A critical analysis among women in Bangalore city. Indian J Public Health Res Dev. 2019;10(11):1255-9.
Pokhrel D, Bhattarai S, Emgård M, von Schickfus M, Forsberg BC, Biermann O. Acceptability and feasibility of using vaginal menstrual cups among schoolgirls in rural Nepal: a qualitative pilot study. Reprod Health. 2021;18(20):1-10.
Phillips-Howard PA, Nyothach E, Ter Kuile FO, Omoto J, Wang D, Zeh C, et al. Menstrual cups and sanitary pads to reduce school attrition, and sexually transmitted and reproductive tract infections: A cluster randomised controlled feasibility study in rural Western Kenya. BMJ Open. 2016;6(e013229):1-11.
Toxics Link. Menstrual waste disposal adding to India’s environmental crisis: Study. 2021. Available from: https://www.facebook.com/toxicslink/. Accessed on 3 March 2023.
Express News Services. Menstrual waste disposal adding to India’s environmental crisis: Study. The New Indian Express. 2021. Available from: https://www.newindianexpress.com/nation/2021/jun/03/menstrual-waste-disposal-adding-to-indias-environmental-crisis-study-2311185.html. Accessed on 3 March 2023.
GIZ Sanitation for Millions. Sanitation for Millions’ Approach towards Menstrual Waste Management. Deutsche Gesellschaft fuer Internationale Zusammenarbeit (GIZ) GmbH. 2020:1-9. Available from: https://www.susana.org/en/knowledge-hub/resources-and-publications/library/details/3865. Accessed on 3 March 2023.
Singh V. Menstrual Waste Disposal: India’s “Silent” Problem. Feminism in India. 2020:1-4. Available from: https://feminisminindia.com/ 2020/05/22/menstrual-waste-disposal-indias-silent-problem/. Accessed on 3 March 2023.
